Non-Opiods Meds Uses Reaction Administration N.

Consideration
acetaminophen (tylenol)  Relieves mild–  Overdose scan cause Orally  When
moderate pain, liver damage calculating the
and treats  red, peeling or blistering maximum daily
headache, skin. dose, consider
muscle aches,  Rash, hives, itching. all sources of
arthritis,  swelling of the face, acetaminophen,
backache, tooth throat, tongue, lips, including OTC,
aches, colds and eyes, hands, feet, ankles, and routes of
fevers or lower legs administration
 Maximum not to exceed
dosage per day is the maximum
4000 mg recommended
daily dosing
 Instruct patients
to never take
more than
4,000 mg of
acetaminophen
per 24 hours.
This includes all
forms of
acetaminophen
and
acetaminophen-
containing
products.
 Do not take
acetaminophen
with alcohol
due to the risk
of liver toxicity.
non-steroidal  Relieve mild–  Risk of stomach Orally, I.V, topical  Continually
anti-inflammatory drugs moderate pain, problems increases for cardiac
 (NSAIDS): and reduce people who take monitoring
Aspirin, Ibuprofen (Advil, swelling and  NSAIDs regularly. Can during and for
Motrin), Naproxen inflammation increase risk of bleeding several hours
(Aleve, Naprosyn),  Relieve pain from  Nausea, Dyspepsia, following
Celecoxib, Ketorolac, various headache and dizziness administrations.
Naproxen conditions such and allergic reactions  Instruct
as headache, client/patient to
muscle aches, report
tendonitis, dental immediately
pain, and chest pain,
menstrual numbness and
cramps. respiratory
 relieve symptoms difficulty.
of arthritis
(osteoarthritis
and rheumatoid
arthritis)
Nerve Pain Medications:  Relieve mild–  drowsiness, dizziness, Orally  Monitor for
Gabapentin moderate nerve loss of effectiveness of
(Neuraptine), Pregabalin pain (shooting coordination, tiredness therapy,
(Lyrica) and burning and blurred vision  Monitor and
pain).  Increased risk of suicidal educate patient
thoughts and weight to monitor for
gain adverse effects
 Instruct patient
on symptoms to
report.
 Do not stop
therapy
abruptly, taper
dosage slowly
antidepressants: Effexor  Relieve mild–  drowsiness, dizziness, Orally, IV  Educate
XR, Cymbalta, Savella, moderate tiredness, constipation, client/patient
citalopram chronic pain, weight loss or gain. that effects of
 nerve pain  Headaches, Blurred drug therapy
(shooting and vision may not be
burning pain) and  palpitations, increased seen for 4
headaches heart rate, weeks. Also,
cause of
depression
must be ruled
out before
therapy begins.
 Monitor vital
signs
 Instruct to use
cautiously for
pregnant and
lactating
women because
of potential
adverse effects
to fetus and
baby
Medicated creams,  Can be safer to  Skin irritation is the most Topical  Always clean
Foams, Gels, lotions, relieve mild- common side effect. the skin or
ointments, Sprays and moderate pain  Capsaicin can cause wound before
Patches: because warmth, stinging or applying a new
Anesthetics(Lidocaine), medication is burning on dose of topical
NSAIDs, Muscle Relaxers, applied where the skin. medication
Capsaicin, the pain is.  Always wear
Compound Topicals  Anesthetics gloves and
relieve nerve maintain
pain standard
(shooting and precautions
burning pain) by  Monitor for
numbing an area allergic
 NSAIDs relieve reactions
 the pain of  Instruct patient
osteoarthritis, on symptoms to
sprains, strains report
and overuse
injuries; muscle
relaxers reduce
pain by causing
muscles to
become less
tense or stiff;
 capsaicin
relieves
musculoskeletal
and neuropathic
pain
 Compounded
topical prepared
by a pharmacist
can be
customized to
meet a patient’s
specific needs
Interventional Pain  a method which  Certain medical  Cervical  Assess current
Management utilizes pain conditions and allergies epidural and usual pain
blocking can cause complications steroid experience.
techniques to  Nausea, Itching, Rash, injection  The nurse
help make day- Facial flushing, Sweating.  Facet joint needs to gather
to-day activities injections all the
less difficult, and  Lumbar necessary
effectively epidural information
restore quality of steroid about the pain.
life for patients injection  Monitor vital
 Includes  Lumbar signs
anesthetic or transforaminal  Educate
 steroid injections epidural client/patient
around nerves, steroid what to do/not
tendons, joints or injection to do before
muscles; spinal  SPINAL CORD and after
cord stimulation; STIMULATION procedures
drug delivery 
systems; or
permanent or
temporary nerve
blocks.
Medicates
specific areas of
the body.
 Can provide
short-term and
long term relief
from pain

References:
https://www.floridahealth.gov/programs-and-services/non-opioid-pain-management/_documents/alternatives-facts-11x17-eng.pdf