SlideShare une entreprise Scribd logo
1  sur  49
Opioids Joshua H. Pozner, M.D. Mount Sinai School of Medicine Department of Anesthesiology Division of Pain Medicine
Drug Scheduling ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Drug Scheduling ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Opioids ,[object Object],[object Object]
Endogenous Opioids ,[object Object],[object Object],[object Object]
Opioid Receptors ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Mu Receptor ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Kappa Receptor ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Delta Receptor ,[object Object],[object Object],[object Object],[object Object]
Opioid Variability ,[object Object],[object Object],[object Object],[object Object],[object Object]
Metabolism ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Metabolism ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Excretion ,[object Object],[object Object],[object Object],[object Object],[object Object]
Administration ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Administration Considerations ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Administration ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Administration ,[object Object],[object Object],[object Object],[object Object],[object Object]
Administration ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Adverse Effects ,[object Object],[object Object],[object Object],[object Object],[object Object]
Adverse Effects ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Adverse Effects ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Adverse Effects ,[object Object],[object Object],[object Object],[object Object]
Adverse Effects ,[object Object],[object Object],[object Object],[object Object],[object Object]
Adverse Effects ,[object Object],[object Object],[object Object],[object Object]
Adverse Effects ,[object Object],[object Object],[object Object],[object Object],[object Object]
Adverse Effects ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Adverse Effects ,[object Object],[object Object],[object Object],[object Object],[object Object]
Selected Opioids
Categorization ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Classes ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Classes ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],Morphine
Morphine ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Fentanyl ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Methadone ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Methadone ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Methadone ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Methadone ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Hydromorphone ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Oxycodone ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Hydrocodone ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Codeine ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Meperidine ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Tramadol ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Tramadol ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Partial Agonists ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Antagonists ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Abuse-Deterrent Formulations ,[object Object],[object Object],[object Object],[object Object],[object Object]
Equianalgesic Doses OPIOID ORAL EQUIANALGESIC DOSE (MG) Morphine 10 Meperidine 100 Oxycodone 7 Hydromorphone 2 Methadone 10-20 Oxymorphone 1.5 Butorphanol 2 Buprenorphine 0.3 Hydrocodone 10 Codeine 80 Tramadol 40

Contenu connexe

Tendances (20)

Opioid Agonists And Antagonists
Opioid Agonists And AntagonistsOpioid Agonists And Antagonists
Opioid Agonists And Antagonists
 
Opioid analgesics
Opioid analgesicsOpioid analgesics
Opioid analgesics
 
Opioids agonists and antagonists
Opioids agonists and antagonistsOpioids agonists and antagonists
Opioids agonists and antagonists
 
Opioid analgesics
Opioid analgesicsOpioid analgesics
Opioid analgesics
 
Opioids mgmc-1
Opioids mgmc-1Opioids mgmc-1
Opioids mgmc-1
 
Neuropathic Pain
Neuropathic PainNeuropathic Pain
Neuropathic Pain
 
Opioid analgesics
Opioid analgesicsOpioid analgesics
Opioid analgesics
 
Presentation opioids
Presentation opioidsPresentation opioids
Presentation opioids
 
Opioids Analgesics
Opioids AnalgesicsOpioids Analgesics
Opioids Analgesics
 
Opoids
Opoids Opoids
Opoids
 
Narcotic and Non Narcotic Analgesics
Narcotic and Non Narcotic AnalgesicsNarcotic and Non Narcotic Analgesics
Narcotic and Non Narcotic Analgesics
 
Opoid analgesics
Opoid analgesics Opoid analgesics
Opoid analgesics
 
Opioid analgesics- an introduction
Opioid analgesics- an introductionOpioid analgesics- an introduction
Opioid analgesics- an introduction
 
Test
TestTest
Test
 
Cns stimulants
Cns stimulantsCns stimulants
Cns stimulants
 
Opioids
OpioidsOpioids
Opioids
 
Presentation opoid
Presentation opoidPresentation opoid
Presentation opoid
 
Opioids
OpioidsOpioids
Opioids
 
Opioids analgeics, Opiod dependence
Opioids analgeics, Opiod dependenceOpioids analgeics, Opiod dependence
Opioids analgeics, Opiod dependence
 
