OTC pain combo

[sosoo]

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combination of advil/APAP just as good as morphine and oxycodone... it's time to put pill mills and pain clinics out of business..

Over-the-counter painkillers treated painful injuries just as well as opioids in new study

 

[BigBoss]

Interesting. The study looks at acute pain, but not chronic pain. APAP and ibuprofen have short half lives and may not be practical for chronic pain patients who require extended release formulations.


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[RxPreceptor]

Still not an exact practice change with pain being extremely subjective. Vast majority of first fill counseling for opioids are for those already doing ATC NSAID & usually picking up Oxycodone or Hydrocodone/APAP combo (as opposed to giving just flat oxycodone IR -> incentive/potential to sell unused drug since not combined with APAP). Also reserving for severe BTP (7-10) per directions. It's a very complicated dilemma without a clear solution.

Still boils down to how well an ER MD can use tools (drugs) most efficiently. Opioid Rx'ing is still going to be necessary (no ceiling effect unlike NSAIDs & APAP) & should APAP & NSAIDs not cut it, that will just be another ER visit (even more costly).