This document discusses various opioid analgesics and their properties. It provides information on codeine, papaverine, noscapine, pholcodeine, dextromethorphan, pethidine, fentanyl, methadone, opioid use disorder, dextropropoxyphene, tramadol, pentazocine, nalbuphine, buprenorphine, butorphanol, nalorphine, naxolone, and naltrexone. It discusses their uses, mechanisms of action, adverse effects, and multiple choice questions related to these opioids.
Naloxone
Dose: 0.4-2mg IV/IM
Mechanism of Action:
Naloxone is a competitive opioid receptor antagonist that binds to opioid receptors with higher affinity than opiate drugs but does not activate the receptors. This displaces the opioid from the receptor sites and reverses the effects of opioid overdose.
Symptoms of Overdose:
- Respiratory depression
- Constricted pupils
- Sedation
- Hypotension
Management Includes:
- Administer naloxone
- Assist ventilation if needed
- Monitor vitals
- Treat hypotension with IV fluids
Heroin withdrawal can cause uncomfortable symptoms as the body adjusts to being without the drug. Detoxification in a medical setting helps manage withdrawal safely using medications and fluids. Treatment may include methadone, buprenorphine, or naltrexone to further reduce cravings and prevent relapse while psychological support aids long-term recovery.
Drug addiction is defined as a chronic, relapsing brain disease characterized by compulsive drug seeking and use despite harmful consequences. It is considered a brain disease because drugs change the brain's structure and functioning in ways that can persist long after drug use has stopped. Common addictive drugs discussed include narcotics like morphine and heroin, cannabis, cocaine, hallucinogens, stimulants, and sedatives. The document provides details on the medical uses, effects, risks, and withdrawal symptoms associated with each class of drug.
Opioids are powerful pain relievers that include drugs like codeine, oxycodone, morphine, and heroin. While opioids are used medically to treat pain, dependence and addiction can develop with prolonged use. Withdrawal symptoms like rapid breathing, sweating, and diarrhea appear when use stops. Prolonged opioid use can also lead to complications like lung damage, infections from unsterilized needles, and neurological issues. Babies born to mothers using opioids may experience withdrawal. Treatment options include medication to block opioid effects and long-term therapeutic communities.
The document discusses various opioid analgesics including codeine, tramadol, pethidine, methadone, and opioid antagonists such as naloxone and naltrexone. Specifically, it provides information on their mechanisms of action, indications, dosages, durations of action, and pharmacological properties. It compares the potency and toxicity profiles of different opioids relative to morphine.
Antipsychotic agents & Lithium by Dr. Nadeem KoraiNadeemkorai
This document discusses antipsychotic agents and lithium used to treat schizophrenia and bipolar disorder. It covers the symptoms and hypotheses of schizophrenia, how antipsychotics work in the brain, examples of typical and atypical antipsychotics, their therapeutic indications and dosages. It also discusses the absorption, metabolism, drug combinations, and adverse effects of antipsychotics, as well as lithium's use in treating bipolar disorder.
In this webinar, clinicians from two Ryan White clinics with successful buprenorphine programs describe what buprenorphine is, how it works, what opioids do to the brain, how buprenorphine differs from methadone, important drug-drug interactions, the concept of precipitated withdrawal and how to recognize it, how to determine patient eligibility, and clinical aspects of working with opiod-addicted people living with HIV.
Presenters Pamela Vergara-Rodriguez, MD, (CORE Center in Chicago), and Jacqueline Tulsky, MD (University of California at San Francisco and San Francisco General Hospital), also describe the challenges and successes of the SPNS buprenorphine projects at their institutions.
Visit the Integrating HIV Innovative Practices webpage to learn more about integrating buprenorphine into HIV primary care settings and to access additional training materials.
This document discusses antipsychotic drugs used to treat psychosis. It defines psychosis as a condition where there is a loss of contact with reality. Antipsychotics work by blocking dopamine receptors in the brain. Common side effects include drowsiness, weight gain, blurred vision, and dry mouth. The document categorizes and describes several specific antipsychotic drugs, including their mechanisms of action, uses, and side effect profiles. These include chlorpromazine, pimozide, paliperidone, penfluridol, and flupenthixol.
Naloxone
Dose: 0.4-2mg IV/IM
Mechanism of Action:
Naloxone is a competitive opioid receptor antagonist that binds to opioid receptors with higher affinity than opiate drugs but does not activate the receptors. This displaces the opioid from the receptor sites and reverses the effects of opioid overdose.
Symptoms of Overdose:
- Respiratory depression
- Constricted pupils
- Sedation
- Hypotension
Management Includes:
- Administer naloxone
- Assist ventilation if needed
- Monitor vitals
- Treat hypotension with IV fluids
Heroin withdrawal can cause uncomfortable symptoms as the body adjusts to being without the drug. Detoxification in a medical setting helps manage withdrawal safely using medications and fluids. Treatment may include methadone, buprenorphine, or naltrexone to further reduce cravings and prevent relapse while psychological support aids long-term recovery.
Drug addiction is defined as a chronic, relapsing brain disease characterized by compulsive drug seeking and use despite harmful consequences. It is considered a brain disease because drugs change the brain's structure and functioning in ways that can persist long after drug use has stopped. Common addictive drugs discussed include narcotics like morphine and heroin, cannabis, cocaine, hallucinogens, stimulants, and sedatives. The document provides details on the medical uses, effects, risks, and withdrawal symptoms associated with each class of drug.
