II. Indications

III. Contraindications

  1. See NSAID

IV. Mechanism

  1. See NSAID
  2. NSAID in the propionic acid class
    1. Other NSAIDS in propionic acid class include Ibuprofen and Naproxen

V. Medications

  1. Flurbiprofen tablets: 50 mg, 100 mg

VI. Dosing

  1. Adults
    1. Arthritis (OA/RA): 200 to 300 mg/day divided twice to four times daily (max single dose: 100 mg)
    2. Primary Dysmenorrhea: 50 mg orally daily
    3. Mild to moderate pain: 50 mg orally every 6 hours
  2. Children (off label, not FDA approved)
    1. Juvenile Rheumatoid Arthritis 4 mg/kg/day divided two to four times daily

VII. Adverse Effects

  1. See NSAID

VIII. Safety

  1. See NSAID
  2. Considered safe in Lactation
  3. Avoid NSAIDs in pregnancy outside the first part of the second trimester (13 to 20 weeks)
    1. Teratogenic in first trimester
    2. Risk of premature ductus arteriosus closure in the fetus in third trimester
    3. Most NSAIDs carry a legacy system Pregnancy Category B or C designation (aside from third trimester)
      1. However, many obstetricians avoid NSAIDs entirely in pregnancy (even in second trimester)

X. References

  1. Hamilton (2020) Tarascon Pocket Pharmacopoeia

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Cost: Medications

flurbiprofen (on 12/21/2022 at Medicaid.Gov Survey of pharmacy drug pricing)
FLURBIPROFEN 0.03% EYE DROP Generic $9.52 per ml
FLURBIPROFEN 100 MG TABLET Generic $0.38 each