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Pass Naplex Now Book II > Pain Management > Flashcards

Flashcards in Pain Management Deck (69):
1

Ofirmev

Acetaminophen IV

2

Narcan

- Indication
- Form

Naloxone

- I: management of opioid overdose
- Form: IV

3

MSIR

Morphine IR

4

Embeda

- Caution:

ER morphine and naltrexone embed

- Caution: avoid EtOH => speeds the release of morphine, which can lead to respiratory depression

5

Dilaudid

- Potency compares to morphine
- Forms

Hydromorphone

- More potent than morphine with decrease histamine release and no active metabolites.
- An option to morphine for pts w/ renal impairment
- Forms: IM/SC/IV/PO/Suppository

6

Exalgo

- Form
- Frequency

Hydromorphine OROS ER

- PO QD
- Break into clumps if crushed or turns into a thick gel if mixed with liquid to defer pt from abuse

7

Zohydro

- Form
- Frequency

Hydrocodone ER

- Do not crush/chew
- PO BID

8

Roxicodone

Oxycodone

9

OxyContin

- Frequency

Oxycodone

- PO Q12H

10

Oxecta

- Special about this drug

Oxycodone IR

- Discourage abusers: breaks into chunks instead of a powder if crushed, turns into gel if mixed w/ liquid, and contains Na laurel sulfate, which irritates the nose if it's snorted.

11

Opana

- Form:
- Frequency

Oxymorphone ER

- F: IV, IM, SC, PO
- Q12H

12

Demerol

- Avoid
- DDI
- Forms
- Max dose:

Meperidine

- Avoid in renal insufficiency: increase chance of sz
- DDI: MAOIs
- Forms: IV/IM/SC/PO/Syrup
- Max: 600mg/d due to SZ

13

Fentanyl

- Potency
- Safe in which population
- Duration of action
- DDI

Fentanyl

- 100x potent than morphine. Has insignificant histamine release. Decrease sedation and constipation
- Safe for pt w/ renal failure
- Has quick onset and short duration of action
- CYP3A4 substrate

14

Sublimaze

Fentanyl injection IV/IM

15

Lazanda

- Indication
- #s of spray in bottle:

Fentany nasal spray

- Indication: breakthrough pain
- each bottle contains 8 sprays

16

Actiq

Fentanyl lozenges - dissolves slowly in mouth

17

Abstral

Fentanyl SL tab

18

Subsys

Fentanyl SL srpay

19

Fentora

- Direction to take:

Fentanyl buccal tab:

- Buccal: place b/w the cheek and gums. Leave it there until it dissolves

20

Onsolis

Fentanyl buccal soluble film

21

Duragesic

- Form
- Frequency
- Dispose

Fentanyl Patch

- F: Q3D or Q72H
- Dispose: fold and flush down the toilet
- Remove prior to MRI

22

Diskets

- Indication
- High dose: 40mg
- high dose can cause:

Methadone

Indication
- Severe pain in opioid tolerance pts: 5, 10mg tab
- Opioid dependence: 40mg for detox and maintenance tx of opioid addicted pts. Not FDA approved for pain

High dose:
- Arrhythmia, respiratory depression
- QT Prolongation

23

Vicodin

- Max

Hydrocodone/APAP 5/300

- Max 8 tabs

24

Vicodin ES

- Max

Hydrocodone/APAP 7.5/300

- Max: 6 tabs

25

Vicodin HP

- Max

Hydrocodone/APAP 10/300

- Max 6 tabs

26

Norco

Hydrocodone/APAP 5/325, 7.5/325, 10/325

27

Vicoprofen

Hydrocodone/ibuprofen 7.5/200

28

Tylenol + Codiene

#1:
#2
#3
#4

- Black box
- Indication

#1: 300/7.5
#2: 300/15
#3: 300/30
#4: 300/60

- Black box: do not use in kids after a tonsillectomy due to some deaths and serious ADEs
- Codeine is a prodrug that converts into morphine by 2D6
- Indication: mild to moderate pain

29

Roxicet

Oxycodone + APAP: 5/325mg Q6H

30

Percocet
Endocet

Oxycodone + APAP: Q4-6H

5/7.5/10 plus 325 mg

- CS II

31

Xartermis XR

Oxycodone + APAP: Q12H

- Same as percocet/endocet

32

Percodan
Endodan

Oxycodone + ASA: Q6H
4.88/325mg
2.44/325

33

Butrans

- MOA
- Form and frequency
- Indication
- CS

Buprenorphine transdermal system

- MOA: partial opioid agonist and antagonist
- F: Patch change once a week
- Indication: mod to severe pain
Do not give w/ other opioid
- CS: III

34

Subutex

- Indication
- DEA
- CS

Buprenorphine

- Pain given 3-4x/d
- Opioid addiction
- Tx of opioid dependence

- DEA # starts with X is required to dispense to treatment of opioid addiction. If rx for pain, do not need DEA w/ X

- CS III

35

Fioricet with codeine

- Indication
- Max

APAP + butalbital + caffeine + codeine
325/50/40/30

- Indication: Tension or muscle contraction HA
- Max: 6 tabs/d

36

Fiorinal with codeine

- Indication
- Max
- CS:

