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PassNaplexNow - NAPLEX review prep > Pain Management > Flashcards

Pain Management Flashcards

1
Q

Ofirmev

A

Acetaminophen IV

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2
Q

Narcan

  • Indication
  • Form
A

Naloxone

  • I: management of opioid overdose
  • Form: IV
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3
Q

MSIR

A

Morphine IR

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4
Q

Embeda

  • Caution:
A

ER morphine and naltrexone embed

  • Caution: avoid EtOH => speeds the release of morphine, which can lead to respiratory depression
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5
Q

Dilaudid

  • Potency compares to morphine
  • Forms
A

Hydromorphone

  • More potent than morphine with decrease histamine release and no active metabolites.
  • An option to morphine for pts w/ renal impairment
  • Forms: IM/SC/IV/PO/Suppository
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6
Q

Exalgo

  • Form
  • Frequency
A

Hydromorphine OROS ER

  • PO QD
  • Break into clumps if crushed or turns into a thick gel if mixed with liquid to defer pt from abuse
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7
Q

Zohydro

  • Form
  • Frequency
A

Hydrocodone ER

  • Do not crush/chew
  • PO BID
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8
Q

Roxicodone

A

Oxycodone

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9
Q

OxyContin

  • Frequency
A

Oxycodone

  • PO Q12H
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10
Q

Oxecta

  • Special about this drug
A

Oxycodone IR

  • Discourage abusers: breaks into chunks instead of a powder if crushed, turns into gel if mixed w/ liquid, and contains Na laurel sulfate, which irritates the nose if it’s snorted.
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11
Q

Opana

  • Form:
  • Frequency
A

Oxymorphone ER

  • F: IV, IM, SC, PO
  • Q12H
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12
Q

Demerol

  • Avoid
  • DDI
  • Forms
  • Max dose:
A

Meperidine

  • Avoid in renal insufficiency: increase chance of sz
  • DDI: MAOIs
  • Forms: IV/IM/SC/PO/Syrup
  • Max: 600mg/d due to SZ
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13
Q

Fentanyl

  • Potency
  • Safe in which population
  • Duration of action
  • DDI
A

Fentanyl

  • 100x potent than morphine. Has insignificant histamine release. Decrease sedation and constipation
  • Safe for pt w/ renal failure
  • Has quick onset and short duration of action
  • CYP3A4 substrate
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14
Q

Sublimaze

A

Fentanyl injection IV/IM

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15
Q

Lazanda

  • Indication
  • # s of spray in bottle:
A

Fentany nasal spray

  • Indication: breakthrough pain
  • each bottle contains 8 sprays
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16
Q

Actiq

A

Fentanyl lozenges - dissolves slowly in mouth

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17
Q

Abstral

A

Fentanyl SL tab

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18
Q

Subsys

A

Fentanyl SL srpay

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19
Q

Fentora

  • Direction to take:
A

Fentanyl buccal tab:

  • Buccal: place b/w the cheek and gums. Leave it there until it dissolves
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20
Q

Onsolis

A

Fentanyl buccal soluble film

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21
Q

Duragesic

  • Form
  • Frequency
  • Dispose
A

Fentanyl Patch

  • F: Q3D or Q72H
  • Dispose: fold and flush down the toilet
  • Remove prior to MRI
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22
Q

Diskets

  • Indication
  • High dose: 40mg
  • high dose can cause:
A

Methadone

Indication

  • Severe pain in opioid tolerance pts: 5, 10mg tab
  • Opioid dependence: 40mg for detox and maintenance tx of opioid addicted pts. Not FDA approved for pain

High dose:

  • Arrhythmia, respiratory depression
  • QT Prolongation
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23
Q

