SCPA Posted August 14, 2017 Share Posted August 14, 2017 Anyone willing to share some pearls on Nubain use in acute pain mgmt. We just started stocking in our family medicine office alongside toradol, which is really our only other weapon for acute pain mgmt aside from PO analgesics.. I've never used it. Apparently it's not controlled, which i find interesting. Opioid agonist/antag - so obviously not for use in opiate dependent folks. PEDS, adults.. typical dosing? Thanks. Link to comment Share on other sites More sharing options...
Moderator EMEDPA Posted August 14, 2017 Moderator Share Posted August 14, 2017 GREAT DRUG IN OPIATE NAIVE FOLKS. 10 MG IS TYPICAL ADULT DOSE. DOSE EQUIVALENT TO MORPHINE. Link to comment Share on other sites More sharing options...
GetMeOuttaThisMess Posted August 14, 2017 Share Posted August 14, 2017 Ahh, the oldies, but goodies. Need to give some Zomax as well (probably before E's time). Link to comment Share on other sites More sharing options...
DizzyJ Posted August 14, 2017 Share Posted August 14, 2017 yep, 10mg of nubain and is a good drug. Patient's lying about taking opioids are often in for an unpleasant surprise once they get it. Link to comment Share on other sites More sharing options...
marktheshark89 Posted August 14, 2017 Share Posted August 14, 2017 What do you use it for in primary care? Link to comment Share on other sites More sharing options...
JDayBFL Posted August 14, 2017 Share Posted August 14, 2017 Had it on the ambulance before they allowed us to have the good stuff. It works really well for ortho injuries, polytrauma, burns, etc with a low side-effect profile. Never saw hypotension with its use and relieved pain with femur fractures and such. Not sure what you will be using it for in primary care though... Link to comment Share on other sites More sharing options...
SCPA Posted August 15, 2017 Author Share Posted August 15, 2017 5 hours ago, marktheshark89 said: What do you use it for in primary care? I don't know, that's why I posted! IM for acute Fx's and such seems reasonable. We're out in the sticks so anything walks through our door. All we've had to this point was IM toradol. Link to comment Share on other sites More sharing options...
SCPA Posted August 15, 2017 Author Share Posted August 15, 2017 I find it interesting that it's not a controlled substance... I guess abuse potential is limited by being agonist/antagonist. Link to comment Share on other sites More sharing options...
MCHAD Posted August 15, 2017 Share Posted August 15, 2017 1 hour ago, SCPA said: I find it interesting that it's not a controlled substance... I guess abuse potential is limited by being agonist/antagonist. According to Epocrates this varies by state. Link to comment Share on other sites More sharing options...
Recommended Posts
Archived
This topic is now archived and is closed to further replies.