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) Hemorrhage Evolving ulcer |
| IIa | Tramadol | 50–100 mg/6h | Nausea, vertigo, vigilance disorder | Hypersensibility MAOI 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 MAOI |
| Myorelaxant | Thiocolchicoside | 4 mg twice a day | Diarrhea Allergy |
Pregnancy Breast feeding |
|
| Antispasmodic | Phloroglucinol/Triméthylphloroglucinol | 2 pills (62/80 mg) 3 times/j | Allergy | Phenylketonuria Breast feeding Pregnancy (caution) |
|
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