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Acute & Breakthrough Pain Drugs

Acute and Breakthrough Pain Drugs is about drugs and medications that can alleviate long-lasting, ongoing pain, as well as breakthrough pain (one that suddenly comes and cannot be assuaged by a person’s natural pain suppression management).

57 Questions

What is a common dosage of hydrocodene?

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Asked by Wiki User

The "recommended" dose is 1-2 every 4-6 hours, so I guess according to doctors, that's the normal dose.

In my opinion though, however many makes you feel better is the recommended dose since everybody's different. Just be careful, NEVER exceed 8 in 24 hours, and if you have taken 6 or more in the last 24 hours, talk to your doctor about possibly "upping" your narcotics from Vicodin to something else, or try for a different route instead of narcotic medication.

Good luck and feel better :)

What is the meaning of 'PRN' when referring to a drug dose?

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Asked by Wiki User

Drug dose times are indicated in Latin abbreviations, i.e., 10 mg BID (meaning twice a day), QD (meaning once a day), qhs (at 'hour (of) sleep) and so on.

PRN, on the other hand, means "as needed," usually followed by something along the lines of "Not to exceed 30 mg in 24 hours."

A more detailed explanation: The previous user is correct in that PRN means that a drug is to be taken as needed. I'll expand on that a bit.

"PRN" stands for Pro Re Nata, which is Latin literally meaning "For the thing born." In medicine, it means "As needed" or "As the situation arises". It means that using the drug is up to the caregiver or the patient as the need warrants.

For pain drugs, acute pain meds like Vicodin or Percocet are PRN-type drugs. However, it does not mean that a patient should exceed the listed daily prescribed amount or the amount listed as "Not to exceed."

Over-the-counter (OTC) meds like Tylenol and Bayer aspirin are PRN/"not to exceed"-type drugs as well. It should be noted, though, that with certain breakthrough drugs used for acute pain on a PRN basis -- such as Percocet or Percodan -- the not-to-exceed dosage extends to both the drug combination of the primary drug and any OTC drug taken as additional relief.

For example, Percocet is a combination of Tylenol and Oxycodone. My particular dosage is the strongest available, 10/325. The "10" means it contains 10mg of Oxycodone; the "325" indicates the amount of Tylenol in the drug dose. While it does come with a higher dose of Tylenol (650), since I use so much (120-150 per month for the last 8 years), I use the dose with the lower Tylenol component so as not to exceed the maximum daily dosage of Tylenol.

That extends to whether I were to take a single pill of Percocet, and an OTC dose of Tylenol as well. The not-to-exceed limit applies when adding the amount of the OTC dose and the Tylenol component in the Percocet.

Percodan is a combination of Oxycodone and Aspirin. It is prescribed less often and normally for short-term use, and not for long-term augmentation of primary chronic pain meds like Percocet is due to the amount of Aspirin a person can safely take on a daily basis.

Be aware at all times of what is contained in any PRN dosage that you are prescribed. Since, by definition, you are taking them at your discretion, you are responsible for knowing whether or not you are exceeding the maximum recommended dosage limits.

If your heart hurts what could be the matter with it?

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Asked by Wiki User

Are you sure your 'heart' is what is hurting? There are a lot of 'body parts' in the area of your heart. How long have you had this 'hurting' feeling? It could be:

  • indigestion. acid reflux or 'heartburn'
  • Stomach ulcers
  • Gall bladder problems
  • Chest pain or inflammation from previous injuries to your chest,
  • Muscle pains in your chest (over exercising or heavy lifting),
  • Nerve damage from your arms or shoulders (as in carpal tunnel syndrome or shoulder strains)

You could have problems with your heart, but you'll need to see a doctor who'd need to perfom several tests. {Heart attacks are usually accompanied by severe pain felt in the left arm, travelling up to your jaw as if you had a bad toothache, as well as shortness of breath and sweating. Women don't always show all of these symptoms (sometimes only having toothache-like symtopms) and are usually considered to only have digestive problems. An EKG test is necessary to find out if the person has had a heart attack}. SEE A DOCTOR!

What drug is more effective than oxycodone?

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Asked by Wiki User

In general, many opiates can be more effective than oxycodone when taken at a high enough dose. But, using common doses taken by mouth, the opiates that cab be more effective are fentanyl (Duragesic), hydromorphone (Dilaudid), levorphanol (Levo-Dromoran), methadone, morphine, and oxymorphone (Opana). There are narcotic analgesic conversion tables and charts available on the internet and in libraries. These can be very helpful when trying to make comparisons.

Is Vico-Profen as good as Vicodin?

