Brazilian Journal of Pain
https://brjp.org.br/article/doi/10.5935/2595-0118.20180037
Brazilian Journal of Pain
Case Report

Use of viminol in acute pain management after third molars extraction. Case report

Uso do viminol no controle da dor aguda pós-extração de terceiros molares. Relato de caso

Wagner Hummig; Eduardo Grossmann

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Abstract

BACKGROUND AND OBJECTIVES: Acute postoperative pain of the third molars requires not only the ability of the dental surgeon in removing them but also the correct pharmacological control of this incidental pain that will install after the effect of the anesthetic blockade has ceased. The objective of this study was to report a case of moderate pain after third molar removal procedure, where the adverse effects of the prescribed medication were determinant for the abandonment of pharmacological treatment and consequently the maintenance of the pain.

CASE REPORT: A 22-year-old male patient, student, from the city of Curitiba, sought outpatient care for acute moderate-intensity pain after 48 hours of removal of the third molars. He was experiencing some adverse effects due to the prescription of the combination of oral codeine (30mg) and paracetamol (325mg) at every 6 hours. In view of this, we opted for the prescription of viminol hydroxybenzoate (70mg) orally, every 6 hours.

CONCLUSION: The prescription of the viminol hydroxybenzoate analgesic resulted in complete, rapid and effective postoperative analgesia, with excellent tolerability.

Keywords

Acute pain, Analgesia, Codeine, Pain management, Postoperative pain, Viminol

Resumo

JUSTIFICATIVA E OBJETIVOS: A dor aguda pós-operatória de terceiros molares requer não somente habilidade do cirurgião-dentista em removê-los, mas também no correto controle farmacológico desse quadro álgico que se instalará após o efeito do bloqueio anestésico ter cessado. O objetivo deste estudo foi relatar um caso de dor moderada pós-procedimento de remoção de terceiros molares, em que os efeitos adversos do fármaco prescrito foram determinantes para o abandono do tratamento farmacológico e consequentemente da manutenção da dor.

RELATO DO CASO: Paciente do sexo masculino, 22 anos, estudante, natural de Curitiba, procurou atendimento ambulatorial por queixa de dor aguda de moderada intensidade, após 48 horas da remoção dos terceiros molares. Apresentou efeitos adversos devido à prescrição da associação de codeína (30mg) e paracetamol (325mg) por via oral de 6/6 horas. Frente a isso, optou-se pela prescrição de hidroxibenzoato de viminol (70mg) por via oral de 6/6 horas.

CONCLUSÃO: A prescrição do analgésico hidroxibenzoato de viminol resultou em completa, rápida e eficaz analgesia pós-operatória, com excelente tolerabilidade.

Palavras-chave

Analgesia, Codeína, Dor aguda, Dor pós-operatória, Manuseio da dor, Viminol

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Submitted date:
01/25/2018

Accepted date:
03/20/2018

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