- December 19, 2022
- Newsletter
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Background
Epidemiology
Anatomy
Pathophysiology
Etiology
Genetics
Prognostic Factors
Clinical History
Physical Examination
Age group
Associated comorbidity
Associated activity
Acuity of presentation
Differential Diagnoses
Laboratory Studies
Imaging Studies
Procedures
Histologic Findings
Staging
Treatment Paradigm
by Stage
by Modality
Chemotherapy
Radiation Therapy
Surgical Interventions
Hormone Therapy
Immunotherapy
Hyperthermia
Photodynamic Therapy
Stem Cell Transplant
Targeted Therapy
Palliative Care
Medication
Indicated for Post-Operative Period :
0.025-0.2 mcg/kg per minute IV
acetaminophen/pamabrom/pyrilamine
Indicated for Menstrual Cramps :
1-2 capsule/tablet/gelcap orally 4 times a day
Indicated for menstrual cramps:
1-2 caplets orally every 4-6 hours whenever necessary. Do not exceed eight caplets for 24 hours
methylsalicylate/menthol/camphor topical
Indicated for Analgesia for Minor Joint/ Muscle Pain:
Apply generous amounts topically and massage the affected region
Apply the patch to the affected area
For topical
Obtain standardized curcumin extract to 95%
Indicated for Analgesia for Minor Muscle/Joint Pain:
Apply a generous volume topically and massage the affected region three or four times daily
Indicated for Analgesic/Antipyretic
:
325 to 650mg per rectum every 4 to 6 hours whenever necessary
Do not exceed 4g/day
Indicated for Analgesia for Minor Joint/Muscle Pain:
Apply a thick layer of the cream or gel and massage it into the affected region.
Apply a patch to the affected area twice a day.
methylsalicylate/menthol topical
Indicated for Analgesia for Joint Pain or Minor Muscle
A transdermal patch (10% of methylsalicylate /3% of menthol): Apply one patch near the affected area, and leave it in place for nearly 8-12 hours; it should not exceed one patch for application if needed can; apply a 2nd patch for 8-12 hours, it should not exceed two patches for one/three days of use
A transdermal patch (10% of methylsalicylate /1.5% of menthol): Apply one patch near the affected area; it should not exceed three-four times a day, and leave in a place not more than 8 hours
Cream/ Balm/ foam /spray/ stick: Apply a small amount topically near the affected area and gently massage
Indicated for Fever and Analgesia
:
Immediate release
Regular strength: Administer 325 to 650 mg orally or rectally every 4 hours whenever needed
Do not exceed 3250mg/day
4g/day of daily dose can be used
Extra strength: Administer 1000mg orally three or four times a day whenever needed
Do not exceed 3000mg/day
4g/day of daily dose can be used
Extended-release
Administer two capsules (each capsule-650mg) thrice a day whenever needed
Do not exceed 3.9g/day
Maximum dose
Acetaminophen products-Do not exceed a total of 3.25g/day of acetaminophen
4g/day of daily dose can be used
Tylenol Extra Strength (Each tablet or capsule-500mg)-Do not exceed 3g/day
4g/day of daily dose can be used
Dose Adjustments
Hepatic impairment:
Do not exceed 3g/day,
Caution is needed
Renal impairment:
GFR≥50ml/min-Dosage adjustment is not needed
GFR 10 to 50ml/min-Administer for every 6 hours
GFR <10ml/min-Administer for every 8 hours
Renal replacement treatment- Administer every 6 hours
acetaminophen/pamabrom/pyridoxine
Indicated for the pain and cramps associated with menstruation
1 capsule orally every 4-6 hours as required
acetaminophen and phenyltoloxamine
1 to 2 tablets or capsules orally every 4-6 times a day when necessary
Products differ; see the brand section and verify the specific labelling for each
obstetric :
50 to 100 mg Intramuscular or Subcutaneous injection, can be repeated every 1-3 hours as required. Maximum: 400 mg daily
Dose Adjustments
Dosing modifications:
Renal impairment
Mild-moderate: Dose reduction may be necessary.
