Post on 13-Apr-2017
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What is Roxicodone (Roxycodone)?
Roxicodone (Roxycodone) is a narcotic pain reliever. It works by dulling the pain perception center in the brain. It may also affect other body systems (eg, respiratory and circulatory systems) at higher doses.
Roxicodone (Roxycodone) is used to treat moderate to severe pain. It may be used before surgery to sedate the patient and reduce fear. Roxicodone (Roxycodone) is not for treating pain just after a surgery unless you were already taking Roxicodone (Roxycodone) before the surgery. It may also be used for other conditions as determined by your doctor.
The usual adult dose of Roxicodone (Roxycodone) is 10 to 30 mg every 4 hours as needed for pain. The dose must be individually adjusted according to severity of pain, patient response and patient size. More severe pain may require 30 mg or more every 4 hours. If the pain increases in severity, analgesia is not adequate or tolerance occurs, a gradual increase in Roxicodone (Roxycodone) dosage may be required.
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Diacetylmorphine HeroinHydromorphone DilaudidMeperidine DemerolHydrocodone Lortab, VicodinOxycodone OxyContin,Roxycodone Percodan, Percocet
Commonly Abused Opioids
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Oxycodone: OxyIR, RoxycodoneAcute pain 4-6 hrs duration of actionTabs, caps, liquid
Oxycodone CR: OxycontinChronic pain; already tolerant to opioids12 hrs duration of actionNot for prn useTablets only
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Prescription Abusing Populations
• Prescription drug abusers– Youths, elderly, women, minorities
• Pain patients who abuse opiate medication• Users with comorbid psychiatric conditions• Substance abusers– Prescription drugs only – Prescription drugs plus other substances such
as heroin (polydrug abusers)
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Women and Prescription Drug Abuse• 4 million women abuse prescription
drugs• Among 12-17 year olds female surpass
males in use of cigarettes, cocaine, inhalants and prescription drugs
• Women account for 60% of ER visits for prescription drug abuse
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From Pain Relief to Addiction: Role of the Opiates• Relieve pain• Relieve pain and suffering• Relieve suffering and misery• Make you feel better • Make you feel good• Make you “high”
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Drug-seeking or increased requests for pain medication
Detailed pain work-up pathology/pain of new source
No new pain pathology
opioid dose
Improved functioningAbsence of toxicity
pseudoaddictiontherapeutic dependence
Unimproved functioningPresence of toxicity
Addictive disease
Is the pain patient addicted?(“Drug-seeking” Addiction)