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
Q

naloxone

A
  • opioid antagonist- blocks opioid effects by blocking receptor sites
  • not orally active, is given to prevent abuse
25
Q

Talwin NX

A

pentazocine, naloxone

  • opioid analgesic
  • QID
  • effective orally but cannot be abused by injection
26
Q

Vivitrol

A

naltrexone

  • opioid antagonist
  • ind. for opioid and alcohol dependence after the person is clean to prevent relapse
  • parenteral: qmonth
27
Q

butorphanol

A
  • opioid analgesic
  • nasal spray
  • QID
28
Q

MS Contin

A

morphine sulfate ER tablet

  • opioid analgesic
  • BID
29
Q

Kadian

A

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
Q

Avinza

A

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
Q

Percocet, Endocet

A

oxycodone, acetaminophen

  • opioid analgesic
  • IR capsule and tablet: QID
32
Q

Combunox

A

oxycodone, ibuprofen

  • opioid analgesic, NSAID
  • QID
  • DON’T take if allergic to aspirin*
33
Q

Oxycontin

A

oxycodone ER tablet

  • opioid analgesic
  • BID
34
Q

Ultram

A

tramadol IR tablet

  • opioid analgesic
  • QID
  • increases risk of seizures*
35
Q

Ultram ER

A

tramadol ER tablet

  • opioid analgesic
  • qday
  • increases risk of seizures*
36
Q

Ultracet

A

tramadol, acetaminophen

  • opioid analgesic
  • QID
  • increases risk of seizures*
37
Q

Nucynta

A

tapentadol IR tablet (CII)

  • opioid analgesic
  • stronger version of tramadol without side effects
38
Q

Nucynta ER

A

tapentadol ER tablet

  • opioid analgesic
  • BID
39
Q

opioid analgesic pt. counseling

A
  • may cause somnolence
  • do NOT drink alcohol
  • may cause constipation: tell to increase fluid intake, increase fiber, take stool softener, or take Relistor
40
Q

Relistor

A

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