| Narcotic agonists: Codeine: Dosage/Route: | Adult: 15-60 mg PO, IM, IV, or subcutaneous q4-6h;
10-20 mg PO q4-6h for cough Pediatric
0.5 mg/kg PO,IM, or subcutaneous q4-6h;
2.5-10 mg PO q4-6h for cough |
| Narcotic agonists: Codeine: Usual indications: | Relief of mild to moderate pain; relief of coughing induced by mechanical or chemical irritation of the respiratory tract. |
| Narcotic agonists: Fentanyl (actiq, Duragesic): Dosage/Route: | Adult: 0.005-0.1 mg IM, 30-60 min before surgery;
0.002 mg/kg IV or IM during surgery;
0.05-0.1 mg postoperatively;
5mcg/kg transmucosally;
for transdermal patch, calculate the previous day's narcotics need and use tablet to convert to patch strength;
sublingual tablet or nasal spray--- initially 100 mcg to a maximum of 800 mcg a dose sublingually or as a nasal spray in one nostril for treatment of breakthrough cancer pain
Pediatric (>2 yl: 2-3 mcg/kg IM or IV; base transmucosal dose on weight and do not exceed 400 mcg |
| Narcotic agonists: Fentanyl (actiq, duragesic): usual indication: | For analgesia before, during, and after surgery; transdermal patch for management of chronic pain; control of breakthrough pain |
| Narcotic agonists: Hydrocodone (Hycodan): Usual indication: | Relief of cough; relief of moderate pain in combination products |
| Narcotic agonists: Hydromorphone (Dilaudid): Usual indication: | Relief of moderate to severe pain in adults |
| Narcotic agonists: Levorphanol (Levo-Dromoran): Usual indication: | Management of moderate to severe pain in adults; postoperative pain in adults |
| Narcotic agonists: meperidine (Demerol): Usual indication: | Relief of moderate to severe pain, preoperative analgesia and support of anesthesia, and obstetrical analgesia. |
| Narcotic agonists: methadone (Dolophine): Usual indication: | Relief of severe pain; detoxification and temporary maintenance treatment of narcotic addiction in adults |
| Narcotic agonists: morphine (Roxanol, astramorph): Usual indication: | Relief of moderate to severe chronic and acute pain; preoperatively and postoperatively during labor. |
| Narcotic agonists: opium (paragonid): Usual indication: | Treatment of diarrhea, relief of moderate pain |
| Narcotic agonists: oxycodone (OxyContin, Oxectal): Usual indication: | Relief of moderate to severe pain in adults |
| Narcotic agonists: oxymorphone (numorphan): Usual indication: | Relief of moderate to severe pain in adults; preoperative medication; obstetrical analgesia |
| Narcotic agonists: remifentanil (Ultiva): Usual indication: | Analgesic for use during general anesthesia
Special considerations: must be under the direct supervision of anesthesia practitioner. |
| Narcotic agonists: Sufentanil (sufental): Usual indication: | Analgesic for use during general anesthesia; used as an epidural agent in labor and delivery
Special consideration: must be under the direct supervision of anesthesia practitioner. |
| Narcotic agonists: Tapentadol (Nucynta): Usual indication: | Relief of moderate to severe pain in patients 18 year and older
Special considerations: risk of serious serotonin syndrome if combined with SSRIs, MAO inhibitors, TCAs, St. John's wort |
| Narcotic agonists: Tramadol (ultram): Usual indication: | Relief of moderate to moderately severe pain
Special consideration: limit use in patients with a history of addictions |
| Narcotic agonists-antagonists: Buprenorphine (buprenex): Usual indication: | Treatment of mild to moderate pain |
| Narcotic agonists-antagonists: Butorphanol (Stradol): Usual indication: | Used as preoperative medication to relieve moderate to severe pain; treatment of migraine headaches; with fewer peripheral adverse effects than many of the traditional antimigraine drugs |
| Narcotic agonists-antagonists: Nalbuphine (Nubain): Usual indication: | Relief of pain during labor and delivery; used as adjunct to general anesthesia; treatment of moderate to severe pain in adults |
| Narcotic agonists-antagonists: Pentazocine (Talwin): Usual indication: | Relief of moderate to severe pain during labor and delivery; treatment of postpartum pain; used as adjunct to general anesthesia |
| Narcotic antagonists: naloxone (Narcan): Usual indication: | Diagnosis of narcotic overdose, reversal of opioid effects |
| Narcotic antagonists: Naltrexone (ReVia): Usual indication: | Adjunct treatment of alcohol or narcotic dependence in adults |
