12 Pain Management Durham

Question 1

What is the long acting form of Oxycodone?

Answer 1

Oxycontin

Question 2

What is the conversion factor for Oxycodone –> Morphine?

Answer 2

1.5 (i.e. 20mg Oxycodone = 30mg Morphine)

Question 3

What is the usual max dose of Cymbalta?

Answer 3

Its real max dose is 120mg QD, but no benefits seen after 60mg QD

Question 4

What are some common drugs that can be used for Fibromyalgia?

Answer 4

Lyrica (Pregabalin), Cymbalta (Duloxetine), and Milnacipran (Savella). These are NE reuptake inhibitors

Question 5

What do you need to remember with Fentanyl and urine drug tests?

Answer 5

Fentanyl doesn’t show up on an initial screen, needs to be sent to another lab

Question 6

What can you do when switching someone over from oral opioid to fentanyl patch?

Answer 6

Patch takes ~12 hours to work, put patch on with last dose of the oral medication. Assess for dosage change after first 3 days (one patch; 72 hours), then every 6 days after that

Question 7

What caution should be used for Methadone?

Answer 7

Can cause QT prolongation, so use of other meds that prolong QT like Citalopram, Cyclobenzaprine, and Quetiapine should be looked at closely