Medications

sec_arr Pain Management

Pain Management

Antirheumatic Agents

Adalimumab HUMIRA
Anakinra KINERET

S – approved if taken off duty (with appropriate delay before returning to full duty to assure that there are no further residual effects); risk of injection site reactions
D – diagnosis may dictate restriction

Azathioprine IMURAN

A – approved while on duty
D – diagnosis may dictate restriction

Etanercept ENBREL

S – approved if taken off duty (with appropriate delay before returning to full duty to assure that there are no further residual effects); risk of injection site reactions
D – diagnosis may dictate restriction

Hydroxychloroquine PLAQUENIL

T – temporary restriction at beginning of treatment; monitor for visual disturbances, dizziness, and behavior changes
D – diagnosis may dictate restriction

Infliximab REMICADE

S – approved if taken off duty (with appropriate delay before returning to full duty, to assure that there are no further residual effects); risk of infusion reactions
D – diagnosis may dictate restriction

Leflunomide ARAVA
Methotrexate RHEUMATREX
Penicillamine CUPRIMINE
Sulfasalazine AZULFIDINE

A – approved while on duty
D – diagnosis may dictate restriction

Muscle Relaxants

Baclofen LIORESAL
Carisoprodol SOMA
Chlorzoxazone PARAFON
Cyclobenzaprine FLEXERIL
Dantrolene DANTRIUM
Metaxalone SKELAXIN
Methocarbamol ROBAXIN
Orphenadrine NORFLEX
Tizanidine ZANAFLEX

S – approved if taken off duty (with appropriate delay before returning to full duty to assure that there are no further residual effects); risk of sedation
D – diagnosis may dictate restriction

Nonsteroidal Anti-Inflammatory Agents

Aspirin
Celecoxib CELEBREX
Choline magnesium trisalicylate TRILISATE
Diclofenac VOLTAREN
Diclofenac and misoprostol ARTHROTEC
Diflunisal DOLOBID
Etodolac LODINE
Flurbiprofen ANSAID
Ibuprofen ADVIL, MOTRIN
Indomethacin INDOCIN
Ketoprofen ORUDIS
Ketorolac TORADOL
Mefenamic acid PONSTEL
Meloxicam MOBIC
Nabumetone RELAFEN
Naproxen NAPROSYN
Oxaprozin DAYPRO
Piroxicam FELDENE
Salsalate DISALCID
Sulindac CLINORIL
Tolmetin TOLECTIN

A – approved while on duty

Opioids

Buprenorphine SUBUTEX
Buprenorphine and naloxone SUBOXONE

R – approved only if assigned to restricted duty; risk of sedation

Butorphanol STADOL
Codeine

S – approved if taken off duty (with appropriate delay before returning to full duty to assure that there are no further residual effects); risk of sedation
D – diagnosis may dictate restriction

Fentanyl DURAGESIC, SUBLIMAZE

R – approved only if the officer is assigned to restricted duty (transdermal forms)
S – approved if taken off duty (with appropriate delay before returning to full duty to assure that there are no further residual effects) (injectable and oral forms); risk of sedation
D – diagnosis may dictate restriction

Hydromorphone DILAUDID

S – approved if taken off duty (with appropriate delay before returning to full duty to assure that there are no further residual effects); risk of sedationD – diagnosis may dictate restriction

Levorphanol LEVO-DROMORAN

S – approved if taken off duty (with appropriate delay before returning to full duty to assure that there are no further residual effects); risk of sedation
D – diagnosis may dictate restriction

Meperidine DEMEROL

S – approved if taken off duty (with appropriate delay before returning to full duty to assure that there are no further residual effects); risk of sedation
D – diagnosis may dictate restriction

Methadone

R – approved only if LEO is assigned to restricted duty; risk of sedation

Morphine short acting MSIR

S – approved if taken off duty (with appropriate delay before returning to full duty to assure that there are no further residual effects); risk of sedation
D – diagnosis may dictate restriction

Morphine long acting AVINZA, KADIAN, MS CONTIN

R – approved only if the officer is assigned to restricted duty; risk of sedation

Nalbuphine NUBAIN

S – approved if taken off duty (with appropriate delay before returning to full duty, to assure that there are no further residual effects); risk of sedation D – diagnosis may dictate restriction

Oxycodone short acting

S – approved if taken off duty/8 hours (with appropriate delay before returning to full duty to assure that there are no further residual effects); risk of sedation
D – diagnosis may dictate restriction

Oxycodone long acting OXYCONTIN

R – approved only if the officer is assigned to restricted duty; risk of sedation

Oxymorphone short acting OPANA IR

S – approved if taken off duty (with appropriate delay before returning to full duty to assure that there are no further residual effects); risk of sedation
D – diagnosis may dictate restriction

Oxymorphone long acting OPANA ER

R – approved only if the officer is assigned to restricted duty

Pentazocine TALWIN

S – approved if taken off duty (with appropriate delay before returning to full duty to assure that there are no further residual effects); risk of sedation
D – diagnosis may dictate restriction

Propoxyphene DARVON

S – approved if taken off duty/8 hours (with appropriate delay before returning to full duty to assure that there are no further residual effects); risk of sedation
D – diagnosis may dictate restriction

Opioid Analgesic Combinations

Acetaminophen and codeine TYLENOL #2, TYLENOL #3, TYLENOL #4
Acetaminophen and hydrocodone NORCO, LORTAB, VICODIN
Acetaminophen and oxycodone PERCOCET
Acetaminophen and propoxyphene DERVOCET
Acetaminophen and pentazocine TALACEN
Aspirin and oxycodone PERCODAN
Ibruprofen and hydrocodone VICOPROFEN
Ibuprofen and oxycodone

S – approved if taken off duty (with appropriate delay before returning to full duty to assure that there are no further residual effects); risk of sedation
D – diagnosis may dictate restriction

Other Pain Management Medications

Acetaminophen TYLENOL

A – approved while on duty

Acetaminophen and tramadol ULTRACET

S – approved if taken off duty (with appropriate delay before returning to full duty to assure that there are no further residual effects); risk of sedation
D – diagnosis may dictate restriction

Hylan G-F 20 SYNVISC

S – approved if taken off duty (with appropriate delay before returning to full duty to assure that there are no further residual effects); risk of joint pain and swelling
D – diagnosis may dictate restriction

Tramadol ULTRAM

S – approved if taken off duty (with appropriate delay before returning to full duty to assure that there are no further residual effects); risk of sedation
D – diagnosis may dictate restriction