Table 18.13-2. Dosage of selected nonsteroidal anti-inflammatory drugs (alphabetical order; pattern of use differs among countries; maximum dose usually limited to a few days; please refer to local formularies)

Agent and formulation

Dosing

Usual

Maximum

Acemetacin

 

Capsules

60 mg bid to tid

600 mg/d

Sustained-release capsules

90 mg once daily or bid

300 mg/d

Celecoxiba: capsules

200 mg once daily or 100 mg bid

200 mg bid

Dexibuprofen: coated tablets

200-400 mg tid

1.2 g/d

Dexketoprofen

 

Coated tablets

25 mg tid

75 mg/d

PO granulate for suspension

25 mg tid

75 mg/d

Solution for IV/IM injections

50 mg every 8-12 hours

150 mg/d

Diclofenaca

 

Tablets, capsules

50 mg every 8-12 hours

100 mg/d

Sustained-release tablets

Modified-release tablets

Sustained-release capsules

Modified-release capsules

50-100 mg once daily or in 2 divided doses

100 mg/d

Suppositories, rectal capsules

50-100 mg/d in 2-3 divided doses

100 mg/d

Solution for IM injections

75 mg once daily

75 mg bid

Topical spray, gel, patch

Topically several times a day

 

Etofenamate: topical gel, cream, spray

Topically several times a day

 

Ibuprofena

 

Various PO formulations

Rheumatic diseases 400-800 mg tid to qid, analgesic treatment 200-400 mg 4-6 times/d

3.2 g/d

Cream, gel

Topically

 

Indomethacina

 

Immediate-release

25-50 mg bid or tid

200 mg/d

 

Sustained-release tablets

75 mg once daily or bid

75 mg bid

 

Spray, ointment

Topically several times a day

 

Ketoprofena,b

 

Tablets

100 mg once daily or bid

300 mg/d

Capsules

50 mg tid

300 mg/d

Modified-release tablets

150 mg once daily or in 2 divided doses

150 mg bid

Sustained-release tablets

Sustained-release capsules

100-200 mg once daily

200 mg once daily

Suppositories

100 mg once daily or bid

300 mg/d

Gel

Topically bid

 

Topical spray

3-4 doses once daily to tid

48 doses in 24 hours

Solution for IM injections

100 mg once daily to bid

200 mg/d

Mefenamic acid

 

Tablets

250 mg qid

 

Suppositories

500 mg once daily to tid

500 mg qid

Tiaprofenic acid: tablets

300 mg bid

 

Tolfenamic acid: tablets

200 mg

400 mg

Meloxicama

 

Tablets

7.5-15 mg once daily

15 mg once daily

Suppositories

7.5-15 mg once daily

15 mg once daily

Solution for IM injections

15 mg once daily

15 mg once daily

Nabumetone: tablets

1-2 g once daily or 0.5-1 g bid

2 g/d

Naproxena

 

Tablets, PO suspension

250-500 mg bid

1.5 g/d

Suppositories

250-500 mg bid

1.5 g/d

Gel

Topically 2-6 times/d

 

Nimesulidec: tablets, granulate for PO suspension

100 mg bid

 

Piroxicamd: tablets, solution for IM injections

20 mg once daily or 10 mg bid

40 mg/d

Diethylamine salicylate: cream, gel

Topically tid or qid

 

a Agents commonly used in Canada.

b One of the chapter’s contributors preferred to specify ketoprofen should be used at the maximum dose only for up to several days.

c Not indicated in osteoarthritis; due to the risk of liver injury it should be used as a second-line agent at the lowest effective doses and for the shortest time possible (up to 15 days).

d One of the chapter’s contributors preferred to remove piroxicam as an option due to its adverse effect profile.

bid, 2 times a day; IM, intramuscular; IV, intravenous; PO, oral; qid, 4 times a day; tid, 3 times a day.