Next on the list of the strongest opioids is Oxycodone. Oxycodone is sold under the brand names Percocet, Roxicodone, and Oxycontin. It is one of the most common opioids that is prescribed to treat moderate to severe pain. Despite the fact that it is prescribed often, it still has a high potential for abuse due to its calming and sedating side effects. Morphine is derived naturally from the poppy plant. Even though it is not synthetic, it is still potent.
The potency of morphine is similar to the potency of Oxycodone. It is usually prescribed in the place of other opioids if they are ineffective at treating pain. Morphine can be swallowed or injected, although injection is preferred among people who abuse it due to the near-instantaneous effects it can produce. Hydrocodone is similar in potency to morphine and oxycodone.
It is, by far, the most commonly prescribed opioid medication in the United States. In , approximately In many instances of hydrocodone addiction, users will graduate to using stronger, more potent opioids. Codeine is commonly found in a prescription cough syrup that is used to reduce coughing. However, it can also be prescribed to treat mild to moderate pain when it comes in tablet form combined with Tylenol.
Although it is weaker in potency than many other opioids, it still has a potential for abuse. Meperidine, or Demerol, was the first synthetic opioid to hit the market. It is weaker than the previous opioids on this list, but it still has a potential for abuse. As a result, it can be just as dangerous as the other opioids on the list.
Tramadol is sometimes dispensed under its brand name, Ultram. Tramadol is similar in potency to meperidine, but it is less dangerous because there is a lower risk of tolerance, physical dependence, and abuse. Even though it is the weakest opioid, it can still be abused and can lead to addiction.
Regardless of what type or potency of opioids is abused, there is always a risk for addiction. Unfortunately, approximately 80 percent of heroin users report that they began using prescription opioids before moving on to heroin. Overdose symptoms may include slow breathing and heart rate, severe drowsiness, muscle weakness, cold and clammy skin, blue-colored skin or lips, fainting, or coma. Do not drink alcohol. Dangerous side effects or death can occur when alcohol is combined with meperidine.
Avoid driving or hazardous activity until you know how this medicine will affect you. Dizziness or drowsiness can cause falls, accidents, or severe injuries. Get emergency medical help if you have signs of an allergic reaction : hives; difficult breathing; swelling of your face, lips, tongue, or throat. Opioid medicine can slow or stop your breathing, and death may occur. A person caring for you should seek emergency medical attention if you have slow breathing with long pauses, blue colored lips, or if you are hard to wake up.
Seek medical attention right away if you have symptoms of serotonin syndrome, such as: agitation, hallucinations, fever, sweating, shivering, fast heart rate, muscle stiffness, twitching, loss of coordination, nausea, vomiting, or diarrhea. Serious side effects may be more likely in older adults and those who are malnourished or debilitated.
Long-term use of opioid medication may affect fertility ability to have children in men or women. It is not known whether opioid effects on fertility are permanent. This is not a complete list of side effects and others may occur.
Call your doctor for medical advice about side effects. You may have breathing problems or withdrawal symptoms if you start or stop taking certain other medicines. Tell your doctor if you also use an antibiotic, antifungal medication, heart or blood pressure medication, seizure medication, or medicine to treat HIV or hepatitis C.
Opioid medication can interact with many other drugs and cause dangerous side effects or death. Be sure your doctor knows if you also use:.
This list is not complete. Other drugs may affect meperidine, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible interactions are listed here. Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed. Every effort has been made to ensure that the information provided by Cerner Multum, Inc. Drug information contained herein may be time sensitive.
Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise.
Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides.
The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist. This information does not replace the advice of a doctor. Healthwise, Incorporated disclaims any warranty or liability for your use of this information.
Your use of this information means that you agree to the Terms of Use and Privacy Policy. Abusing Demerol in those ways intensifies its properties. This quick high and extreme relaxation are the main reasons people abuse Demerol. Demerol abuse is dangerous, as it increases the risk of overdose.
Taking large amounts of the drug can depress and halt respiratory function, which can be fatal. Other symptoms of Demerol overdose include:. Get medical attention immediately if you suspect a Demerol overdose.
Combining Demerol with other CNS Depressants , such as alcohol or Benzodiazepines , increases the risk of cardiac arrest, extreme sedation, respiratory failure, coma, seizure, overdose, and even death. Mixing Stimulants with Demerol is especially dangerous, as the drugs work against each other. Depending on the strength of the substances, the Stimulant can mask the effects of the Demerol or vice versa.
This can lead to taking more of either drug in an attempt to increase the dulled effects, leading to overdose. Learn More. If you or a loved one is struggling with Demerol addiction, many are in the same position. Millions of people have found relief from their addiction through the help of treatment programs. Contact a treatment provider to find a treatment center. After graduation, he decided to pursue his passion of writing and editing. All of the information on this page has been reviewed and verified by a certified addiction professional.
Theresa is also a Certified Professional Life Coach and volunteers at a local mental health facility helping individuals who struggle with homelessness and addiction. Theresa is a well-rounded clinician with experience working as a Primary Addiction Counselor, Case Manager and Director of Utilization Review in various treatment centers for addiction and mental health in Florida, Minnesota, and Colorado.
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