MedicationEfficacy*Cost per dayMaximum dosage per daySedation
Recommended
AcetaminophenFair$ 0.404,000 mgMinimal6,8
Ibuprofen (Motrin; 400 mg initially)Good0.242,400 mgMinimal12
Naproxen (Aleve)Good0.241,376 mgMinimal12
Hydrocodone (Vicodin; combined with acetaminophen or ibuprofen)Good2.40 to 8.00Based on the acetaminophen or ibuprofen componentModerate37
Oxycodone (Roxicodone)Good4.00 to 8.00NoneModerate38
Alternative choices
Diclofenac (Voltaren)Good0.50150 mgMinimal46
Piroxicam (Feldene)Good1.10 to 2.2020 mgMinimal46
Etodolac (Lodine)Good0.70 to 1.051,200 mgMinimal46
Fenoprofen (Nalfon)Good1.201,200 mgMinimal46
Ketoprofen (Orudis)Good0.34 to 0.78300 mgMinimal46
Ketorolac (Toradol)Good1.80 to 3.6040 mgMinimal46
Meclofenamate (Meclomen)Good0.38 to 0.72400 mgMinimal46
Meloxicam (Mobic)Good1.007.5 mgMinimal47
Nabumetone (Relafen)Good0.80 to 1.602,000 mgMinimal47
Cyclooxygenase-2 inhibitorsFair to good2.35 to 4.70 2.59Celecoxib (Celebrex), 400 mg Valdecoxib (Bextra), 40 mgMinimal22,27,28
Not recommended
CodeinePoor0.84 to 1.68†NoneModerate39
Propoxyphene (Darvon)Poor1.96 to 3.92NoneModerate41
Tramadol (Ultram)Poor3.00 to 6.00400 mgModerate43,44