Relative potency:Morphine
1.0
Relative potency: Codeine/hydrocodone
.15
Relative potency: Methadone
1.5
Relative potency: oxycodone
1.5-2
Relative potency: Hydromorphone
4-8
Relative potency: fentanyl
100
Side effect: Nausea and vomiting
Drug?
MOA?
Dose?
ondansetron(Zofran)
MOA- serotonin-3 antagonist
dose: 4-8 mg Q4-6 IV/PO
Side effect: constipation
Drug?
MOA?
Dose?
Senna Extract/ docustate sodium (Senokot S Bid)
MOA: stimulates the colon, softens the stool
Dose: 15mg PO Q12 hours
Side effect: Respiratory depression
Drug?
MOA?
Dose?
Naloxone (narcan)
MOA: mu opioid antagonist
Dose: .4-.8mg IV Q60
Side effect: Itching
Drug?
MOA?
Dose?
Diphenhydramine
MOA: H1 antagonist
Dose 25-50mg PO/IV
Side effect: bradycardia
Drug?
MOA?
Dose?
atropine (Atreza, saltropine)
MOA: muscarinic antagonist
.5mg IV q 3-5minutes
Side effect: Shivering
Drug?
MOA?
Dose?
Demerol (meperidine)
MOA: opioid agonist
5-25 mg IV/IM Q10 to 15 minutes
Drugs safe to use in patients with a true morphine allergy and MOA (4)
Stadol (butorphanol)- mixed mu opioid agonist/antagonist
Toradol (ketorolac): NSAID
Ultram (tramadol)- mu opioid agonist (non-opioid)
Nucynta (tapentadol)- mu opioid agonist (non-opioid)
Lortab
Generic name
Opioid dose
Non-opioid dose
hydrocodone/acetaminophen
opioid dose: 5,7.5, 10mg
non-opioid: 500mg
vicodin
Generic name
Opioid dose
Non-opioid dose
hydrocodone/ acetaminophen
opiod 5mg
non-opioid: 300mg
norco
Generic name
Opioid dose
Non-opioid dose
hydrocodone/acetaminophen
Opioid dose: 5, 7.5 10 mg
Non-opioid dose: 325
Ultram
Generic name
Opioid dose
Non-opioid dose
Tramadol
Opioid dose: 50 mg
Non-opioid dose: 0
Ultracet
Generic name
Opioid dose
Non-opioid dose
Tramadol/acetaminophen
Opioid dose: 37.5mg
Non-opioid dose:325 mg
Tylenol #1
Generic name
Opioid dose
Non-opioid dose
Acetaminophen/codeine
Opioid dose: 300mg
Non-opioid dose: 7.5mg
Tylenol #2
Generic name
Opioid dose
Non-opioid dose
Acetaminophen/codeine
Opioid dose: 300mg
Non-opioid dose: 15 mg
Tylenol #3
Generic name
Opioid dose
Non-opioid dose
Acetaminophen/codeine
Opioid dose: 300mg
Non-opioid dose: 30mg
Tylenol #4
Generic name
Opioid dose
Non-opioid dose
Acetaminophen/codeine
Opioid dose:300mg
Non-opioid dose: 60mg
Percocet
Generic name
Opioid dose
Non-opioid dose
oxycodone/acetaminophen
Opioid dose: 2.5-10mg
Non-opioid dose: 325-650mg
Percodan
Generic name
Opioid dose
Non-opioid dose
Oxycodone/ aspirin
Opioid dose: 4.5mg
Non-opioid dose: 325mg
Zohydro ER
Generic name
Opioid dose
Non-opioid dose
Hydrocodone
Opioid dose: 10,15,20,30,40,50mg
Non-opioid dose:0
Roxicodone
Generic name
Opioid dose
Non-opioid dose
oxycodone
Opioid dose: 5,15,30mg
Non-opioid dose:0
Oxycontin
Generic name
Opioid dose
Non-opioid dose
Oxycodone extended release
Opioid dose: 10, 15, 20, 30, 40, 60, 80mg
Non-opioid dose: 0
Dolophine, Methadol, Methadose
Generic name
Opioid dose
Non-opioid dose
Methadone
Opioid dose: 5,10,40mg
Non-opioid dose:0
Duramorph, MS Contin, Kadian
Generic name
Opioid dose
Non-opioid dose
Morphine Sulfate
Opioid dose:
IR- 15, 30mg
ER- 15, 30, 60, 100, 200mg
Non-opioid dose: 0
Demerol
Generic name
Opioid dose
Non-opioid dose
Meperidine
Opioid dose:
PO- 50, 100 mg
IV- 25, 50, 75, 100 mg/mL
Non-opioid dose: 0
Dilaudid
Generic name
Opioid dose
Non-opioid dose
Hydromorphone
Opioid dose: 2, 4, 8 mg
Non-opioid dose: 0
Opana
Generic name
Opioid dose
Non-opioid dose
Oxymorphone
Opioid dose:
IR- 5, 10mg
ER- 5, 7.5., 15, 20, 30 , 40mg
Non-opioid dose:0
Abstral, Duragesic, Fentora
Generic name
Opioid dose
Non-opioid dose
Fentanyl
Opioid dose: 12.5, 25, 50, 75, 100 micrograms
Non-opioid dose
PCA pump for morphine Loading dose Interval dose Lockout Max dose/hr
Loading: 2 mg
Interval: 2mg
Lockout: 6 minutes
Max dose/hr: 20mg
PCA pump for dilaudid Loading dose Interval dose Lockout Max dose/hr
Loading: .2 mg
Interval: .2mg
Lockout: 6 minutes
Max dose/hr: 2 mg
PCA pump for fentanyl Loading dose Interval dose Lockout Max dose/hr
Loading: 20 micrograms
Interval: 20 micrograms
Lockout: 6 minutes
Max dose/hr: 200 micrograms