Posted by mattdds on December 24, 2003, at 17:05:49
In reply to Re: Doc gave me a script of Vicodin for depression » mattdds, posted by Viridis on December 24, 2003, at 2:11:26
This is a good point. Actually we give Vicoprofen routinely when doing oral surgery, when I'm on rotation. Many of my faculty believe it is superior to the acetaminophen combo, at least for pain. I also think the reps are marketing it pretty heavily at my dental school because everyone has Vicoprofen pens.
The issue with ibuprofen not liver problems (it's renally metabolized), but GI ulceration. This mainly happens in high doses, like those used for arthritis.
Vicoprofen is 7.5 mg of hydrocodone (pretty big dose) and only 200 mg of ibuprofen (very small dose). If you were to take 400-600 mg ibuprofen every day (2-3 doses of Vicoprofen), I would imagine you would have no problems with the GI ulceration.
Matt
poster:mattdds
thread:292566
URL: http://www.dr-bob.org/babble/20031219/msgs/293195.html