The initial step to effect the safe management of mild to moderate acute pain that has not been controlled with over-the-counter medications is to:

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If pain continues, consider a single low-dose, short-acting opioid and observe the effect. Acetaminophen is an over-the-counter analgesic and so its effect is already determined to be ineffective. Nonpharmacological interventions are only appropriate once pain management has been successfully implemented. Titrating an opioid dose upward is appropriate only after the effects of the initial dose have been determined.

The Initial Step to Effect the Safe Management of Mild