Motrin PR?????

Specialties Emergency

Published

Do any of you give motrin PR??? We have in the past drawn up the liquid motrin in a syringe placed the IV cathter (minus needle!!!) on the top and inserted it into the rectum. We held the buttocks closed for a minute after inserting the medicine. We used this on febrile seizure babies who had already had max dose of tylenol but were seizing and we didn't want to give it orally for risk of aspiration. Our new peds hospitalist says no but will not tell us why. We are trying to find evidence based information to see if we can or cannot continue doing this. Any ideas?

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Specializes in Peds/Neo CCT,Flight, ER, Hem/Onc.

Did it all the time but usually diluted it a bit with water. Don't know why it's an issue. Usually when people won't give you a rationale it's becasue they don't actually have one.

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Specializes in HOSPICE,MED-SURG, ONCOLOGY,ORTHOPAEDICS.

Just as an FYI, I am a hospice nurse and our pharmacies formulate ibuprofen gel for us to use transdermally. Hope this info helps

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Specializes in Gyn Onc, OB, L&D, HH/Hospice/Palliative.

Can't the big-wig , rocket-science billion dollar pharmaceutical companies formulate it into a suppository ?? seems like it wouldn't be that difficult ... :idea:

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Specializes in OB, ER.

Never heard of it being given rectally but I'm interested to see what people say.

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Specializes in Psych, ER, Resp/Med, LTC, Education.

Ive heard of it OTC as a suppository. Never bought it myself but--- using the liquid sounds gross....especially on an adult. Maybe its because of all the chemicals added to the elixir that would be harmful not the drug itself--all the sugar and stuff. More then just the ibuprofen in there. Maybe the sugar is not good for them being babies. Who knows!?!!? lol

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Specializes in ER, ARNP, MSN, FNP-BC.

I did an Ovid SP search on rectal ibuprofen. They ARE using it rectally. There were many studies out there in children and adults. From what I could gather (did a quick scan of abstracts) was that the rectal absorption can be unpredictable, in long term use can cause ulceration of rectal mucosa. A couple of the studies mentioned an "ibuprofen suppository"... I couldn't find the manufacturer of course, so i assume they formulated their own. Most used an ibuprofen solution or suspension. It has been used for febrile seizures in children. Obviously, if that's the only route available you could use it, however rectal absorption is slower than oral apparently.

Hope this helps!

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Specializes in HOSPICE,MED-SURG, ONCOLOGY,ORTHOPAEDICS.

Ibuprofen suppositories or Ibuprofen gel has to be formulated by a compounding pharmacy or apothecary but we have had success with both. We tend to use the transderm gel more in hospice to avoid having the family administer the suppositories as some are uncomfortable with that task, but we have had remarkable results with the transderm gels. In fact, we have a wonderful compounding pharmacy that is constantly working with us to utilize meds in suppositories and gels.

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Specializes in emergency nursing-ENPC, CATN, CEN.

Can you provide some links re this practice? Was this admin route approved by the FDA? Is it evidence based? We do not currently utilize this route of admin but it sounds quite interesting. Thanks

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