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Wheeless' Textbook of Orthopaedics
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Ibuprofen/Motrin/Rufen/Advil/Nuprin



- Discussion:
      - for RA, OA, MSK pain, dysmenorrhea - NSAIA -
      - supplied: tabs: 200mg (OTC), 300mg, 400mg, 600mg, and 800mg;

- Adult:
      - 300, 400, 600, or 800 milligrams three times daily to four times daily
      - 1,200-3200 mg per day in divided doses (titrated as needed);
      - for mild to moderate pain: 400mg q4-6hr;
      - OA or RA: 400-800 mg tid/qid;

- Peds:
      - Antipyretic: 20 mg/kg/24hr divided q8hr;
      - Juvenile Rheumatoid Arthritis:   30-70 mg/kg/24hr divided tid/qid;

- Precautions:
      - metabolized in the liver
      - can cause GI upset, CNS symptoms, hepatotoxicity, and hematological toxicity - monitor renal failure;
      - contraindictated w/ Syndrome of Nasal polyps, bronchospastic activity and angioedema following
              ingestion of ASA and other NSAIA;
      - use with caution in patients with a history of GI bleeding, cardiac decompensation, HTN, impaired
              renal function, or bleeding disorders;
      - doncomitant administration of coumarin type anticoagulants may further increase PT;



Comparison of an antiinflammatory dose of ibuprofen, an analgesic
    dose of ibuprofen, and acetaminophen in the treatment of patients
    with osteoarthritis of the knee [see comments

Effect of ibuprofen on the inflammatory response to surgical wounds.

Augmentation of critical skin flap survival following ibuprofen therapy.



Original Text by Clifford R. Wheeless, III, MD.