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You are here : Healthopedia.com > Drugs & Medications > Detailed Drug Information (USP DI) > Narcotic Analgesics For Pain Relief

Narcotic Analgesics For Pain Relief (Systemic)

Description and Brand Names | Before Using | Proper Use | Precautions | Side Effects | Additional Information


Category
  • Analgesic—Anileridine; Buprenorphine; Butorphanol; Codeine; Hydrocodone; Hydromorphone; Levorphanol; Meperidine; Methadone; Morphine; Nalbuphine; Opium Injection; Oxycodone; Oxymorphone; Pentazocine; Propoxyphene
  • Anesthesia adjunct—Anileridine; Buprenorphine
  • Anesthesia adjunct, opioid analgesic—Butorphanol; Hydromorphone; Levorphanol; Meperidine; Morphine; Nalbuphine; Oxymorphone; Pentazocine
  • Antidiarrheal—Codeine; Morphine
  • Antitussive—Codeine; Hydrocodone; Hydromorphone; Methadone; Morphine
  • Pulmonary edema therapy adjunct—Morphine
  • Suppressant, narcotic abstinence syndrome—Methadone
Description

Narcotic (nar-KOT-ik) analgesics (an-al-JEE-zicks) are used to relieve pain. Some of these medicines are also used just before or during an operation to help the anesthetic work better. Codeine and hydrocodone are also used to relieve coughing. Methadone is also used to help some people control their dependence on heroin or other narcotics. Narcotic analgesics may also be used for other conditions as determined by your doctor.

Narcotic analgesics act in the central nervous system (CNS) to relieve pain. Some of their side effects are also caused by actions in the CNS.

If a narcotic is used for a long time, it may become habit-forming (causing mental or physical dependence). Physical dependence may lead to withdrawal side effects when you stop taking the medicine.

These medicines are available only with your medical doctor's or dentist's prescription. For some of them, prescriptions cannot be refilled and you must obtain a new prescription from your medical doctor or dentist each time you need the medicine. In addition, other rules and regulations may apply when methadone is used to treat narcotic dependence.

These medicines are available in the following dosage forms:

    Oral
  • Anileridine
    • Tablets (Canada)
  • Codeine
    • Oral solution (U.S. and Canada)
    • Tablets (U.S. and Canada)
  • Hydrocodone
    • Syrup (Canada)
    • Tablets (Canada)
  • Hydromorphone
    • Oral solution (U.S. and Canada)
    • Tablets (U.S. and Canada)
  • Levorphanol
    • Tablets (U.S. and Canada)
  • Meperidine
    • Syrup (U.S.)
    • Tablets (U.S. and Canada)
  • Methadone
    • Oral concentrate (U.S.)
    • Oral solution (U.S.)
    • Tablets (U.S.)
    • Dispersible tablets (U.S.)
  • Morphine
    • Capsules (U.S.)
    • Extended-release capsules (U.S. and Canada)
    • Oral solution (U.S. and Canada)
    • Syrup (Canada)
    • Tablets (U.S. and Canada)
    • Extended-release tablets (U.S. and Canada)
  • Oxycodone
    • Oral solution (U.S.)
    • Tablets (U.S. and Canada)
    • Extended-release tablets (U.S. and Canada)
  • Pentazocine
    • Tablets (Canada)
  • Pentazocine and Naloxone
    • Tablets (U.S.)
  • Propoxyphene
    • Capsules (U.S. and Canada)
    • Oral suspension (U.S.)
    • Tablets (U.S. and Canada)
    Parenteral
  • Buprenorphine
    • Injection (U.S.)
  • Butorphanol
    • Injection (U.S.)
  • Codeine
    • Injection (U.S. and Canada)
  • Hydromorphone
    • Injection (U.S. and Canada)
  • Levorphanol
    • Injection (U.S. and Canada)
  • Meperidine
    • Injection (U.S. and Canada)
  • Methadone
    • Injection (U.S.)
  • Morphine
    • Injection (U.S. and Canada)
  • Nalbuphine
    • Injection (U.S. and Canada)
  • Opium
    • Injection (Canada)
  • Oxymorphone
    • Injection (U.S. and Canada)
  • Pentazocine
    • Injection (U.S. and Canada)
    Rectal
  • Hydromorphone
    • Suppositories (U.S. and Canada)
  • Morphine
    • Suppositories (U.S. and Canada)
  • Oxycodone
    • Suppositories (Canada)
  • Oxymorphone
    • Suppositories (U.S. and Canada)

