Opiods

Question 1

Pentazocaine 
What type of opioid and what class is it

Answer 1

Pentazocine is a cd3 and has agonist and antagonist properties
Avoid after myocardial infarction as it can increase pulmonary and aortic blood pressure
Can cause hallucinations and thought disturbances

Question 2

Dysmenorrhea treatment

Answer 2

Nsaid or parcatomol if nsaid don’t work
Oral contraceptives
Or alverine citrate 12+
No opioids

Question 3

Tapentadol cd2 and tramadol cd3

Answer 3

Both can increase risk of serotonin. Syndrome when given with SSRIs snris triptans methadone linezolid (non selective MAOI which can cause optic neuropathy if used longer than 28 days and blood disorders if used longer than 14 days)
Tapendatol inhibits noradrenaline reputable
Tramadol enhances serotonin and adrenegenic pathways as well as having opioid efffevts

Question 4

Pain in sickle cell crisis

Answer 4

Paracetamol nsaid or codiene
Avoid pethidine risk of accumulation in renal impairment it can lead to accumulation of a neurotoxin metabolite which can precipitate seizures
Pethidine is cd2 and only has one strength