Opioids are powerful pain relievers that include drugs like codeine, oxycodone, morphine, and heroin. While opioids are used medically to treat pain, dependence and addiction can develop with prolonged use. Withdrawal symptoms like rapid breathing, sweating, and diarrhea appear when use stops. Prolonged opioid use can also lead to complications like lung damage, infections from unsterilized needles, and neurological issues. Babies born to mothers using opioids may experience withdrawal. Treatment options include medication to block opioid effects and long-term therapeutic communities.
The document discusses various opioid analgesics including codeine, tramadol, pethidine, methadone, and opioid antagonists such as naloxone and naltrexone. Specifically, it provides information on their mechanisms of action, indications, dosages, durations of action, and pharmacological properties. It compares the potency and toxicity profiles of different opioids relative to morphine.
Antipsychotic agents & Lithium by Dr. Nadeem KoraiNadeemkorai
This document discusses antipsychotic agents and lithium used to treat schizophrenia and bipolar disorder. It covers the symptoms and hypotheses of schizophrenia, how antipsychotics work in the brain, examples of typical and atypical antipsychotics, their therapeutic indications and dosages. It also discusses the absorption, metabolism, drug combinations, and adverse effects of antipsychotics, as well as lithium's use in treating bipolar disorder.
In this webinar, clinicians from two Ryan White clinics with successful buprenorphine programs describe what buprenorphine is, how it works, what opioids do to the brain, how buprenorphine differs from methadone, important drug-drug interactions, the concept of precipitated withdrawal and how to recognize it, how to determine patient eligibility, and clinical aspects of working with opiod-addicted people living with HIV.
Presenters Pamela Vergara-Rodriguez, MD, (CORE Center in Chicago), and Jacqueline Tulsky, MD (University of California at San Francisco and San Francisco General Hospital), also describe the challenges and successes of the SPNS buprenorphine projects at their institutions.
Visit the Integrating HIV Innovative Practices webpage to learn more about integrating buprenorphine into HIV primary care settings and to access additional training materials.
This document discusses antipsychotic drugs used to treat psychosis. It defines psychosis as a condition where there is a loss of contact with reality. Antipsychotics work by blocking dopamine receptors in the brain. Common side effects include drowsiness, weight gain, blurred vision, and dry mouth. The document categorizes and describes several specific antipsychotic drugs, including their mechanisms of action, uses, and side effect profiles. These include chlorpromazine, pimozide, paliperidone, penfluridol, and flupenthixol.
Brief Synopsis of Analgesics used in Dentistry for Pain Control & Management with Dosage Information & Severity Encountered during Drug Metabolism & Administration.
This document discusses different types of sedative-hypnotic drugs, including barbiturates, nonbarbiturate sedatives, minor tranquilizers, and date rape drugs. It describes the effects of these drugs, such as relaxation, anxiety relief, and sleep induction. However, it also notes the potential hazards of addiction, withdrawal symptoms, overdose, and dangerous interactions with alcohol. The document provides examples of specific drugs for each class and their medical and nonmedical uses.
This document discusses antipsychotic and mood stabilizing drugs. It begins by classifying antipsychotics such as phenothiazines, butyrophenones, and atypical antipsychotics. It then describes the mechanism of action, uses, and adverse effects of typical antipsychotics like chlorpromazine and haloperidol. Atypical antipsychotics like clozapine and risperidone are also discussed. The document also covers mood stabilizers lithium and sodium valproate, focusing on lithium's mechanism and use in treating mania and bipolar disorder. Management of schizophrenia, mania, and bipolar disorder is described.
This document provides an overview of chapter 6 which discusses anesthetics, analgesics, and narcotics. It begins by outlining the chapter topics and learning objectives which include understanding the nervous system, neurotransmitters, anesthesia, pain management, and migraine headaches. It then defines the central and peripheral nervous systems and their divisions. It discusses the major neurotransmitters like acetylcholine, GABA, dopamine, epinephrine, and serotonin. It explains general anesthesia, including goals, types of inhalant and injectable anesthetics. It also covers local anesthesia, neuromuscular blocking agents, and their reversal. Finally, it discusses classifications of pain, narcotic and non-narcotic analgesia, and the risks of addiction with
This document discusses the treatment of mental disorders with pharmacologic agents. It describes different classes of drugs used to treat conditions like depression, bipolar disorder, and schizophrenia. Older drug classes discussed include tricyclic antidepressants and first-generation antipsychotics, while newer classes discussed are SSRIs, SNRIs, and second-generation antipsychotics. The document provides details on the mechanisms of action, pharmacokinetics, indications, adverse effects and counseling points for these various drug classes.
Addiction Medicine Certificate Course by Muktaa Charitable Foundation
Course Material by Dr Narayan Perumal
Lecture conducted at Aga Khan Palace
More material on Fullnasha.com
This document discusses conscious sedation, including why it is used, types of sedation, drugs used, risks, and how to manage complications. The main points are:
1. Sedation is used to relieve anxiety, stress and pain for medical procedures. It can cause relaxation, drowsiness or altered mental states depending on the person.
2. Types of sedation include minimal, moderate and deep sedation. Drugs like benzodiazepines and opioids are commonly used due to their sedative and analgesic effects.
3. Risks include respiratory depression, loss of airway, and vomiting/aspiration. Equipment and drugs like flumazenil and naloxone are needed
The video for this presentation is available on our Youtube channel:
https://youtube.com/allceuseducation A continuing education course for this presentation can be found at https://www.allceus.com/member/cart/index/index?c=
Unlimited Counseling CEUs for $59 https://www.allceus.com/
Specialty Certificate tracks starting at $89 https://www.allceus.com/certificate-tracks/
Live Webinars $5/hour https://www.allceus.com/live-interactive-webinars/
Patreon: https://www.patreon.com/CounselorToolbox
Pinterest: drsnipes
Identify the signs and symptoms of intoxication and withdrawal as well as the neurobiological effects of stimulants, depressants and hallucinogens.