Severe: use is Contraindicated
Hepatic impairment
Mild-moderate: Dose reduction may be necessary. Severe: use is Contraindicated
Indicated for menstrual cramps:
<12 years: Safety and efficacy not established
>12 years: 1-2 caplets orally every 4-6 hours whenever necessary. Do not exceed 8 caplets for 24 hours
Local Dermal Analgesia
Superficial dermatologic treatments
<3 years: Safety and Efficacy not established
>3 years: Patch- Before the treatment, apply the patch to healthy skin for 30 minutes
IV cannulation or Venipuncture
<3 years: Safety and Efficacy not established
>3 years: Patch- Before the treatment, apply the patch to healthy skin for 30 minutes
Indicated for Analgesia for Minor Muscle/Joint Pain:
<2 years: Safety and efficacy not established
>2 years: Apply a generous volume topically and massage the affected region three or four times daily
Indicated for analgesic/antipyretic:
>12 years: 325 to 650mg per rectum every 4 to 6 hours whenever necessary
6 to 12 years: 325 mg per rectum every 4 to 6 hours whenever necessary
3 to 6 years: 120 mg per rectum every 4 to 6 hours whenever necessary
1 to 3 years: 80 mg per rectum every 4 hours whenever necessary
3 months to 1 year: 80 mg per rectum every 6 hours whenever necessary
Maximum daily dose
≥12 years: Do not exceed 4g/day
<12 years: Do not exceed 5 doses for 24 hours
methylsalicylate/menthol topical
Indicated for Analgesia for Joint Pain or Minor Muscle
Age >12 years
A transdermal patch (10% of methylsalicylate /3% of menthol): Apply one patch near the affected area, and leave it in place for nearly 8-12 hours; it should not exceed one patch for application if needed can; apply a 2nd patch for 8-12 hours, it should not exceed two patches for one/three days of use
A transdermal patch (10% of methylsalicylate /1.5% of menthol): Apply one patch near the affected area; it should not exceed three-four times a day, and leave in a place not more than 8 hours
Cream/ Balm/ foam /spray/ stick: Apply a small amount topically near the affected area and gently massage
Age <12 years
Safety and efficacy not established
20-28 mg/kg/day orally divided every 6 hours
Administration
Take with 8-to-12-ounce water to ignore gastro-intestinal effects
Future Trends
References
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Indicated for Post-Operative Period :
0.025-0.2 mcg/kg per minute IV
acetaminophen/pamabrom/pyrilamine
Indicated for Menstrual Cramps :
1-2 capsule/tablet/gelcap orally 4 times a day
Indicated for menstrual cramps:
1-2 caplets orally every 4-6 hours whenever necessary. Do not exceed eight caplets for 24 hours
methylsalicylate/menthol/camphor topical
Indicated for Analgesia for Minor Joint/ Muscle Pain:
Apply generous amounts topically and massage the affected region
Apply the patch to the affected area
For topical
Obtain standardized curcumin extract to 95%
Indicated for Analgesia for Minor Muscle/Joint Pain:
Apply a generous volume topically and massage the affected region three or four times daily
Indicated for Analgesic/Antipyretic
:
325 to 650mg per rectum every 4 to 6 hours whenever necessary
Do not exceed 4g/day
Indicated for Analgesia for Minor Joint/Muscle Pain:
Apply a thick layer of the cream or gel and massage it into the affected region.
Apply a patch to the affected area twice a day.
