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30 Cards in this Set

  • Front
  • Back

morphine

strong opioid µ-receptor agonist >> K-receptor

methadone

strong opioid µ-receptor agonist

fentanyl

strong opioid µ-receptor agonist

hydromorphone

strong opioid µ-receptor agonist



- more potent than morphine

oxymorphone

strong opioid µ-receptor agonist



- more potent than morphine

meperidine

strong opioid µ-receptor agonist



- anti-cholinergic effects

sufentanil

strong opioid µ-receptor agonist >> δ,K-receptor

alfentanil

strong opioid µ-receptor agonist

remifentanil

strong opioid µ-receptor agonist

levorphanol

strong opioid µ-receptor agonist

codeine

partial opioid µ-receptor agonist



- for pain and cough

hydrocodone

partial opioid µ-receptor agonist

oxycodone

partial opioid µ-receptor agonist

propoxyphene

partial opioid µ-receptor agonist

buprenorphine

partial µ-agonist, K-antagonist

nalbuphine

K-agonist, µ-antagonist

butorphanol

K-agonist, partial µ-agonist/antagonist

pentazocine

K-agonist, partial µ-agonist/antagonist

dextromethorphan codeine

poorly understood moa



antitussive

naloxone

opioid antagonist at µ, δ, K receptors



- opioid overdose

naltrexone

opioid antagonist at µ, δ, K receptors



- opioid overdose and maintenance

nalmefene

opioid antagonist at µ, δ, K receptors



- opioid overdose

alvimopan

potent peripheral µ antagonist



- no effect on morphine analgesia


(no CNS entry)

methylnaltrexone

potent peripheral µ antagonist



- no effect on morphine analgesia


(no CNS entry)

tramadol

weak µ agonist,


moderate SERT, weak NET inhibitor



- moderate pain adjunct

tapentadol

weak µ agonist,


moderate SERT, weak NET inhibitor



- moderate pain adjunct

ziconotide

blocks presynaptic N-type VG Ca+ channels



- severe, refractory chronic pain

loperamide

µ agonist in enteric nervous system



- diarrhea

diphenoxylate

µ agonist in enteric nervous system



- diarrhea



- high doses can cause CNS opioid effects and toxicity

difenoxin

µ agonist in enteric nervous system



- diarrhea