Pain management ladder

Weak opioid

  • Codeine
  • Meperidine (pethidine commonly used in labour analgesia)
  • Tramadol

Strong opioid

  • Morphine < Oxycodone and hydrocodone < Oxymorphone and hydromorphone < Fentanyl
  • Realistically, only opioids used in ED are morphine and fentanyl.
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