PijnvizierPain relief in dental care
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Paracetamol

Paracetamol

First choice in acute nociceptive pain.

Prescription options

Role in treatment

The Farmacotherapeutisch Kompas lists paracetamol as first choice in acute nociceptive pain.

Lower daily limit when risk factors are present

The Farmacotherapeutisch Kompas cites the following maximum doses from the NHG pain guideline: 3,000 mg without risk factors, 2,000 mg with one and 1,500 mg with two or more per day. A lower limit may apply depending on the product or patient. See Frailty, kidney or liver impairment.

Check for interactions

With repeated use alongside a vitamin K antagonist, check the interaction in the product monograph. If there are risk factors for hepatotoxicity, assess the dose and duration separately.

Prescription options

Draft for your prescribing system. Check patient details, contraindications and medication safety before prescribing.

Paracetamol alone

First option for acute nociceptive pain. This example applies to adults weighing more than 55 kg without risk factors for hepatotoxicity.

Checks before prescribing

Include all paracetamol from over-the-counter and combination products. Adjust the dose if there are risk factors.

  • R/ Paracetamol 500 mg tablet

    Per dose
    1,000 mg by mouth (2 tablets)
    Frequency and interval in this example
    If necessary up to 3 times a day, approximately 8 hours between intakes
    Maximum per 24 hours
    3,000 mg (6 tablets)
    Quantity in this draft
    Maximum 12 tablets

Duration in this example: 2 days. Stop earlier if the medicine is no longer needed. Reassess if pain relief is inadequate or pain worsens.

If relief is inadequate, consider only a combination that is appropriate for the clinical situation and patient.

Sources for this topic

Reference for dentists on acute dental pain and pain after treatment.