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CHAPTER 31  Opioid Agonists & Antagonists     573




                    PREP AR A TIONS A V AIL ABLE                                 *


                         GENERIC NAME             AVAILABLE AS                GENERIC NAME             AVAILABLE AS
                                     ANALGESIC OPIOIDS                                    OTHER ANALGESICS
                     Alfentanil           Generic, Alfenta                Tapentadol           Nucynta
                     Buprenorphine        Buprenex, others, Butrans (transdermal)  Tramadol    Generic, Ultram, others
                     Butorphanol          Generic, Stadol, Stadol NS (nasal)  Ziconotide       Prialt
                     Codeine (sulfate or   Generic                                     ANALGESIC COMBINATIONS ‡
                     phosphate)                                           Codeine/acetaminophen  Generic, Tylenol with
                     Fentanyl             Generic, Duragesic (transdermal).                    Codeine, others
                                          Fentanyl Buccal, Fentanyl Actiq    Codeine/aspirin   Generic, Empirin Compound, others
                                          (lozenge)
                     Hydromorphone        Generic, Dilaudid, others       Hydrocodone/         Generic, Norco, Vicodin, Lortab, others
                                                                          acetaminophen
                     Levomethadyl acetate †  Orlaam                       Hydrocodone/ibuprofen  Vicoprofen
                     Morphine sulfate                                     Oxycodone/           Generic, Percocet, Tylox, others
                       Oral, rectal, parenteral  Generic                  acetaminophen
                       Oral sustained-release   Avinza, Kadian            Oxycodone/aspirin    Generic, Percodan
                       capsules                                                          OPIOID ANTAGONISTS
                       Oral extended-release   Embeda
                       capsules (morphine                                 Alvimopan            Entereg
                       sulfate/naltrexone HCl)                            Methylnaltrexone     Relistor
                     Nalbuphine           Generic, Nubain                 Nalmefene            Revex
                     Oxycodone            Generic, OxyContin (sustained release)  Naloxone     Generic, Narcan
                     Oxymorphone          Generic, Numorphan, others      Naltrexone           Generic, ReVia, Depade, Vivitrol
                     Pentazocine          Talwin                                            ANTITUSSIVES
                     Remifentanil         Generic, Ultiva                 Codeine              Generic
                     Sufentanil           Generic, Sufenta                Dextromethorphan     Generic, Benylin DM, Delsym, others
                    *
                     Antidiarrheal opioid preparations are listed in Chapter 62.
                    †
                     Orphan drug approved only for the treatment of narcotic addiction.
                    ‡ Dozens of combination products are available; only a few of the most commonly prescribed are listed here. Codeine combination products available in several strengths are
                    usually denoted No. 2 (15 mg codeine), No. 3 (30 mg codeine), and No. 4 (60 mg codeine). Prescribers should be aware of the possible danger of renal and hepatic injury with
                    acetaminophen, aspirin, and nonsteroidal anti-inflammatory drugs contained in these analgesic combinations.

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