Frailty, kidney or liver impairment
When the standard regimen needs to be adapted.
Paracetamol with adjusted daily limit
For acute nociceptive pain, paracetamol is the first choice for frail older people if appropriate. Check body weight, nutritional status, alcohol use, liver function and paracetamol from other products. If risk factors are present, use the daily limit based on risk factors.
NSAID or opioid
Use caution in frail patients and those at increased gastrointestinal, renal or cardiovascular risk. Before prescribing tramadol , check renal and hepatic function, age and interactions, among other factors.
Prescription options
Before prescribing, determine the daily limit based on risk factors and monitor product information, weight, renal and hepatic function.
Sources for this topic
Reference for dentists on acute dental pain and pain after treatment.
- Farmacotherapeutisch Kompas · Pijn · Advies en stappenplan bij acute nociceptieve pijn
- Farmacotherapeutisch Kompas · Paracetamol · Doseringen, interacties en waarschuwingen
- Farmacotherapeutisch Kompas · NSAID’s, systemisch · Typerende bijwerkingen, toepasbaarheid en interacties
- Farmacotherapeutisch Kompas · Tramadol · Doseringen · acute pijn, NHG-startdosering en interacties
