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Real Life Pharmacology - Pharmacology Education for Health Care Professionals

Oxymorphone Pharmacology Podcast

Real Life Pharmacology - Pharmacology Education for Health Care Professionals

Eric Christianson, PharmD; Pharmacology Expert and Clinical Pharmacist

Medicine, Education, Health & Fitness

4.9773 Ratings

🗓️ 9 November 2023

⏱️ 14 minutes

🧾️ Download transcript

Summary

In this episode, I discuss oxymorphone pharmacology, adverse effects, drug interactions, and more!

Oxymorphone is approximately 3 times more potent than morphine. I break down some common opioid comparisons in this episode.

Oxymorphone avoids many of the CYP interactions. I discuss some of the common interactions in this episode.

I discuss histamine release in relation to opioids and oxymorphone and specifically how this may impact our patients.

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Transcript

Click on a timestamp to play from that location

0:00.0

Hey all, welcome back to the real-life pharmacology podcast. I'm your host, pharmacist, Eric Christensen,

0:05.9

and I thank you so much for listening today. As always, go check out real-life pharmacology.com.

0:11.4

We've got a free 31-page PDF on the top 200 drugs. A great study guide, great refresher,

0:17.3

simply an email. We'll get you access to that. And then we've got, we'll get

0:21.4

you updates when we've got new podcast episodes available as well. So again, all that you can find

0:27.9

at real life pharmacology.com. All right, the drug of the day today is oxymorphone.

0:36.1

Brand name of this medication is Opana.

0:39.2

And it comes in two formulations focusing on oral administration here.

0:45.3

So it's an extended release formulation,

0:48.0

and there is an immediate release formulation as well.

0:52.1

This is an opioid medication utilized for moderate to severe pain in most situations.

1:00.6

I would say it's definitely used less common compared to probably oxycodone, hydromorphone,

1:09.1

hydrocodone, those are used more often,

1:11.9

but I do see oxymorphone occasionally.

1:16.7

So mechanistically, let's touch on that briefly.

1:19.9

So it binds opioid, specifically the mu receptors,

1:25.4

and its action leads to an inhibition in CNS pain pathways.

1:34.8

So by kind of suppressing that or blunting those transmitting pain signals,

1:42.2

naturally we get a reduced pain sensation for our patients.

1:47.7

So essentially a numbness.

1:50.6

The injury, the damage, whatever the case may be, it's still there.

1:54.4

It doesn't, opioids don't help with that.

...

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