The topic antipsychotics for the GNM students in brief
the explanation of the antipsychotic for the student nurses. this ppt can be used by the teachers in nursing profession.
Olanzapine is an atypical antipsychotic approved to treat schizophrenia and bipolar disorder. It works by blocking dopamine, serotonin, histamine, and muscarinic receptors. Common side effects include weight gain, hyperglycemia, and increased mortality in elderly patients with dementia. It is generally dosed between 5-20 mg daily, with monitoring of blood glucose and lipids recommended due to metabolic side effect risks.
This document provides an overview of analgesics (painkillers) including their classification, mechanisms of action, adverse effects, uses, and addiction potential. It focuses on opioid analgesics such as morphine, codeine, heroin, pethidine, and tramadol which are derived from the opium poppy. It discusses the history of opioid use and trade dating back thousands of years. It also covers non-opioid options like NSAIDs, acetaminophen, and various opioid antagonists used to treat overdose and addiction. The document aims to educate on the appropriate use and risks of different analgesic drugs.
This document provides information on general anesthesia including:
1. It defines general anesthesia as reversible blocking of pain and sensation in the whole body or parts using pharmacology or other methods.
2. It describes the parts of general anesthesia including hypnosis, analgesia, areflexia, and muscle relaxation which must be balanced.
3. It explains the different types of general anesthesia including total intravenous anesthesia, volatile induction and maintenance anesthesia.
Schizophrenia is a lifelong thought disorder characterized by disturbances in perception, thought processes, and affect. It is treated primarily with antipsychotic medications which work by blocking dopamine D2 receptors in the brain. First-generation "typical" antipsychotics like chlorpromazine are effective but cause severe extrapyramidal side effects. Newer "atypical" antipsychotics have fewer motor side effects but may still cause issues like weight gain and metabolic changes. Proper treatment requires long-term medication compliance to control symptoms and prevent relapse.
This document summarizes spinal anatomy related to intrathecal drug delivery. It describes the spinal cord, ascending and descending tracts, plexuses, and autonomic nervous system. It then discusses intraspinal techniques, opiate receptors, effects of opiates, and administration of opioids, local anesthetics, alpha-2 agonists, and other drugs intrathecally. Guidelines for trialing and converting doses to intrathecal pumps are provided.
This document discusses antipsychotic drugs used to treat schizophrenia and their mechanisms of action and side effects. It focuses on typical antipsychotics which block dopamine D2 receptors in the mesolimbic system. These drugs are used to treat schizophrenia, drug-induced psychoses, and other disorders. Potential adverse effects include sedation, hypotension, anticholinergic effects, extrapyramidal symptoms, weight gain, and tardive dyskinesia. The document also discusses lithium, which is a mood stabilizer used to treat bipolar disorder, and its mechanisms of action and alternatives including sodium valproate, lorazepam, carbamazepine, and lamotrigine.
Bipolar disorder is a mood disorder with alternate episodes of mania and depression. the symptoms includes hyperexcitability, mood changes, psychological and behavioural affect, weight gain or weight loss, sleep disturbances, fatigue etc. Mania is a state with periods of great excitement or euphoria, delusions, and over activity. The presentation includes points about mania and treatment strategies of mania
The document discusses the pharmacognostic features, chemical constituents, uses, mechanisms of action, dosage, and side effects of opium derived from the Papaver somniferum plant. Key points include: (1) Major alkaloids in opium include morphine, codeine, and thebaine; (2) Morphine and codeine are used as analgesics, while codeine also acts as an antitussive; (3) Heroin is more potent than morphine due to its ability to cross the blood-brain barrier; (4) Opium can cause side effects like constipation, nausea, sedation, and respiratory depression if taken in excess.
This document discusses the role of opioids and NSAIDs in pain management for physical medicine and rehabilitation (PMR). It begins by classifying opioids based on receptor occupation and describing their mechanisms of action and pharmacological effects. Specific opioids discussed include morphine, fentanyl, tramadol, and tapentadol. It then covers the classification of NSAIDs, their mechanisms of action, and specific drugs like aspirin, ibuprofen, diclofenac, and ketorolac. The document concludes by outlining the specific roles of opioids and NSAIDs in managing pain conditions commonly treated in PMR.
The document discusses narcotic analgesics and antagonists. It describes how narcotic analgesics like morphine bind to opioid receptors in the central and peripheral nervous system to relieve moderate to severe pain. It classifies opioids into natural alkaloids, semisynthetic derivatives, and synthetic compounds. The document outlines the mechanisms of action of opioids like morphine at the mu, kappa, and delta receptors. It also discusses the pharmacological actions, clinical uses, adverse effects, contraindications, and management of acute opioid poisoning of morphine.
Brief Synopsis of Analgesics used in Dentistry for Pain Control & Management with Dosage Information & Severity Encountered during Drug Metabolism & Administration.
This document discusses different types of sedative-hypnotic drugs, including barbiturates, nonbarbiturate sedatives, minor tranquilizers, and date rape drugs. It describes the effects of these drugs, such as relaxation, anxiety relief, and sleep induction. However, it also notes the potential hazards of addiction, withdrawal symptoms, overdose, and dangerous interactions with alcohol. The document provides examples of specific drugs for each class and their medical and nonmedical uses.
This document discusses antipsychotic and mood stabilizing drugs. It begins by classifying antipsychotics such as phenothiazines, butyrophenones, and atypical antipsychotics. It then describes the mechanism of action, uses, and adverse effects of typical antipsychotics like chlorpromazine and haloperidol. Atypical antipsychotics like clozapine and risperidone are also discussed. The document also covers mood stabilizers lithium and sodium valproate, focusing on lithium's mechanism and use in treating mania and bipolar disorder. Management of schizophrenia, mania, and bipolar disorder is described.