Brand Names

Some commonly used brand names are:

In the U.S.—

  • Astramorph PF 10
  • Buprenex 2
  • Cotanal-65 16
  • Darvon 16
  • Darvon-N 16
  • Demerol 8
  • Dilaudid 6
  • Dilaudid-5 6
  • Dilaudid-HP 6
  • Dolophine 9
  • Duramorph 10
  • Hydrostat IR 6
  • Kadian 10
  • Levo-Dromoran 7
  • Methadose 9
  • M S Contin 10
  • MSIR 10
  • MS/L 10
  • MS/L Concentrate 10
  • MS/S 10
  • Nubain 11
  • Numorphan 14
  • OMS Concentrate 10
  • Oramorph SR 10
  • OxyContin 13
  • PP-Cap 16
  • Rescudose 10
  • RMS Uniserts 10
  • Roxanol 10
  • Roxanol 100 10
  • Roxanol UD 10
  • Roxicodone 13
  • Roxicodone Intensol 13
  • Stadol 3
  • Talwin 15
  • Talwin-Nx 15

In Canada—

  • Darvon-N 16
  • Demerol 8
  • Dilaudid 6
  • Dilaudid-HP 6
  • Epimorph 10
  • Hycodan # 5
  • Kadian 10
  • Leritine 1
  • Levo-Dromoran 7
  • M-Eslon 10
  • Morphine Extra-Forte 10
  • Morphine Forte 10
  • Morphine H.P. 10
  • Morphitec 10
  • M.O.S. 10
  • M.O.S.-S.R. 10
  • M S Contin 10
  • MS[dot ]IR 10
  • Nubain 11
  • Numorphan 14
  • Oramorph SR 10
  • OxyContin 13
  • Pantopon 12
  • Paveral 4
  • PMS-Hydromorphone 6
  • PMS-Hydromorphone Syrup 6
  • Robidone 5
  • 642 16
  • Statex 10
  • Statex Drops 10
  • Supeudol 13
  • Talwin 15

Other commonly used names are: dextropropoxyphene dihydromorphinone levorphan papaveretum pethidine

Note:

For quick reference, the following narcotic analgesics are numbered to match the corresponding brand names.

# For Canadian product only. In the U.S., Hycodan also contains homatropine; in Canada, Hycodan contains only hydrocodone.

** In Canada, methadone is available onlythrough doctors who have received special approval to prescribe it for treatingdrug addicts.

This information applies to the following medicines:
1. Anileridine (an-i-LER-i-deen))*
2. Buprenorphine (byoo-pre-NOR-feen)
3. Butorphanol (byoo-TOR-fa-nole)†
4. Codeine (KOE-deen)‡§
5. Hydrocodone (hye-droe-KOE-done)*
6. Hydromorphone (hye-droe-MOR-fone)‡
7. Levorphanol (lee-VOR-fa-nole)‡
8. Meperidine (me-PER-i-deen)‡§
9. Methadone (METH-a-done) **‡
10. Morphine (MOR-feen)‡§
11. Nalbuphine (NAL-byoo-feen)‡
12. Opium Injection (OH-pee-um)*
13. Oxycodone (ox-i-KOE-done)
14. Oxymorphone (ox-i-MOR-fone)
15. Pentazocine (pen-TAZ-oh-seen)
16. Propoxyphene (proe-POX-i-feen)‡

This information does not apply to Opium Tinctureor Paregoric.
* Not commercially available in the U.S.
† Not commercially available in Canada
‡ Generic name product may be available in the U.S.
§ Generic name product may be available in Canada

   

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Narcotic Analgesics For Pain Relief: Before Using

Date Revised: 09/07/2001






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Page Last Updated: 30th May, 2006