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A multimodal analgesic combination that utilizes four different medications with complementary mechanisms of action. Acetaminophen provides general pain relief and fever reduction. Gabapentin treats neuropathic pain by modulating calcium channels. Ketamine is an NMDA receptor antagonist that blocks pain pathways to the brain. Bupivacaine is a local anesthetic that blocks nerve signals. This combination approach may provide enhanced pain control while potentially reducing the need for opioid analgesics.
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