This document provides an overview of chapter 6 which discusses anesthetics, analgesics, and narcotics. It begins by outlining the chapter topics and learning objectives which include understanding the nervous system, neurotransmitters, anesthesia, pain management, and migraine headaches. It then defines the central and peripheral nervous systems and their divisions. It discusses the major neurotransmitters like acetylcholine, GABA, dopamine, epinephrine, and serotonin. It explains general anesthesia, including goals, types of inhalant and injectable anesthetics. It also covers local anesthesia, neuromuscular blocking agents, and their reversal. Finally, it discusses classifications of pain, narcotic and non-narcotic analgesia, and the risks of addiction with
This document discusses the treatment of mental disorders with pharmacologic agents. It describes different classes of drugs used to treat conditions like depression, bipolar disorder, and schizophrenia. Older drug classes discussed include tricyclic antidepressants and first-generation antipsychotics, while newer classes discussed are SSRIs, SNRIs, and second-generation antipsychotics. The document provides details on the mechanisms of action, pharmacokinetics, indications, adverse effects and counseling points for these various drug classes.
Addiction Medicine Certificate Course by Muktaa Charitable Foundation
Course Material by Dr Narayan Perumal
Lecture conducted at Aga Khan Palace
More material on Fullnasha.com
This document discusses conscious sedation, including why it is used, types of sedation, drugs used, risks, and how to manage complications. The main points are:
1. Sedation is used to relieve anxiety, stress and pain for medical procedures. It can cause relaxation, drowsiness or altered mental states depending on the person.
2. Types of sedation include minimal, moderate and deep sedation. Drugs like benzodiazepines and opioids are commonly used due to their sedative and analgesic effects.
3. Risks include respiratory depression, loss of airway, and vomiting/aspiration. Equipment and drugs like flumazenil and naloxone are needed
The video for this presentation is available on our Youtube channel:
https://youtube.com/allceuseducation A continuing education course for this presentation can be found at https://www.allceus.com/member/cart/index/index?c=
Unlimited Counseling CEUs for $59 https://www.allceus.com/
Specialty Certificate tracks starting at $89 https://www.allceus.com/certificate-tracks/
Live Webinars $5/hour https://www.allceus.com/live-interactive-webinars/
Patreon: https://www.patreon.com/CounselorToolbox
Pinterest: drsnipes
Identify the signs and symptoms of intoxication and withdrawal as well as the neurobiological effects of stimulants, depressants and hallucinogens.
The topic antipsychotics for the GNM students in brief
the explanation of the antipsychotic for the student nurses. this ppt can be used by the teachers in nursing profession.
Olanzapine is an atypical antipsychotic approved to treat schizophrenia and bipolar disorder. It works by blocking dopamine, serotonin, histamine, and muscarinic receptors. Common side effects include weight gain, hyperglycemia, and increased mortality in elderly patients with dementia. It is generally dosed between 5-20 mg daily, with monitoring of blood glucose and lipids recommended due to metabolic side effect risks.
This document provides an overview of analgesics (painkillers) including their classification, mechanisms of action, adverse effects, uses, and addiction potential. It focuses on opioid analgesics such as morphine, codeine, heroin, pethidine, and tramadol which are derived from the opium poppy. It discusses the history of opioid use and trade dating back thousands of years. It also covers non-opioid options like NSAIDs, acetaminophen, and various opioid antagonists used to treat overdose and addiction. The document aims to educate on the appropriate use and risks of different analgesic drugs.
This document provides information on general anesthesia including:
1. It defines general anesthesia as reversible blocking of pain and sensation in the whole body or parts using pharmacology or other methods.
2. It describes the parts of general anesthesia including hypnosis, analgesia, areflexia, and muscle relaxation which must be balanced.
3. It explains the different types of general anesthesia including total intravenous anesthesia, volatile induction and maintenance anesthesia.
Schizophrenia is a lifelong thought disorder characterized by disturbances in perception, thought processes, and affect. It is treated primarily with antipsychotic medications which work by blocking dopamine D2 receptors in the brain. First-generation "typical" antipsychotics like chlorpromazine are effective but cause severe extrapyramidal side effects. Newer "atypical" antipsychotics have fewer motor side effects but may still cause issues like weight gain and metabolic changes. Proper treatment requires long-term medication compliance to control symptoms and prevent relapse.
This document summarizes spinal anatomy related to intrathecal drug delivery. It describes the spinal cord, ascending and descending tracts, plexuses, and autonomic nervous system. It then discusses intraspinal techniques, opiate receptors, effects of opiates, and administration of opioids, local anesthetics, alpha-2 agonists, and other drugs intrathecally. Guidelines for trialing and converting doses to intrathecal pumps are provided.
This document discusses antipsychotic drugs used to treat schizophrenia and their mechanisms of action and side effects. It focuses on typical antipsychotics which block dopamine D2 receptors in the mesolimbic system. These drugs are used to treat schizophrenia, drug-induced psychoses, and other disorders. Potential adverse effects include sedation, hypotension, anticholinergic effects, extrapyramidal symptoms, weight gain, and tardive dyskinesia. The document also discusses lithium, which is a mood stabilizer used to treat bipolar disorder, and its mechanisms of action and alternatives including sodium valproate, lorazepam, carbamazepine, and lamotrigine.
