611 W. Union Street
Benson, AZ 85602
(520) 586-0800

Health Choice Integrated Care crisis Line
1-877-756-4090

NurseWise 24-Hour Crisis Line
1-866-495-6735

NAZCARE Warm Line
1-888-404-5530



SEABHS
611 W. Union Street
Benson, AZ 85602
(520) 586-0800

NurseWise 24-Hr Crisis Line
1-866-495-6735

NAZCARE Warm Line
1-888-404-5530


powered by centersite dot net

Getting Started
Here are some forms to get started. These can be printed and brought with you so that you can pre-fill out some known info ahead of time. More...


Pain Management
Resources
Basic InformationLatest News
Could Botox Cousin Combat the Opioid Epidemic?Where Are Opioid Painkillers Prescribed the Most?Anti-seizure Meds Won't Ease Low Back PainMedical Marijuana a Hit With SeniorsRisky Prescribing Boosts Opioid Death RiskPatients on Opioids OK With Lower DosesPatterns of Potential Misuse Help Assess Risk of Opioid OverdoseHospitals Should, and Could, Avoid IV Opioids: StudyOpioid Makers' Perks to Docs Tied to More PrescriptionsPsychological Therapies May Help Older Adults With Chronic PainStudy Finds 31 Percent Use No Opioids After SurgeryAddictive Opioids Still Overprescribed After Surgery: StudyDoctors Curbing First-Time Prescriptions for OpioidsFDA Recalls Kratom Products Due to Salmonella ThreatMillions Get Wrong Treatment for Back Pain: StudyManaging Pain With Fewer Opioids After Joint ReplacementDoctors Present Recs For and Against Acupuncture for PainOpioids Don't Top Non-Opioids for Pain-Related FunctionOpioids Not Best Option for Back Pain, Arthritis, Study FindsGroup CBT, Pain Education Improve Pain, Physical FunctionChronic Opioid Users May Wish to Taper Opioid UseSome Pain Patients Can Cut Opioid Dose and Still Get ReliefAnother Downside to Opioid Use: Pneumonia?Long-Term Opioid Use Down Among U.S. Vets: StudyLosing Weight Eases Obesity-Related Pain. But How Much Is Enough?Do Over-the-Counter Painkillers Alter Emotions, Reasoning?Opioid Prescribing Trends in the VA Similar to Other SettingsHow to Avoid Opioid Addiction After SurgeryOpioids Aren't America's Only Painkiller ProblemWeight Loss Among Obese Tied to Improvements in Chronic PainPrescribing of Opioids Adds to Patient Satisfaction With CareOpioid Abuse Rises When Prescriptions Are RenewedPain Self-Efficacy Questionnaire Helps to Evaluate Migraine PainImprovement Needed in Ob-Gyn Opioid Prescribing PracticesInsights Into Pain Relief From the Family That Can't Feel PainGabapentin Doesn't Cut Time to Pain Cessation After SurgeryAmount of Opioids Prescribed After Hospital Discharge VariesDrug May Help Surgical Patients Stop Opioids SoonerASHP: Joint Commission Impact on Pain Management Discussed'Pill Mill' Docs Only Partly to Blame for Opioid EpidemicElectrical Pulses May Ease Pain From 'Slipped' DiscChronic Pain Common Among Those Who OD on OpioidsKids Still Getting Risky Painkiller After TonsillectomyPatients Use ~Half of Opioids Prescribed After HysterectomyIn ER, Combination of Ibuprofen, Acetaminophen Relieves PainOpioids Not the Only Answer for Pain Relief in the ERASA: Opioid-Free Anesthesia Feasible for Surgical ProceduresSkip Opioid Treatment for Migraine in the ERAround the World, Too Little Relief for PainPost-Op Opioids: How Much Is Enough?
Questions and AnswersLinksBook Reviews
Related Topics

Depression: Depression & Related Conditions
Medical Disorders
Mental Disorders

In ER, Combination of Ibuprofen, Acetaminophen Relieves Pain


HealthDay News
Updated: Nov 8th 2017

new article illustration

WEDNESDAY, Nov. 8, 2017 (HealthDay News) -- For patients presenting to the emergency department with acute extremity pain, the combination of ibuprofen and acetaminophen does not differ in terms of pain reduction from three different opioid and acetaminophen combination analgesics, according to a study published online Nov. 7 in the Journal of the American Medical Association.

Andrew K. Chang, M.D., from Albany Medical College in New York, and colleagues compared the efficacy of four combination analgesics in a randomized clinical trial that included 416 patients aged 21 to 64 years with moderate to severe acute extremity pain, of whom 411 patients were analyzed.

The researchers found that the baseline mean numerical rating scale (NRS) pain score was 8.7 on an 11-point scale. There were reductions in the mean NRS pain score of 4.3 in the ibuprofen and acetaminophen group compared with 4.4, 3.5, and 3.9 in the oxycodone and acetaminophen group, the hydrocodone and acetaminophen group, and the codeine and acetaminophen group (P = 0.053) at two hours. From baseline to two hours, the largest difference in decline in the NRS pain scores was between the oxycodone and acetaminophen group and the hydrocodone and acetaminophen group (difference, 0.9; 99.2 percent confidence interval, -0.1 to 1.8), which was less than the minimum clinically important difference of 1.3.

"Further research to assess adverse events and other dosing may be warranted," the authors write.

Abstract/Full Text (subscription or payment may be required)
Editorial (subscription or payment may be required)