Opioid Analgesics Flashcards

0
Q

Dilaudid

A

hydromorphone IR

  • opioid analgesic
  • QID
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1
Q

Demerol

A

meperidine

-opioid analgesic

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2
Q

Exalgo

A

hydromorphone ER

  • opioid analgesic
  • ONLY ind. in opioid-tolerant pts.
  • will have a “ghost tablet” in stool, all the drug has been released
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3
Q

Duragesic

A

fentanyl transdermal patch

-opioid analgesic

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4
Q

transmucosal

A

drug is absorbed across the lining of the mouth

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5
Q

Actiq

A

fentanyl lozenge on a stick

  • opioid analgesic
  • rub against side of cheek
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6
Q

Onsolis

A

fentanyl buccal film

  • opioid analgesic
  • placed on inside of cheek
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7
Q

Fentora

A

fentanyl buccal tablet

  • opioid analgesic
  • place between cheek and tongue; dissolves more slowly than Onsolis
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8
Q

Abstral

A

fentanyl sublingual tablet

-opioid analgesic

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9
Q

Lazanda

A

fentanyl nasal spray

-opioid analgesic

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10
Q

codeine

A
  • opioid analgesic, antitussive
  • when used as an antitussive it is usually in combination with guaifenesin [expectorant]
  • 10mg codeine, 100mg guaifenesin/5mL
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11
Q

hydrocodone

A

-opioid analgesic

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12
Q

Tussionex

A

hydrocodone polistirex 8mg, chlorpheniramine polistirex 10mg/5mL

  • antitussive, antihistamine
  • ind. in pts. 12 and older
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13
Q

polistirex

A

long-acting resin used to extend the DOA up to 12hr so only have to take BID

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14
Q

Tussicaps Full Strength

A

hydrocodone 8mg, chlorpheniramine 10mg

  • analgesic, antitussive
  • BID
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15
Q

Tussicaps Half Strength

A

hydrocodone 4mg, chlorpheniramine 5mg

  • analgesic, antitussive
  • BID
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16
Q

Opana IR

A

oxymorphone IR tablet

  • opioid analgesic
  • QID
  • take on ES*
17
Q

Opana ER

A

oxymorphone ER tablet

  • opioid analgesic
  • BID
  • take on ES*
18
Q

Methadose

A

methadone

  • opioid analgesic
  • ind. for pain (QID) and opioid dependence/addiction (Qday)
19
Q

how does methadone work for opioid dependence?

A

treats the dependence and minimizes the withdrawal symptoms and cravings of the abused drug, then methadone is tapered

20
Q

buprenorphine

A
  • opioid analgesic
  • sublingual tablet: 2mg, 8mg
  • ind. for addiction: Qday
21
Q

Buprenex

A

buprenorphine parenteral (IV)

  • opioid analgesic
  • ind. for pain
  • QID
22
Q

Butrans

A

buprenorphine transdermal

  • opioid analgesic
  • ind. for chronic pain
  • qweek
23
Q

Suboxone

A

buprenorphine, naloxone

  • opioid analgesic, opioid antagonist
  • ind. for opioid dependence
  • sublingual tablet: 2mg/0.5mg, 8mg/2mg
  • sublingual film: 2mg/0.5mg, 4mg/1mg, 8mg/2mg, 12mg/3mg
24
naloxone
- opioid antagonist- blocks opioid effects by blocking receptor sites - not orally active, is given to prevent abuse
25
Talwin NX
pentazocine, naloxone - opioid analgesic - QID - effective orally but cannot be abused by injection
26
Vivitrol
naltrexone - opioid antagonist - ind. for opioid and alcohol dependence after the person is clean to prevent relapse - parenteral: qmonth
27
butorphanol
- opioid analgesic - nasal spray - QID
28
MS Contin
morphine sulfate ER tablet - opioid analgesic - BID
29
Kadian
morphine sulfate ER capsule - opioid analgesic - BID * avoid ALL alcohol* - contains ER beads inside, so if pt. can't swallow then beads may be sprinkled on foods that don't require chewing
30
Avinza
morphine sulfate ER capsule - opioid analgesic - qday * avoid ALL alcohol* - contains ER beads inside, so if pt. can't swallow then beads may be sprinkled on foods that don't require chewing
31
Percocet, Endocet
oxycodone, acetaminophen - opioid analgesic - IR capsule and tablet: QID
32
Combunox
oxycodone, ibuprofen - opioid analgesic, NSAID - QID * DON'T take if allergic to aspirin*
33
Oxycontin
oxycodone ER tablet - opioid analgesic - BID
34
Ultram
tramadol IR tablet - opioid analgesic - QID * increases risk of seizures*
35
Ultram ER
tramadol ER tablet - opioid analgesic - qday * increases risk of seizures*
36
Ultracet
tramadol, acetaminophen - opioid analgesic - QID * increases risk of seizures*
37
Nucynta
tapentadol IR tablet (CII) - opioid analgesic - stronger version of tramadol without side effects
38
Nucynta ER
tapentadol ER tablet - opioid analgesic - BID
39
opioid analgesic pt. counseling
- may cause somnolence - do NOT drink alcohol - may cause constipation: tell to increase fluid intake, increase fiber, take stool softener, or take Relistor
40
Relistor
methylnaltrexone subQ injection - opioid antagonist that does not enter CNS: blocks opioid receptors in the intestine so GI motility does not decrease - qod - may have bowel movement in a few minutes