An 81-Year-Old Man with Advanced-Stage Prostate Cancer Comes to the Physician

An 81-year-old man with advanced-stage prostate cancer comes to the physician because of a 1-week history of worsening lower back and hip pain. The patient's analgesic regimen includes oxycodone, ibuprofen, and alendronic acid. Physical examination shows localized tenderness over the lumbar spine and right hip .Imaging studies reveal a vertebral compression fracture with cord compression.  Surgical decompression is planned.  Which of the following drugs may precipitate opioid withdrawal symptoms if used in this patient?

A) Buprenorphine
B) Codeine
C) Fentanyl
D) Hydromorphone
E) Meperidine
F) Methadone
G) Oxymorphone

Correct Answer:

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