Opioid Analgesics Antagonists.ppt
Opioid Analgesics Antagonists.pptOpioid Analgesics Antagonists.ppt
Opioid Analgesics Antagonists.ppt
 

En vedette

Morphine & fentanyl nida
Morphine & fentanyl nidaMorphine & fentanyl nida
Morphine & fentanyl nidaNida fatima
 
Anticoagulation and Neuraxial Techniques
Anticoagulation and Neuraxial TechniquesAnticoagulation and Neuraxial Techniques
Anticoagulation and Neuraxial Techniquesyury
 
Spinal anatomy and_intrathecal_drugs
Spinal anatomy and_intrathecal_drugsSpinal anatomy and_intrathecal_drugs
Spinal anatomy and_intrathecal_drugsTim M
 
Regional Blocks of the Upper Limb and Thorax RRT
Regional Blocks of the Upper Limb and Thorax RRTRegional Blocks of the Upper Limb and Thorax RRT
Regional Blocks of the Upper Limb and Thorax RRTRanjith Thampi
 
Massive transfusion protocol
Massive transfusion protocolMassive transfusion protocol
Massive transfusion protocolDR SHADAB KAMAL
 
Acute pain management
Acute pain managementAcute pain management
Acute pain managementAhmed-shedeed
 
Social Media In Health Care: FDA Limits Liquid Morphine
Social Media In Health Care: FDA Limits Liquid MorphineSocial Media In Health Care: FDA Limits Liquid Morphine
Social Media In Health Care: FDA Limits Liquid MorphineChristian Sinclair
 
Opiod analgesics Med Chem Lecture
Opiod analgesics Med Chem LectureOpiod analgesics Med Chem Lecture
Opiod analgesics Med Chem Lecturesagar joshi
 

En vedette (13)

Opioid analgesic
Opioid analgesicOpioid analgesic
Opioid analgesic
 
Morphine & fentanyl nida
Morphine & fentanyl nidaMorphine & fentanyl nida
Morphine & fentanyl nida
 
Anticoagulation and Neuraxial Techniques
Anticoagulation and Neuraxial TechniquesAnticoagulation and Neuraxial Techniques
Anticoagulation and Neuraxial Techniques
 
Spinal anatomy and_intrathecal_drugs
Spinal anatomy and_intrathecal_drugsSpinal anatomy and_intrathecal_drugs
Spinal anatomy and_intrathecal_drugs
 
Regional Blocks of the Upper Limb and Thorax RRT
Regional Blocks of the Upper Limb and Thorax RRTRegional Blocks of the Upper Limb and Thorax RRT
Regional Blocks of the Upper Limb and Thorax RRT
 
Massive transfusion protocol
Massive transfusion protocolMassive transfusion protocol
Massive transfusion protocol
 
Acute pain management
Acute pain managementAcute pain management
Acute pain management
 
Social Media In Health Care: FDA Limits Liquid Morphine
Social Media In Health Care: FDA Limits Liquid MorphineSocial Media In Health Care: FDA Limits Liquid Morphine
Social Media In Health Care: FDA Limits Liquid Morphine
 
Opiod analgesics Med Chem Lecture
Opiod analgesics Med Chem LectureOpiod analgesics Med Chem Lecture
Opiod analgesics Med Chem Lecture
 
Massive Blood Transfusion
Massive Blood TransfusionMassive Blood Transfusion
Massive Blood Transfusion
 
SAR of Morphine
SAR of MorphineSAR of Morphine
SAR of Morphine
 
OPIOID ANALGESICS
OPIOID ANALGESICSOPIOID ANALGESICS
OPIOID ANALGESICS
 
MORPHINE
MORPHINEMORPHINE
MORPHINE
 

Similaire à Opioid lecture

Faculty Presentation- Dr Sreedevi.pptx
Faculty Presentation- Dr Sreedevi.pptxFaculty Presentation- Dr Sreedevi.pptx
Faculty Presentation- Dr Sreedevi.pptxDhruv Saini
 
