Opioids Flashcards
All Opioid SE
Antitussive
N/V
ITCH
Urinary retention
Respiratory Depression
All Opioid Clincal Pearls
Consider starting SENNA (stool softner or lax)
Codeine Brand Name
Tylenol #3
Codeine Dose Forms
Tablet
Cough Syrup
Codeine CYP and Pearls
2d6
PM no effect
Ultra rapid- Overdose
C/I in breast feeding and kids <12
Tramadol Brand Name
Ultram
Ultram Dose Forms
Capsule ER
Tablet IR and ER
Oral Solution
Tramadol pearls
Serotonin syndrome with other meds
Renal
Tramadol/Ultram CYP?
3A4 and 2D6
Morphine Dose Forms
Capsule ER
Tablet Er and IR
Oral solution
IV, IM, SubQ
Suppository
Morphine Pearls
Itching
Renal
Avoid Alc
Hydromorphone Brand Name
Dilaudid
Dilaudid Generic
Hydromorphone
Hydromorphone Dose Forms
IR AND ER Tab
Oral solution
IV
Suppository
Dilaudid Pearls
Dosing Errors
Hydrocodone +/- Acetampinophen Dose forms
Oral Solution
ER Tablet and
tablet (Norco)
Hydrocodone CYP
3A4
Perc Dose Forms
Tablet and Capsule
IR AND ER only
ER is abuse-deterrent
Oxycodone CYP
3A4
Fentanyl Brand Name
Duragesic
Fentanyl Dose Forms
Buccal
Sublingual Liquid
Lozenge
IV
Patch
Fentanyl CYP
3A4/ Renal
Fentanyl Pearls
Non IV only for morphine more than 60 mg/day for 1 week
Methadone Use
Last line in chronic pain
Opioid detox
Methadose Forms
IV, Oral solution, Tablet
Methadone CYP
3a4
Methadone Pearls
QTC prolong/check ecg
long half life
Meperidine Brand Name
Demerol
Demerol Dose Forms
Meperidine
IV, Oral solution, Tablet
Meperidine Pearls
Avoid in elderly, renal impairment, hepatic impairment
3a4
Dont use within 14 days of MAOI’s
Liver