Medications
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