Faculty Presentation- Dr Sreedevi.pptx
Faculty Presentation- Dr Sreedevi.pptxFaculty Presentation- Dr Sreedevi.pptx
Faculty Presentation- Dr Sreedevi.pptxDhruv Saini
 
Introduction to psychopharmacology
Introduction to psychopharmacologyIntroduction to psychopharmacology
Introduction to psychopharmacologyguest173187
 
Introduction to psychopharmacology
Introduction to psychopharmacologyIntroduction to psychopharmacology
Introduction to psychopharmacology1davids1
 
Introduction to psychopharmacology
Introduction to psychopharmacologyIntroduction to psychopharmacology
Introduction to psychopharmacologyMD Specialclass
 
Introduction to psychopharmacology
Introduction to psychopharmacologyIntroduction to psychopharmacology
Introduction to psychopharmacologyguest173187
 
Opioid analgesics 2-prof azza
Opioid analgesics 2-prof azzaOpioid analgesics 2-prof azza
Opioid analgesics 2-prof azzaShimelis Mekit
 
narcotic and non narcotic analgesic .pptx
narcotic and non narcotic analgesic .pptxnarcotic and non narcotic analgesic .pptx
narcotic and non narcotic analgesic .pptxAbhishekGupta920331
 
Drugs Acting on Cholinergic System II
Drugs Acting on Cholinergic System IIDrugs Acting on Cholinergic System II
Drugs Acting on Cholinergic System IIPravin Prasad
 
Pharmacology of Antiemetics & Prokinetics.pptx
Pharmacology of Antiemetics & Prokinetics.pptxPharmacology of Antiemetics & Prokinetics.pptx
Pharmacology of Antiemetics & Prokinetics.pptxtadavifiroz
 
Drug Abuse PPT by nirav
Drug Abuse PPT by niravDrug Abuse PPT by nirav
Drug Abuse PPT by niravniravkd
 

Similaire à Opioid lecture (20)

Faculty Presentation- Dr Sreedevi.pptx
Faculty Presentation- Dr Sreedevi.pptxFaculty Presentation- Dr Sreedevi.pptx
Faculty Presentation- Dr Sreedevi.pptx
 
Faculty Presentation- Dr Sreedevi.pptx
Faculty Presentation- Dr Sreedevi.pptxFaculty Presentation- Dr Sreedevi.pptx
Faculty Presentation- Dr Sreedevi.pptx
 
Opioids.pptx
Opioids.pptxOpioids.pptx
Opioids.pptx
 
Class opiods
Class opiodsClass opiods
Class opiods
 
Opioid pain surgery2010
Opioid pain surgery2010Opioid pain surgery2010
Opioid pain surgery2010
 
Introduction to psychopharmacology
Introduction to psychopharmacologyIntroduction to psychopharmacology
Introduction to psychopharmacology
 
Introduction to psychopharmacology
Introduction to psychopharmacologyIntroduction to psychopharmacology
Introduction to psychopharmacology
 
Introduction to psychopharmacology
Introduction to psychopharmacologyIntroduction to psychopharmacology
Introduction to psychopharmacology
 
Introduction to psychopharmacology
Introduction to psychopharmacologyIntroduction to psychopharmacology
Introduction to psychopharmacology
 
Opioid analgesics 2-prof azza
Opioid analgesics 2-prof azzaOpioid analgesics 2-prof azza
Opioid analgesics 2-prof azza
 
Class antiemetics 3
Class antiemetics 3Class antiemetics 3
Class antiemetics 3
 
Opioids
OpioidsOpioids
Opioids
 
narcotic and non narcotic analgesic .pptx
narcotic and non narcotic analgesic .pptxnarcotic and non narcotic analgesic .pptx
narcotic and non narcotic analgesic .pptx
 
Drugs Acting on Cholinergic System II
Drugs Acting on Cholinergic System IIDrugs Acting on Cholinergic System II
Drugs Acting on Cholinergic System II
 