Bipolar disorder is a mood disorder with alternate episodes of mania and depression. the symptoms includes hyperexcitability, mood changes, psychological and behavioural affect, weight gain or weight loss, sleep disturbances, fatigue etc. Mania is a state with periods of great excitement or euphoria, delusions, and over activity. The presentation includes points about mania and treatment strategies of mania
The document discusses the pharmacognostic features, chemical constituents, uses, mechanisms of action, dosage, and side effects of opium derived from the Papaver somniferum plant. Key points include: (1) Major alkaloids in opium include morphine, codeine, and thebaine; (2) Morphine and codeine are used as analgesics, while codeine also acts as an antitussive; (3) Heroin is more potent than morphine due to its ability to cross the blood-brain barrier; (4) Opium can cause side effects like constipation, nausea, sedation, and respiratory depression if taken in excess.
This document discusses the role of opioids and NSAIDs in pain management for physical medicine and rehabilitation (PMR). It begins by classifying opioids based on receptor occupation and describing their mechanisms of action and pharmacological effects. Specific opioids discussed include morphine, fentanyl, tramadol, and tapentadol. It then covers the classification of NSAIDs, their mechanisms of action, and specific drugs like aspirin, ibuprofen, diclofenac, and ketorolac. The document concludes by outlining the specific roles of opioids and NSAIDs in managing pain conditions commonly treated in PMR.
The document discusses narcotic analgesics and antagonists. It describes how narcotic analgesics like morphine bind to opioid receptors in the central and peripheral nervous system to relieve moderate to severe pain. It classifies opioids into natural alkaloids, semisynthetic derivatives, and synthetic compounds. The document outlines the mechanisms of action of opioids like morphine at the mu, kappa, and delta receptors. It also discusses the pharmacological actions, clinical uses, adverse effects, contraindications, and management of acute opioid poisoning of morphine.
This document discusses opioids, which are narcotic analgesics used to treat pain. It defines pain and describes how opioids work in the body by binding to opioid receptors in the central nervous system. It categorizes various opioids as strong agonists, mild-moderate agonists, mixed agonist-antagonists, and pure antagonists. It provides examples of opioids in each category and describes their clinical uses, mechanisms of action, adverse effects, risks of tolerance and dependence.
opioid analgesics with detailed description of introduction, mechanism of action, adverse effect, uses and contraindication along with examples for under graduates.
Parasympatholytics/ Anticholinergic/ Muscarinic blockers/ Atropinemayur kale
This document summarizes the properties and uses of anticholinergic/parasympatholytic drugs. It describes how these drugs work by antagonizing acetylcholine receptors, including classification based on receptor blockade. The prototype drug atropine is discussed in detail, including its pharmacological actions on various organ systems, pharmacokinetics, side effects, interactions, contraindications, and therapeutic uses such as pre-anesthesia, peptic ulcer disease, motion sickness, mydriasis, and bronchodilation. Other long-acting quaternary ammonium anticholinergic drugs like atropine methionitrate and hyoscine butylbromide are also summarized briefly.
Depressants are drugs that slow down brain activity and include sedatives, tranquilizers, and hypnotics. They are commonly used to treat anxiety, panic, stress, and sleep disorders. Benzodiazepines are the most commonly prescribed depressants and include drugs like Valium, Xanax, and Klonopin. Depressants can cause side effects like impaired coordination and judgment at lower doses but higher doses can lead to coma and death from overdose. Long term effects include addiction, weight gain, and other health problems. Alcohol is also a depressant that is commonly abused and causes both stimulating and sedative effects by enhancing the neurotransmitter GABA.
Effects of Overdose of Analgesics | NSAIDS and Opioids Overdose effects Dr. Rajat Sachdeva
Analgesics aka Pain killer not only relieving from pain but they also have bad effects on overdose.
Intentionally or unknowingly, it affects both. NSAIDS and Opiods both affects systemically.
Opioids interacts its receptor in brain and prevents a chemical GABA from release, these controls Dopamine. Increase in Dopamine concentration causes feeling of euphoria, constipation, itching, ineffective ventilation respiratory effects during sleep or sleep apnea.
NSAIDs affects Liver, kidney, pregnant, breastfeeding, Peptic ulcer, Asthma, Allergies, Chron's disease.
Pain killer along with alcohol is more harmfull as it depresses brain synergistically.
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Opioids are drugs that bind to opioid receptors in the brain and body to produce analgesic, sedative, and euphoric effects. They have been used for thousands of years to relieve pain and induce euphoria. Natural opioids are found in opium from the poppy plant, while semi-synthetic and synthetic opioids are derived from morphine or synthesized. The three main opioid receptor types are mu, kappa, and delta, with mu receptors primarily responsible for analgesia, respiratory depression, and euphoria. Common opioids include morphine, codeine, oxycodone, fentanyl, methadone, and heroin. Tolerance and dependence develop with prolonged use.
The document discusses several newer narcotics including their origin, pharmacological properties, medical uses, and risks of abuse. Opium is obtained from the opium poppy and contains morphine along with other alkaloids. Morphine can be processed chemically to produce semi-synthetic opioids like levorphanol, an potent analgesic also used to reduce anaesthetic doses. Meperidine is a synthetic opioid analgesic with a toxic metabolite that can accumulate and cause seizures. Fentanyl is a very potent synthetic opioid related to phenylpiperidines. Sufentanil and remifentanil are even more potent synthetic opioids used in anesthesia. Methadone is an orally active opioid used to treat opioid
Agents used for sedation in pediatric dentistry Aya Adel
This document discusses various agents used for sedation. It begins by defining sedation and sedative drugs. There are two main types of sedation: conscious and unconscious. The document then discusses different classes of sedative drugs including gases like nitrous oxide and desflurane, antihistamines like hydroxyzine and diphenhydramine, hypnotic drugs like barbiturates, benzodiazepines, and chloral hydrate, and narcotics like fentanyl and meperidine. It provides details on the mechanism of action, dosages, side effects, and drug combinations for conscious sedation for many of the discussed sedative agents.
