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You would reckon that after decades of using tylenol, ibuprofen, and codeine, we would have a grasp on which one of these is best to reduce pain due to musculoskeletal injuries, things like bruises, and even breaks when it comes to children. Not the case at all!

There simply has not been a lot of research into this, which is why this study published in the Pediatric Journal sheds a lot of light on the children’s pain issue.

But which one is best? Tylenol? Ibuprofen? What about codeine? As a parent, confusing to say the least.

Dr. Ting An Lee, a pediatrician at the Childrens Hospital at Montefiore, says, “You face a choice on which one do I choose. There have not been a lot of studies to necessarily compare, so this is the study is unique in that way.”

The research outlined in the Pediatrics Journal, compares acetaminophen (Tylenol), ibuprofen (Motrin) and also Codeine as to their indivdual effectiveness on reducing children’s pain.

Codeine, which is a narcotic, is associated with more side effects than ibuprofen, so it appears there is small reason to use it without a doctor’s specific prescription and supervision.

The study looked at how well each of these medications worked for musculoskeletal injuries to the neck, back, arms or legs in kids who came to the emergency room.

The findings clearly shows a pain relief advantage to ibuprofen, which acts both centrally in the brain pain centers and at the site of injury. We are talking about one dose, ONE DOSE proved to be very effective in reducing children’s pain!

We should make a strong point that if your child takes a pain medicatin and do not get pain relief, certainly within 24 hours, or worsening symptoms, like more swelling or more pain, you should take your child to your doctor.

When it comes to children’s pain, it looks like a ibuprofen is the medicine of choice. But just to be safe, there are non-oral solutions that relieve pain as well.

Corpron for one was developed by an orthopedic surgeon interested in providing his patients with an simple to use pain relieving product available over-the-counter to help alleviate inflammation, pain, and stiffness.

During pre-clinical assessments of Corprofen, many patients who used Corprofen as a topical cream for pain relief required lower doses of oral medications.

Another topical product is Menastil. Menastil is the result of 4 years of testing and product development with its origins in nerve cell research. Taking note of historical uses for essential oils, it was shown that Calendula oil, Menastil’s active ingredient, was highly effective as a topical analgesic for pain relief.

As a parent you now know the best remedies and products on the market to reduce pain due to things like bruises, and even breaks when it comes to your child.

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Part I of this two-part article, published in the March issue of the Journal, provided information on selected general concepts in opioid therapeutics, including the role of opioids in pain management, treatment of concurrent acute pain, toxicity, and drug-drug interactions. Part II will discuss dosing of opioid analgesics, pharmacogenomics, and the individual agents.

Dosing of Opioid Analgesics
Due to space limitations, this dosing section will focus only on opioid-to-opioid switch therapy (also called “opioid rotation”), breakthrough pain (BTP) management, and methadone dosing.

Switching Opioid Analgesics

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