Adult & Children Above 12 Yrs: 50-100 Mg Every 4-6 Hours, Intravenous Injection To Be Given Over 2-3 Minutes
Moderate To Severe Acute Pain:
Oral:
Adult & Children Above 12 Yrs: Initially 100 Mg, Then 50-100 Mg Every 4-6 Hours; Usual Maximum 400 Mg/24 Hours
Moderate To Severe Chronic Pain:
Oral:
Adult & Children Above 12 Yrs: Initially 50 Mg, Then, Adjusted According To Response; Usual Maximum 400 Mg/24 Hours
Postoperative Pain:
By IV Inj:
Adult & Children Above 12 Yrs: Initially 100 Mg, Then 50 Mg Every 10-20 Minutes If Required Up To a Total Maximum of 250mg (including Initial Dose) In the First Hour, Then 50-100 Mg Every 4-6 Hours, Intravenous Injection To Be Given Over 2-3 Minutes; Maximum 600 Mg Per Day
Positive Evidence Of Risk: Respiratory Depression And Withdrawal Symptoms In The Neonate; Gastric Stasis And Inhalation Pneumonia In The Mother If Opioid Analgesics Are Used During Labour And
Stability
Opioid Analogue
Contra Indications
Acute Respiratory Depression, Comatose Patients, Head Injury And Raised Intracranial Pressure (opioid Analgesics Interfere With Pupillary Responses Vital For Neurological Assessment), Risk Of Paralytic Ileus, Acute Intoxication With Alcohol, Hypnotics, Analgesics Or Other Cns-acting Drugs.
Precautions
Acute Respiratory Depression, Comatose Patients, Head Injury And Raised Intracranial Pressure (opioid Analgesics Interfere With Pupillary Responses Vital For Neurological Assessment), Risk Of Paralytic Ileus, Acute Intoxication With Alcohol, Hypnotics, Analgesics Or Other Cns-acting Drugs.
Lactation
Contraindicated or Not Recommended.
Side Effects
Biliary Spasm
Bradycardia
Confusion
Constipation
Dependence
Difficulty With Micturition
Dizziness
Drowsiness
Dry Mouth
Dysphoria
Euphoria
Flushing
Hallucinations
Headache
Hypotension And Muscle Rigidity (larger Doses)
Miosis
Nausea
Oedema
Palpitation
Postural Hypotension
Pruritus
Rash
Respiratory Depression (larger Doses)
Sexual Dysfunction
Sleep Disturbances
Sweating
Tachycardia
Ureteric Spasm
Urinary Retention
Urticaria
Vertigo
Visual Disturbances
Vomiting
Adrenal Insufficiency And Hyperalgesia (long-term Use)