Antiemetic drugs
Antiemetic drugsAntiemetic drugs
Antiemetic drugs
 
Opioids
OpioidsOpioids
Opioids
 
Pharmacology of Antiemetics & Prokinetics.pptx
Pharmacology of Antiemetics & Prokinetics.pptxPharmacology of Antiemetics & Prokinetics.pptx
Pharmacology of Antiemetics & Prokinetics.pptx
 
Emetics and antiemetics
Emetics and antiemeticsEmetics and antiemetics
Emetics and antiemetics
 
Icu sedation
Icu sedationIcu sedation
Icu sedation
 
Drug Abuse PPT by nirav
Drug Abuse PPT by niravDrug Abuse PPT by nirav
Drug Abuse PPT by nirav
 

Plus de yury

Low back pain neuro exam
Low back pain neuro examLow back pain neuro exam
Low back pain neuro examyury
 
Kyphoplasty
KyphoplastyKyphoplasty
Kyphoplastyyury
 
Urine Toxicology Testing
Urine Toxicology TestingUrine Toxicology Testing
Urine Toxicology Testingyury
 
Neuropathic agents
Neuropathic agentsNeuropathic agents
Neuropathic agentsyury
 
Management of neck pain
Management of neck painManagement of neck pain
Management of neck painyury
 
E&M
E&ME&M
E&Myury
 
Basics of acute and chronic pain medicine for the Otolaryngologist (ENT)
Basics of acute and chronic pain medicine for the Otolaryngologist (ENT)Basics of acute and chronic pain medicine for the Otolaryngologist (ENT)
Basics of acute and chronic pain medicine for the Otolaryngologist (ENT)yury
 
Trigeminal neuralgia
Trigeminal neuralgiaTrigeminal neuralgia
Trigeminal neuralgiayury
 
Intradiscal procedures
Intradiscal proceduresIntradiscal procedures
Intradiscal proceduresyury
 
Rational use of opioids in anesthesiology
Rational use of opioids in anesthesiologyRational use of opioids in anesthesiology
Rational use of opioids in anesthesiologyyury
 
Aba asa opioids
Aba asa opioidsAba asa opioids
Aba asa opioidsyury
 
CRPS
CRPSCRPS
CRPSyury
 
Pain medicine cases
Pain medicine casesPain medicine cases
Pain medicine casesyury
 
Pediatric Neuraxial Anesthesia and Postoperative Pain Management
Pediatric Neuraxial Anesthesia and Postoperative Pain ManagementPediatric Neuraxial Anesthesia and Postoperative Pain Management
Pediatric Neuraxial Anesthesia and Postoperative Pain Managementyury
 
Spinal Cord Stimulation Primer
Spinal Cord Stimulation PrimerSpinal Cord Stimulation Primer
Spinal Cord Stimulation Primeryury
 
Comprehensive it pump
Comprehensive it pumpComprehensive it pump
Comprehensive it pumpyury
 
Placebo & pain
Placebo & painPlacebo & pain
Placebo & painyury
 
Pediatric Pain Management
Pediatric Pain ManagementPediatric Pain Management
Pediatric Pain Managementyury
 
Post herpetic neuralgia
Post herpetic neuralgiaPost herpetic neuralgia
Post herpetic neuralgiayury
 
Neuropathic pain revised 2010
Neuropathic pain revised 2010Neuropathic pain revised 2010
Neuropathic pain revised 2010yury
 

Plus de yury (20)

Low back pain neuro exam
Low back pain neuro examLow back pain neuro exam
Low back pain neuro exam
 
Kyphoplasty
KyphoplastyKyphoplasty
Kyphoplasty
 
Urine Toxicology Testing
Urine Toxicology TestingUrine Toxicology Testing
Urine Toxicology Testing
 
Neuropathic agents
Neuropathic agentsNeuropathic agents
Neuropathic agents
 
Management of neck pain
Management of neck painManagement of neck pain
Management of neck pain
 
