Drug therapy in dental practice: nonopioid and opioid analgesics.
To prevent patient pain, the clinician may chose from opioid and nonopioid analgesics. It is rational for the practitioner to combine drugs from these classes when managing moderate to severe pain. To select combination regimens wisely, it is necessary to understand the significant pharmacological features of each category alone. Careful selection of an effective analgesic regimen based on the type and amount of pain the patient is expected to have can prevent the stress and anxiety associated with breakthrough pain. The clinician can and should develop a variety of effective, safe analgesic regimens, based on estimates of anticipated pain intensity that use sound pharmacological principles.
Becker
Daniel E
DE
Sinclair Community College, Dayton, Ohio, USA.
Phero
James C
JC
D000082:Acetaminophen / Q000627:therapeutic use; D018712:Analgesics, Non-Narcotic / Q000627:therapeutic use*; D000701:Analgesics, Opioid / Q000627:therapeutic use*; D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000627:therapeutic use; D001007:Anxiety / Q000517:prevention & control; D002985:Clinical Protocols; D000075202:Contraindications; D003729:Dental Care; D011431:Dextropropoxyphene / Q000627:therapeutic use; D004358:Drug Therapy; D006801:Humans; D006853:Hydrocodone / Q000627:therapeutic use; D008614:Meperidine / Q000627:therapeutic use; D010098:Oxycodone / Q000627:therapeutic use; D010146:Pain / Q000517:prevention & control / Q000523:psychology; D010423:Pentazocine / Q000627:therapeutic use; D012449:Safety; D013315:Stress, Psychological / Q000517:prevention & control; D014147:Tramadol / Q000627:therapeutic use
D018712:Analgesics, Non-Narcotic; D000701:Analgesics, Opioid; D000894:Anti-Inflammatory Agents, Non-Steroidal; D000082:Acetaminophen; D014147:Tramadol; D006853:Hydrocodone; D008614:Meperidine; D010098:Oxycodone; D010423:Pentazocine; D011431:Dextropropoxyphene