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IV pain meds with the opiate shortage


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In the midst of the epidemic of street opiates, both of my hospitals are suffering from severe shortages of IV opiates: morphine, dilaudid, and fentanyl are all either in very short supply or are totally out.  What are folks using?

Here's what I've either tried or have colleagues who have:

  • Stadol: seems to work fairly well.
  • IV Tylenol (Ofirmev): some efficacy, now available in generic and much less expensive
  • IV lidocaine: cheap, so so efficacy

Other thoughts?

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