methylsalicylate/menthol topical
Indicated for Analgesia for Joint Pain or Minor Muscle
A transdermal patch (10% of methylsalicylate /3% of menthol): Apply one patch near the affected area, and leave it in place for nearly 8-12 hours; it should not exceed one patch for application if needed can; apply a 2nd patch for 8-12 hours, it should not exceed two patches for one/three days of use
A transdermal patch (10% of methylsalicylate /1.5% of menthol): Apply one patch near the affected area; it should not exceed three-four times a day, and leave in a place not more than 8 hours
Cream/ Balm/ foam /spray/ stick: Apply a small amount topically near the affected area and gently massage
Indicated for Fever and Analgesia
:
Immediate release
Regular strength: Administer 325 to 650 mg orally or rectally every 4 hours whenever needed
Do not exceed 3250mg/day
4g/day of daily dose can be used
Extra strength: Administer 1000mg orally three or four times a day whenever needed
Do not exceed 3000mg/day
4g/day of daily dose can be used
Extended-release
Administer two capsules (each capsule-650mg) thrice a day whenever needed
Do not exceed 3.9g/day
Maximum dose
Acetaminophen products-Do not exceed a total of 3.25g/day of acetaminophen
4g/day of daily dose can be used
Tylenol Extra Strength (Each tablet or capsule-500mg)-Do not exceed 3g/day
4g/day of daily dose can be used
Dose Adjustments
Hepatic impairment:
Do not exceed 3g/day,
Caution is needed
Renal impairment:
GFR≥50ml/min-Dosage adjustment is not needed
GFR 10 to 50ml/min-Administer for every 6 hours
GFR <10ml/min-Administer for every 8 hours
Renal replacement treatment- Administer every 6 hours
acetaminophen/pamabrom/pyridoxine
Indicated for the pain and cramps associated with menstruation
1 capsule orally every 4-6 hours as required
acetaminophen and phenyltoloxamine
1 to 2 tablets or capsules orally every 4-6 times a day when necessary
Products differ; see the brand section and verify the specific labelling for each
obstetric :
50 to 100 mg Intramuscular or Subcutaneous injection, can be repeated every 1-3 hours as required. Maximum: 400 mg daily
Dose Adjustments
Dosing modifications:
Renal impairment
Mild-moderate: Dose reduction may be necessary.
Severe: use is Contraindicated
Hepatic impairment
Mild-moderate: Dose reduction may be necessary. Severe: use is Contraindicated
Indicated for menstrual cramps:
<12 years: Safety and efficacy not established
>12 years: 1-2 caplets orally every 4-6 hours whenever necessary. Do not exceed 8 caplets for 24 hours
Local Dermal Analgesia
Superficial dermatologic treatments
<3 years: Safety and Efficacy not established
>3 years: Patch- Before the treatment, apply the patch to healthy skin for 30 minutes
IV cannulation or Venipuncture
<3 years: Safety and Efficacy not established
>3 years: Patch- Before the treatment, apply the patch to healthy skin for 30 minutes
Indicated for Analgesia for Minor Muscle/Joint Pain:
<2 years: Safety and efficacy not established
>2 years: Apply a generous volume topically and massage the affected region three or four times daily
Indicated for analgesic/antipyretic:
>12 years: 325 to 650mg per rectum every 4 to 6 hours whenever necessary
6 to 12 years: 325 mg per rectum every 4 to 6 hours whenever necessary
3 to 6 years: 120 mg per rectum every 4 to 6 hours whenever necessary
1 to 3 years: 80 mg per rectum every 4 hours whenever necessary
3 months to 1 year: 80 mg per rectum every 6 hours whenever necessary
Maximum daily dose
≥12 years: Do not exceed 4g/day
<12 years: Do not exceed 5 doses for 24 hours
methylsalicylate/menthol topical
Indicated for Analgesia for Joint Pain or Minor Muscle
Age >12 years
A transdermal patch (10% of methylsalicylate /3% of menthol): Apply one patch near the affected area, and leave it in place for nearly 8-12 hours; it should not exceed one patch for application if needed can; apply a 2nd patch for 8-12 hours, it should not exceed two patches for one/three days of use
A transdermal patch (10% of methylsalicylate /1.5% of menthol): Apply one patch near the affected area; it should not exceed three-four times a day, and leave in a place not more than 8 hours
Cream/ Balm/ foam /spray/ stick: Apply a small amount topically near the affected area and gently massage
Age <12 years
Safety and efficacy not established
20-28 mg/kg/day orally divided every 6 hours
Administration
Take with 8-to-12-ounce water to ignore gastro-intestinal effects
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North Adams, MA 01247
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Founded in 2014, medtigo is committed to providing high-quality, friendly physicians, transparent pricing, and a focus on building relationships and a lifestyle brand for medical professionals nationwide.
MASSACHUSETTS – USA
60 Roberts Drive, Suite 313,
North Adams, MA 01247
MAHARASHTRA – INDIA
7, Shree Krishna, 2nd Floor,
Opp Kiosk Koffee,
Shirole Lane, Off FC Road,
Pune 411004, Maharashtra
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