Opioid Drugs Flashcards
What is Morphine’s drug class?
Opioid analgesic
What is the mechanism of action of Morphine?
Binds to opioid receptors in the brain and spinal cord to reduce pain perception
What are the drug targets of Morphine?
Mu-opioid receptors
What is the expected time for effect of Morphine?
15-60 minutes
What are the pharmacodynamics of Morphine?
Provides analgesia, sedation, and euphoria
What is the absorption characteristic of Morphine?
Well absorbed orally, but significant first-pass metabolism
What is the distribution characteristic of Morphine?
Widely distributed throughout the body
How is Morphine excreted?
Primarily renal
What is the metabolism of Morphine?
Hepatic
What are the dosage ranges for Morphine?
10-30 mg every 4 hours as needed
What is a key fact about Morphine?
High potential for addiction and abuse
What is Dilaudid’s drug class?
Opioid analgesic
What is the mechanism of action of Dilaudid?
Binds to opioid receptors in the brain and spinal cord to reduce pain perception
What are the drug targets of Dilaudid?
Mu-opioid receptors
What is the expected time for effect of Dilaudid?
15-30 minutes
What are the pharmacodynamics of Dilaudid?
Provides analgesia, sedation, and euphoria
What is the absorption characteristic of Dilaudid?
Well absorbed orally
What is the distribution characteristic of Dilaudid?
Widely distributed throughout the body
How is Dilaudid excreted?
Primarily renal
What is the metabolism of Dilaudid?
Hepatic
What are the dosage ranges for Dilaudid?
2-4 mg every 4-6 hours as needed
What is a key fact about Dilaudid?
More potent than morphine
What is Codeine’s drug class?
Opioid analgesic
What is the mechanism of action of Codeine?
Binds to opioid receptors in the brain and spinal cord to reduce pain perception
What are the drug targets of Codeine?
Mu-opioid receptors
What is the expected time for effect of Codeine?
30-60 minutes
What are the pharmacodynamics of Codeine?
Provides analgesia and cough suppression
What is the absorption characteristic of Codeine?
Well absorbed orally
What is the distribution characteristic of Codeine?
Widely distributed throughout the body
How is Codeine excreted?
Primarily renal
What is the metabolism of Codeine?
Hepatic (converted to morphine)
What are the dosage ranges for Codeine?
15-60 mg every 4-6 hours as needed
What is a key fact about Codeine?
Less potent than morphine
What is Oxycodone’s drug class?
Opioid analgesic
What is the mechanism of action of Oxycodone?
Binds to opioid receptors in the brain and spinal cord to reduce pain perception
What are the drug targets of Oxycodone?
Mu-opioid receptors
What is the expected time for effect of Oxycodone?
10-30 minutes
What are the pharmacodynamics of Oxycodone?
Provides analgesia, sedation, and euphoria
What is the absorption characteristic of Oxycodone?
Well absorbed orally
What is the distribution characteristic of Oxycodone?
Widely distributed throughout the body
How is Oxycodone excreted?
Primarily renal
What is the metabolism of Oxycodone?
Hepatic
What are the dosage ranges for Oxycodone?
5-15 mg every 4-6 hours as needed
What is a key fact about Oxycodone?
High potential for addiction and abuse
What is Percadan/Percocet’s drug class?
Opioid analgesic combination
What is the mechanism of action of Percadan/Percocet?
Binds to opioid receptors in the brain and spinal cord to reduce pain perception; acetaminophen inhibits prostaglandin synthesis
What are the drug targets of Percadan/Percocet?
Mu-opioid receptors
What is the expected time for effect of Percadan/Percocet?
10-30 minutes
What are the pharmacodynamics of Percadan/Percocet?
Provides analgesia, sedation, and euphoria
What is the absorption characteristic of Percadan/Percocet?
Well absorbed orally
What is the distribution characteristic of Percadan/Percocet?
Widely distributed throughout the body
How is Percadan/Percocet excreted?
Primarily renal
What is the metabolism of Percadan/Percocet?
Hepatic
What are the dosage ranges for Percadan/Percocet?
2.5-10 mg oxycodone every 6 hours as needed
What is a key fact about Percadan/Percocet?
