citalopram and meperidine each maximize serotonin stages. Use warning/keep track of. mixture may perhaps raise risk of serotonin syndrome or neuroleptic malignant syndrome-like reactions. Meperidine is not really advised as a primary decision analgesic from the American agony Society and ISMP (2007); if no other options, Restrict use in acute disc
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When OXYCONTIN therapy is initiated, discontinue all other opioid analgesics other than All those utilized on an as required basis for breakthrough ache when correct. “What was taking place was that they were taking a lot more than they were prescribed since the pain medication wasn’t Operating,” Hughes recalled within an interview. Dr. Cur