E&M
E&ME&M
E&M
 
Basics of acute and chronic pain medicine for the Otolaryngologist (ENT)
Basics of acute and chronic pain medicine for the Otolaryngologist (ENT)Basics of acute and chronic pain medicine for the Otolaryngologist (ENT)
Basics of acute and chronic pain medicine for the Otolaryngologist (ENT)
 
Trigeminal neuralgia
Trigeminal neuralgiaTrigeminal neuralgia
Trigeminal neuralgia
 
Intradiscal procedures
Intradiscal proceduresIntradiscal procedures
Intradiscal procedures
 
Rational use of opioids in anesthesiology
Rational use of opioids in anesthesiologyRational use of opioids in anesthesiology
Rational use of opioids in anesthesiology
 
Aba asa opioids
Aba asa opioidsAba asa opioids
Aba asa opioids
 
CRPS
CRPSCRPS
CRPS
 
Pain medicine cases
Pain medicine casesPain medicine cases
Pain medicine cases
 
Pediatric Neuraxial Anesthesia and Postoperative Pain Management
Pediatric Neuraxial Anesthesia and Postoperative Pain ManagementPediatric Neuraxial Anesthesia and Postoperative Pain Management
Pediatric Neuraxial Anesthesia and Postoperative Pain Management
 
Spinal Cord Stimulation Primer
Spinal Cord Stimulation PrimerSpinal Cord Stimulation Primer
Spinal Cord Stimulation Primer
 
Comprehensive it pump
Comprehensive it pumpComprehensive it pump
Comprehensive it pump
 
Placebo & pain
Placebo & painPlacebo & pain
Placebo & pain
 
Pediatric Pain Management
Pediatric Pain ManagementPediatric Pain Management
Pediatric Pain Management
 
Post herpetic neuralgia
Post herpetic neuralgiaPost herpetic neuralgia
Post herpetic neuralgia
 
Neuropathic pain revised 2010
Neuropathic pain revised 2010Neuropathic pain revised 2010
Neuropathic pain revised 2010
 

Dernier

Call Girls Jp Nagar Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Jp Nagar Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls Jp Nagar Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Jp Nagar Just Call 7001305949 Top Class Call Girl Service Availablenarwatsonia7
 
Glomerular Filtration rate and its determinants.pptx
Glomerular Filtration rate and its determinants.pptxGlomerular Filtration rate and its determinants.pptx
Glomerular Filtration rate and its determinants.pptxDr.Nusrat Tariq
 
Call Girls Electronic City Just Call 7001305949 Top Class Call Girl Service A...
Call Girls Electronic City Just Call 7001305949 Top Class Call Girl Service A...Call Girls Electronic City Just Call 7001305949 Top Class Call Girl Service A...
Call Girls Electronic City Just Call 7001305949 Top Class Call Girl Service A...narwatsonia7
 
VIP Call Girls Mumbai Arpita 9910780858 Independent Escort Service Mumbai
VIP Call Girls Mumbai Arpita 9910780858 Independent Escort Service MumbaiVIP Call Girls Mumbai Arpita 9910780858 Independent Escort Service Mumbai
VIP Call Girls Mumbai Arpita 9910780858 Independent Escort Service Mumbaisonalikaur4
 
Housewife Call Girls Hsr Layout - Call 7001305949 Rs-3500 with A/C Room Cash ...
Housewife Call Girls Hsr Layout - Call 7001305949 Rs-3500 with A/C Room Cash ...Housewife Call Girls Hsr Layout - Call 7001305949 Rs-3500 with A/C Room Cash ...
Housewife Call Girls Hsr Layout - Call 7001305949 Rs-3500 with A/C Room Cash ...narwatsonia7
 
College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...
College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...
College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...Miss joya
 
Low Rate Call Girls Pune Esha 9907093804 Short 1500 Night 6000 Best call girl...
Low Rate Call Girls Pune Esha 9907093804 Short 1500 Night 6000 Best call girl...Low Rate Call Girls Pune Esha 9907093804 Short 1500 Night 6000 Best call girl...
Low Rate Call Girls Pune Esha 9907093804 Short 1500 Night 6000 Best call girl...Miss joya
 
