TOTAL JOINT PAIN CONTROL PROTOCOL
POST-OP DISCHARGE HOME INSTRUCTIONS
(multi-modal pain management involves taking medications together that target different pain receptors)
BASELINE PAIN MEDS (take these around the clock)
-
- Tylenol (acetaminophen) 1000mg by mouth every 6 hours
- Lyrica (Pregabalin) 75mg by mouth twice daily
- NSAID (Non-Steroidal Anti-Inflammatory Drug)
CHOOSE ONE (take with food):
-
-
- Celebrex (celecoxib) 200mg by mouth twice daily
- Advil/Motrin (ibuprofen) 600mg by mouth every 6 hours
- Aleve (naproxen) 440mg by mouth twice daily
- Mobic (meloxicam) 7.5mg by mouth twice daily
-
BREAKTHROUGH NARCOTIC PAIN MEDS (take these every 4-6hours only as needed)
- Oxycodone (same narcotic in Percocet) 5mg
½ – 4 tabs by mouth every 4-6hours as needed for pain
2. Tramadol 50mg
1-2 tabs by mouth every 4-6hours as needed for pain
WEANING/STOPPING INSTRUCTIONS: STOP NARCOTICS IF PAIN DOES NOT REQUIRE THEM OR IF YOU EXPERIENCE SIDE EFFECTS (NAUSEA/VOMITING/CONSTIPATION/FEELING ‘LOOPY’)