Initial bolus - 0.2–0.3 mg/kg of infused over 10mins.
Avoid IV push - could cause dissociative side effects.
Diagnostic-<unk>  should resolve by the end of the 10min bolus and if so, continue
Infusion - 0.2 mg/kg/hr over 4-6hrs.
Avoid IV push - could cause dissociative side effects.
Diagnostic-<unk>  should resolve by the end of the 10min bolus and if so, continue
Ibuprofen - 400-800 mg TID or naproxen 250-500 mg BID
Amitriptyline or nortriptyline - 10-25 mg at bedtime as initial dose for both
Gabapentin - 100 mg-300 mg at bed time
Topical lidocaine cream - 2-5% or topical capsaicin cream 0.075%
Opioids should NOT be used for chronic or acute<unk> . Patient education on this is important.
Complex regional pain syndrome
Cellulitis
Polymyalgia rheumatica
DVT
Carpal tunnel syndrome
Infection
Fibromyalgia
Compartment syndrome