Emergency medications are used to treat life-threatening conditions and save patients' lives. They work by controlling symptoms, normalizing vital functions, and diverting patients from risks. Common categories include anti-cholinergics, inotropic agents, muscle relaxants, diuretics, anti-epileptics, neuroleptics, anti-asthmatics, corticosteroids, local anesthetics, sedatives and induction agents, opioid analgesics, anti-emetics, anti-hypertensives, anti-arrhythmics, intravenous fluids, and tetanus prophylaxis. As an emergency nurse, it is important to be familiar with these medications and their uses, dosages
This document provides an overview of narcotic drugs. It begins with definitions, noting that narcotics are also known as opioids and were originally substances that dulled the senses and relieved pain. The document then covers the history of narcotics, the Single Convention on Narcotic Drugs of 1961, common opioids like morphine, heroin, codeine and methadone, how they work in the body, their medical uses and regulation under drug schedules. Side effects of several major narcotics are also summarized.
This document summarizes opioids and their use as analgesics. It discusses the classification of opioids as natural, semi-synthetic, or synthetic and describes their mechanisms of action through mu, delta, and kappa receptors in the central nervous system. The document outlines the pharmacokinetics of opioid absorption, distribution, metabolism, and excretion. It also discusses the clinical uses of opioids like morphine, as well as their side effects, risks of overdose and addiction, and treatment options for opioid overuse.
This document provides an overview of opioids including their pharmacology, mechanisms of action, classifications, and clinical uses. It discusses how opioids bind to receptors in the central and peripheral nervous systems to produce analgesic and other effects. Opioids are classified based on their receptor activities and include pure agonists, partial agonists, mixed agonist-antagonists, and pure antagonists. The document reviews the central and peripheral effects of opioids as well as their indications, contraindications, and interactions. It also discusses opioid tolerance, dependence, overdose, and withdrawal.
1. Opium is one of the oldest known drugs, dating back over 30,000 years. Morphine was isolated from opium sap in the early 1800s and heroin was first synthesized in 1874. Since then, many natural, semisynthetic, and synthetic opioids have been developed to treat pain.
2. Opioids work by binding to and activating opioid receptors in the brain, spinal cord, and other organs. There are three main types of opioid receptors: mu, kappa, and delta.
3. Common opioids include morphine, codeine, oxycodone, fentanyl, hydromorphone, and methadone. They are classified based on their origin (natural
This document discusses recent advances in pain management, including multimodal analgesia using different drug classes and routes of administration to provide improved pain relief with fewer side effects. It describes pharmacological and non-pharmacological pain interventions, the WHO analgesic ladder for treating pain, and various opioid and non-opioid analgesics as well as adjuvants that have been developed or investigated for postoperative pain management, including several novel drug delivery methods for opioids. The goal is to reduce opioid requirements, side effects, and hasten recovery through multimodal approaches.
This document provides an overview of analgesics, including opioids and NSAIDs. It discusses the classification, mechanisms of action, uses, and side effects of various opioid analgesics like morphine, codeine, fentanyl, tramadol, pethidine, and methadone. It also summarizes the classification of NSAIDs, how they work by inhibiting prostaglandin synthesis, and examples like aspirin. The document defines pain and the management of pain using topical, systemic and other analgesic medications.
LGBTQ+ Adults: Unique Opportunities and Inclusive Approaches to CareVITASAuthor
This webinar helps clinicians understand the unique healthcare needs of the LGBTQ+ community, primarily in relation to end-of-life care. Topics include social and cultural background and challenges, healthcare disparities, advanced care planning, and strategies for reaching the community and improving quality of care.
PET CT beginners Guide covers some of the underrepresented topics in PET CTMiadAlsulami
This lecture briefly covers some of the underrepresented topics in Molecular imaging with cases , such as:
- Primary pleural tumors and pleural metastases.
- Distinguishing between MPM and Talc Pleurodesis.
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DECODING THE RISKS - ALCOHOL, TOBACCO & DRUGS.pdfDr Rachana Gujar
Introduction: Substance use education is crucial due to its prevalence and societal impact.
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2. CODEINE
• CODEINE is Naturally Occurring Opium Alkaloid.
• It depresses the cough centre even in low doses.
• It is effective orally and well absorbed
• t is typically used to treat mild to moderate degrees of pain
• Greater benefit may occur when combined with paracetamol
(acetaminophen) or a nonsteroidal anti-inflammatory drug (NSAID)
such as aspirin or ibuprofen
3. • In Europe it is not recommended as a cough medicine in those
under twelve years of age.
• It typically starts working after half an hour with maximum effect
at two hours.
• The total duration of its effects last for about four to six hours.
• Codeine has less addiction liability and less chances of tolerance
4. ADVERSE EFFECTS
Common side effects include vomiting, constipation, itchiness, and
drowsiness.
Serious side effects may include breathing difficulties and
addiction. It is unclear if its use in pregnancy is safe.
Care should be used during breastfeeding as it may result in opiate
toxicity in the baby.
Its use as of 2016 is not recommended in children.
5. • CNS •
• little euphoria
• • minimal pain relief.
• • It may cause disorientation and
• excitement.
6. PAPAVERINE
• Papaverine (Latin papaver, "poppy") is an opium alkaloid
antispasmodic drug, used primarily in the treatment of visceral
spasm and vasospasm (especially those involving the intestines,
heart, or brain), and occasionally in the treatment of erectile
dysfunction.
