Search

Home > Emergency Medical Minute > Podcast 514: Pain Control While on Naltrexone 
Podcast: Emergency Medical Minute
Episode:

Podcast 514: Pain Control While on Naltrexone 
Category: Science & Medicine
Duration: 00:02:06
Publish Date: 2019-10-30 11:00:00
Description:

Author: Don Stader, MD

Educational Pearls:

  • Suboxone, methadone, and naltrexone are commonly used as treatments for opiate use disorder. 
  • Naltrexone is a full mu-opiate receptor antagonist, making acute pain control difficult in patients taking it. 
  • Options for pain control in patients on naltrexone include nerve blocks, NSAIDS, ketamine, and high doses of opiates. 
  • Of the opiates, Dilaudid (hydromorphone) has the highest affinity for mu-opiate receptors, and will be the most effective.

References

Vickers AP, Jolly A. Naltrexone and problems in pain management. BMJ. 2006;332(7534):132–133. doi:10.1136/bmj.332.7534.132

 

Summarized by Will Dewispelaere, MS4 | Edited by Erik Verzemnieks, MD
Total Play: 0

Users also like

800+ Episodes
Radioresepsj .. 700+     10+
20+ Episodes
Lung Story S .. 70+     10+