High potential for addiction and abuse
What is Methadone’s drug class?
Opioid analgesic
What is the mechanism of action of Methadone?
Binds to opioid receptors in the brain and spinal cord to reduce pain perception
What are the drug targets of Methadone?
Mu-opioid receptors
What is the expected time for effect of Methadone?
30-60 minutes
What are the pharmacodynamics of Methadone?
Provides analgesia, sedation, and euphoria
What is the absorption characteristic of Methadone?
Well absorbed orally
What is the distribution characteristic of Methadone?
Widely distributed throughout the body
How is Methadone excreted?
Primarily renal
What is the metabolism of Methadone?
Hepatic
What are the dosage ranges for Methadone?
2.5-10 mg every 8-12 hours as needed
What is a key fact about Methadone?
Long half-life, used for opioid dependence treatment
What is Fentanyl’s drug class?
Opioid analgesic
What is the mechanism of action of Fentanyl?
Binds to opioid receptors in the brain and spinal cord to reduce pain perception
What are the drug targets of Fentanyl?
Mu-opioid receptors
What is the expected time for effect of Fentanyl?
1-2 minutes (IV)
What are the pharmacodynamics of Fentanyl?
Provides analgesia, sedation, and euphoria
What is the absorption characteristic of Fentanyl?
Rapidly absorbed via IV, transdermal, and transmucosal routes
What is the distribution characteristic of Fentanyl?
Widely distributed throughout the body
How is Fentanyl excreted?
Primarily renal
What is the metabolism of Fentanyl?
Hepatic
What are the dosage ranges for Fentanyl?
25-100 mcg every 1-2 hours as needed
What is a key fact about Fentanyl?
Extremely potent, high risk of overdose
What is Meperidine’s drug class?
Opioid analgesic
What is the mechanism of action of Meperidine?
Binds to opioid receptors in the brain and spinal cord to reduce pain perception
What are the drug targets of Meperidine?
Mu-opioid receptors
What is the expected time for effect of Meperidine?
10-15 minutes (IV)
What are the pharmacodynamics of Meperidine?
Provides analgesia, sedation, and euphoria
What is the absorption characteristic of Meperidine?
Well absorbed orally and parenterally
What is the distribution characteristic of Meperidine?
Widely distributed throughout the body
How is Meperidine excreted?
Primarily renal
What is the metabolism of Meperidine?
Hepatic
What are the dosage ranges for Meperidine?
50-150 mg every 3-4 hours as needed
What is a key fact about Meperidine?
Risk of neurotoxicity with prolonged use
What is Tramadol’s drug class?
Opioid analgesic
What is the mechanism of action of Tramadol?
Binds to opioid receptors and inhibits reuptake of norepinephrine and serotonin
What are the drug targets of Tramadol?
Mu-opioid receptors
What is the expected time for effect of Tramadol?
30-60 minutes
What are the pharmacodynamics of Tramadol?
Provides analgesia and mild euphoria
What is the absorption characteristic of Tramadol?
Well absorbed orally
What is the distribution characteristic of Tramadol?
Widely distributed throughout the body
How is Tramadol excreted?
Primarily renal
What is the metabolism of Tramadol?
Hepatic
What are the dosage ranges for Tramadol?
50-100 mg every 4-6 hours as needed
What is a key fact about Tramadol?
Lower potential for abuse compared to other opioids
What is Buprenorphine’s drug class?
Partial opioid agonist
What is the mechanism of action of Buprenorphine?
Binds to opioid receptors in the brain and spinal cord to reduce pain perception
What are the drug targets of Buprenorphine?
Mu-opioid receptors
What is the expected time for effect of Buprenorphine?
30-60 minutes
What are the pharmacodynamics of Buprenorphine?
Provides analgesia and mild euphoria
What is the absorption characteristic of Buprenorphine?
Well absorbed sublingually
What is the distribution characteristic of Buprenorphine?
Widely distributed throughout the body
How is Buprenorphine excreted?
Primarily renal
What is the metabolism of Buprenorphine?
Hepatic
What are the dosage ranges for Buprenorphine?
2-8 mg every 6-8 hours as needed
What is a key fact about Buprenorphine?
