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Pain Managment and Migrains
Chapter 27
97
Pharmacology
Graduate
05/11/2013

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Cards

Term
How many people suffer from chronic pain?
Definition
75 million
Term
Sublimaze 50mg/ml
Definition
Fentanyl Injection
Dosing interval 0.5-2 hours IM or IV
Term
Duragesic
Definition
Fentanyl transdermal
Strength: 12, 25, 50, 75, 100 mcg/hr
Change q2-3 days
Term
Actiq
Definition
Fentanyl transmucosal lozenge
Doses available: 200, 400, 600, 800, 1,200, 1,600 mcg
Starting dose 100-200 mcg

Requires REMS
Term
Fentora
Definition
Fentanyl Disintegrating Tablet
Starting dose 100 mcg
dosed every 2 hrs

Requires REMS
Term
Abstral
Definition
Fentanyl disintegrating tablet
starting dose 100 mcg
dosed every 2 hours

Requires REMS
Term
Onsolis
Definition
Fentanyl Disintegratiing film
staring dose 200 mcg
dosed every 2 hours

Requires REMS
Term
Lazanda
Definition
Fentanyl Nasal Spray
starting dose 100 mcg/mcl
dosed every 2 hours

Requires REMS
Term
Subsys
Definition
Fentanyl Sublingual spray
starting dose 100 mcg
dosed every 4 hours

Requires REMS
Term
Dilaudid
Definition
Hydromorphone immediate-release tablet
Equianalgesic dose: 1.5mg IV/7.5mg PO
Starting oral dose 4-8 mg
Dosing interval:
4-6 hrs PO
6-8 hrs IM, SC or IV
Term
Dilaudid HP
Definition
Hydromorphone liquid
Term
Dilaudid
Definition
Hydrophorphone Injection
Term
Exalgo
Definition
Hydromorphone extended release tablet
dosed every 24 hours PO
doses available: 8, 12, 16 mg
Term
Levo-Dormoran
Definition
Levorphanol tablet
starting dose 2-4 mg
dosed every 6-8 hours PO
Term
Demerol
Definition
Meperidine Tablet
Starting dose: 50-150mg
dosed every 3-4 hours

* Do not give for >48 hours to pts who have renal or CNS disease or at doses greater than 600 mg q 24 hrs do to hyperexcitability side effects
Term
Meperidine hydrochloride
Definition
Meperidine liquid
Term
Demerol
Definition
Meperidine Injection
dosed every 3-4 hours IM or SC
Term
Dolophine
Definition
Methadone Tablet
Dosed every 3-8 hours PO
Term
Methadose
Definition
Methadone Tablet
Dosed every 3-8 hours PO

