Analgesic Agonists

Question 1

morphine sulfate

Answer 1

• natural, schedule II
• for severe pain
• hydromorphone (Dilaudid) = 8x more potent

Question 2

codeine (mixed w/ acetaminophen - Tylenol #3)

Answer 2

• schedule III
• mild - moderate pain, cough
• lots of pts claim to be allergic (don’t like the histamine response - itchy)
• less effective as an analgesic and is only agonist to possess ceiling effect

Question 3

fentanyl

Answer 3

• synthetic, schedule II
• moderate - severe pain
• comes in patches: used mostly for pts with chronic pain

Question 4

meperidine (Demerol)

Answer 4

• synthetic, schedule II
• moderate - severe pain
• not used much anymore, use w/ caution if using
• can become toxic - leads to seizures