Gamekeeper Thumb Medication

Updated: Apr 18, 2016
  • Author: Michael A Secko, IV, MD; Chief Editor: Trevor John Mills, MD, MPH  more...
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Medication

Medication Summary

Nonsteroidal anti-inflammatory (NSAIDs) that reduce pain and swelling are the treatment of choice.

A brief course of narcotics may be warranted to alleviate the acute phase of pain and swelling.

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Analgesics

Class Summary

Pain control is essential to quality patient care. Analgesics ensure patient comfort, promote pulmonary toilet, and have sedating properties, which are beneficial for patients who have sustained trauma or injuries.

Ibuprofen (Ibuprin, Advil, Motrin)

Usually DOC for treatment of mild to moderate pain, if no contraindications exist. Inhibits inflammatory reactions and pain probably by decreasing the activity of the enzyme cyclooxygenase, which results in prostaglandin synthesis.

Acetaminophen (Tylenol, Panadol, Aspirin-free Anacin)

DOC for treating mild pain in patients with documented hypersensitivity to aspirin or NSAIDs, those with upper GI disease, or who take oral anticoagulants.

Naproxen (Anaprox, Naprelan, Naprosyn)

Used for relief of mild to moderate pain. Inhibits inflammatory reactions and pain by decreasing activity of the enzyme cyclooxygenase, which results in prostaglandin synthesis.

Ketoprofen (Oruvail, Orudis, Actron)

Used to relieve mild to moderate pain and inflammation. Initially administer small dosages to patients with a small body size, elderly patients, and those with renal or liver disease. Doses higher than 75 mg do not increase therapeutic effects. Administer high doses with caution, and closely observe patients for response.

Acetaminophen and codeine (Tylenol #3)

Drug combination indicated for treatment of mild to moderate pain.

Oxycodone and acetaminophen (Percocet, Roxicet, Tylox)

Drug combination indicated to relieve moderate to severe pain; DOC for aspirin-hypersensitive patients.

Hydrocodone bitartrate and acetaminophen (Vicodin)

Drug combination indicated to relieve moderate to severe pain.

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