Outpatient Clinic

Advil


(ibuprofen)

• 200-800 mg po tid-qid

• non-selective inhibitors of COX-1/COX-2
• COX-1: stomach & kidneys
• COX-2: regulates inflammatory response in synovial tissue & is responsible for symptoms
• complications include peptic ulcer formation (bleeding) & ATN
  
  

Naprosyn


(naproxen)

• 250-500 mg po bid

• non-selective inhibitors of COX-1/COX-2
• COX-1: stomach & kidneys
• COX-2: regulates inflammatory response in synovial tissue & is responsible for symptoms
• complications include peptic ulcer formation (bleeding) & ATN
  
  

Indocid


(indomethacin)

• 25 mg po bid-tid

• non-selective inhibitors of COX-1/COX-2
• COX-1: stomach & kidneys
• COX-2: regulates inflammatory response in synovial tissue & is responsible for symptoms
• complications include peptic ulcer formation (bleeding) & ATN
  
  

Cytotec


(misoprostol)

• 200 micro-g po qid

• prostaglandin E1 analog, and is used to prevent NSAID induced ulcers
  
  

Pennsaid


(diclofenac)

• 40 gtt qid

• topical diclofenac solution
• NSAID GI complications not completely avoided
  
  

Arthrotec

• 50-75 mg po tid

• diclofenac (Voltaren) + misoprostol
  
  

Celebrex


(celecoxib)

• 200 mg po bid

• selective COX-2 inhibitor
• no GI complications, but contraindicated in pts. with cardiac/stroke risk factors
  
  

Tylenol


(acetaminophen)

• 325-1000 mg po/pr q6h prn

• analgesic & antipyretic properties
• toxic at >140 mg/kg or > 7.5 g in 24 hours
  
  

Vitamin D


(calciferol)

• 800 IU po od

• osteoporosis prophylaxis
  
  

Calcium

• 1000 mg po od

• osteoporosis prophylaxis