2013年7月11日 星期四

止痛 & 抗發炎藥

A. Addictive analgesic

    Fentanyl (C), 二級 (durogesic TTS 2.5 ug/hrs; fentanyl inj 0.05mg/ml, 2ml/amp)
    Meperidine (demeral 50mg/1ml/ amp) (IM, SC, IVD)
    Morphine (C) (10mg/#, 30mg/#, 10mg/1ml/amp)
    Naloxone (B), (0.4mg/ 1ml/ amp)
    tramadol (37.5mg) / acetaminophen 325mg (四級) (ultracet)  (2# q4-6h) (max 8#/day)

B. Non-addictive anti-inflammatory analgesics

    Acemetacin (B), (acemet 60mg/cap)
    diclofenac Na (B) (Voren 25mg/#, voren gel; voren supp (12.5mg/#))
    Etodolac (C), (Etolac 500mg/#)
    Ibuprofen (syrup 20mg/ml 60ml/bot)
    acetaminophen (B), (scanol 500mg/#, scanol syrup 24mg/ml. 60ml/bot)
    acetyl salicylate (aspirin, tapal (bokey) 100mg/cap))
    Ketoprofen (B), (ketofen 100mg/2ml/amp
    Ketorolac (C), (keto 30mg/ 1ml/ amp)
    mefenamic acid (C), (ponstan 500mg/#)
    meloxicam (B), (15mg/#)
    nimesulide (nimed 100mg/#) (100-200mg bid)
    sulindac (200mg/tab) (1# bid)

    celecoxib (celebrex 200mg/cap) (max: 400mg/day)
    Etoricoxib (arcoxia 60mg/#) (OA 60mg qd, RA 90mg qd, Gout 120mg qd)
    parecoxib (dynastat 40mg/vial) (max 80mg/day) (40mg st, 20-40mg q6-q12)
  

C. Anti-rheumatic drugs

    Balsaiazide (B), (basazyde 750mg/cap) (ulcerative colitis)
    D-penicillamine (D), (metalcaptase 300mg/tab)
    Etanercept (enbrel prefilled inj  25mg/ml (事前審查))
    hydroxychloroquine
    leflunomide
    sulfasalazine

D. Anti-gout

    Allopurinol (C), (100mg/#)
    Benzbromarone (urinorm 50mg/#) (2# qd, to 6#/day)
    colchicine (D), (0.5mg/#) (1-2# st, then 1# qh)
    sulfinpyrazone (100mg/#) (1-2# bid, max 800mg/day)

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