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Over the Counter Medications

Managing Pain After Surgery

Over-the-Counter Medications

Your child’s surgeon may recommend using over-the-counter medications (available without a prescription) such as Tylenol® (acetaminophen) and Motrin® or Advil® (ibuprofen).

Tylenol® and Motrin® each work in different ways to manage pain. They can be given together.

Give the dose your doctor recommends

It is important to use the dose your surgeon recommends even if it is different from the dose listed on the medication bottle. The dose on the bottle is based on age, but dosing based on your child’s weight may manage pain better.

Your team may recommend using these medications on a regular basis (“around the clock”) to manage pain. This means giving your child the medications on a set schedule during the day and even at night. Ask your surgeon what dosing schedule to follow, as well as how to give the medications.

Let your care team guide you

While these medications are usually alternated for management of fever, for pain they can be given together. If you give both Tylenol® and Motrin® together (at the same time), this decreases how often you need to give the medication and can be simpler. If you’re giving the medication around-the-clock, it also means less frequent waking up at night. Follow the instructions your care team gives you in terms of how to use these medications and for how long.

Ask the surgeon what dosing schedule to follow and how best to give your child the medications.

SAMPLES SCHEDULES for PAIN MANAGEMENT MEDICATIONS

Scheduled every 6 hours “around the clock”:

  • 8 AM Acetaminophen and Ibuprofen
  • 2 PM Acetaminophen and Ibuprofen
  • 8 PM Acetaminophen and Ibuprofen
  • 2 AM Acetaminophen and Ibuprofen

 

Scheduled every 6 hours while awake

  • 8 AM Acetaminophen and Ibuprofen
  • 2 PM Acetaminophen and Ibuprofen
  • 8 PM Acetaminophen and Ibuprofen

 


Keeping track of your child’s medications is important

This will allow you to manage the pain safely without using more medication than is advised. As with any medications, there are possible serious side effects if used more frequently or at higher doses than prescribed.

You can keep track of medications by making notes on a medication log or on your phone. Write down the name of the medication, the time you gave it, the amount you gave, and when your child can have the next dose. Share this information with anyone else who is also caring for your child, so a dose isn’t accidentally given twice.

Note: Other medications may also contain acetaminophen. Check the labels on any medications you’re giving your child (such as a prescription opioid medication) or other over-the-counter medications to make sure they aren’t already receiving acetaminophen.


TIPS FOR GIVING MEDICATION SAFELY

CHECK

For liquid medications, check the concentration on the bottle to make sure you’re giving the correct milligram-based dose.

COMFORT

Have a positive attitude. Be calm, honest, and empathetic but remain in charge. Explain why the medication is helpful.

MEASURE

Only use an oral syringe or medication cup to dose correctly. You can buy these at your pharmacy if they do not come with your medication.

  • Household spoons are not accurate to measure medications.

 

PRAISE

Give your child praise when they take the medication. Some children respond well to a small reward such as a sticker or a chart that leads to rewards.

ADAPT

If your child resists taking the medication, use the syringe to squirt small amounts of medicine into the side of their cheek. This prevents gagging and your child is less likely to spit out the medication.

  • Be careful if you are mixing medication with a food your child enjoys in hopes of making it easier for them to take. If you do this, only mix the medication into a small spoonful of food. Otherwise, if they don’t finish it, you won’t know how much medication they took.

 

CONSIDER

Ask your pharmacist if you can refrigerate the medication, as the cold temperature may make it easier for your child to take.

  • Sucking on ice chips or a popsicle first will also dull the taste of the medication. You can also follow the medication with a cold drink of something they enjoy.
  • Motrin® can cause stomach upset if taken without food. If possible, give with food or milk.

 


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