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Medication

Medication Summary

Medical therapy consists of appropriate pain relief. Pain relief medications can include acetaminophen, nonsteroidal anti-inflammatory drugs (NSAIDs), narcotics, or an analgesic of choice.

Class Summary

Pain control is essential to quality patient care. These medications ensure patient comfort and have sedating properties, which are beneficial in the treatment of pain.

A review of opioid equivalents and conversions may be found in the following reference article:

http://emedicine.medscape.com/article/2138678-overview

Acetaminophen (Tylenol, FeverAll, APAP500, Mapap, Acephen, Aspirin-Free Anacin, Cetafen, FeverAll, Little Fevers, Non-Aspirin Pain Releiver, Nortemp Children's, Ofimev, Pain Eze, Pharbetol, Q-Pap, Silapap, Triaminic, Valorin)

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Acetaminophen is the drug of choice for pain in patients with documented hypersensitivity to aspirin or nonsteroidal anti-inflammatory drugs; those with upper GI disease; or those who are taking oral anticoagulants.

Morphine (Arymo ER, Astramorph, Duramorph, Depodur, MS Contin, Avinza, Infumorph, Kadian, MorphaBond)

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Morphine sulfate is the drug of choice for narcotic analgesia, owing to its reliable and predictable effects, safety profile, and ease of reversibility with naloxone. Intravenous administration may be dosed in a number of ways and commonly is titrated until desired effect is obtained.

For chronic severe pain unremitting to alternative therapy, oral immediate–release and extended-release morphine sulfate may be warranted. Arymo ER is a morphine sulfate abuse-deterrent formulation.

Questions

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Author

Charles Nathan Webb, MD, MS Assistant Professor, Department of Obstetrics and Gynecology, Virginia Commonwealth University School of Medicine

Charles Nathan Webb, MD, MS is a member of the following medical societies: AAGL, American College of Obstetricians and Gynecologists, American Medical Association

Disclosure: Nothing to disclose.

Chief Editor

Nicole W Karjane, MD Associate Professor, Department of Obstetrics and Gynecology, Virginia Commonwealth University Medical Center

Nicole W Karjane, MD is a member of the following medical societies: American College of Obstetricians and Gynecologists, Association of Professors of Gynecology and Obstetrics, North American Society for Pediatric and Adolescent Gynecology

Disclosure: Received income in an amount equal to or greater than $250 from: Merck<br/>Served as Nexplanon trainer for: Merck.

Additional Contributors

David Chelmow, MD Leo J Dunn Professor and Chair, Department of Obstetrics and Gynecology, Virginia Commonwealth University Medical Center

David Chelmow, MD is a member of the following medical societies: American College of Obstetricians and Gynecologists, American Medical Association, American Society for Colposcopy and Cervical Pathology, Association of Professors of Gynecology and Obstetrics, Council of University Chairs of Obstetrics and Gynecology, Phi Beta Kappa, Sigma Xi, The Scientific Research Honor Society, Society for Academic Specialists in General Obstetrics and Gynecology, Society for Reproductive Investigation

Disclosure: Nothing to disclose.

Richard Scott Lucidi, MD, FACOG Associate Professor of Reproductive Endocrinology and Infertility, Department of Obstetrics and Gynecology, Virginia Commonwealth University School of Medicine

Richard Scott Lucidi, MD, FACOG is a member of the following medical societies: American College of Obstetricians and Gynecologists, American Society for Reproductive Medicine

Disclosure: Nothing to disclose.

Acknowledgements

Charles J Ascher-Walsh, MD Director of Gynecology, Female Pelvic Medicine and Reconstructive Surgery, Mt Sinai School of Medicine; Clinical Assistant Professor, Department of Obstetrics and Gynecology, Mt Sinai Medical Center

Charles J Ascher-Walsh, MD is a member of the following medical societies: Alpha Omega Alpha, American College of Obstetricians and Gynecologists, American Medical Association, and Medical Society of the State of New York

Disclosure: Nothing to disclose.

