opioid analgesics Flashcards
(37 cards)
codeine dose
60mg q4-6h
codeine is not for below __ age
12 years old
how much codeine is converted into morphine
10%
codeine can be combined with 300mg acetaminophen in what amounts?
T1: 8mg
T2: 15 mg
T3: 30mg
T4: 60mg
name the 6 opioids
- codeine
- oxycodone
- hydromorphone
- meperidine (poor)
- pentazocine (poor)
- tramadol (poor)
oxycodone adult dose
5-10mg q4-6h
hydromorphone (Dilaudid) adult dose
2mg q4-6h
meperidine (Demerol) adult dose
100mg q4-6h
meperidine is a poor analgesic but is good if the patient __
has a true allergy to codein
pentazocine adult dose
50mg q4-6h
tramadol adult dose
50mg, or 37.5mg if with acetaminophen q4-6h
oxycodone can be prescribed with acetaminophen in what amounts
2.5mg, 5mg
t/f: NSAIDs can be used to treat TMJ pain
true
what is the initial dose for analgesia for TCA
10 mg qhs. can be increased to 10mg BID or 20mg qhs
TCA (-triptyline, -pramine) is used to treat
- TMD from stress, grinding teeth
- atypical facial pain
- fibromyalgia
- tension-type headache
- post-herpetic neuralgia
- neuropathic pain
TCA at low doses is for __ and high doses is for __
low doses = analgesia
high doses = depression
TCA doses for depression tx
- tryptyline and doxepin: 150mg
- imipramine: 200mg
- desipramine: 300mg
tx for carbamazepine
- trigeminal neuralgia
- post-herpetic neuralgia
name 5 drugs that can tx trigeminal neuralgia
- carbamazepine
- baclofen
- phenytoin
- gabapentin
- valproate
can opioids be given prn?
no, must have a scheduled Rx
t/f: opioids can be used for TMD pain?
true
corticosteroid MOA
block phospholipase A2
can you give corticosteroids for TMJ pain?
yes, but it should be given with NSAID and started on day 4
name 4 side effects of corticosteroids
- acute adrenal crisis
- bone resorption
- weight gain
- hypertension
