Codeine (schedule ii) ✅-similar to morphine
-some of it metabolized to morphine
-effective as antitussive (reduces persistent coughing)
-less effective for severe pain
-gi disturbance
-not used for pediatric patients
Morphine (schedule ii) ✅-severe pain
-various routes
-extended release ms contin
-renal function is important!
-morphine 6 glucuronide
-respiratory depressant
Hydromorphone (dilaudid) (schedule ii) ✅-7 times more potent than morphine
-exalgo is used for extended delivery via oral route
Fentanyl citrate (schedule ii) ✅-100 times more potent than morphine
-transdermal route can be worrying to opioid naive patient
-used for chronic pain!
Oxycodone (schedule ii) ✅-cousin of morphine
-combined with tylenol and voila it becomes percocet
-asses respirations
Methadone hydrochloride (schedule ii) ✅-usually used for heroin addictions as a
stepdown to no opioids
-can be used for chronic/cancer pain
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