What Parenteral Opioids to Use in Face of Shortages of Morphine, Hydromorphone, and Fentanyl.

Mellar P DavisMary Lynn McPhersonZankhana MehtaBertrand BehmCarlos Fernandez

Published in: The American journal of hospice & palliative care (2018)

Parenteral potent opioid availability is becoming an issue in acute pain management. Two opioids, nalbuphine and buprenorphine, are available which can be substituted for hydromorphone, fentanyl, and morphine. There are advantages and disadvantages in using these 2 opioids which are discussed, and potential dosing strategies are outlined.

Keyphrases

pain management
chronic pain
liver failure
molecular docking
anti inflammatory
intensive care unit
hepatitis b virus
acute respiratory distress syndrome
climate change
molecular dynamics simulations