nsaids...

[Charlene M Morris]

For those on coumadin therapy-- celexocob is pretty much the only acceptable
NSAID, although often prohibitively expensive for uninsured patients. And
although I agree re: GI bleed precaution, ALL Rx have side effects as we
know.

Primum no nocere.

C M Morris


On 6/19/08, McSwain, Norman E Jr. <nmcswai at tulane.edu> wrote:
>
> What is the data to support increased GI hemorrhage in significant
> numbers from this specific drug. I have not seen it.
>
> Norman
>
> Norman McSwain MD
> Professor, Tulane School of Medicine
> Trauma Director, Charity Hospital Trauma Center
> norman.mcswain at tulane.edu
> 504 988 5111
>
> -----Original Message-----
> From: trauma-list-bounces at trauma.org
> [mailto:trauma-list-bounces at trauma.org] On Behalf Of
> joe.nemeth at mcgill.ca
> Sent: Thursday, June 19, 2008 8:53 AM
> To: trauma-list at trauma.org
> Subject: nsaids...
>
>
> Regarding the post about ketorolac...
>
> Unless you want an unnecessary UGI bleed don't use it...if you want
> NSAIDs use ibuprofen: much better GI SFX profile, cheaper...if patient
> cannot tolerate PO meds, use narcotics...
>
> One last tidbit about NSAIDs: definitely should reconsider other
> options in pts. above 60....
>
> joe
>
> Emergency Medicine
> McGill University Health Centre
> Montreal
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