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Asked by Wiki User

They're essentially the same drug - the only difference is that Vico-Profen is a combination drug like Percocet or Percodan - Percocet is a combination of Oxycodone and Tylenol, Percodan Oxycodone and Aspirin.

Vico-Profen is a combination of Vicodin (Hydrocodone) and Ibuprofen (Motrin). The only difference would be the Hydrocodone component in the drug, whether or not it's less than the Vicodin dosage you were taking. If lower, then it's not as potent.

TSD -RAVEN- WA Category Supervisor

When will Levorphanol be back on the market?

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Asked by Wiki User

It already is, as of September 2nd 2011.

Does myelofibrosis cause bone pain?

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Asked by Wiki User

It can cause bone pain, especially in the legs

Where is spinal D8?

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Asked by Wiki User

It refers to the eighth dorsal (thoracic) vertebra. In the human body there are seven cervical, twelve thoracic, five lumbar,five sacral and one coccygeal vertbrae. The are cartilaginous discs in between the adjacent vertebrae acting as shock absorbers. The nerve roots of the same number emerge below the respective vertebrae in the thoracic spine downwards. The first seven cervical nerve roots emerge above the respective vertebrae and the eighth cervical emerges between the C7 and T1.

Is 2mg levorphanol equal to 10mg of hydrocodone?

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Asked by Wiki User

The equianalgesic dosage of 2mg levorphanol taken by mouth is about 15mg of hydrocodone. So, levorphanol is about 8 times more potent than hydrocodone by weight.

What are 5325 pain killers?

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Asked by Wiki User

You're reading the dosage on the pill, which is generic. It should read as 5mg/325mg.

This is a common reference dosage for Oxycodone and Tylenol (Percocet). The first number is the dosage in milligrams of the Oxycodone component of the drug. The other number is the Tylenol component in the drug, or 325mg's.

Personally, I use Percocet 10/325's, the strongest dose available. You can augment the effectiveness of the drug by using OTC Tylenol, but don't exceed anymore than a total of 650mg's including the Percocet.

What sickness can steroids cause to your body parts?

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Asked by Wiki User

what answer in resperatory systym sick

Blood creatine levels for adult male?

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Asked by Wiki User

In the United States the normal creatinine levels in the blood for an adult male are 0.7 mg/dl to 1.2 mg/dl . Some other countries use the unit of measurement μmol/litre.

Is it true that Demerol has less sedation and addictive side effects than morphine at equal analgesic doses?

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Asked by Wiki User

Demerol is a terrible drug for pain management as is rarely used anymore. Demerol has more toxic metabolites that are released as the body breaks it down, which increases the intensity and duration of some very serious side effects. In addition, Demerol has what is called a "ceiling" to it's dosage, meaning you can give more and more and more Demerol, but at some time, you will hit a ceiling where it no longer increases in effectiveness of pain relief. Giving higher doses simply means more severe side effects. Morphine does not have a ceiling and is considered a "cleaner" drugs in reference it's metabolites. In consideration of addictive effects, anyone who takes opiods for the purpose of relieving pain will become physically dependent on it, but not psychologically addicted. Addiction is a term used for those who take opiods for recreational means.

What is the drug called Roxana liquid?

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Asked by Wiki User

Maybe you're thinking of roxanol liquid? Roxanol is liquid morphine. It is often used in palliative/hospice care when a person has difficulty swallowing or is not lucid enough to swallow. Roxanol can come in very concentrated doses so that even a mL of the liquid- dispensed with an eye dropper can be potent enough to relieve pain.

Is nycenta a pain medication?

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Asked by Linhall1400

Yes. Nucynta and Nucynta ER( extended-release )are the brand names for tapentadol approved for sale in 2009. It is indicated for the treatment of moderate to severe musculoskeletal pain. It is compared to oxycodone, hydrocodone, and meperidine in it's effectiveness and is scheduled II by the DEA.

What does LOZ mean when used after Fetanyl?

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Asked by Wiki User

Lozenge.

Fentanyl is an opiod used for pain management. Fentanyl comes in both long-acting release forms (patches) and is also used IV. Fentanyl lozenges are on a stick, much like a lollipop and should be placed between the teeth and gums to release the medication through the tissue in the mouth and into the blood stream. Fentanyl is known for how quickly it works, how effective it is, and how quickly it "leaves your system". These qualities make it a good medication for breakthough pain management if someone feels that other opiods make them feel drugged, over-medicated, and sleepy. It is also useful when a provider is trying to find the right dosage of long acting medication, thus reducing the need for break through medications.

Is there a Florida state law restricting convicted felons from obtaining pain medication?

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Asked by Wiki User

No, but there are several federal laws that control distribution of prescription pain medications. No one may interfere with the legal and legitimate treatment of a patient by his doctor. Any patient!