Doctor insights on:
Drugs Vs Narcotics
Drugs derived from: the opium or poppy plant are officially opiates, and these include morphine, codeine, and papaverine, and semi-synthetics such as dihydrocodeine, hydrocodone, hydromorphone, oxymorphone, hydromorphone and several others. "Opioids" are drugs that also act on the opiate receptors but are chemically different - methadone, fentanyl, demerol, (meperidine hydrochloride) darvon and many others. Endorphins/enkephalins are opioids. ...Read more
A natural or synthetic alkaloid compound that has morphine-like qualities. Other examples are codeine, heroin, Meperidine (demerol). They are classified based on their intrinsic activity & where they interact in the central nervous system. They are involved in pain transmission ...Read more
Which of these is most effetive> Oxycontin vs. fentanyl patches vs. methadone vs. nucynta (tapentadol)?
An impossible ?: All opioid drugs, when given in equivalent doses, are equally effective in most people. Some may be more effective in some people for some kinds of pain, and some may be better tolerated than others in some people. Depends on the kind of pain, the dose given, and the specific biology of the person. Methadone and Nucynta (tapentadol) may be more effective against neuropathy pain than the others in some people. ...Read more
Better for what???: Opioids may be all that a person needs for acute pain (broken bone, sprained ankle) but is NEVER the primary treatment of ANY chronic pain. Each of these drugs has a different half-life, side effect and safety profile, and some are better for some people, and some are more dangerous in some people. Methadone is the most dangerous, particularly when given by doctors with less experience using it. ...Read more
?better: I would have to ask "better for what purpose"? ...Read more
I'm immune to the hydromorphone actions, but not other opioids such as demerol (meperidine hydrochloride) (meperidine) or morphine?
Sounds confusing: In that hydromorphone is metabolized into morphine, and that is the effective agent in our bodies. There are people who may lack the enzymes to metabolize certain drugs, and this has been reported in some people with codeine, where the enzyme that metabolizes it to morphine is absent. It is possible you have something similar. Sometimes it is that you have not gotten the right dose by right route. ...Read more
Opioids: Both are opioids so side effects would be very similar. The fentanyl patch is on the skin, the Dilaudid is IV so it is uncomfortable, requires venopuncture, or for chronic use a devise like a pouch under the skin on the chest which adds more side effects and complications. ...Read moreSee 2 more doctor answers
Very different: Benzodiazepines bzd develop tolerance and can be addictive. Antidepressants ad are not. All bzd effect gaba and are different only in half life and onset of action are used for anxiety or insomnia short term. Ad can help anxiety or insomnia as well as depression on a longer term basis by several different mechnisms effecting serotonin, norepinephrine, and/or Dopamine in various ways. ...Read more
Only on the Streets: Hydrocodone is a bona fide drug used in pain management in legitimate medical settings. However, it is a controlled substance because of its propensity to be habituating and thus abused for its narcotic effect. It is an illicit drug if its use by a specific user is not backed by a legitimate prescription and its acquisition is not from a legitimate pharmacy. ...Read moreSee 1 more doctor answer
No such thing: It is not what is most effective, it is what is best for you. I am sure your doctor will choose the safest type of opioid to treat your pain and see how you respond. If you do not respond, then he/she may try a different opioid. The most important thing is to find out what is causing a pain bad enough to require and opioid. ...Read moreSee 1 more doctor answer
Other opioids: Even Vicodin, which was considered less addictive, has been moved up to Schedule II because of it's addictive properties. Some people even abuse codeine, but less often. Pretty much any narcotic medication has the potential for addiction in the same way Percocet does. Addiction is not the same as tolerance which is a normal, expected physiological response. ...Read more
If by illegal: you mean "bootleg" drugs manufactured illegally (e.g., methamphetamine), the difference is a prescription drug is made under govt regulation to insure purity and quality. Illegal drugs have no quality control, may contain toxins, are probably of poor quality and purity, and may not be the drug claimed by the dealer. Using them is a roll of the dice with your life. ...Read more
Tough 2 decide!: What an interesting question! Hard to say, steroids cause shrunken testicles, enlarged prostate, breast development, erectile dysfunction, reduced sperm count, severe acne, high blood pressure and strokes. Hallucinogens like LSD cause psychosis, flashbacks, schizophrenia, depression. Club drugs could be a lot of things, sudden death from arrhythmia is reported with several. All are dangerous! ...Read moreSee 1 more doctor answer
Hashish: Hashish is a cannabis-derived resin product that exhibits the same effects as marijuana. It is a schedule i controlled substance whose non-research use is illegal under federal law. Like other cannabis products, it exhibits depressant, stimulant and hallucinogenic effects, with its most dominant effect being hallucinogenic. Note: - substance abuse of any kind is ill advisable. Good luck! ...Read more
Yes: Meperidine, or demerol, (meperidine hydrochloride) is a very addictive opiate. The opiate also forms a significant physiologic dependence in patients if used for extended periods. Addiction is a biopsychosocial disease with a genetic predisposition. Dependency is a physiologic dependence on a medication. Demerol (meperidine hydrochloride) or Meperidine may cause both. ...Read more
The kitchen sink: Suppose you mean from opiates/narcotics...Clonidine, ssri's, snri's, tca's, antiepileptics, antispasmodics, non-steroidals, non-bzd and rarely bzd sesative-hypnotics, atypical antipsychotics, vitamins and homeopathic remedies can all be tried. Some try low dose naltrexone. But medications alone are not the answer. Its a war, you send in all the branches. Medication is just one of them. ...Read moreSee 1 more doctor answer
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