Opioid Analgesics and Antagonists Flashcards

1
Q

FULL AGONIST

A

FHM3

FENTANYL- MOST POTENT
Sufentanil, Alfentanil, Remifentanil, Ohmefentanyl

HEROIN

MORPHINE
Hydromorphone
Oxymorphone

METHADONE
Luvomethadyl acetate
Levorphanol

MEPERIDINE

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2
Q

DOC for MI pain

A

MORPHINE

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3
Q

DOC for OPIOID WITHDRAWAL

A

METHADONE

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4
Q

DOC for BILIARY PAIN/PANCREATIC PAIN

A

MEPERIDINE

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5
Q

Fentanyl + Droperidol

A

neurolepticanalgesia

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6
Q

Actions of Morphine

A

HEC of a DREAM

Histamine release
Emesis
CV hypotension

Depression of CNS, GIT, cough center
Respiratory Depression
Euphoria
Analgesia
Miosis
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7
Q

PARTIAL AGONISTS - also used as antitussives

A

HYDROCODONE
OXYCODONE
DEXTROMETHORPHAN
CODEIN

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8
Q

WEAK AGONISTS

A

PROPOXYPHENE

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9
Q

MIXED-AGONIST ANTAGONISTS

partial mu receptor agonist
antagonist at kappa and delta receptors

A
BUPRENORPHINE
Nalbuphine
Butorphanol
Pentazocine
Levallorphan
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10
Q

ANTAGONISTS

A

NALOXONE
Naltrexone
Nalmefene
Methylnatrexone

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11
Q

DUAL ACTING

weak agonist at mu receptor

(-) neuronal reuptake of serotonin and NE

(-) pain neurotransmission

for moderate pain, adjuncts to opioid

A

TRAMADOL
Tapentadol

SE: 
seizures
nausea
dizziness
pruritus
constipation
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12
Q

NATURAL

A

Morphine
Codeine
Thelaine

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13
Q

SEMI SYNTHETIC

A
Heroin
Apomorphine
Hydrocodone
Oxycodone
Hydromorphone
Oxymorphone
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14
Q

PURELY SYNTHETIC

A
Methadone
Loperamide
Meperidine
Fentanyl
Tramadol
Pentazocine
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15
Q

Full Agonists

PHENANTHRENES

strong agonist at mu receptors

for severe pain (MI, cancer, pulmonary edema)

A

Morphine
Hydromorphone
Oxymorphone
Heroin

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16
Q

Full Agonists

PHENYLPIPERIDINE

A
Fentanyl
Sufentanil
Alfentanil
Remifentanil
Ohmefentanyl
17
Q

Opioid with the SHORTEST half life

A

Remifentanil (3-4 mins)

18
Q

Opioid with the LONGEST half life

A

Buprenorphine (4-8 hrs)

19
Q

Full Agonists

PETHIDINE

strong agonist at mu and kappa receptors

for postoperative shivering

A

Meperidine

SE:
seizures
delirium

does NOT cause miosis rather mydriasis

20
Q

Meperidine + MAOI

A

Hyperpyrexic coma

21
Q

Meperidine + SSRI

A

Serotonin syndrome

22
Q

Full Agonists

PHENYLHEPTYLAMINES

strong agonist at mu receptors
NDMA antagonist

for opioid dependence

A

Methadone
Levomethadyl Acetate
Levorphanol

23
Q

Mixed agonist and antagonist used for POSTOPERATIVE SHIVERING

A

Butorphanol

24
Q

Mixed agonist and antagonist used for OPIOID WITHDRAWAL STATES

A

Buprenorphine

25
Q

Opioid antagonist

DOC for Opioid overdose

A

Naloxone

26
Q

Opioid antagonist

for opioid and alcohol dependence

A

Naltrexone