LING 1000 Lecture Notes - Lecture 4: Transdermal Patch, Hydromorphone, Co-Phenotrope

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Opioid treatment, acute pain & chronic pain. Butrans (opioid analgesic) transdermal patch for long-term pain. Codeine contin (codeine monohydrate- codeine sulfate trihydrate) Not indicated for as-needed, or short-duration pain. Indicated for mild to moderate pain relief for prolonged relief. For management of pain in cancer patients (18+) who are tolerate to opioid therapy. Must not be used in opioid non-tolerant patients b/c life-threatening respiratory depression. Contradicted in management of acute, all post-operative pain, headaches, dental pain or use in er. Only for used in opioid tolerant cancer patient: hydromorphone. For management of pain severe enough to require daily use, long-term opioid treatment. Not recommended for as-needed analgesic, or for short-duration pains. Dilaudid-hp (hydromorphone hcl- sterile solution for injection) Injection is indicated for relief of severe pain in patients who require subcutaneously, intravenously, or intramuscular administration of opioid. Ihibits gi propulsion through action on smooth muscle to decreases peristaltic action & increase transit time: methadone.

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