Opioids

  1. For an NDC# (xxxxx-xxxx-xx) what does the first set, second set, and third set stand for?
    first five refer to manufacturer, second four refer to drug identity, last two represent package size.
  2. How many names are drugs given at discovery? What are they?
    two, brand and generic name
  3. How long do patents last? How long do the trials last? How long is the marketing protection?
    about 20 years; trials are about 6-8 years; about 12 years of marketing protection
  4. What is a narcotic?
    an addictive drug, such as opium, that reduces pain, alters mood and behavior, and usually induces sleep or stupor (a daze)
  5. What kind of narcotics are used in medicine to control pain?
    natural and synthetic narcotics
  6. what are the common side effects for narcotics?
    constipation, abdominal pain, dizziness, drowsiness
  7. what are opioid analgesics?
    pain relievers that act on the CNS and may become habit forming if used over long periods
  8. How are drug schedules determined?
    by the drugs: potential for abuse, medical use, and safety
  9. What are the classes and which one has the highest potential for abuse?
    C-I (highest potential), C-II, C-III, C-IV, C-V, C-VI (in some states)
  10. In NC what are some important facts about C-IIs?
    they cannot have refills, they have no expiration date, and they mat not be faxed (unless for a nursing home or hospice patient)
  11. What are some common C-II medications (that were in power point)?
    cocaine, some codeine products, hydromorphone, meperidine, methadone, oxycodone
  12. What are some common C-III medications (that were in power point)?
    testosterone, anabolic steroids, butalbital, chlorhexadol, hydrocodone
  13. What are some common C-IV medications (that were in power point)?
    alprazolam, clonazepam, clorazepate, diazepam, phentermine
  14. What are some common C-V medications (that were in power point)?
    some codeine products, diphenoxylate products (Lomotil), opium preparations (Kapectolin)
  15. What is the max adult dose for APAP?
    4 grams/day
  16. What is/are the brand name(s) for hydrocodone/APAP?
    lortab and lorcet
  17. What are the ingredients and strengths in lortab 5? Lortab 10?
    5mg hydrocodone/500mg APAP; 10mg hydrocodone/500mg APAP
  18. What is the difference between lortab vs. lorcet? (be specific)
    the amount of APAP, Lorcet is 650mg and Lortab is 500mg
  19. What is the drug class, brand name, and indications of Butalbital/APAP/Caffeine?
    Barbituate Analgesic; fioricet; used for the relief of the symptom complex of tension (or muscle contraction) headache
  20. What are the side effects for Butalbital/APAP/Caffeine? What is some consult info?
    Dizziness, drowsiness, lightheadedness; Caution with heavy machinery, may take with food, avoid alcohol and extra OTC APAP
  21. What is the drug class, schedule, brand name, and indications of Propoxyphene Napsylate/APAP?
    Opioid analgesic combination; C-IV; Darvocet; used for mild to moderate pain with or w/out fever
  22. What are the side effects for propoxyphene napsylate/APAP? What is some consult info?
    dizziness, drowsiness, nausea; Consult: caution when driving heavy machinery, avoid alcohol, may be habit forming, do not take additional Tylenol without consulting a RPH
  23. What is the drug class, schedule, brand name, and indications of Morphine Sulfate ER?
    opioid analgesic; C-II; MS Contin; for moderate to severe pain
  24. What is the drug class, schedule, brand name, and indications of Hydrocodone Bitatrate/APAP?
    opioid analgesic combo; C-III; Vicodin; use for moderate to moderately severe pain
  25. What is the drug class, schedule, brand name, and indications of Oxycodone Immediate Release?
    Opioid analgesis; C-II; OxyIR, Roxicodone;used for the management of moderate to severe pain
  26. What is the drug class, schedule, brand name, and indications of Oxycodone Controlled Release?
    Opioid analgesic; C-II; Oxycontin; used for management of moderate to severe pain
  27. What is the drug class, schedule, brand name, and indications of APAP/COdeine?
    opioid analgesic; C-III; Tylenol/Codeine; mild to moderate pain
  28. What is the drug class, schedule, brand name, and indications of Oxycodone/APAP?
    opioid analgesic; C-II; Percocet, Roxicet, Endocet; used for relief of moderate to moderately severe pain
  29. What is the drug class, brand name, and indications of Tramadol?
    opioid analgesic; Ultram; used for management of moderate to moderately severe pain
  30. What is the drug class, brand name, and indications of Tramadol/APAP?
    Opioid analgesic; Ultracet; used for short term (five days or less) management of acute pain
  31. What is the drug class, schedule, brand name, and indications of Hydrocodone Bitartrate/Ibuprofen?
    opioid analgesic/NSAID; C-III; Vicoprofen; use for short term (generally less than 10 days) management of acute pain
  32. What are the side effects for morphine sulfate ER? What is some consult info?
    constipation, lightheadedness, dizziness; caution with heavy machinery, may take with milk or food to avoid GI upset, avoid alcohol, must be taken whole
  33. What are the side effects for hydrocodone/APAP? What is some consult info?
    dizziness, drowsiness, constipation; caution with heavy machinery, may take with food or milk to avoid GI upset, avioid alcohol and extra OTC APAP
  34. What are the side effects for oxycodone immediate release? What is some consult info?
    constipation, nausea, vomiting; caution with heavy machinery, may take with food to avoid GI upset, avoid alcohol
  35. What are the side effects for oxycodone controlled release? What is some consult info?
    constipation, nausea, somnolence; must be taken whole, caution with heavy machinery, avoid alcohol, may take with food or milk for GI upset
  36. What are the side effects for codeine/APAP? What is some consult info?
    dizziness, drowsiness, constipation; use caution with heavy machinery, may take with food/milk for GI upset; avoid alcohol and OTC APAP
  37. What are the side effects for oxycodone/APAP? What is some consult info?
    dizziness, drowsiness, constipation; caution with heavy machinery, avoid alcohol and OTC APAP, may take with food/milk for GI upset
  38. What are the side effects for tramadol? What is some consult info?
    dizziness/vertigo, nausea, constipation; avoid alcohol, may take with food/milk for GI upset (may delay analgesia)
  39. What are the side effects for tramadol/APAP? What is some consult info?
    constipation, somnolence, increased sweating; caution with heavy machinery, avoid alcohol and OTC APAP, may take with food/milk for GI upset (may delay analgesia?
  40. What are the side effects for hydrocodone/ibuprofen? What is some consult info?
    headache, dizziness, somnolence; may take with milk/food for GI upset, avoid alcohol, caution with heavy machinery, watch OTC ibuprofen usage
Author
Kristin
ID
40765
Card Set
Opioids
Description
Drug Cards
Updated