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Table 2 Pharmacotherapy selection protocol

From: Acupuncture as analgesia for low back pain, ankle sprain and migraine in emergency departments: Study protocol for a randomized controlled trial

1st line therapy options:

Ankle sprain

Lower back pain

Migraine

diazepam 5 mg

 

X

 

3centerHartmans5% DextroseNaCl 0.9%

X

X

X

metaclopramide 10-20 mg IV or prochlorperazine 12.5 mg IM, if there is significant nausea and vomiting.

  

X

paracetamol 1 g

X

X

X

paracetamol with codeine

X

X

X

Tramadol 50-100 mg

X

X

X

dextropropoxphene and paracetamol

X

X

X

ibuprofen OR diclofenac OR indomethicin

X

X

X

2 nd line therapy options:

> 1 hour (t1)

Ankle sprain

Lower back pain

Migraine

Morphine 2.5 mg IV boluses

X

X

X

Chlorpromazine: 25 mg in 1000 ml normal saline IV

  

X