Re: Analgesic for children

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IBUPROFEN BEST ANALGESIC FOR CHILDREN. From: "dr_hibahaboubi@..." <dr_hibahaboubi@...> Sent: Friday, 2 March 2012, 10:18 Subject: Analgesic for children 12 yrs old chlid _analgesic??Sent from my BlackBerry® wireless

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Thank u ArthurSent from my BlackBerry® wireless deviceFrom: ARTHUR TADEVOSYAN <arthur_tadevosyan@...>Sender: Date: Fri, 2 Mar 2012 12:03:33 +0000 (GMT) < >Reply Subject: Re: Analgesic for children IBUPROFEN BEST ANALGESIC FOR CHILDREN. From: "dr_hibahaboubi@..." <dr_hibahaboubi@...> Sent: Friday, 2 March 2012, 10:18 Subject: Analgesic for children 12 yrs old chlid _analgesic??Sent from my BlackBerry® wirelessdevice------------------------------------

[Guest guest]

Hi Arthur

Can you tell me is Brufen better than paracetamol in children?

Thanks

Pearl

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> Thank u Arthur

> Sent from my BlackBerry® wireless device

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> Analgesic for children

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> 12 yrs old chlid _analgesic??

> Sent from my BlackBerry® wireless device

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[Guest guest]

Paracetamol is safest analgesic.

Sent from my iPhone

On 2, مار چ 2012, at 10:18 AM, dr_hibahaboubi@... wrote:

> 12 yrs old chlid _analgesic??

> Sent from my BlackBerry® wireless device

>

> ------------------------------------

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[Guest guest]

Many thanks Arthur , do you have any reference for that?

From: ARTHUR TADEVOSYAN <arthur_tadevosyan@...>" " < > Sent: Friday, 2 March 2012, 12:03Subject: Re: Analgesic for children

IBUPROFEN BEST ANALGESIC FOR CHILDREN.

From: "dr_hibahaboubi@..." <dr_hibahaboubi@...> Sent: Friday, 2 March 2012, 10:18Subject: Analgesic for children12 yrs old chlid _analgesic??Sent from my BlackBerry® wireless device------------------------------------

[Guest guest]

YES I WAS GOOGLING , AND COME TO THE CONCLUSION IBUPROFEN FIRST PARACETAMOL SECOND.CORRECT ME IF I AM WRONG. From: pearltooth32 <pearltooth32@...>

Sent: Friday, 2 March 2012, 12:14 Subject: Re: Analgesic for children

Hi Arthur

Can you tell me is Brufen better than paracetamol in children?

Thanks

Pearl

>

> Thank u Arthur

> Sent from my BlackBerry® wireless device

>

> Analgesic for children

>

> 12 yrs old chlid _analgesic??

> Sent from my BlackBerry® wireless device

>

> ------------------------------------

>

>

[Guest guest]

ABSTRACTOBJECTIVE. Our goal was to determine which of 3 analgesics, acetaminophen, ibuprofen, or codeine, given as a single dose, provides the most efficacious analgesia for children presenting to the emergency department with pain from acute musculoskeletal injuries.PATIENTS AND METHODS. Children 6 to 17 years old with pain from a musculoskeletal injury (to extremities, neck, and back) that occurred in the preceding 48 hours before presentation in the emergency department were randomly assigned to receive orally 15 mg/kg acetaminophen, 10 mg/kg ibuprofen, or 1 mg/kg codeine. Children, parents, and the research assistants were blinded to group assignment. The primary outcome was change in pain from baseline to 60 minutes after treatment with study medication

as measured by using a visual analog scale.RESULTS. A total of 336 patients were randomly assigned, and 300 were included in the analysis of the primary outcome (100 in the acetaminophen group, 100 in the ibuprofen group, and 100 in the codeine group). Study groups were similar in age, gender, final diagnosis, previous analgesic given, and baseline pain

