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Old 06-13-2011
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Drug Drug of Choice for Biliary Colic

What do we use to manage pain in a patient with RUQ pain with suspected gallstone?

Opioids have a small risk of constricting the sphincter of Oddi so would these not be used in this situation?
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Old 06-13-2011
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yup...you won't use opioids cuz they run the risk of actually causing biliary colic

Treat biliary colic with NSAIDs...like ketorolac and diclofenac
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Old 06-13-2011
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Quote:
Originally Posted by kiki View Post
yup...you won't use opioids cuz they run the risk of actually causing biliary colic

Treat biliary colic with NSAIDs...like ketorolac and diclofenac
Or you can also give an antispasmolytic (atrophine based), hyoscine butylbromide.
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Old 06-14-2011
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You can use meperidine because unlike the other opioids its actually an antispasmodic (its also an antimuscarinic)
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Old 06-14-2011
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pethidine is the pain relief of choice

Last edited by bigal; 06-14-2011 at 12:21 PM.
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Old 06-14-2011
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Quote:
Originally Posted by meka View Post
You can use meperidine because unlike the other opioids its actually an antispasmodic (its also an antimuscarinic)
ya, u r rite
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Old 06-14-2011
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meperidine is fine also but they highly suggest just taking NSAIDS!
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Old 03-28-2012
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i read that it is spasmolytic in vitro but not in vivo...
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