NARCOTIC GROUP OPTIONS

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If patient is allergic to one narcotic (rash, severe hypotension, bronchospasm, angioedema), he may be switched to another of 3 narcotic groups, or simply, avoiding risks, to be put on acetaminophen or NSAID. 1. MORPHINE GROUP: Morphine, codeine, hydrocodone, oxycodone, oxymorphone, hydromorphone, nalbuphine, butorphanol, levorphanol, pentazocine 2. PHENYLPIPERIDINES: Meperidine, fentanyl 3. DIPHENYLHEPTANES: Propoxyphene, methadone