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Home E-Weekly October 17, 2017

Ibuprofen Controls Pain as Well as Morphine for Pediatric Post-op Recovery

Published: October 16, 2017

HAPPIER CAMPERS Children given ibuprofen experienced less nausea, dizziness, vomiting and constipation.

Ibuprofen controlled pain as well as morphine and was associated with significantly fewer adverse effects in a recent study of children who'd had minor outpatient orthopedic surgery.

The study, which was published in the Canadian Medical Association Journal, tracked pain scores among 154 children between ages 5 and 17. Half were given ibuprofen, and half morphine. All were permitted to take one dose every 6 hours, up to 8 doses over 48 hours.

The groups had no significant differences in pain scores, but the morphine group reported significantly more incidents of drowsiness, nausea, dizziness, vomiting and constipation.

Though prescribing morphine after minor pediatric surgery has become increasingly popular, say the authors, the results suggest that ibuprofen is a better first-line option after minor surgery. Ibuprofen is less expensive, they point out, requires no prescription and has less severe consequences if accidentally ingested or overdosed.

Jim Burger

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