Opioids Flashcards
Morphine
Mu receptor
1st pass effect
4-5 hours
Fentanyl
Mu receptor
100x potency of Morphine
Short acting 1 hour
injection or patch
Methadone
Mu receptor
used for chronic pain
long duration of action
Meperidine
Mu Receptor
short duration
toxic metabolite
interact with MAO inhibitors
Heroin
Mu receptor
activated via metabolism
more lipophilic
Codeine
Mu receptor
activated via metabolism
Cough suppressant
used with NSAIDS
Oxycodone
Mu receptor
used with NSAIDS
Hyrdrocodone
Mu Receptor
Cough Suppressant
used with NSAID
Hydromorphone
Mu Receptor
2-3x morphine
B-Endorphin
Endogenous Mu ligand
Dynorphin
Endogenous Kappa Ligand
Enkephalin
Endogenous Delta ligand
Nalbuphine
Mu antagonist
Kappa agonist
injectable form
Buprenorphine
Partial Mu agonist
treat severe pain
combined with naloxone to tx dependency
Naloxone
Mu Antagonist
short duration
tx- opioid overdose