Rotator Cuff Injury Management in the ED Medication

Updated: Aug 02, 2021
  • Author: Eileen C Quintana, MD; Chief Editor: Trevor John Mills, MD, MPH  more...
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Medication Summary

The goal of pharmacotherapy is to reduce pain and inflammation.



Class Summary

Pain control is essential to quality patient care, ensuring patient comfort, promoting pulmonary toilet, and enabling physical therapy regimens. Most analgesics have sedating properties, which are beneficial for patients who have sustained painful skin lesions.

Ibuprofen (Ibuprin, Advil, Motrin)

Usually the DOC for the treatment of mild to moderate pain if no contraindications exist. Inhibits inflammatory reactions and pain by decreasing prostaglandin synthesis.

Ketoprofen (Orudis, Actron, Oruvail)

For relief of mild to moderate pain and inflammation.

Small dosages initially are indicated in small and elderly patients and in persons with renal or liver disease. Doses more than 75 mg do not increase therapeutic effects. Administer high doses with caution and closely observe patients for response.

Acetaminophen (Tylenol, Aspirin-free Anacin, Acephen)

DOC for the treatment of pain in patients with documented hypersensitivity to aspirin or NSAIDs, persons with upper GI disease, or those taking oral anticoagulants.