ASA + butalbital + caffeine + codeine
325/50/40/30

- Indication: Tension or muscle contraction HA
- Max: 6 tabs/d
- CS III

37

Vivitrol

- Form
- Indication
- Dose

Naltrexone ER

- Form: IM
- Indication:
Treat and prevent replace after detox
EtOH dependence
- Dose: 380mg ONCE a month IM injection

38

Utram

- Indication
- Max dose
- SEs
- DDI

Tramadol

- Indication: mod to severe pain
- Max dose: 400mg/d in health pt; 300mg in elderly

SEs:
- Dizziness, GI upset, *constipation
- *Somnolence
- Seizure

DDI
- MOAIs, SSRIs, SNRIs = may cause serotonin syndrome

39

Ultracet

- Duration of use

37.5 Tramadol + 325 APAP

- For short term 5 days

40

Nucynta

- Indication
- Max dose
- CS
- SE

Tapentadol => similar to Tramadol

- Indication: mod to severe pain in > 18 y.o
- Max dose: 600mg/day
- CS: II

SEs
- Resp depression
- CNS depression
- Serotonin syndrome
- Increase risk of SZ

41

MS Contin

- Frequency
- Form

Morphine

- Q8-12H
- CR tab - don't break or chew
15, 30, 60, 100, 200mg

42

Oramorph

- Frequency
- Form

Morphine

- Q8-12H
- CR tab - don't break or chew

43

Avinza

- Frequency

Morphine ER

- 24H: Opened and sprinkled on applesauce

44

Kadian

- Frequency

Morphine ER

- 12- 24H: Opened and sprinkled on applesauce

45

Embeda

- Frequency
- Avoid

Morphine ER

- 12-24H: morphine pellets with an inner core of naltrexone
- Avoid w/ EtOH = speed the release of morphine = CNS depression

46

Roxanol

Morphine Soln

47

RMS

Morphine suppository

48

Lorcet

- Dose

hydrocodone/APAP

- 10/650mg

49

Percolone

Oxycodone

50

Xartemis XR

- Dose

Oxycodone + APAP

- Dose: 2 tab Q12H

51

Pethidine

- Avoid

Meperidine

- Avoid in renal insufficiency: increase chance of sz

52

Dolophine

- Indication
- High dose can cause

Methadone

Indication
- Severe pain: in opioid tolerance pts: 5, 10mg tab
- Opioid dependence: 40mg for detox and maintenance tx of opioid addicted pts. Not FDA approved for pain

High dose:
- Arrhythmia, respiratory depression

53

Buprenex

- MOA
- Indication
- CS

Buprenorphine injection

- MOA: partial opioid agonist and antagonist. Do not give w/ other opioid
- Mod to severe pain
- CS: III

54

Suboxone

- Form
- Dose/Indication
- CS Category

Buprenophine/naloxone

- Form: film
- Dose/Indication
Pain: given 3-4x/day
Opioid addiction: QD

DEA # starts with X is required to dispense to treatment of opioid addiction. If rx for pain, do not need DEA w/ X

- CS III

55

Zubsolv

- Form
- Dose/Indication
- CS Category

Buprenorphine/Naloxone

- F: SL TAB
- Dose/Indication
Pain: given 3-4x/day
Opioid addiction: QD

DEA # starts with X is required to dispense to treatment of opioid addiction. If rx for pain, do not need DEA w/ X

- CS III

56

Ultram

- Max dose:
- SEs

Tramadol

- Max: 400mg/d due to seizure
Age > 75: max 300mg/day
- SEs: Anticholinergic, SZ, sedation

57

Ryzolt

- Frequency:

Tramadol

- Frequency: QD

58

Ultracet

Tramadol + APAP

59

ReVia

- Form:
- Indication

Naltrexone

- Form: PO QD
- Indication:
Treat and prevent replace after detox
EtOH dependence

60

Depade

- Form:
- Indication

Naltrexone

- Form: PO QD
- Indication:
Treat and prevent replace after detox
EtOH dependence

61

Hysingla

- Form
- Frequency

Hydrocodone

- ER
- PO QD

62

Targiniq

- Frequency

Oxycodone + Naloxone ER

- PO Q12H

63

Bunavail

- Form
- Dose/Indication

Buprenorphine + naloxone

- Form: Buccal film
- Dose/Indication
Pain: given 3-4x/day
Opioid addiction: QD

64

Evzio

- Indication
- Form

Naloxone

- I: management of opioid overdose
- Form: SC/IM auto-injector

65

Relistor

- Form
- Indication

Methylnaltrexone

- Form: SC
- I: tx for opioid-induced constipation

66

Movantik

- Form
- Indication:
- CS

Naloxegol

- Form: SC
- I: tx for opioid-induced constipation
- CS: II

67

Campal

- Indication
- Dose/frequency

Acamprosate

- I: Tx of EtOH dependance or alcoholism
Decrease craving
- Dose: 666mg PO TID

68

Antabuse

- Indication
- Frequency

Disulfiram

- I: Tx of EtOH dependance or alcoholism
- D: PO QD

69

Gralise

- Indication

Gabapentin ER QD

- I: post-herpetic neuralgia