pain Flashcards

1
Q

naturally occurring opioids

A

morphine and codeine

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2
Q

semisynthetic occur opioids

A

analogs of morphine -
heroin and dihydromorphone

higher risk for PONV ?

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3
Q

synthetic opioids:

A
exogenous 4 groups 
morphinan derivatives 
diphenyl derivatives 
benzomorphans 
phenylpiperdines
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4
Q

morphinan derivatives

A

levorphanol, butorphanol

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5
Q

diphenyl derivatives

A

methadone, prolonged QT

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6
Q

benzomorphans

A

phenzocaine, pentazocine,

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7
Q

CYP2D6 alters

A
5 common mutations of CYP2D6 alter metabolism of 
CODIENE 
oxycodone 
hydrocodone 
methadone 

Unpredictable, pharmacokinetics and half lives

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