this post was submitted on 09 Oct 2025
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Fentanyl is not the cheapest opiate in US hospitals, and is not used as a substitute for morphine or oxycodone. It's primarily used for anesthesia, where oxycodone/hydrocodone/morphine/hydromorphone are used in the units as pain killers taken orally. Injectable hydromorphone is cheaper and more commonly used for acute pain than fentanyl.
Source: work in a hospital pharmacy
Ok thank you. I've known patients who lived for a month receiving constant fentanyl that month.
Opiates for anasthesia? surprising. What previous "gas"/process did it replace?
It's part of general anesthesia, along with other drugs such as midazolam, propofol, ketamine, etomidate, etc. It augments anesthesia gases such as sevoflurane/desflurane/isoflurane, though we're getting outside my realm of expertise; I'm not an anesthesiologist so I can't specify why a certain combination of drugs might be used vs another.