Ligament

Interventional Pain Management
Lifetime Donor
15+ Year Member
Jan 8, 2002
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Attending Physician
I don't think I've ever prescribed it. Anybody use it?
 

pastafan

Interventional Pain Physician
7+ Year Member
Nov 11, 2012
1,420
595
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Attending Physician
Intranasal stadol for RFA patient who had been detoxed from opioids. Works fine, high incidence of nightmares and some get headaches. IV stadol is excellent due to sedation and analgesia w/ minimal respiratory depression.
 

willabeast

7+ Year Member
Mar 7, 2011
1,416
309
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Attending Physician
Stadol is useful as a reversal agent when using large doses of opioids. It used to be marginally useful as a narcotic in a patient who has trouble swallowing pills, but was supplanted by opioid patches.
 
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Ducttape

SDN Lifetime Donor
Lifetime Donor
7+ Year Member
Oct 7, 2011
8,667
2,228
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Attending Physician
unlike the other partial agonist-antagonist buprenorphine, still carries risk of abuse, dependency. a lot more psychological concerns because of k-opioid receptor activity.

only really good use is probably IV, in the OB suite...
 

NJPAIN

7+ Year Member
Nov 28, 2011
1,742
724
New Jersey
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Attending Physician
I had to call the police once on a patient hooked on intranasal stadol for headache ( prescribed elsewhere). She sent her husband to wait for me in the parking lot to try to convince me to renew it for her. Not the first HA patient I met who was hooked on Stadol


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SeniorWrangler

7+ Year Member
Nov 9, 2010
939
543
Status
Attending Physician
I've only seen it used by older docs treating headaches with opioids and in L&D. No real role for it IMHO.
 
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