Dilaudid vs. Fentanyl?

Narcotic Analgesic Dosage Conversion Chart

http://www.globalrph.com/narcotic.htm

http://www.massgeneral.org/painrelie..._equichart.htm

Includes Sustained Release meds:
http://www.endpain.org/dosage.html


Parenteral Dose
Dilaudid (Hydromorphone) 1.5 mg = Fentanyl 0.1mg (100mcg)


Nifty tool: Narcotic analgesic converter
http://www.globalrph.com/narcoticonv.htm


List drug prices (canadian) too !
Opioid Analgesics Comparison

Fox Chase Cancer Center has EXCELLENT "PAIN RESOURCE NURSE PROGRAM"

http://www.fccc.edu/docs/nursing/education/pain-resources.pdf

Next class is November 11, 12, 2004 if you can fit it into your schedule.

Chemotherapy Induced Acute and Chronic Pain Syndromes
An Independent Self Study Program



Other Fox Chase courses:
http://www.fccc.edu/nursing/education/

you can't really use the word stronger as it has no meaning in pharmacology...

which one is more potent? fentanyl > dilaudid > morphine...

however there is really no point to fentanyl drips... since it has a relatively long half-life ( a bit longer then morphine), running it as a drip for any prolonged period will give you pretty much the same effect as running a dilaudid drip.

I disagree that there isn't a point to Fentanyl gtts... we use them a lot, and tend to see a lot less hypotension with them. Now, there are pts who I don't think they are effective on - but my experience has been that as long as the pt has the appropriate amount of anti-anxiety meds, they work well for the most part.

Fentanyl does not have a long half life. It is shorter than both morphine and dilaudid. It is great for conscious sedation for that very reason. Fast in and fast out of the system.

Both Fentanyl and Dilaudid are great for IV drips. Both are cleaner drugs than Morphine ie they do not have any known active metabolites.

dhudzinski: please read up on your pharmacology before you print misinformation.

1) fentanyl has a long half-life, but has a short duration of action due to its lipophilic structure and rapid redistribution - hence the advantage of using it in conscious sedation, but if you run it as a drip you fill your reservoir and then the long half-life comes into play thus making a fentanyl drip in the ICU setting equivalent to a dilaudid drip (from a pharmacokinetic point of view).

2) all three have active metabolites, that is how they work, however you are right that fentanyl and dilaudid are cleaner than morphine, in as much as morphine as a metabolite that can accumulate in the setting of renal dysfunction.

Wow, that is kind of mean. I am sure the poster was trying to help, no need to belittle him/her.

I have been doing pain management for over 20 years and I know what I know... And I also have developed thick skin since I deal with Docs who do not know how to use these drugs...But they also know who to call when they have a pain problem...

Thank you for recognizing!