Intended for healthcare professionals


Managing acute renal colic

BMJ 2003; 326 doi: (Published 01 March 2003) Cite this as: BMJ 2003;326:502

Intramuscular diclofenac should be avoided

  1. A Hindle, consultant in anaesthesia and acute pain management (,
  2. R Spedding, consultant in accident and emergency medicine
  1. Warrington Hospital, Warrington Cheshire WA5 1QG
  2. Department of Urology, Pinderfields General, Wakefield WF1 4DG

    EDITOR—The article by Wright et al on managing the pain of ureteric colic in the community has raised some concerns.1 The paper implies that a strategy of administering intramuscular diclofenac in the community would reduce the need for admitting patients to emergency departments. Although we welcome any attempt to reduce the number of unnecessary admissions to emergency departments, we raise the following points about using intramuscular diclofenac.

    Firstly, diclofenac causes pain on injections with a concomitant rise …

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