Call Girl Service Bidadi - For 7001305949 Cheap & Best with original Photos
Call Girl Service Bidadi - For 7001305949 Cheap & Best with original PhotosCall Girl Service Bidadi - For 7001305949 Cheap & Best with original Photos
Call Girl Service Bidadi - For 7001305949 Cheap & Best with original Photosnarwatsonia7
 
Call Girls In Andheri East Call 9920874524 Book Hot And Sexy Girls
Call Girls In Andheri East Call 9920874524 Book Hot And Sexy GirlsCall Girls In Andheri East Call 9920874524 Book Hot And Sexy Girls
Call Girls In Andheri East Call 9920874524 Book Hot And Sexy Girlsnehamumbai
 
College Call Girls Vyasarpadi Whatsapp 7001305949 Independent Escort Service
College Call Girls Vyasarpadi Whatsapp 7001305949 Independent Escort ServiceCollege Call Girls Vyasarpadi Whatsapp 7001305949 Independent Escort Service
College Call Girls Vyasarpadi Whatsapp 7001305949 Independent Escort ServiceNehru place Escorts
 
Call Girls Service Nandiambakkam | 7001305949 At Low Cost Cash Payment Booking
Call Girls Service Nandiambakkam | 7001305949 At Low Cost Cash Payment BookingCall Girls Service Nandiambakkam | 7001305949 At Low Cost Cash Payment Booking
Call Girls Service Nandiambakkam | 7001305949 At Low Cost Cash Payment BookingNehru place Escorts
 
Russian Call Girl Brookfield - 7001305949 Escorts Service 50% Off with Cash O...
Russian Call Girl Brookfield - 7001305949 Escorts Service 50% Off with Cash O...Russian Call Girl Brookfield - 7001305949 Escorts Service 50% Off with Cash O...
Russian Call Girl Brookfield - 7001305949 Escorts Service 50% Off with Cash O...narwatsonia7
 
Call Girls Hsr Layout Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Hsr Layout Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls Hsr Layout Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Hsr Layout Just Call 7001305949 Top Class Call Girl Service Availablenarwatsonia7
 
Call Girl Lucknow Mallika 7001305949 Independent Escort Service Lucknow
Call Girl Lucknow Mallika 7001305949 Independent Escort Service LucknowCall Girl Lucknow Mallika 7001305949 Independent Escort Service Lucknow
Call Girl Lucknow Mallika 7001305949 Independent Escort Service Lucknownarwatsonia7
 
Call Girls Service In Shyam Nagar Whatsapp 8445551418 Independent Escort Service
Call Girls Service In Shyam Nagar Whatsapp 8445551418 Independent Escort ServiceCall Girls Service In Shyam Nagar Whatsapp 8445551418 Independent Escort Service
Call Girls Service In Shyam Nagar Whatsapp 8445551418 Independent Escort Serviceparulsinha
 
See the 2,456 pharmacies on the National E-Pharmacy Platform
See the 2,456 pharmacies on the National E-Pharmacy PlatformSee the 2,456 pharmacies on the National E-Pharmacy Platform
See the 2,456 pharmacies on the National E-Pharmacy PlatformKweku Zurek
 
Russian Call Girls in Pune Riya 9907093804 Short 1500 Night 6000 Best call gi...
Russian Call Girls in Pune Riya 9907093804 Short 1500 Night 6000 Best call gi...Russian Call Girls in Pune Riya 9907093804 Short 1500 Night 6000 Best call gi...
Russian Call Girls in Pune Riya 9907093804 Short 1500 Night 6000 Best call gi...Miss joya
 
Book Call Girls in Kasavanahalli - 7001305949 with real photos and phone numbers
Book Call Girls in Kasavanahalli - 7001305949 with real photos and phone numbersBook Call Girls in Kasavanahalli - 7001305949 with real photos and phone numbers
Book Call Girls in Kasavanahalli - 7001305949 with real photos and phone numbersnarwatsonia7
 