Richard S Legro, MD Professor, Department of Obstetrics and Gynecology, Division of Reproductive Endocrinology, Pennsylvania State University College of Medicine; Consulting Staff, Milton S Hershey Medical Center

Richard S Legro, MD is a member of the following medical societies: American College of Obstetricians and Gynecologists, American Society for Reproductive Medicine, Endocrine Society, Phi Beta Kappa, and Society of Reproductive Surgeons

Disclosure: Korea National Institute of Health and National Institute of Health (Bethesda, MD) Honoraria Speaking and teaching; Greater Toronto Area Reproductive Medicine Society (Toronto, ON, CA) Honoraria Speaking and teaching; American College of Obstetrics and Gynecologists (Washington, DC) Honoraria Speaking and teaching; National Institute of Child Health and Human Development Pediatric and Adolescent Gynecology Research Think Tank Panel (Bethesda, MD) Honoraria Speaking and teaching; University of Illinois (Chicago, IL) Honoraria Speaking and teaching; Georgetown University Hospital (Washington, DC) Honoraria Speaking and teaching; Heilongjiang University (Harbin, China) Speaking and teaching; New England Fertility Society (Nashua, NJ) Honoraria Speaking and teaching; William Beaumont Hospital Division of Reproductive Endocrinology and Infertility (Detroit, MI) Honoraria Speaking and teaching; Wayne State University School of Medicine (Detroit MI) Honoraria Speaking and teaching

Francisco Talavera, PharmD, PhD Adjunct Assistant Professor, University of Nebraska Medical Center College of Pharmacy; Editor-in-Chief, Medscape Drug Reference

Disclosure: Medscape Salary Employment

Ovarian Cyst Rupture Medication

Medication Summary

Analgesics, Other

Class Summary

Acetaminophen (Tylenol, FeverAll, APAP500, Mapap, Acephen, Aspirin-Free Anacin, Cetafen, FeverAll, Little Fevers, Non-Aspirin Pain Releiver, Nortemp Children's, Ofimev, Pain Eze, Pharbetol, Q-Pap, Silapap, Triaminic, Valorin)

Acetaminophen (Tylenol, FeverAll, APAP500, Mapap, Acephen, Aspirin-Free Anacin, Cetafen, FeverAll, Little Fevers, Non-Aspirin Pain Releiver, Nortemp Children's, Ofimev, Pain Eze, Pharbetol, Q-Pap, Silapap, Triaminic, Valorin)

Morphine (Arymo ER, Astramorph, Duramorph, Depodur, MS Contin, Avinza, Infumorph, Kadian, MorphaBond)

Morphine (Arymo ER, Astramorph, Duramorph, Depodur, MS Contin, Avinza, Infumorph, Kadian, MorphaBond)

Ovarian Cyst Rupture Medication

Medication Summary

Analgesics, Other

Class Summary

Acetaminophen (Tylenol, FeverAll, APAP500, Mapap, Acephen, Aspirin-Free Anacin, Cetafen, FeverAll, Little Fevers, Non-Aspirin Pain Releiver, Nortemp Children's, Ofimev, Pain Eze, Pharbetol, Q-Pap, Silapap, Triaminic, Valorin)

Acetaminophen (Tylenol, FeverAll, APAP500, Mapap, Acephen, Aspirin-Free Anacin, Cetafen, FeverAll, Little Fevers, Non-Aspirin Pain Releiver, Nortemp Children's, Ofimev, Pain Eze, Pharbetol, Q-Pap, Silapap, Triaminic, Valorin)

Morphine (Arymo ER, Astramorph, Duramorph, Depodur, MS Contin, Avinza, Infumorph, Kadian, MorphaBond)

Morphine (Arymo ER, Astramorph, Duramorph, Depodur, MS Contin, Avinza, Infumorph, Kadian, MorphaBond)

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