A patient with hemophilia complains of mild pain after a dental procedure. Which analgesic would be the most appropriate for this patient?
a. Low-dose ibuprofen (Motrin)
b. Aspirin
c. Acetaminophen (Tylenol)
d. Morphine
ANS: C
For mild pain, acetaminophen is the drug of choice, because it does not inhibit platelet aggregation.
NSAIDs should be avoided, because they inhibit platelet aggregation.
Regardless of the severity of the pain, aspirin should always be avoided, because it can induce GI ulceration and bleeding and irreversibly inhibit platelet aggregation.
An opioid analgesic would be needed only for severe pain.
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