APACHE3 said:
Ok, IM intern here..needs some advice. When considering Step 2 analgesics for patients, how would you rank weaker to stronger meds? ie Tylenol #3, percoset, lortab, oxycontin, others?? barring allergies, should I start with T#3 then move on to which one is stronger? Dumb question, sorry
Tylenol #3 has codeine, acetaminophen, and caffeine. Kind of a trash drug.
Percocet and oxycontin have the same opiod,
oxycodone ....
....percocet (and Tylox)= oxycodone + acetaminophen....very versatile drug with good analgetic properties that you could use as the staple of your pain armamentarium for fractures, minor-moderate burns, post operatively for open appy upon discharge, etc. Percocet is generic, ubiquitous (so patients wont have trouble getting it at a drugstore)...used to be my favorite when writing scripts for stuff in the ER.
...oxycontin=
sustained release oxycodone. Very powerful with high abuse potential but indicated for severe stuff like cancer pain, etc.
percocet has tylenol in it, as does tylox (percodan has aspirin) which somewhat limit's its abuse potential. Oxycontin is pure oxycodone, hence its high abuse potential. Keep this in mind if you prescribe oxycontin.
............................
Vicodin and Lortab contain
hydrocodone and acetaminophen as well.
effective about the same as percocet.
SO,
Oxycontin
> percocet/percodan/vicodin/lortab
> tylenol#3.
Pick one of the drugs in the middle for most pain. Avoid percodan for someone who cant take aspirin. The rest in the middle contain acetaminophen which is safe in most people.
Good luck.