Methadone may only be dispensed at facilities that have authorization in detox and opiod dependence maintenance treatment.
Term
Methadose dispersible
Definition
Methadone Tablet
Term
Methadose 10mg/ml
Definition
Methadone Liquid
Term
Methadone HCL
Definition
Methadone injection
dosed every 4-12 hours IM, SC, IV
Term
Fentanyl is...
Definition
Synthetic
Term
Hydromorphone is...
Definition
Semisynthetic
Term
Levorphanol is...
Definition
Semisynthetic
Term
Meperidine is...
Definition
Synthetic
Term
Methadone is...
Definition
Synthetic
Term
Morphine is...
Definition
natural
Term
Oxycodone is...
Definition
semisynthetic
Term
oxymorphone is...
Definition
semisynthetic
Term
MSIR
Definition
Morphine immediate release tablet
Starting dose 5-30 mg PO
dosed every 204 hours PO
Term
MSIR
Morphine sulfate
Roxanol
Definition
Morphine Liquid
Term
Duramorph
Definition
Morphine Injection
Equianalgesic dosing: 10 mg IV = 30 mg PO
dosed every 4 hours Im, SC or IV
Term
Astramorph
Definition
Morphine Injection
Equianalgesic dosing: 10 mg IV = 30 mg PO
dosed every 4 hours Im, SC or IV
Term
Infumorph
Definition
Morphine Injection
Equianalgesic dosing: 10 mg IV = 30 mg PO
dosed every 4 hours Im, SC or IV
Term
Avinza
Definition
Morphine controlled release
Starting dose 30 mg
dosed every 24 hours
Term
Kadian
Definition
Morphine controlled release
Starting dose 10-20mg
dosing interval 12-24 hours
Term
MsContin
Definition
Morphine controlled release
starting dose 15 mg
dosed 8-12 hours
Term
Oramorph SR
Definition
Morphine controlled release
dosed every 8-12 hours
Term
Roxicodone
Definition
Oxycodone tablet
starting dose 5-30 mg
dosed every 4-6 hours
Term
Oxecta
Definition
Oxycodone tablet
starting dose 5-15 mg
dosed every 4-6 hours
Term
Oxyfast
Definition
Oxycodone liquid
also available under Roxicodone
Term
Magnacet
Definition
Oxycodone and APAP tablet
Available: 2.5, 5, 7.5, 10/400mg
Term
Roxicet
Definition
Oxycodone and APAP tablet
Available: 5/325 and 5/500
Term
Percocet
Definition
Oxycodone and APAP tablet
Available: 2.5, 5, 7.5, 10/325mg
Term
Tylox
Definition
Oxycodone and APAP capsule
available 5/500mg
Term
Roxicet
Definition
Oxycodon/APAP liquid
5/325mg/5ml
Term
Combunox
Definition
Tablet of Oxycodone and IBU
5/400mg
Term
Oxycontin
Definition
Oxycodone controlled release
given every 12 hours
starting dose 10 mg
Term
Opana
Definition
Oxymorphone injection
Equianalgesic dose: 1 mg IV = 10 mg PO
given every 4 hours IM, SC, IV
Term
Opana
Definition
Oxymorphone immediate release
given every 4-6 hours
Term
Opana ER
Definition
oxymorphone controlled release
given every 12 hours
Term
Tapentadol is...
Definition
synthetic
Term
Nucynta
Definition
Tapentadol tablet
Starting dose 50
max dose 600 mg
given every 4-6 hours PO
Term
Embeda
Definition
Morphine/naltrexone combo
extended release
dosed every 12-24 hours
Term
Codeine is...
Definition
natural
Term
Codeine sulfate
Definition
Codeine tablet
starting dose 15-120 mg
dosed every 4-6 hours
Term
Tylenol with Codeine
#2=
#3 =
#4=
Definition
#2 = 300 mg APAP 15 mg Coedine
#3 = 300 mg APAP 30 mg Coedine
#4 = 300 mg APAP 60 mg Coedine
Term
Vicodin
Norco
Lortab
Lorcet
Definition
Hydrocodone/APAP
given every 4-6 hours
Term
Lortab Elixir
Definition
Hydrocodone liquid
Term
Zydone
Vicoprofen
Reprexain
Definition
Hydrocodone/IBU tablet
Term
Hydrocodone is...
Definition
semisynthetic
Term
Petazocine and Naloxone
Definition
Cannot find brand name, know it is available
Given every 4 hours
Max dose 600 mg pentazocine
Term
Talwin
Definition
Pentazocine Injection
dosed every 3-4 hours
Max 360 mg/d
Term
Stadol
Definition
Butorphanol injection
dosed every 3-4 hours
0.5-2 mg given
Term
Butorphanol tartrate
Definition
Butorphanol Nasal spray
1 spray in 1 nostril
Term
Buprenex
Definition
Buprenophine injectino
given every 6-8 hours
dose 0.3-0.6 mg
Term
Butrans
Definition
Buprenophine Patch
changed every 7 days
Prescriber must receive training to write for this
Term
Ultram
Definition
tramadol tablet
dosed 50-100 mg
max 400 mg/d
Given q 4-6 hours
Term
Ultram ER
Definition
Tramadol Controlled release
300 mg/d max
given every 24 hours
Term
Ryzolt
Definition
Tramadol Controlled release
300 mg/d max
given every 24 hours
Term
Ultracet
Definition
Tramadol/APAP
37.5/325 mg tablet
given every 4-6 horus
max 8 tabs/d
Term
Naloxone
Definition
A ton of brand names
Give every 2-3 minutes
Dose 0.4-2 mg
Could induce withdrawal in opiod dependent pts
may require Continuous infusion with extended release agents
Term
Suboxone
Definition
Buprenophine/naloxone sublingual film/tablet
every 24 hours
dosed 12-16 mg/d

