Opioid Analgesics
for adults Class II
 | titrate to individual response |
| dose does not apply to patients with renal or hepatic insufficiency |
|
| Morphine
 | Immediate release (MSIR): tab 15, 30 mg. Dose: 5-30 mg
q2-6h |
| MS Contin,
Oramorph SR: Tab: 15, 30, 60, 100 mg. Dose 15-120 mg q12 |
| Roxanol SR: 30 mg. Dose 30 mg q8 prn |
| Usual parenteral dose: 5-10 mg q4-5h |
|
|
| Hydromorphone (Dilaudid)
| Tab: 2, 4, 8 mg. Dose: 2-6 mg po q3-4h |
|
3 mg rectal suppository |
| Usual parental dose: 1.5 mg q3-4h |
|
|
| Levorphanol (Levo-Dromoran)
| Oral: 4 mg q6-8h |
| Usual parental dose: 2 mg q6-8h |
|
|
| Meperidine (Demerol)
| Oral dose not recommended |
| Usual parenteral dose: 50-100 mg q3h, extreme caution if patient has renal
failure, accumulation of active metabolite may cause CNS excitement & seizure |
|
|
| Methadone (Dolophine)
| Oral: 5-20 mg q6-8h |
| Usual parenteral dose: 10 mg q6-8h |
|
|
| Oxycodone
| Roxicodone: soln: 5 mg/5ml, 20 mg/ml, tab 5 mg. Dose: 5-10
mg q3-4h |
|
Oxycontin controlled release tab: 10, 20 , 40 mg. Dose variable |
| Parenteral: not available |
|
|
| Oxymorphone (Numorphan)
| Oral: not available |
| Usual parenteral dose: 1 mg q3-4h |
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| Further Reading |
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