Sketchy Opioids

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Opioid analgesics, Opioid antitussives, Opioid antidiarrheal,

Methadone, Buprenorphine, Naloxone, Naltrexone


Saturday, January 29, 2022 6:43 PM

Partial Opioid Agonists


• Drugs
○ Buprenorphine Open K+ channels & close Tramadol
○ Nalbuphine presynaptic VG Ca2+ channels • Inhibit NE & 5-HT
○ Butorphanol • Chronic Pain
• Can induce WD

WD Effects "Moist":
• Rhinorrhea
• Lacrimation
• Hyperthermia Chronic Pain
• n/v/d Fantasy: Fentanyl : also post op
• Body aches More Fun: Morphine
• Anxiety

Neonatal Abstinence
Syndrome
Cough
dextromethorphan: Block NMDA also
Codeine
DONE timer: Methadone
• Long acting opioid
to help WD
• Long 1/2 life

Blueprint: Buprenorphine
• Long acting partial
opioid agonist to
help WD
• Long 1/2 life

• Respiratory Depression
Naltrexone Naloxone • Sedation Receptors in GI tract, constipation
• Opioid Antagonist • Opioid Antagonist • Miosis Loperamide, Diphenoxylate = Antidiarrheals
• Helps abstinence in heroin • To reverse opioid • Constipation
addicts toxicity • Biliary Colic
• Helps reduce alcohol & • Tolerance ( not to constipation
nicotine addiction or miosis)
• Hyperalgesia (chronic use)

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