Patellar Injury and Dislocation Medication

Updated: Jun 13, 2017
  • Author: Gerard A Malanga, MD; Chief Editor: Craig C Young, MD  more...
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Medication

Medication Summary

Medications used to treat patellar injury and dislocation include nonsteroidal anti-inflammatory drugs (NSAIDs), acetaminophen, and pain medicines. Allergies, contraindications, and adverse effects should be reviewed before prescribing these medicines.

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Nonsteroidal Anti-inflammatory Drugs

Class Summary

NSAIDs have analgesic, anti-inflammatory, and antipyretic activities. The mechanism of action of NSAIDs is not known, but they may inhibit cyclooxygenase (COX) activity and prostaglandin synthesis. Other mechanisms may exist as well, such as inhibition of leukotriene synthesis, lysosomal enzyme release, lipoxygenase activity, neutrophil aggregation and various cell membrane functions.

Naproxen (Aleve, Anaprox, Naprosyn, Naprelan)

For the relief of mild to moderate pain. Inhibits inflammatory reactions and pain by decreasing the activity of COX, which results in a decrease of prostaglandin synthesis.

Ibuprofen (Excedrin IB, Advil, Ibuprin, Motrin)

DOC for patients with mild to moderate pain. Inhibits inflammatory reactions and pain by decreasing prostaglandin synthesis.

Ketoprofen (Oruvail, Orudis, Actron)

For the relief of mild to moderate pain and inflammation. Small dosages are indicated initially in small and elderly patients and in those with renal or liver disease. Doses >75 mg do not increase therapeutic effects. Administer high doses with caution and closely observe patients for response.

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Analgesics

Class Summary

Pain control is essential to quality patient care. Analgesics ensure patient comfort and have sedating properties, which are beneficial for patients who have sustained trauma or who have sustained injuries.

Acetaminophen (Aspirin-free Anacin, Tempra, Feverall, Tylenol)

DOC for pain in patients with documented hypersensitivity to aspirin or NSAIDs, with upper GI disease, or who are taking oral anticoagulants.

Codeine/acetaminophen (Tylenol-3)

Indicated for the treatment of mild to moderate pain.

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