• It is used in the treatment of acute mesenteric ischemia. While it
is found in the opium poppy, papaverine differs in both structure
and pharmacological action from the analgesic (morphine-related)
opium alkaloids (opiates).
7. NOSCAPINE
• NOSCAPINE is a naturally occurring opium alkaloid.
• In Therapeutic Doses, it has no other actions on the CNS except
for antitussive effects.
8. ADVERSE EFFECTS
• Nausea
• Vomiting
• Loss of coordination
• Hallucinations (auditory and visual)
• Swelling of prostate
• Loss of appetite
• Dilated pupils
• Increased heart rate
• Shaking and muscle spasms
• Chest pains
• Increased alertness
• Loss of any sleepiness
9. PHLOCODEINE
• Pholcodeine is a drug which is an opioid cough suppressant
(antitussive). It helps suppress unproductive coughs and also has a
mild sedative effect, but has little or no analgesic effects. It is
also known as morpholinylethylmorphine and homocodeine.
• Pholcodine is found in certain cough lozenges. However, in the UK,
the preparation is almost exclusively an oral solution, typically 5
mg / 5 ml. Adult dosage is 5-10 ml up to 3-4 times daily.
10. ADVERSE EFFECTS
• Side effects are rare and may include dizziness and
gastrointestinal disturbances such as nausea or vomiting.
• Adverse effects such as constipation, drowsiness, excitation,
ataxia and respiratory depression have been reported occasionally
or after large doses.
11. DEXTROMETHORPHAN
• Its structure is related to opioids.
• Its is an effective antitussive drug.
• It has no analgesic or addictive properties except antitussive
effect.
12. ADVERSE EFFECTS
• body rash/itching (see below)
• nausea
• vomiting
• drowsiness
• dizziness
• constipation
• diarrhea
• sedation
• confusion
• nervousness
• closed-eye hallucination
• A rare side effect is respiratory depression
13. PETHIDINE
• It is a derivative of morphine.
• Pethidine is 30 times more lipid soluble than morphine.
• • Oral bioavailability is 50%.
• • It is metabolized in the liver by ester hydrolysis to
• norpethidine and pethidinic acid that are excreted in the urine
• and therefore accumulate in renal failure.
14. • • Pethidinic acid is an inactive compound.
• • At higher concentration, norpethidine can produce
• hallucination and convulsions.
• • Pethidine is often used for labour analgesia. It readily crosses
• the placenta, and a significant amount reaches to the foetus
• over several hours.
15. PETHIDINE
• Pethidine is indicated for the treatment of moderate to severe
pain, and is delivered as a hydrochloride salt in tablets, as a
syrup, or by intramuscular, subcutaneous, or intravenous injection
16. ADVERSE EFFECTS [IN HIGHER DOSES] RARE CASE
• CNS
• Serious side effects like hypotension or
• hypertension, hyperpyrexia, convulsion and
• coma may occur.
• CVS
• Tachycardia, However as is the case with
• morphine, a significant decrease in BP may
• occur when pethidine is administered to elderly
• or hypovolaemic patients.
17. • GIS Dry mouth , It may produce less biliary tract
• spasm than morphine.
• EYE
• Meiosis is less
• Constipation and urinary retention are less common
18. FENTANYL
• Fentanyl (also spelled fentanil) is an opioid used as a pain
medication and together with other medications for anesthesia.
• Fentanyl is also made illegally and used as a recreational drug,
often mixed with heroin or cocaine. It has a rapid onset and
effects generally last less than an hour or two.
• Medically, fentanyl is used by injection, as a patch on the skin, as
a nasal spray, or in the mouth
19. ADVERSE EFFECTS
• Common side effects include vomiting, constipation, sedation,
confusion, hallucinations, and injuries related to poor
coordination.
• Serious side effects may include decreased breathing (respiratory
depression), serotonin syndrome, low blood pressure, addiction,
or coma.
20. METHADONE
• Its actions are similar to morphine
• It is effective analgesic
• It is effective by oral route
• It has long duration of action
21. USES
• Detoxification using methadone can either be done relatively
rapidly in less than a month or gradually over as long as six
months.
• While a single dose has a rapid effect, maximum effect can take
five days of use.The pain relieving effects last about six hours
after a single dose, similar to that of morphine.
• After long term use, in people with normal liver function, effects
last 8 to 36 hours. Methadone is usually taken by mouth and rarely
by injection into a muscle or vein.
22. OPIOID USE DISORDER
• Opioid use disorder is a problematic pattern of opioid use that causes significant
impairment or distress.
• Symptoms of the disorder include a strong desire to use opioids, increased
tolerance to opioids, failure to fulfill obligations, trouble reducing use, and
withdrawal syndrome with discontinuation.Opioid withdrawal symptoms may
include nausea, muscle aches, diarrhea, trouble sleeping, or a low mood.
• Addiction and dependence are components of a substance use
disorder.Complications may include opioid overdose, suicide, HIV/AIDS,
hepatitis C, marriage problems, or unemployment.
• Opioids include substances such as heroin, morphine, fentanyl, codeine,
oxycodone, and hydrocodone.
23. DEXTROPROPOXYPHENE
• It is a congener of methadone.
• It binds to the opioid receptors and produces effects similar ro
morphine.
• It is less constipating and is orally effective.
• It is an irritant when given parenterally.
• Large doses may cause CNS stimulation.
• It is used to control moderate pain.
25. TRAMADOL
• Tramadol is phenylpiperidine
• analogue of codeine.
• It is weak agonist at all opioid receptors
• receptors.
