Opioid analgesic: Pain management

Part 1

Generic: Fentanyl

Brand: Sublimaze, Duragesic

Generic: Hydromorphone

Brand: Dilaudid

Generic: Morphine

Brand: MS Contin (ER), Roxanol

Generic: Oxycodone

Brand: OxyContin (ER), Roxicodone

Generic: Methadone

Brand: Dolophine

Generic: Codeine/Acetaminophen

Brand: Tylenol #3

Generic: Oxycodone/Acetaminophen

Brand: Percocet, Endocent, Roxicet

Generic: Hydrocodone/Acetaminophen

Brand: Norco, Vicodin, Lortab

Generic: Tramadol

Brand: Ultram

Generic: Buprenorphine/Naloxone

Brand: Suboxone

Generic: Naxolone

Brand: Narcan

Opioid indications

significant pain

post op pain

acute injury pain

in cancer or palliative care

on responsive pain to other meds

Important interactions

CNS depressants combo can lead to additive sedation and respiratory depression

caution with additive acetaminophen

Important side effects

common: constipation, sedation, nausea

severe: respiratory depression, abuse or misuse

How to remember

CNS depressant - slow thought and breathing