Vicodin

  • Max
A

Hydrocodone/APAP 5/300

  • Max 8 tabs
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24
Q

Vicodin ES

  • Max
A

Hydrocodone/APAP 7.5/300

  • Max: 6 tabs
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25
Vicodin HP - Max
Hydrocodone/APAP 10/300 - Max 6 tabs
26
Norco
Hydrocodone/APAP 5/325, 7.5/325, 10/325
27
Vicoprofen
Hydrocodone/ibuprofen 7.5/200
28
Tylenol + Codiene ``` #1: #2 #3 #4 ``` - Black box - Indication
``` #1: 300/7.5 #2: 300/15 #3: 300/30 #4: 300/60 ``` - Black box: do not use in kids after a tonsillectomy due to some deaths and serious ADEs - Codeine is a prodrug that converts into morphine by 2D6 - Indication: mild to moderate pain
29
Roxicet
Oxycodone + APAP: 5/325mg Q6H
30
Percocet | Endocet
Oxycodone + APAP: Q4-6H 5/7.5/10 plus 325 mg - CS II
31
Xartermis XR
Oxycodone + APAP: Q12H - Same as percocet/endocet
32
Percodan | Endodan
Oxycodone + ASA: Q6H 4. 88/325mg 2. 44/325
33
Butrans - MOA - Form and frequency - Indication - CS
Buprenorphine transdermal system - MOA: partial opioid agonist and antagonist - F: Patch change once a week - Indication: mod to severe pain Do not give w/ other opioid - CS: III
34
Subutex - Indication - DEA - CS
Buprenorphine - Pain given 3-4x/d - Opioid addiction - Tx of opioid dependence - DEA # starts with X is required to dispense to treatment of opioid addiction. If rx for pain, do not need DEA w/ X - CS III
35
Fioricet with codeine - Indication - Max
APAP + butalbital + caffeine + codeine 325/50/40/30 - Indication: Tension or muscle contraction HA - Max: 6 tabs/d
36
Fiorinal with codeine - Indication - Max - CS:
ASA + butalbital + caffeine + codeine 325/50/40/30 - Indication: Tension or muscle contraction HA - Max: 6 tabs/d - CS III
37
Vivitrol - Form - Indication - Dose
Naltrexone ER - Form: IM - Indication: Treat and prevent replace after detox EtOH dependence - Dose: 380mg ONCE a month IM injection
38
Utram - Indication - Max dose - SEs - DDI
Tramadol - Indication: mod to severe pain - Max dose: 400mg/d in health pt; 300mg in elderly SEs: - Dizziness, GI upset, *constipation - *Somnolence - Seizure DDI - MOAIs, SSRIs, SNRIs = may cause serotonin syndrome
39
Ultracet - Duration of use
37. 5 Tramadol + 325 APAP | - For short term 5 days
40
Nucynta - Indication - Max dose - CS - SE
Tapentadol => similar to Tramadol - Indication: mod to severe pain in > 18 y.o - Max dose: 600mg/day - CS: II SEs - Resp depression - CNS depression - Serotonin syndrome - Increase risk of SZ
41
MS Contin - Frequency - Form
Morphine - Q8-12H - CR tab - don't break or chew 15, 30, 60, 100, 200mg
42
Oramorph - Frequency - Form
Morphine - Q8-12H - CR tab - don't break or chew
43
Avinza - Frequency
Morphine ER - 24H: Opened and sprinkled on applesauce
44
Kadian - Frequency
Morphine ER - 12- 24H: Opened and sprinkled on applesauce
45
Embeda - Frequency - Avoid
Morphine ER - 12-24H: morphine pellets with an inner core of naltrexone - Avoid w/ EtOH = speed the release of morphine = CNS depression
46
Roxanol
Morphine Soln
47
RMS
Morphine suppository
48
Lorcet - Dose
hydrocodone/APAP - 10/650mg
49
Percolone
Oxycodone
50
Xartemis XR - Dose
Oxycodone + APAP - Dose: 2 tab Q12H
51
Pethidine - Avoid
Meperidine - Avoid in renal insufficiency: increase chance of sz
52
Dolophine - Indication - High dose can cause
Methadone Indication - Severe pain: in opioid tolerance pts: 5, 10mg tab - Opioid dependence: 40mg for detox and maintenance tx of opioid addicted pts. Not FDA approved for pain High dose: - Arrhythmia, respiratory depression
53
Buprenex - MOA - Indication - CS
Buprenorphine injection - MOA: partial opioid agonist and antagonist. Do not give w/ other opioid - Mod to severe pain - CS: III
54
Suboxone - Form - Dose/Indication - CS Category
Buprenophine/naloxone - Form: film - Dose/Indication Pain: given 3-4x/day Opioid addiction: QD DEA # starts with X is required to dispense to treatment of opioid addiction. If rx for pain, do not need DEA w/ X - CS III
55
Zubsolv - Form - Dose/Indication - CS Category
Buprenorphine/Naloxone - F: SL TAB - Dose/Indication Pain: given 3-4x/day Opioid addiction: QD DEA # starts with X is required to dispense to treatment of opioid addiction. If rx for pain, do not need DEA w/ X - CS III
56
Ultram - Max dose: - SEs
Tramadol - Max: 400mg/d due to seizure Age > 75: max 300mg/day - SEs: Anticholinergic, SZ, sedation
57
Ryzolt - Frequency:
Tramadol - Frequency: QD
58
Ultracet
Tramadol + APAP
59
ReVia - Form: - Indication
Naltrexone - Form: PO QD - Indication: Treat and prevent replace after detox EtOH dependence
60
Depade - Form: - Indication
Naltrexone - Form: PO QD - Indication: Treat and prevent replace after detox EtOH dependence
61
Hysingla - Form - Frequency
Hydrocodone - ER - PO QD
62
Targiniq - Frequency
Oxycodone + Naloxone ER - PO Q12H
63
Bunavail - Form - Dose/Indication
Buprenorphine + naloxone - Form: Buccal film - Dose/Indication Pain: given 3-4x/day Opioid addiction: QD
64
Evzio - Indication - Form
Naloxone - I: management of opioid overdose - Form: SC/IM auto-injector
65
Relistor - Form - Indication
Methylnaltrexone - Form: SC - I: tx for opioid-induced constipation
66
Movantik - Form - Indication: - CS
Naloxegol - Form: SC - I: tx for opioid-induced constipation - CS: II
67
Campal - Indication - Dose/frequency
Acamprosate - I: Tx of EtOH dependance or alcoholism Decrease craving - Dose: 666mg PO TID
68
Antabuse - Indication - Frequency
Disulfiram - I: Tx of EtOH dependance or alcoholism - D: PO QD
69
Gralise - Indication
Gabapentin ER QD - I: post-herpetic neuralgia

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