• It inhibits neuronal
• reuptake of norepinephrine.
• It potentiates release of serotonin
• and causes descending inhibition
• of nociception
26. ADVERSE EFFECTS
• nausea, dizziness, dry mouth, indigestion, abdominal pain,
vertigo, vomiting, constipation, drowsiness and headache.
• Compared to other opioids, respiratory depression and
constipation are considered less of a problem with tramadol.
28. PENTAZOCINE
• Pentazocine, sold under the brand name Talwin among others, is a
painkiller used to treat moderate to severe pain. It is believed to
work by activating (agonizing) κ-opioid receptors (KOR) and
blocking (antagonizing) μ-opioid receptors (MOR).
• As such it is called an opioid as it delivers its effects on pain by
interacting with the opioid receptors.
• Action is similar to the morphine.
29. AVERSE EFFECTS
• High dose may cause high blood pressure or high heart rate.
• It may also increase cardiac work after myocardial infarction when
given intravenously and hence this use should be avoided where
possible.
• Respiratory depression is a common side effect, but is subject to
a ceiling effect, such that at a certain dose the degree of
respiratory depression will no longer increase with dose increases.
30. NALBUPHINE
• is a opioid analgesic which is used in the treatment of pain.It is
given by injection into a vein, muscle, or fat.
• ADVERSE EFFECTS.
• sedation, sweatiness, clamminess, nausea, vomiting, dizziness,
vertigo, dry mouth, and headache.Unlike other opioids, it has
little to no capacity for euphoria or respiratory depression.
• It also has little to no incidence of dysphoria, dissociation,
hallucinations, and related side effects at typical therapeutic
doses
31. BUPRENORPHINE
• is an opioid used to treat opioid addiction, acute pain, and
chronic pain. It can be used under the tongue, by injection, as a
skin patch, or as an implant.
• It is highly lipid soluble synthetic opioid.
• It is 25times potent as morphine.
• Though onset of action is slow,duration of analgesia is long.
• CNS effects are similar to morphine while repiratory depression is
less.
32. ADVERSE EFFECTS
• Nausea and vomiting, drowsiness, dizziness, headache, memory
loss, cognitive and neural inhibition, perspiration, itchiness, dry
mouth, shrinking of the pupils of the eyes (miosis), orthostatic
hypotension, male ejaculatory difficulty, decreased libido, and
urinary retention and constipation.
34. NALORPHINE
• It is a mixed opioid agonist–antagonist with opioid antagonist and
analgesic properties.
• At low doses,it is a good analgesic but it causes dysphoria amd
respiratory depression in low doses.
• At high, it acts as an antagonist and counters all the actions of
opioids.
35. • USES.
• Nalorphine may be used in acute opioid poisoning.
• It is also used for the diagnosis for the diagnosis of opioid
addiction.
• ADVERSE EFFECTS.
• restlessness, agitation, nausea, vomiting, a fast heart rate,
headache and sweating.
37. NAXOLONE
• is a medication used to block the effects of opioids, especially in
overdose.
• Naloxone may be combined with an opioid (in the same pill) to
decrease the risk of misuse.
• When given intravenously, naloxone works within two minutes,
and when injected into a muscle, it works within five minutes,
• it may also be sprayed into the nose.
38. ADVERSE EFFECTS
• Sweating, nausea, restlessness, trembling, vomiting, headache.
• In rare cases been associated with heart rhythm changes and
seizures.
39. NALTREXONE
• It is a medication primarily used to manage alcohol or opioid
dependence.
• An opioid-dependent person should not receive naltrexone before
detoxification.
• It is taken by mouth or by injection into a muscle. Effects begin
within 30 minutes. A decreased desire for opioids, though, may
take a few weeks.
• Naltrexone is an opioid antagonist and works by blocking the
effects of opioids,
41. MULTIPLE CHOICE QUESTIONS
• 1) __________ inhibits the reuptake of nor adrenaline and serotonin in CNS.
• A] Dextropropoxyhene B] Naloxone
• C] Tramadol D]Nalbuphine
• 2) Which form of fentanyl used for post operative obstetric analgesia.
• A] Epidural fentanyl B] Oral fentanyl
• C] Transdermal patches D] None
42. • 3) At the dose of 30 mg which drug has a ceiling effect.
• A] Dextropropoxyhene B] Nalophrine
• C] Both A & B D]Nalbuphine
• 4)Which of the following is naturally occurring opioid.
A] Noscapine B] Tramadol
C] Methadone D] Both B & C
43. • 5) Which of the following is K receptor agonist.
• A] Pentazocine B] Butorphanol
• C] Both A & B D] Methadone
• 6) Which drug is not suitable in Myocardial infarction.
• A) Fentanyl B) Pentazocine
• C) Naxolone D) All of the above
44. • 7) Which of the following is anti-tussive.
• A] Codeine B] Nascopine
• C] Phlocodeine D] All of the above
• 8) Fentanyl is given in combination with ________ to produce
neuroleptanalgesia.
• A] Droperidol B] Tramadol
• C] Butrophanol D] Both A & C
45. • 9) Morphine Addicts are given Methadone.
• A] Orally B] IV
• C] Inhalational D] IM
• 10) Which of the following is used for opioid blockade therapy in post addicts.
• A] Naxolone B] Naltexone
• C] Fentanyl D] Nalmefene
•
46. ANSWERS
• 1) TRAMADOL
• 2) EPIDURAL FENTANYL
• 3) NALBUPHINE
• 4) NASCOPINE
• 5) BOTH A & B
• 6) PENTAZOCINE
• 7) ALL OF THE ABOVE
• 8) DROPERIDOL
• 9) ORALLY
10) NALTEXONE