Open Access

Table 1

Analgesics prescribed in oral surgery according to the pain intensity, their side effects and their contraindications. NSAID: Non-Steroidal Anti-Inflammatory Drug; MAOI: Monoamine Oxidase Inhibitor.

Pain Step Treatment Posology Side effects Contraindications
Low Paracetamol 1 g/6h (max 4 g/j) Rare allergies Liver failure
Moderate to severe I NSAID Analgesic posology, < 72 h Hemorrhage, digestive troubles, allergies Asthma and allergies history
Pregnancy (< 6th month)
Evolving ulcer
IIa Tramadol 50–100 mg/6h Nausea, vertigo, vigilance disorder Hypersensibility
Lung failure
Liver failure
Children below 3 years old
Breast feeding (long time medication)
Pregnancy (caution)
Paracetamol/Codeine 60 mg pour 1 g de paracetamol/6h Constipation, drowsiness,
alertness disorders
Same as paracetamol
Respiratory failure
Children below 12
Breast feeding
Paracetamol/Tramadol 325/37.5 mg 1–2 pills/6h Same as drugs alone Same as drugs alone
IIb Buprenorphine 0.8–4 mg/j Nausea, vomiting, head ache, insomnia Liver failure
Respiratory failure
Alcohol consumption
Children below 15
Nalbuphine 0.25 mg/kg/4h Drowsiness, nausea, vomiting Abdominal pain
Baby below 18 months
Resilient III SNAID + Paracetamol Same posology as drugs alone Same as drugs alone Same as drugs alone
SNAID + Paracetamol/Codeine
SNAID + Paracetamol/Tramadol
SNAID + Codeine
Opioids Non recommended without analgesic association Constipation, nausea, metabolic and attention disorders Kidney failure
Lung failure
Intracranial hypertension
Co-analgesics Antidepressant Amitriptyline 75 mg/j Drowsiness
Orthostatic hypotension
Sexual impotence
Myocardial infarction
Myorelaxant Thiocolchicoside 4 mg twice a day Diarrhea
Breast feeding
Antispasmodic Phloroglucinol/Triméthylphloroglucinol 2 pills (62/80 mg) 3 times/j Allergy Phenylketonuria
Breast feeding
Pregnancy (caution)

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