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n Summary and recommendations
First line: acetaminophen (initial dose 650–1000 mg PO QID), opioids (e.g.
oxycodone 5–10 mg PO q4–6h)
Reasonable: short course of NSAIDs (e.g. ibuprofen 600–800 mg PO TID)
Pregnancy: acetaminophen (initial dose 650–1000 mg PO QID), opioids (e.g.
oxycodone 5–10 mg PO q4–6h)
Pediatric: acetaminophen (10–15 mg/kg PO QID), opioids (e.g. hydrocodone
2.5 mg PO q4–6 h for age > 5 years)
Special case:
n if other agents fail and side effect risk favorable: cyclobenzaprine (5 mg PO
TID) or tricyclic antidepressants (e.g. nortriptyline 50–150 mg PO qHS)
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Neck and back pain – spinal spondylitic syndromes 275
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