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If neither obstruction nor infection is present, analgesics and other medical measures to facilitate passage of the stone (see below) can be initiated with the expectation that the stone will likely pass from the upper urinary tract if its diameter is smaller than 10 mm (larger stones are more likely to require surgical measures).
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PHARMACOLOGY: NSAIDs include at least 20 drugs that share the cyclooxygenase enzyme inhibition leading to decreased prostaglandin production and decreased pain and inflammation.
If you drink more than three alcoholic beverages a day, this medication may increase the risk of stomach bleeding.
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In unadjusted analysis, patients who received ketorolac had similar or better postoperative outcomes compared with patients who did not receive ketorolac, including gastrointestinal bleeding (1.
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This example further demonstrates that disease definitions are important for population-based research (Drury et al.
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The effect of tolerance means that frequent use of the drug may result in its diminished effect so, when safe to do so, the dosage may need to be increased to maintain effectiveness.
The risk of heart attack or stroke can occur as early as the first weeks of using an NSAID.
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TO SPREAD OUT THE BENEFIT AND NOT DUPLICATE THE EFFECT.
If your patient's abdominal pain was caused by GERD, hiatal hernia, peptic ulcer disease, or diverticulitis, teach him about foods to avoid and how to time meals in relation to activities and bedtime.
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If you are taking this medication on a regular schedule (not just "as needed") and you miss a dose, take it as soon as you remember.
Nearly all individuals with the condition are affected to some degree and experience multiple organ system involvement.
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For intraarticular corticosteroid therapy in acute gouty arthritis, it was recommended that dosing be based on the size of the involved joint(s), and that this modality could be used in combination (see Table 1 in the original guideline document) with oral corticosteroids, NSAIDs, or colchicine ( evidence B).
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Successful use of nerve blocks depends not only on clinical knowledge of the site of incision innervation but also on knowledge of the innervation for the underlying bone and muscular tissue.
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The in vitro binding of warfarin to plasma proteins is only slightly reduced by ketorolac (99.
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All trademarks, brands, logos and copyright images are property of their respective owners and rights holders and are used solely to represent the products of these rights holders.
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Orthopedists today generally hesitate to treat post-operative pain with the COX2 selective NSAID celecoxib (Celebrex).
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SNRIs) such as duloxetine (Cymbalta) and venlafaxine (Effexor) for migraine prevention.
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Today there is the prospect that clinicians will be able to balance protective and pathologic factors and work with the patient to control disease (Anderson et al.
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Secondary benefits included significantly reduced headache-related disability and improved functioning, vitality, and overall health-related quality of life.
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Advise patients using the ophthalmic formulation to remove contact lenses prior to instilling drug.
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If a patient puts on a good face when the attending physician makes rounds, a low score may be given, when in fact a higher score would have resulted if the patient was carefully questioned after the physician left.
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The NSAID, ketorolac, may decrease the renal excretion of methotrexate.
Highlights of selected diseases and conditions follow.
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Customers outside the United States should work with their local Hospira offices to return the product per the local recall notification.
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