Ultracet forum: Experience of High Dose Use
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This document discusses the clinical experiences of using high-dose Ultracet for pain control. It describes using Ultracet to manage post-operative pain for various surgeries without patient-controlled analgesia. Ultracet was also used to treat complicated spinal problems like failed back syndrome, osteoporotic compression fractures, and spinal cord injuries. Doses of 1-2 tablets of Ultracet up to 4 times daily were used for acute pain, tapering to twice daily or less for chronic pain. Common side effects included nausea, dizziness, abdominal fullness, and skin rashes. Ultracet provided pain relief with a VAS score around 3-4 for various conditions.
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Knee replacement in jaipur 1
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Ultracet forum: Experience of High Dose Use
- 1. JUI-KUO HUNG MD,MHA 2012-09-15 Changhua Christian Hospital Department of Orthopaedic Surgery TAIWAN Clinical Experiences of High-Dose Ultracet
- 2. High-Dose Ultracet • Post-operative pain control • Complicated spinal problems –Failed back syndrome –Osteoporotic compression fractures –Spinal cord injury –Structural imbalance condition • Autoimmune diseases
- 3. Post-Operative Pain Control • Major surgery without PCA – Joint replacement – Spine surgery – Fracture • Regimens – Celebrex 1# q12h or HS or Acroxia 1# HS – Ultracet 1# Qid – Primparen, Gascon, Mgo Through, Dramamine
- 4. Post-Operative Pain Control • 2012/6~2012/8 • 20 patients – Spine 7 – Arthroplasty 5 – Fracture 8 • Adverse effect – Nausea 8 – Dizziness 11 – Abdominal fullness 9 – Skin rashes 3
- 5. Failed Back Syndrome • NSAID, muscle relaxants, steroid, Neurodantin, anti-anxiety agent….. • Ultracet – 1#~2# Qid – VAS around 3~4
- 7. Spinal Cord Injury • Ultracet 1#~2# Qid • VAS around 3~4
- 8. Osteoporotic Compression Fractures Structural Imbalance Condition • Most patients – 1# Bid at first – ↑ to 1#~2# Qid – Titrate to 1# Bid • Severe patients with chronic pain – 1#~2# Qid – Other medications
- 9. Autoimmune Diseases • NSAID • DMARDs – Methotrexate – Hydrochloroquine – Sulfalazine • Anticytokine therapy • B cell direct therapy … • Ultracet – Acute 1#~2# Qid – Chronic 1# Qid~Bid
- 10. High-Dose Ultracet • Post-operative pain control • Complicated spinal problems –Failed back syndrome –Osteoporotic compression fractures –Spinal cord injury –Structural imbalance condition • Autoimmune diseases
- 11. Thank You