From: mmanzo@mail.sas.upenn.edu (Marco Manzo)
Newsgroups: alt.drugs
Subject: FAQ list-Opioid Analgesics
Date: 29 May 1994 19:16:02 GMT
Message-ID: <2sapli$nca@netnews.upenn.edu>
As suggested in the "Hydromorphone, Oxymorphone" thread, here is a
sort of FAQ-list/summary of the opioid pain killers available in the
United States.
CATEGORY I. STRONG AGONISTS-- SEVERE PAIN
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
generic name trade name recommended duration Controlled
dosage of action substance
category
HYDROMORPHONE DILAUDID 2-4 mg. every 4-5 hours Schedule II
4-6 hours. narcotic
dosages avail: 1,2,3,4,10 mg.tabs
Parenteral (injection) 1,2,3,4 mg./mL ampules
LEVORPHANOL LEVO-DROMORAN 2-3 mg. every 4-5 hours Schedule II
6-8 hours narcotic
dosages: 2 mg. tabs; injection: 2 mg./mL
MEPERIDINE DEMEROL 50-150 mg. 2-4 hours Schedule II
every 3-4 hours narcotic
dosages: 50,100 mg. tabs;
injection: 25,50,75,100 mg. vials
METHADONE DOLOPHINE 40 mg. every 4-6 hours Schedule II
dosages: 5,10,40 mg. tabs; 24 hours; Narcotic
injection: 10 mg./mL 2.5-10 mg.injection the oral form is used
every 3-4 hours only in detoxification
programs
MORPHINE SULFATE varies: 10-30 mg. 4-5 hours Schedule II
dosages: 10,15,30 mg. tabs; every 4 hours; Narcotic
injection: 2,4,5,8,10,15 mg/mL 30 mg. controlled
release tablets
every 8-12 hours
OXYMORPHONE NUMORPHON 5 mg. supppository 3-4 hours Schedule II
dosages: 5 mg. suppos. every 4-6 hours; Narcotic
1, 1.5 mg/mL injection 1-1.5 mg. injection
every 4-6 hours.
STRONG AGONISTS FOR INJECTION ONLY:
FENTANYL SUBLIMAZE 0.05-0.1 mg. 1-1.5 hours Schedule II
dosages: 0.05 mg./mL for repeat in 2 hours Narcotic
injection if necessary
SUFENTANIL SUFENTA 1-30 micrograms/kg. Schedule II
dosages: 50 micrograms injected as needed for Narcotic
per mL in 1,2,5 mL ampules anesthesia
ALFENTANIL ALFENTA 0.5-3 micrograms/kg./minute Schedule II
dosages: 500 micrograms/mL IV infusion in balanced anesthesia
ampules for injection
CATEGORY II -- MILD TO MODERATE AGONISTS - MODERATE TO SEVERE PAIN
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
GENERIC NAME TRADE NAME RECOMMENDED DURATION OF CONTROLLED
DOSAGE ACTION SUBSTANCE
CATEGORY
CODEINE SULFATE OR PHOSPHATE 15-60 mg. every 3-4 hours Schedule II
dosages: 15,30,60 mg. tablets; 4-6 hours (when combined with
30,60 mg./mL for injection acetominophen or asprin
it is a
Schedule III Narcotic)
OXYCODONE PERCODAN (with asprin)
PERCOCET (with tylenol)
dosages: 5 mg. oxycodone per tablet
5 mg. every 3-4 hours Schedule II
6 hours Narcotic
HYDROCODONE VICODIN,LORTAB 5-7 mg. every 3-4 hours Schedule III
BITARTRATE LORCET, HYDROCET 4-6 hours Narcotic
dosages: either 2.5, 5, or 7 mg.
hydrocodone with either asprin or tylenol
CATEGORY III -- WEAK AGONISTS -- MILD TO MODERATE PAIN
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
GENERIC NAME TRADE NAME RECOMM. DOSAGE DURATION OF CONTROLLED
ACTION SUBSTANCE
CATEGORY
PROPOXYPHENE DARVON 50-100 mg. every 4-5 hours Schedule IV
PROPOXYPHENE 4 hours Narcotic
NAPSYLATE DARVOCET N-50
DARVOCET N-100
CATEGORY IV -- MIXED AGONISTS/ANTAGONISTS -- MODERATE TO SEVERE PAIN
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
GENERIC NAME TRADE NAME RECOMM. DOSAGAE DURATION OF CONTROLLED
ACTION SUBSTANCE
CATEGORY
PENTAZOCINE TALWIN-NX 50-100 mg. 3 hours Schedule IV
dosages: 50 mg. tablets; every 3-4 hours; Narcotic
30 mg./mL in 1 and 2 mL 30 mg. injection (Pentazocine is mixed
ampules for injection every 3-4 hours with Naxolone [an opiate
antagonist] to prevent crushing
of tabs. for intravenous injection)
OTHER MIXED AGONIST-ANTAGONISTS:
BUPRENORPHINE BUPRENEX Schedule V
dosage: 0.3 mg./mL ampules for injection.
BUTORPHANOL STADOL
dosage: 1 and 2 mg./mL vials and syringes for injection
Not a controlled substance because of the strong antagonist efficacy
NALBUPHINE NUBAIN
dosage: 10 and 20 mg./mL vials and syringes for injection
Not a controlled substance because of the strong antagonist efficacy
