One of the most common questions we hear from licensed dental healthcare professionals when considering the prospect of dropping their federal Drug Enforcement Agency (DEA) permit is “Can I do that?” The answer is “Yes you can”. Your professional license issued by the state in which you practice affords the ability to conduct patient care …
We need to rethink the way acute pain is managed. We tend to think of non-steroidal anti-inflammatory or acetaminophen whether used alone or in combination (non-opiate multimodal anaglesic therapy) as “alternatives” to opiates…when in fact we should actually consider the converse…that opiates are the alternative to non-steroidal anti-inflammatory agents – alone or in combination. We …
Opiate analgesic use for post-surgical pain is undergoing a lot of scrutiny not only in #dentistry but also in #otolaryngology as evidenced in a recent commentary I helped author regarding the merits of non-opiate multimodal analgesic therapy.
We continuously endorse the use of over-the-counter analgesics (non-opiate multi-modal therapy) such as Advil (Ibuprofen), Aleve (Naproxen), and Tylenol (Acetaminophen) – alone or in combination – for most – if not all dental procedures…including surgery. In fact, we train doctors who participate in our state mandated opiate compliance webinar “Strategies For Acute Pain Management In …
More evidence that NSAIDs with or without acetaminophen are more effective in alleviating pain in the postoperative dental surgery pain model. A recent study from JBR Clinical research demonstrated some unanticipated findings: “This study is important because the relative efficacy of these two commonly used pain medications has not been directly compared in a validated …
Study: Naproxen More Effective Than Hydrocodone-Acetaminophen After Dental Surgery Read More »
Any of you who have ever taken of our safe opiate prescribing compliance courses know that I’m a huge fan of combination drugs – like Advil Dual Action. The reason is compliance – one of the worst practices is to give a patient 5 or 6 prescriptions after a procedure – the likelihood a patient will …
NSAIDS May Impair Host Defenses The preference for the use of non-opioid analgesics for pain should now be obvious. However as the option of public COVID-19 vaccination is now widely available in many states, practitioners should be cautioned about the routine use of NSAIDS for pain relief where their treatment may overlap a patient’s vaccination window.(1) NSAIDs inhibit cyclooxygenase (COX) which plays a …
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