Opioids Without the Fear: Morphine, Oxycodone, Fentanyl and More
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Opioids Without the Fear: Morphine, Oxycodone, Fentanyl and More
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Opioids are some of the most important medicines in palliative care and some of the most misunderstood.
In this episode, we take a practical deep dive into morphine, oxycodone, hydromorphone, fentanyl, buprenorphine and methadone, including how their potency differs, what changes in renal impairment, and why opioid conversion is never just simple arithmetic.
We also look at opioid rotation, breakthrough dosing, fentanyl and buprenorphine patches, rapid-onset fentanyl products such as Abstral and Actiq, and the important safety distinction between morphine and the much more potent hydromorphone.
Plus, we unpack the difference between tolerance, physical dependence and addiction and why fear of opioids can sometimes become a barrier to good symptom control.
A practical episode for clinicians who want to prescribe, supply and discuss opioids with more confidence.
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