Requires Drug addiction treatment act waiver
Term
Revia
Definition
Naltrexone tablet
Alcoholism: 50 mg qd
Narcotic addiction 50 mg qd, 100 mg qod, 150 mg q3d
Term
Vivitrol
Definition
Naltrexone injection
Alcoholism 380mg monthly
Term
Ergomar 2 mg
Definition
Ergotamine sublingual tablet
6 mg daily max
10 mg weekly max
1 tablet at onset; 1 tablet q 30 min prn
Term
Cafergot 1/100mg
Definition
Ergotamine/caffeine tablet
Daily max 6 mg
weekly max 10 mg
2 tablets at onset then 1 every 3 min
Term
Migergot 2/100mg
Definition
Ergotamine/caffeine suppository
Daily max 4 mg, weekly max 10 mg
insert 1 at onset, repeat in 1 hour prn
Term
Dihydroergotamine
Definition
Injection 1mg/ml daily max 3 mg IM, 2 mg IV.
Dose 0.5-1 mg IV or IM every hour as needed
Term
Migranal 4mg/ml
Definition
Dihydroergotamine nasal spray
Administer 1 spray 0.5mg in each nostril, followed in 15 min by an additional spray in each nostril
Daily max DHE 2 mg, weekly max 6 mg
Term
Axert
Definition
Almotriptan
Dose: 12.5 mg; repeat in 2 hours (25mg max)
Term
Imitrex
Definition
Sumatriptan
Dose: 50-100 mg; repeat in 2 hours (200 mg max)
Tablet and Nasal preparation
Term
Sumavel
Definition
Sumatriptan
4 or 6 mg; repeat in 1 hour (12 mg max)
Injection
Term
DosePro
Definition
Sumatriptan
4 or 6 mg; repeat in 1 hour (12 mg max)
Injection
Term
Relpax
Definition
Eletriptan
Dose: 20 mg; repeat in 2 hours (80 mg max)
tablet
Term
Frova
Definition
Frovatriptan
Dose: 2.5 mg; repeat in 2 hours (7.5 mg max)
Term
Maxalt
Definition
Rizatriptan
Dose 5 or 10 mg; repeat in 2 hours (30 mg max)
Term
Maxalt MLT
Definition
Rizatriptan
10 mg (30 mg max)
SL tablet
Term
Zomig
Definition
Zolmitriptan
dose: 2.5 mg or 5 mg; repeat in 2 hours (max 10 mg)
tablet or nasal spray
Term
Zomig-ZMT
Definition
Zolmitriptan
Dose; 2.5 mg; repeat in 2 hours (10 mg max)
SL tablet
Term
Amerge
Definition
Naratriptan
1 or 1.5 mg; repeat in 4 hours (5 mg max)
Tablet
Term
Treximet
Definition
Sumatriptan/naproxen 85/500mg
Dose: 1 tablet; may repeat in 2 hours (2 tablet max)
Term
Migraines can also be treated by these Beta-blockers....
Definition
Propranaolol
Metoprolol
Timolol
Atenolol
Term
Migraines can also be treated by these Antidepressants....
Definition
Amitriptyline
Fluoxetine
Term
Migraines can also be treated by these Anticonvulsants....
Definition
Divalproex
Valproate
Gabapentin
Topiramate
Term
Migraines can also be treated by these Herbal Supplements....
Definition
Magnesium
Coenzyme Q10
Riboflavin
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