PMID- 26604816 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20151125 LR - 20220331 IS - 1178-7090 (Print) IS - 1178-7090 (Electronic) IS - 1178-7090 (Linking) VI - 8 DP - 2015 TI - An integrated safety analysis of intravenous ibuprofen (Caldolor((R))) in adults. PG - 753-65 LID - 10.2147/JPR.S93547 [doi] AB - Intravenous (IV) nonsteroidal anti-inflammatory drugs such as IV ibuprofen are increasingly used as a component of multimodal pain management in the inpatient and outpatient settings. The safety of IV ibuprofen as assessed in ten sponsored clinical studies is presented in this analysis. Overall, 1,752 adult patients have been included in safety and efficacy trials over 11 years; 1,220 of these patients have received IV ibuprofen and 532 received either placebo or comparator medication. The incidence of adverse events (AEs), serious AEs, and changes in vital signs and clinically significant laboratory parameters have been summarized and compared to patients receiving placebo or active comparator drug. Overall, IV ibuprofen has been well tolerated by hospitalized and outpatient patients when administered both prior to surgery and postoperatively as well as for nonsurgical pain or fever. The overall incidence of AEs is lower in patients receiving IV ibuprofen as compared to those receiving placebo in this integrated analysis. Specific analysis of hematological and renal effects showed no increased risk for patients receiving IV ibuprofen. A subset analysis of elderly patients suggests that no dose adjustment is needed in this higher risk population. This integrated safety analysis demonstrates that IV ibuprofen can be safely administered prior to surgery and continued in the postoperative period as a component of multimodal pain management. FAU - Southworth, Stephen R AU - Southworth SR AD - North Mississippi Sports Medicine and Orthopaedic Clinic, PLLC, Tupelo, MS, USA. FAU - Woodward, Emily J AU - Woodward EJ AD - Department of Research and Development, Cumberland Pharmaceuticals Inc., Nashville, TN, USA. FAU - Peng, Alex AU - Peng A AD - Department of Research and Development, Cumberland Pharmaceuticals Inc., Nashville, TN, USA. FAU - Rock, Amy D AU - Rock AD AD - Department of Research and Development, Cumberland Pharmaceuticals Inc., Nashville, TN, USA. LA - eng PT - Journal Article DEP - 20151023 PL - New Zealand TA - J Pain Res JT - Journal of pain research JID - 101540514 PMC - PMC4631431 OTO - NOTNLM OT - NSAID OT - critical care OT - fever OT - multimodal pain management OT - perioperative analgesia OT - surgical pain EDAT- 2015/11/26 06:00 MHDA- 2015/11/26 06:01 PMCR- 2015/10/23 CRDT- 2015/11/26 06:00 PHST- 2015/11/26 06:00 [entrez] PHST- 2015/11/26 06:00 [pubmed] PHST- 2015/11/26 06:01 [medline] PHST- 2015/10/23 00:00 [pmc-release] AID - jpr-8-753 [pii] AID - 10.2147/JPR.S93547 [doi] PST - epublish SO - J Pain Res. 2015 Oct 23;8:753-65. doi: 10.2147/JPR.S93547. eCollection 2015.