click below
click below
Normal Size Small Size show me how
Opiods
Term | Definition |
---|---|
Morphine | |
Codeine | |
Hydromorphone (Dilaudid) | |
Hydrocodone/APAP (Vicodin, Lortab, Norco) | |
Oxycodone (OxyContin) | |
Levophanol (Levo-Dromoran) | |
Oxymorphone (Numorphan) | |
Apomorphone (Apokyn) | Not an opiod agonist D1/D2 Dopamine Receptor agonist |
Meperidine (Demerol) | Short duration of action and less potent than morphine |
Fentanyl (Sublimaze) Fentanyl Transdermal (Duragesic) | Phenylpiperidine-like opioids - anesthetics More lipid soluble - higher onset - short duration less histamine release Intrathecal Administration - SPINE |
Loperamide (Immodium) Diphenoxylate (Lomotil) Difenoxin (Immodium) | Phenylpiperidine-like Opioids - Antidiarrheal agents Low abuse potential - low solubility and poor BBB penetration Non acting opioid |
Methadone (Dolophine) | Long duration of action Long-acting analgesia - occupies opioid receptors longer NMDA receptor antagonist : INC analgesia, DEC dependence |
Tramadol (Ultram) | Weak mu receptor agonist Inhibits NE and 5-HT uptake Effective morphine for mild to moderate pain Less respiratory suppression and constipation |
Tapentadol (Nucynta) | Mixed agonist-antagonist and partial agonist Weak analgesic effects Partial agonist activity at mu receptors Precipitate withdrawal from full agonist |
Buprenophine (Buprenex ) | Mixed Agonist-Antagonist and Partial Agonist Partial mu agonist; some kappa antagonist activity |
Naloxone (Narcan) | Opioid Antagonist Pure opioid antagonist, nonselective, short half life 90 min Antagonize endogenous opioid peptides Rescue Medication |
Naltrexone (Revia) | Opioid Antagonist Similar to Naloxone Longer Acting than Naloxone 1/2 life - 4 hrs : Used in Maintenance |
Proteinoids (COX) | Non-Opioid Analgesics Anti- Inflammatory |
Leukotrienes (LOX) | LTB4, LTC4, etc. Inflammation and Bronchoconstriction |