Browse Medications by Drug Class: Opioid Agonists

Written by Amar Lunagaria
Pharm.D • NiHowdy Founder

Reviewed by James Wong
Pharm.D • NiHowdy Founder
Published Jan 15, 2025

What are Opioid Agonists?
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List of drugs in Opioid Agonists
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Brief history about Opioid Agonists?
How do Opioid Agonists work?
What are Opioid Agonists used to treat?
Acute Pain
Opioid agonists are frequently prescribed for severe acute pain caused by surgery, traumatic injuries, or childbirth. Medications like morphine and hydromorphone act quickly to provide immediate relief, ensuring patient comfort during recovery. They are commonly used in hospital settings, where dosing can be closely monitored.
Chronic Pain
For patients with chronic pain conditions, such as cancer-related pain or severe osteoarthritis, opioid agonists provide sustained relief that improves daily functioning and quality of life. Long-acting formulations, such as extended-release oxycodone or morphine, are often used to maintain consistent pain control over time, reducing the burden of persistent discomfort.
Anesthesia and Sedation
Opioids are essential in anesthesia protocols, used for inducing sedation and managing pain during surgical procedures. Fentanyl, due to its potency and rapid onset, is commonly used in operating rooms to ensure patient comfort and reduce stress responses during surgery.
Severe Cough or Diarrhea
Certain opioid agonists, like codeine and loperamide, are used to manage symptoms unrelated to pain. Codeine is effective for suppressing severe, persistent cough, while loperamide targets opioid receptors in the gastrointestinal tract to treat diarrhea by slowing intestinal motility.
Who should consider Opioid Agonists medications?
Adults
Adults experiencing severe pain that does not respond to non-opioid treatments may benefit from opioid agonists. These medications are especially effective for managing post-surgical pain, cancer-related pain, or acute injuries. For adults in palliative care, opioid agonists ensure comfort and quality of life. Healthcare providers tailor opioid therapy to the individual's condition, balancing effective pain relief with safety considerations to minimize risks like dependency or side effects.
Children
Opioid agonists are used sparingly in pediatric populations and are reserved for cases where severe pain cannot be managed with other medications, such as post-operative or cancer-related pain. Pediatric dosing is carefully calculated based on weight and age, ensuring safe and effective treatment. Healthcare providers closely monitor children receiving opioids to prevent adverse effects and dependency risks.
Seniors
Seniors with chronic or end-of-life pain benefit significantly from opioid agonists, which provide relief from conditions such as osteoarthritis, cancer, or other debilitating illnesses. However, due to age-related changes in metabolism and an increased risk of side effects like sedation or confusion, dosing is carefully adjusted. Regular monitoring ensures that seniors receive adequate pain management without compromising safety.
Are Opioid Agonists safe?
Can I take Opioid Agonists during pregnancy?
Are Opioid Agonists safe to take while lactating?
Are Opioid Agonists controlled substances?
Side effects of Opioid Agonists?
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