Table 1.
Medication | Starting Dose | Usual Dosing Range | Other |
---|---|---|---|
Aspirin | 325 mg 3 times a day | 325–650 mg 4 times a day | Doses of 3600 mg/d are needed for anti-inflammatory activity |
Celecoxib | 100 mg/d | 100 mg twice daily or 200 mg/d | |
Diclofenac XR Diclofenac IR |
100 mg/d 50 mg twice a day |
100–200 mg/d 50–75 mg twice a day |
|
Etodolac | 300 mg twice a day | 400–500 mg twice a day | |
Ibuprofen | 200 mg 3 times a day | 1200–3200 mg/d in 3 to 4 divided doses | Available OTC and Rx |
Indomethacin Indomethacin SR |
25 mg twice a day 75 mg SR once daily |
Titrate dose by 25–50 mg/d until pain controlled or maximum dose of 50 mg 3 times a day Can titrate to 75 mg SR twice daily if needed |
|
Ketoprofen | 50 mg 3 times a day | 50–75 mg 3 to 4 times a day | |
Meloxicam | 7.5 mg/d | 15 mg/d | |
Naproxen | 250 mg twice a day | 500 mg twice a day | Available OTC and Rx |
Naproxen sodium Naproxen sodium CR |
220 mg twice a day | 220–550 mg twice a day 375–750 mg twice a day |
|
Salsalate | 500 mg twice a day | 500–1000 mg 2 to 3 times a day |
Abbreviations: CR, controlled release; IR, immediate release; OTC, over-the-counter; Rx, prescription; SR, sustained release; XR, extended release.
Data from Buys LM, Wiedenfeld SA. Osteoarthritis. In: DiPiro JT, Talbert RL, Yee GC, Matzke GR, Wells BG, Posey L. eds. Pharmacotherapy: A Pathophysiologic Approach, 10e. McGraw-Hill; Accessed October 06, 2020. https://accesspharmacy.mhmedical.com/content.aspx?bookid=1861§ionid=133893029.