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Re: To Dr. Whitworth - regarding acute pain meds

Re: To Dr. Whitworth - regarding acute pain meds

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Posted by ML Whitworth, M.D. on February 29, 2000 at 19:02:13:

In Reply to: To Dr. Whitworth - regarding acute pain meds posted by chad on February 19, 2000 at 23:44:27:

All the narcotics (except the agonist-antagonists) are equivalent in pain control but have different potencies. However, after adjustment of dosages to reach equivalent efficacy, all the short acting agents work on the same receptors. There are slightly different side effect profiles and some are not available in high doses because of the presence of acetaminophen or ibuprofen mixed in the same drug.
Dilaudid is probably one of the most potent short acting agents. But MS IR, OxyIR, Roxicet, Demerol, hydrocodone combinations, etc. are all used for breakthrough pain.
: Dr. W.

: I am taking Kadian right now at 100mg q12h and it just doesnt seem to be covering the acute pain very well.
: However it does work pretty good for the chronic pain.

: In your opinion, what is the most powerful immediate release oral medication that is currently available in the USA for acute pain.
: Is it MSIR, Dilaudid, Levo-Dromoran, or something that I don't know about?

: Thanks.




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