Mumbai Call Girls Service 9910780858 Real Russian Girls Looking Models
Mumbai Call Girls Service 9910780858 Real Russian Girls Looking ModelsMumbai Call Girls Service 9910780858 Real Russian Girls Looking Models
Mumbai Call Girls Service 9910780858 Real Russian Girls Looking Modelssonalikaur4
 

Dernier (20)

Call Girls Jp Nagar Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Jp Nagar Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls Jp Nagar Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Jp Nagar Just Call 7001305949 Top Class Call Girl Service Available
 
sauth delhi call girls in Bhajanpura 🔝 9953056974 🔝 escort Service
sauth delhi call girls in Bhajanpura 🔝 9953056974 🔝 escort Servicesauth delhi call girls in Bhajanpura 🔝 9953056974 🔝 escort Service
sauth delhi call girls in Bhajanpura 🔝 9953056974 🔝 escort Service
 
Glomerular Filtration rate and its determinants.pptx
Glomerular Filtration rate and its determinants.pptxGlomerular Filtration rate and its determinants.pptx
Glomerular Filtration rate and its determinants.pptx
 
Call Girls Electronic City Just Call 7001305949 Top Class Call Girl Service A...
Call Girls Electronic City Just Call 7001305949 Top Class Call Girl Service A...Call Girls Electronic City Just Call 7001305949 Top Class Call Girl Service A...
Call Girls Electronic City Just Call 7001305949 Top Class Call Girl Service A...
 
VIP Call Girls Mumbai Arpita 9910780858 Independent Escort Service Mumbai
VIP Call Girls Mumbai Arpita 9910780858 Independent Escort Service MumbaiVIP Call Girls Mumbai Arpita 9910780858 Independent Escort Service Mumbai
VIP Call Girls Mumbai Arpita 9910780858 Independent Escort Service Mumbai
 
Housewife Call Girls Hsr Layout - Call 7001305949 Rs-3500 with A/C Room Cash ...
Housewife Call Girls Hsr Layout - Call 7001305949 Rs-3500 with A/C Room Cash ...Housewife Call Girls Hsr Layout - Call 7001305949 Rs-3500 with A/C Room Cash ...
Housewife Call Girls Hsr Layout - Call 7001305949 Rs-3500 with A/C Room Cash ...
 
College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...
College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...
College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...
 
Low Rate Call Girls Pune Esha 9907093804 Short 1500 Night 6000 Best call girl...
Low Rate Call Girls Pune Esha 9907093804 Short 1500 Night 6000 Best call girl...Low Rate Call Girls Pune Esha 9907093804 Short 1500 Night 6000 Best call girl...
Low Rate Call Girls Pune Esha 9907093804 Short 1500 Night 6000 Best call girl...
 
Call Girl Service Bidadi - For 7001305949 Cheap & Best with original Photos
Call Girl Service Bidadi - For 7001305949 Cheap & Best with original PhotosCall Girl Service Bidadi - For 7001305949 Cheap & Best with original Photos
Call Girl Service Bidadi - For 7001305949 Cheap & Best with original Photos
 
Call Girls In Andheri East Call 9920874524 Book Hot And Sexy Girls
Call Girls In Andheri East Call 9920874524 Book Hot And Sexy GirlsCall Girls In Andheri East Call 9920874524 Book Hot And Sexy Girls
Call Girls In Andheri East Call 9920874524 Book Hot And Sexy Girls
 
College Call Girls Vyasarpadi Whatsapp 7001305949 Independent Escort Service
College Call Girls Vyasarpadi Whatsapp 7001305949 Independent Escort ServiceCollege Call Girls Vyasarpadi Whatsapp 7001305949 Independent Escort Service
College Call Girls Vyasarpadi Whatsapp 7001305949 Independent Escort Service
 
Call Girls Service Nandiambakkam | 7001305949 At Low Cost Cash Payment Booking
Call Girls Service Nandiambakkam | 7001305949 At Low Cost Cash Payment BookingCall Girls Service Nandiambakkam | 7001305949 At Low Cost Cash Payment Booking
Call Girls Service Nandiambakkam | 7001305949 At Low Cost Cash Payment Booking
 
Russian Call Girl Brookfield - 7001305949 Escorts Service 50% Off with Cash O...
Russian Call Girl Brookfield - 7001305949 Escorts Service 50% Off with Cash O...Russian Call Girl Brookfield - 7001305949 Escorts Service 50% Off with Cash O...
Russian Call Girl Brookfield - 7001305949 Escorts Service 50% Off with Cash O...
 
