TY - JOUR T1 - Ibuprofen for acute pain relief in the emergency department JF - BMJ Evidence-Based Medicine JO - BMJ EBM SP - 200 LP - 201 DO - 10.1136/bmjebm-2019-111312 VL - 26 IS - 4 AU - Dylan Collins Y1 - 2021/08/01 UR - http://ebm.bmj.com/content/26/4/200.abstract N2 - In the emergency department there has been uncertainty over the analgesic ceiling for ibuprofen in the treatment of mild to moderate acute pain. A recent randomised trial addressed the minimally effective dose used to optimise pain management. Clinicians may reduce the rate of adverse events by using the minimally effective dose both in the emergency department and for discharge prescriptions. The management of acute pain is fundamental to the practice of emergency medicine. In 2016, in the USA, there were more than 145 million emergency department visits with acute pain syndromes being the most common presentation.1 Ibuprofen is a common, available, inexpensive non-steroidal anti-inflammatory drug (NSAID) and as such, it is non-addictive with analgesic, antipyretic and anti-inflammatory effects. It is available in both parenteral and enteral routes, making it a versatile option for pain management. While higher doses are required for its anti-inflammatory effect, dental and oral surgery literature … ER -