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NSAID Agonist Antagonist Table
NSAID Agonist Antagonist Table
Use of the following in combination with mu agonists (ie., morphine, hydromorphone), may reverse analgesia and
precipitate withdrawal in opioid-dependent patients.
Drug Route Onset Peak Duration Usual Adult Dose & Dosing Relative Antagonist Activity
(min) (min) (Hrs) Interval
(mg)1
Buprenorphine IM2/SC 15 30-60 3-6 0.3 – 0.4 mg IM2/SC q 4-6 hr Potency equal to naloxone.
Clinically, antagonist activity
appears to be much longer than 6
hours.
Butorphanol IM2/SC 15 30-60 3-4 2-3 mg IM2/SC q 3-4 hr 1/40 that of naloxone
Nalbuphine IM2/SC 15 30-60 3-4 10 mg IM2/SC q 3-4 hr 10 X pentazocine, which has weak
antagonist activity
1
Parenteral dose equivalent to 10 mg parenteral morphine
2
Least desired route
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6/18/02
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