Used for opioid dependence treatment
What is Butorphanol’s drug class?
Mixed opioid agonist-antagonist
What is the mechanism of action of Butorphanol?
Binds to opioid receptors in the brain and spinal cord to reduce pain perception
What are the drug targets of Butorphanol?
Mu-opioid receptors
What is the expected time for effect of Butorphanol?
10-15 minutes (IV)
What are the pharmacodynamics of Butorphanol?
Provides analgesia and mild euphoria
What is the absorption characteristic of Butorphanol?
Well absorbed intranasally and parenterally
What is the distribution characteristic of Butorphanol?
Widely distributed throughout the body
How is Butorphanol excreted?
Primarily renal
What is the metabolism of Butorphanol?
Hepatic
What are the dosage ranges for Butorphanol?
1-4 mg every 3-4 hours as needed
What is a key fact about Butorphanol?
Lower potential for abuse compared to other opioids
What is Dextromethorphan’s drug class?
Antitussive
What is the mechanism of action of Dextromethorphan?
Suppresses cough reflex by acting on the cough center in the medulla
What are the drug targets of Dextromethorphan?
Sigma-1 receptors
What is the expected time for effect of Dextromethorphan?
15-30 minutes
What are the pharmacodynamics of Dextromethorphan?
Provides cough suppression
What is the absorption characteristic of Dextromethorphan?
Well absorbed orally
What is the distribution characteristic of Dextromethorphan?
Widely distributed throughout the body
How is Dextromethorphan excreted?
Primarily renal
What is the metabolism of Dextromethorphan?
Hepatic
What are the dosage ranges for Dextromethorphan?
10-20 mg every 4-6 hours as needed
What is a key fact about Dextromethorphan?
Non-opioid, low potential for abuse
What is Naloxone’s drug class?
Opioid antagonist
What is the mechanism of action of Naloxone?
Binds to opioid receptors and displaces opioid molecules
What are the drug targets of Naloxone?
Mu-opioid receptors
What is the expected time for effect of Naloxone?
1-2 minutes (IV)
What are the pharmacodynamics of Naloxone?
Reverses opioid effects
What is the absorption characteristic of Naloxone?
Rapidly absorbed via IV, IM, and intranasal routes
What is the distribution characteristic of Naloxone?
Widely distributed throughout the body
How is Naloxone excreted?
Primarily renal
What is the metabolism of Naloxone?
Hepatic
What are the dosage ranges for Naloxone?
0.4-2 mg every 2-3 minutes as needed
What is a key fact about Naloxone?
Used for opioid overdose reversal
What is Naltrexone’s drug class?
Opioid antagonist
What is the mechanism of action of Naltrexone?
Binds to opioid receptors and blocks opioid effects
What are the drug targets of Naltrexone?
Mu-opioid receptors
What is the expected time for effect of Naltrexone?
15-30 minutes
What are the pharmacodynamics of Naltrexone?
Blocks opioid effects
What is the absorption characteristic of Naltrexone?
Well absorbed orally
What is the distribution characteristic of Naltrexone?
Widely distributed throughout the body
How is Naltrexone excreted?
Primarily renal
What is the metabolism of Naltrexone?
Hepatic
What are the dosage ranges for Naltrexone?
50 mg once daily
What is a key fact about Naltrexone?
Used for opioid and alcohol dependence treatment
What is Naloxegol’s drug class?
Opioid antagonist
What is the mechanism of action of Naloxegol?
Binds to opioid receptors in the gastrointestinal tract to reduce opioid-induced constipation
What are the drug targets of Naloxegol?
Mu-opioid receptors
What is the expected time for effect of Naloxegol?
6-12 hours
What are the pharmacodynamics of Naloxegol?
Reduces opioid-induced constipation
What is the absorption characteristic of Naloxegol?
Well absorbed orally
What is the distribution characteristic of Naloxegol?
Limited to the gastrointestinal tract
How is Naloxegol excreted?
Primarily renal
What is the metabolism of Naloxegol?
Hepatic
What are the dosage ranges for Naloxegol?
25 mg once daily
What is a key fact about Naloxegol?
Used for opioid-induced constipation