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      1. Ibuprofen (Motrin, Advil) - Among the OTC anti-inflammatory medications, ibuprofen is probably the most versatile. Primarily indicated for pain and inflammation, it may also be used to relieve headaches, earaches, sore throats, sinus pain, stiff neck, muscle strains, menstrual cramps, arthritis including gout, and back pain.

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      For pain crises, goal is to get patient off of IV pain meds. Once tolerating PO pain meds, they too can be discharged. On discharge, make sure all sicklers have H/O follow-up in clinic, adequate home meds and pain meds.

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