Oct 17, 2019
Vidcast: https://youtu.be/Sjxtdv7Pix0
I’m attending the National Assn. of Broadcasters Meeting this week. Here is some evergreen “Health News You Can Always Use.”
We’ve all heard about the narcotic epidemic. The real news is that there are potent weapons to combat opioid use as close as our medicine cabinets.
Ibuprofen, generic or branded Advil or Motrin, either alone or with acetaminophen, generic or Tylenol, significantly reduced the need for postoperative morphine in a study of more than 550 patients undergoing hip surgery.
The subjects started their oral pain meds one hour before surgery and continued to receive them every 6 hours for the first day after surgery. The patients were able to obtain any additional pain relief they needed by pushing a button to self-administer IV morphine.
The finding that 400 mg of ibuprofen, that’s two adult pills, taken every 6 hours kills pain exceedingly well and eliminates the need for more powerful drugs should be useful information to you. If you are a patient facing surgery, do discuss post-op pain control strategy with your surgeon and anesthesiologist. When you do, tell them you’d rather start with non-narcotic pain killers and only take the opioids if absolutely necessary.
Thybo KH, Hägi-Pedersen D, Dahl JB, et al. Effect of Combination of Paracetamol (Acetaminophen) and Ibuprofen vs Either Alone on Patient-Controlled Morphine Consumption in the First 24 Hours After Total Hip Arthroplasty: The PANSAID Randomized Clinical Trial. JAMA. 2019;321(6):562–571. doi:10.1001/jama.2018.22039