Call Girls Hsr Layout Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Hsr Layout Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls Hsr Layout Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Hsr Layout Just Call 7001305949 Top Class Call Girl Service Available
 
Call Girl Lucknow Mallika 7001305949 Independent Escort Service Lucknow
Call Girl Lucknow Mallika 7001305949 Independent Escort Service LucknowCall Girl Lucknow Mallika 7001305949 Independent Escort Service Lucknow
Call Girl Lucknow Mallika 7001305949 Independent Escort Service Lucknow
 
Call Girls Service In Shyam Nagar Whatsapp 8445551418 Independent Escort Service
Call Girls Service In Shyam Nagar Whatsapp 8445551418 Independent Escort ServiceCall Girls Service In Shyam Nagar Whatsapp 8445551418 Independent Escort Service
Call Girls Service In Shyam Nagar Whatsapp 8445551418 Independent Escort Service
 
See the 2,456 pharmacies on the National E-Pharmacy Platform
See the 2,456 pharmacies on the National E-Pharmacy PlatformSee the 2,456 pharmacies on the National E-Pharmacy Platform
See the 2,456 pharmacies on the National E-Pharmacy Platform
 
Russian Call Girls in Pune Riya 9907093804 Short 1500 Night 6000 Best call gi...
Russian Call Girls in Pune Riya 9907093804 Short 1500 Night 6000 Best call gi...Russian Call Girls in Pune Riya 9907093804 Short 1500 Night 6000 Best call gi...
Russian Call Girls in Pune Riya 9907093804 Short 1500 Night 6000 Best call gi...
 
Book Call Girls in Kasavanahalli - 7001305949 with real photos and phone numbers
Book Call Girls in Kasavanahalli - 7001305949 with real photos and phone numbersBook Call Girls in Kasavanahalli - 7001305949 with real photos and phone numbers
Book Call Girls in Kasavanahalli - 7001305949 with real photos and phone numbers
 
Mumbai Call Girls Service 9910780858 Real Russian Girls Looking Models
Mumbai Call Girls Service 9910780858 Real Russian Girls Looking ModelsMumbai Call Girls Service 9910780858 Real Russian Girls Looking Models
Mumbai Call Girls Service 9910780858 Real Russian Girls Looking Models
 

Opioid lecture

  • 1. Opioids Joshua H. Pozner, M.D. Mount Sinai School of Medicine Department of Anesthesiology Division of Pain Medicine
  • 2.
  • 3.
  • 4.
  • 5.
  • 6.
  • 7.
  • 8.
  • 9.
  • 10.
  • 11.
  • 12.
  • 13.
  • 14.
  • 15.
  • 16.
  • 17.
  • 18.
  • 19.
  • 20.
  • 21.
  • 22.
  • 23.
  • 24.
  • 25.
  • 26.
  • 27.
  • 29.
  • 30.
  • 31.
  • 32.
  • 33.
  • 34.
  • 35.
  • 36.
  • 37.
  • 38.
  • 39.
  • 40.
  • 41.
  • 42.
  • 43.
  • 44.
  • 45.
  • 46.
  • 47.
  • 48.
  • 49. Equianalgesic Doses OPIOID ORAL EQUIANALGESIC DOSE (MG) Morphine 10 Meperidine 100 Oxycodone 7 Hydromorphone 2 Methadone 10-20 Oxymorphone 1.5 Butorphanol 2 Buprenorphine 0.3 Hydrocodone 10 Codeine 80 Tramadol 40