Narcotic Analgesics For Pain Relief (Systemic)

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

# 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.