Pain Management
Guidance for postoperative pain management.
Important Notice
These instructions provide general guidance and may be modified by Dr. Khalid Almutairi according to the procedure, the technique used, and the patient’s medical condition. If this information differs from the direct instructions or discharge prescription given to the patient, the patient-specific medical instructions must be followed. Do not change a medication dose, stop medication prescribed for a chronic condition, or begin a new treatment without medical guidance.
This information does not replace medical assessment or postoperative follow-up.
Principle of multimodal pain management
The clinic’s pain-management protocol combines paracetamol and ibuprofen for patients and procedures unless there is a medical contraindication. The medicines work through different mechanisms, so using them together can provide stronger pain relief than either alone. This evidence-supported medical and surgical approach reduces the need for opioid analgesics and their associated nausea, constipation, drowsiness and risk of dependence. Both medicines have established safety records when used at the prescribed dose in an appropriate patient without a contraindication; neither is universally appropriate without assessment.
Individual prescription and timing
The dose, interval and duration are determined individually and written in the discharge prescription, taking account of age, weight, procedure, chronic conditions, kidney and liver function, and other medicines. Paediatric doses are calculated by weight; never give a child an adult dose. Begin the prescribed analgesia after discharge, before the local anaesthetic has completely worn off. During the first days, follow the prescribed regular schedule rather than waiting for severe pain, then change to use as needed as directed. Do not exceed the dose or frequency in the prescription.
When ibuprofen must not be used
- Kidney disease of any form or impaired kidney function.
- Stomach or duodenal ulcer, or previous gastrointestinal bleeding.
- Allergy to ibuprofen or another NSAID, or NSAID-sensitive asthma.
- Use of blood thinners or a clotting disorder.
- Pregnancy, especially the third trimester.
- Unstable cardiac or blood-pressure conditions, or severe dehydration.
Use paracetamol alone or an alternative selected by the doctor.
When paracetamol must not be used
- Any liver problem, including hepatitis, cirrhosis, raised liver enzymes or impaired liver function.
- Intolerance or allergy to paracetamol.
- Any other condition identified by the doctor based on the patient’s health.
Use ibuprofen alone or an alternative selected by the doctor.
Important medication warnings
- Tell the doctor about every chronic condition, medicine and supplement.
- Check combination medicines, especially cold and influenza products that may contain paracetamol.
- Do not drive if a medicine causes drowsiness or impaired concentration.
- Do not alter a dose or start another treatment yourself.
When worsening pain requires contact with the clinic
Contact the clinic immediately if pain does not respond to the prescribed analgesia or worsens instead of improving. Do not increase the dose yourself.
Contact the clinic
Contact the clinic immediately if pain does not respond to the prescribed analgesia or worsens instead of improving. Do not increase the dose yourself.
Clinic: 920027778Back to Postoperative Instructions · العربية