score. Patients in the ibuprofen group had a significantly greater improvement in pain score (mean decrease: 24 mm) than those in the codeine (mean decrease: 11 mm) and acetaminophen (mean decrease: 12 mm) groups at 60 minutes. In addition, at 60 minutes more patients in the ibuprofen group achieved adequate analgesia (as defined by a visual analog scale <30 mm) than the other 2 groups. There was no significant difference between patients in the codeine and acetaminophen groups in the change in pain score at any time period or in the number of patients achieving adequate analgesia.CONCLUSIONS. For the treatment of acute traumatic musculoskeletal injuries, ibuprofen provides the best analgesia among the 3 study medications. From: Ahmed Awsi <ahmed.awsi@...> " " < > Sent: Friday, 2 March 2012, 16:35

Subject: Re: Analgesic for children

Many thanks Arthur , do you have any reference for that?

From: ARTHUR TADEVOSYAN <arthur_tadevosyan@...>" " < > Sent: Friday, 2 March 2012, 12:03Subject: Re: Analgesic for children

IBUPROFEN BEST ANALGESIC FOR CHILDREN.

From: "dr_hibahaboubi@..." <dr_hibahaboubi@...> Sent: Friday, 2 March 2012, 10:18Subject: Analgesic for children12 yrs old chlid _analgesic??Sent from my BlackBerry® wireless device------------------------------------

[Guest guest]

Paracetamol,first analgesic choice for children and elderly. Ref: Oxford hand book second edition pg 375 From: ARTHUR TADEVOSYAN <arthur_tadevosyan@...> " " < > Sent: Friday, March 2, 2012 4:46 PM Subject: Re: Analgesic for children

ABSTRACTOBJECTIVE. Our goal was to determine which of 3 analgesics, acetaminophen, ibuprofen, or codeine, given as a single dose, provides the most efficacious analgesia for children presenting to the emergency department with pain from acute musculoskeletal injuries.PATIENTS AND METHODS. Children 6 to 17 years old with pain from a musculoskeletal injury (to extremities, neck, and back) that occurred in the preceding 48 hours before presentation in the emergency department were randomly assigned to receive orally 15 mg/kg acetaminophen, 10 mg/kg ibuprofen, or 1 mg/kg codeine. Children, parents, and the research assistants were blinded to group assignment. The primary outcome was change in pain from baseline to 60 minutes after treatment with study medication

as measured by using a visual analog scale.RESULTS. A total of 336 patients were randomly assigned, and 300 were included in the analysis of the primary outcome (100 in the acetaminophen group, 100 in the ibuprofen group, and 100 in the codeine group). Study groups were similar in age, gender, final diagnosis, previous analgesic given, and baseline pain

score. Patients in the ibuprofen group had a significantly greater improvement in pain score (mean decrease: 24 mm) than those in the codeine (mean decrease: 11 mm) and acetaminophen (mean decrease: 12 mm) groups at 60 minutes. In addition, at 60 minutes more patients in the ibuprofen group achieved adequate analgesia (as defined by a visual analog scale <30 mm) than the other 2 groups. There was no significant difference between patients in the codeine and acetaminophen groups in the change in pain score at any time period or in the number of patients achieving adequate analgesia.CONCLUSIONS. For the treatment of acute traumatic musculoskeletal injuries, ibuprofen provides the best

analgesia among the 3 study medications. From: Ahmed Awsi <ahmed.awsi@...> " " < > Sent: Friday, 2 March 2012, 16:35

Subject: Re: Analgesic for children

Many thanks Arthur , do you have any reference for that?

From: ARTHUR TADEVOSYAN <arthur_tadevosyan@...>" " < > Sent: Friday, 2 March 2012, 12:03Subject: Re: Analgesic for children

IBUPROFEN BEST ANALGESIC FOR CHILDREN.

From: "dr_hibahaboubi@..." <dr_hibahaboubi@...> Sent: Friday, 2 March 2012, 10:18Subject: Analgesic for children12 yrs old chlid _analgesic??Sent from my BlackBerry® wireless device------------------------------------