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Muscle Relaxant 5-10 mg

Cyclobenzaprine oral
Flexeril PO tid

Use: to help relax certain muscles in your body. It helps relieve the pain,
stiffness, and discomfort caused by strains, sprains, or injuries to your muscles.

Absorption / excretion: well absorbed / 38-51% in urine

Side effects/ adverse reactions: drowsiness, dry mouth and dizziness.

Nursing considerations: Allergy to med, nursing, pregnant.


Narcotics 12-100 mcg
Fentanyl transdermal
Duragesic 45mg/24h to 12.5 mcg/h

Use: persistent moderate to severe chronic pain that requires continuous, around-the-clock opioid
administration for an extended period of time, and cannot be managed by other means such as non-
steroidal analgesics, opioid combination products, or immediate-release opioids

Absorption / excretion: rapid 5-15 minutes / 10%

Side effects/ adverse reactions: lightheadedness, dizziness, sleepiness,


nausea, vomiting, appetite loss, sweating

Nursing considerations: Allergy to med, caution w/ asthmatics


NSAIDS 375 mg and 500 mg
Naproxen sodium oral
Naprelan 750-1000 mg qd

Use: treatment of rheumatoid arthritis, osteoarthritis, ankylosing spondylitis, tendinitis,


bursitis and acute gout

Absorption / excretion: rapidly and completely absorbed 95% / 95% in


urine

Side effects/ adverse reactions: diarrhea, nausea, vomiting, constipation,


dizziness, rash

Nursing considerations: allergy to med, contradicted in pt perioperative w/


coronary artery bypass graft,
NSAIDS 60 mg IM or 10 mg PO
Ketorolac tromethamine oral & intramuscular
Toradol 60 mg IM or 10 mg PO

Use: Pain

Absorption / excretion: 100% oral / 92 % urine

Side effects/ adverse reactions: headache, nausea,

Nursing considerations: Allergy to med, pregnant, hx of liver dx, can


cause GI bleed.
Muscle relaxant 250 and 350 mg
Carisoprodol oral
Soma tid at hs

Use: relief of discomfort associated with acute, painful musculoskeletal


conditions in adults.

Absorption / excretion: T max 1.98 / half life 2.44

Side effects/ adverse reactions:nausea, vomiting, tachcardia

Nursing considerations: contraindicated in patients with a history of acute


intermittent porphyria or a hypersensitivity reaction to a carbamate such as meprobamate
Muscle relaxant 500-750 mg
Methocarbamol oral
Robaxin 500 3 tab qid, 750 tab tid

Use:muscle relaxation

Absorption / excretion: T max 2 hr / t ½ is 1 to 2 hr

Side effects/ adverse reactions: Stomach upset, nausea, flushing, constipation,


headache, blurred vision, lightheadedness, dizziness or drowsiness

Nursing considerations: allergy to med, may cause urine to turn dark in color
NSAIDS 200- 800 mg
Ibuprofen oral
Motrin 25mg po qid

Use: RA. Mild to moderate pain, inflammation

Absorption/ excretion: T max is 1 to 2 h / 45% to 79% is eliminated through the


urine

Side effects/ adverse ractions: diarrhea, nausea, vomiting, constipation, dizziness,


rash,

Nursing considerations: allergy to ibuprofen, contradicted with people taking


warfarin, people with heart problems may experience swelling to lower
extremities,