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  • Quickie Question - What is order of Pain Meds in strength?

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    Old 03-19-2006, 12:37 PM   #1
    theweaver2
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    Question Quickie Question - What is order of Pain Meds in strength?

    I've been posting several questions on this board and I again thank everyone for their replies.

    I'm new to narcotics anything stronger than Vicodin (10/660), which I have learned is hydrocodone.

    My new doc and Pain Specialist took me from that to oxycodrone 40ER, which from what I've read thus far is a BIG jump and it feels like it.

    What order are pain meds? Right now I think its

    hydrocodone
    percocet (which are same family as hydro?)
    morphine (don't know generic name)
    oxycodone

    Now, there are probably lots of other category of pain meds, but its what I'm familiar with thus far and still am not sure of their levels. If I'm correct in the order above, then yes, she did jump quite a few tiers.

    I would love to have some information before I talk to her and am actually having trouble doing searches and finding articles to educate me on the differnet types.

    Any links you could provide to educate me on these drugs would also be apprecaited.

    thanks

     
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    Old 03-19-2006, 06:39 PM   #2
    ARANGER
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    Re: Quickie Question - What is order of Pain Meds in strength?

    Weaver,

    I'll try and clear a few things up for you.

    First, one thing to remember is that all drugs have a "brand" name and many have several. For instance, Vicodin-Lortab-Norco-Lorcet are all "Hydrocodone." Usually the only difference is the amount of Tylenol that is added.

    Percocet-Percodan-Tyloz-OxyIR-Roxicodone-OxyContin are all "Oxycodone". Again tylenol may be added (Percocet) asprin may be added (Percodan), nothing added (OxyIR) or time-released (OxyContin)

    Morphine is the name for Morphine. Other names are MSContin, Kadian, Avinza.

    As far as strengths it goes like this:

    Hydrocodone approximataly equal to Morphine
    Oxycodone is approximately 50% stronger than Morphine.

    This is of course oral doses. You can find this by doing a search on the web for an equianalgesic chart. This compares drug strengths. What mg's compare to what mg's

    Most people right off the bat think that Morphine is the strongest drug. This is untrue. It is an old drug and the gold standard that other drugs are compared too. Its usually the one used in an ER setting. Also, an IV is going to be stronger than PO (oral).

    If you look on the charts, Morphine orally is just about equal to Hydrocodone mg to mg. Oxycodone is 1.5 : 1 ratio with Morphine

    There are different families of opiates. The stongest family is the fentanyl family. Most commonly prescribed is Duragesic (fentanyl patch). The other fents are used commonly in surgery and in pain pumps.

    Hope this clears things up a little. Take Care

     
    Old 03-19-2006, 06:46 PM   #3
    theweaver2
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    Re: Quickie Question - What is order of Pain Meds in strength?

    Aranger,

    WOW, that steered me in the right direction... and I will look up that chart you were telling me about. lol I kept trying to search with words like levels of narcotics, etc - not a fancy word like that...

    AND, I asked in the beginning about a duragesic patch w/o even realizing it is the strongest of all of them.

    Boy, do I have a lot to learn before I can intelligently talk to my PM about my meds...

    I will fnd and study that chart tomorrow.

    Thanks for the post - it has helped clarify a lot of my confusion.

    Last edited by theweaver2; 03-19-2006 at 06:47 PM.

     
    Old 03-20-2006, 05:38 AM   #4
    mpvt
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    Re: Quickie Question - What is order of Pain Meds in strength?

    propoxyphene
    codeine,hydrocodone
    oxycodone
    meperidine
    morphine
    hydromorphone
    fentynal,methadone,heroin

     
    Old 03-20-2006, 05:48 AM   #5
    theweaver2
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    Re: Quickie Question - What is order of Pain Meds in strength?

    MPV -

    lol - thank you for your succinct reply

     
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