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Mandated Drug List 7
Analgesics
| Term | Definition |
|---|---|
| Endocet/Percocet | oxycodone and acetaminophen |
| Lortab | hydrocodone and acetaminophen |
| Tylenol with Codeine #2-4 | acetaminophen and codeine |
| Percodan | oxycodone and aspirin |
| Duragesic | fentanyl |
| Ultram | tramadol |
| Vicodin | hydrocodone and acetaminophen |
| MS Contin | morphine sulfate |
| OxyContin | oxycodone |
| Fioricet | butalbital/acetaminophen/caffeine |
| Imitrex | sumatriptan |
| Suboxone | buprenorphine and naloxone |
| Dolophine | methadone |
| Lidoderm | lidocaine topical |
| Norco | hydrocodone and acetaminophen |
| Actiq | fentanyl |
| oxycodone and acetaminophen | Opioid Combo |
| hydrocodone and acetaminophen | Opioid Combo |
| acetaminophen and codeine | Opioid Combo |
| oxycodone and aspirin | Analgesics - Opioid Combos |
| fentanyl | Opioids |
| tramadol | Opioids |
| morphine sulfate | Opioids |
| oxycodone | Opioids |
| butalbital/acetaminophen/caffeine | Analgesics/non-opioid combo |
| sumatriptan | Triptans (Selective Serotonin Agonists 5-HT) |
| buprenorphine and naloxone | Opioid type |
| methadone | Analgesics Opiod Agonists |
| lidocaine topical | Local anesthetic |
| oxycodone and acetaminophen | analgesics |
| hydrocodone and acetaminophen | analgesics |
| acetaminophen and codeine | analgesics |
| oxycodone and aspirin | analgesics |
| fentanyl | analgesics |
| tramadol | analgesics (& HA) |
| morphine sulfate | analgesics |
| oxycodone | analgesics |
| butalbital/acetaminophen/caffeine | migraine/HA |
| sumatriptan | migraine/HA |
| buprenorphine and naloxone | Opioid withdrawal |
| methadone | Mod-sev pain/opioid withdrawal |
| lidocaine topical | Analgesics |
| Autonomic NS | Involuntary actions like breathing, circulation, digestion, etc |
| Sympathetic System | NT: ACh, nor/epinephrine, dopamine. Fight or flight! |
| Parasympathetic System | NT: ACh. Rest & Digest… |
| Somatic NS | NT: ACh. Voluntary action via skeletal muscle |
| Central NS | NT: ACh, GABA, dopamine, nor/epinephrine, serotonin, glutamate |
| Alpha Receptors | Constricts blood vessels, decongests nasal passages |
| Beta-1 receptors | Increase heart rate & contraction force |
| Beta-2 receptors | Dilation of *bronchial tubes* & blood vessels |
| ACh (acetylcholine) | Reduces HR, vasodilation, increases GI motility, bronchial & pupil constriction |
| Anticholinergic | Decrease GI motility/sweating/urination, dilate pupils, dry eyes/mouth |
| Acute pain | Trauma/surgery, has beginning and end, warns of an issue |
| Chronic nonmalignant pain | Cause can be undiagnosed, lasts over 3 months, can respond poorly to treatment/healing |
| Chronic malignant pain | Accompanies disease and increases in severity as it progresses |
| Somatic pain | Localised pain |
| Visceral pain | Sharp throbbing pain often with N/V |
| Neuropathic pain | Constant aching pain |
| Somatic pain treatment | Narcotics/NSAIDs/Nerve blockers |
| Visceral pain treatment | Narcotics/NSAIDs/Nerve blockers/antiemetics |
| Neuropathic pain treatment | Antidepressants/anticonvulsants |
| Narcotic side effects | Drowsy/constipation/N/V/dry mouth/respiratory depression |
| Prophylactic therapy | Prevent/reduce recurrence, routinely taken |
| Abortive therapy | Treats acute attacks, taken once HA occurs/first sign |
| Both prophylactic & abortive drug therapy | CGRP anatagonists, NSAID |
| Prophylactic drug therapy | Anticonvulsant, beta/calcium blockers, estrogen, feverfew, SSRI, TCA |
| Abortive drug therapy | Serotonin agonist (triptans), ergot alkaloids, analgesics |
| Calcitonin Gene Related Peptide CGRP | Released during HA, inflammation of meninges |
| -gepants | CGRP antagonist for HA, both abortive/prophylactic |
| -triptan | Selective serotonin receptor agonist for HA, prophylactic |
| Rizatriptan (maxalt) | Most rapid onset for HA |
| Triptan OD | Sulfhemoglobinemia: green blood |
| Triptan & Ergot Alkaloids | Vasoconstriction caution: avoid with coronary artery/hepatic disease |
| Sumatriptan (imitrex) | ~15 min onset, most common Triptan |
| Butorphanol (Stadol) | Opioid nasal spray for mod-sev HA pain, C-IV |
| Ondansetron (Zofran) | Antiemetic |
| Nitrous Oxide | Used in dentist office |
| -flurane | Inhaled anaesthetic |
| -caine | Local anaesthetic |
| -curonium/curium | Neuromuscular agent |
| Ester local anaesthetic | Short acting, metabolised by plasma |
| Amides local anesthetic | Long acting, metabolised by liver |
| Neostigmine (prostigmin) | Reverse neuromuscular blocking agents |
| Lidocaine (lipoderm) | Amides local anaesthetic |
| Pyridostigmine (mestinon) | Reverse neuromuscular blocking agents |
| Flumazenil(romazicon) | Reverses effects of midazolam (versed) |
| Capsaicin | Topical pain treatment |
| Cannabis sativa/marijuana | Chronic or neuropathic pain with SE: dizzy, weight gain, heart disease |
| Feverfew | Improves N/V & light sensitivity, cramps, SE: Heartburn,N/D,constipation |
Created by:
Sec-ret
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