Strains and Sprains
First Line Drugs
- IBUPROFEN (M01AE01)
- DIFLUNISAL (N02BA11)
- DICLOFENAC (M01AB05)
Second Line Drugs
- ACETAMINOPHEN, COMB EXCL PSYCHOLEPTICS (N02BE51)
ibuprofen 400-600 mg, qid x 7-14 days $1.04-1.30/week
or diflunisal 500 mg, bid x 7-14 days $7.25/week
or diclofenac 50 mg, tid x 7-14 days $8.45/week
acetaminophen/caffeine/codeine or ASA/caffeine/codeine
codeine dose 30 mg, 2 tablets every 4 h $0.35/day/day (acetaminophen combination)$0.79/day (ASA combination)
-Use ice, rest and elevation for first 1-2 days with either treatment.
-Ibuprofen was not superior to placebo in one study.
-Although only the above three NSAIDs have been studied, there is no reason to believe that any other NSAID would be any less effective.
-Adding codeine (60 mg) to acetaminophen (600 mg) produces a modest increase in pain relief. Smaller does of codeine do not help. Adding caffeine to acetaminophen + codeine combinations does not yield any benefit in terms of pain relief.
-Topical anti-inflammatories (diethylamine salicylate 10%, triethanolamine salicylate 10% or 15%) may provide additional relief.
- Musculoskeletal System