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Do not break orally disintegrating tablets. To reduce your risk of side effects, your doctor may start you at a low dose and gradually increase your dose. Once your condition improves and you are better for a while, your doctor may work with you to reduce your regular dose. Follow your doctor's instructions carefully. not take more or less medication or take it more frequently than prescribed. Your condition will not improve any faster and your risk of side effects will increase. This medication works best when the amount of medicine in your body is kept at a constant level. Therefore, take this medication at evenly spaced intervals throughout the day and night. canadian pharmacy discount toprol

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Advise patients to flush the unused tablets down the toilet when Methadone hydrochloride tablets are no longer needed. Limit dosages and durations to the minimum required. AUC and Cmax values by 86% and 63%, respectively.

CNS depressants is not recommended

MAO inhibitors and other substances. Inform patients that tramadol hydrochloride tablets may impair the ability to perform potentially hazardous activities such as driving a car or operating heavy machinery. Methadone hydrochloride tablets are not indicated as an as-needed prn analgesic. Mallinckrodt, the “M” brand mark and the Mallinckrodt Pharmaceuticals logo are trademarks of a Mallinckrodt company. Instruct patients how to properly take Oxycodone Hydrochloride Capsules.

Mirtazapine drug interactions

Greater risks for developing a discontinuation syndrome have been associated with antidepressants with shorter half-lives, longer durations of treatment, and abrupt discontinuation. For antidepressants of short or intermediate half-lives, symptoms may emerge within 2 to 5 days after treatment discontinuation and last 7 to 14 days APA 2010; Fava 2006; Haddad 2001; Shelton 2001; Warner 2006. Orally Disintegrating Tablets, pill fragments may not appear in gastric contents obtained with lavage. MAO inhibitors used to treat psychiatric disorders and also others, such as linezolid and intravenous methylene blue.

What conditions does mirtazapine treat

Following a single 15-mg oral dose of Mirtazapine Tablets, the oral clearance of mirtazapine was decreased by approximately 30% in hepatically impaired patients compared to subjects with normal hepatic function. CNS depressants is not recommended. With the prolonged half-life in these conditions, achievement of steady-state is delayed, so that it may take several days for elevated plasma concentrations to develop. HydrOXYzine: May enhance the CNS depressant effect of CNS Depressants. DSM-III criteria for major depressive disorder. Rare: lymphadenopathy, leukopenia, petechia, anemia, thrombocytopenia, lymphocytosis, pancytopenia. Geriatric: The elderly have reduced clearance of mirtazapine and, as a result, may have increased plasma levels of the drug. When a patient who has been taking tramadol hydrochloride tablets regularly and may be physically dependent no longer requires therapy with tramadol hydrochloride tablets, taper the dose gradually, by 25% to 50% every 2 to 4 days, while monitoring carefully for signs and symptoms of withdrawal. If the patient develops these signs or symptoms, raise the dose to the previous level and taper more slowly, either by increasing the interval between decreases, decreasing the amount of change in dose, or both. Do not abruptly discontinue tramadol hydrochloride tablets in a physically-dependent patient. MAOIs. Symptoms may include agitation; confusion; hallucinations; coma; irritability; fever; fast or irregular heartbeat; tremor; excessive sweating; rigid muscles; and nausea, vomiting, or diarrhea. Contact your doctor at once if you have any of these symptoms. If you have been taking tramadol hydrochloride tablets regularly, do not stop taking tramadol hydrochloride tablets without talking to your healthcare provider. Excipients in commercially available drug preparations may have clinically important effects in some individuals; consult specific product labeling for details. Voriconazole can inhibit the activity of CYP3A4, CYP2C9, and CYP2C19. The following symptoms, anxiety, agitation, panic attacks, insomnia, irritability, hostility, aggressiveness, impulsivity, akathisia psychomotor restlessness hypomania, and mania, have been reported in adult and pediatric patients being treated with antidepressants for major depressive disorder as well as for other indications, both psychiatric and nonpsychiatric. Prolonged use of opioid analgesics during pregnancy may cause neonatal opioid withdrawal syndrome. Available data with tramadol hydrochloride tablets in pregnant women are insufficient to inform a drug-associated risk for major birth defects and miscarriage.

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Take REMERONSolTab at the same time each day, preferably in the evening at bedtime. Monitor these patients for signs of hypotension after initiating or titrating the dosage of tramadol hydrochloride tablets. In patients with circulatory shock, tramadol hydrochloride tablets may cause vasodilation that can further reduce cardiac output and blood pressure. Avoid the use of tramadol hydrochloride tablets in patients with circulatory shock. Concomitant administration of alcohol equivalent to 60 g had a minimal effect on plasma levels of mirtazapine 15 mg in 6 healthy male subjects. Close observation and frequent titration are warranted until pain management is stable on the new opioid. Advise patients not to adjust the dose of tramadol hydrochloride tablets without consulting with a physician or other healthcare professional. No substantial differences in adverse effects relative to younger adults; however, increased sensitivity to sedative effects possible in some geriatric individuals. Thus, patients should be cautioned about engaging in hazardous activities until they are reasonably certain that mirtazapine tablet therapy does not adversely affect their ability to engage in such activities. Physicians' Desk Reference PDR. spiriva

Mirtazapine dosage

Potential pharmacokinetic interaction increased mirtazapine metabolism with inducers of CYP2D6, CYP3A4, or CYP1A2. Dispense in a tight, light-resistant container as defined in the USP, with a child-resistant closure. The molecular weight is 351. Avoid cyclosporine, dihydroergotamine, ergotamine, fentanyl, pimozide, quinidine, sirolimus, and tacrolimus. Phenelzine can improve your mood and feelings of well-being. Usually, this medication is used in persons who have not responded to treatment with other drugs. Toxic epidermal necrolysis, Urticaria, Vesicles. Most MAO inhibitors should also not be taken for two weeks before and after treatment with this medication. Ask your doctor when to start or stop taking this medication. Discuss the risks and benefits with your doctor. Inform patients that anaphylaxis has been reported with ingredients contained in Oxycodone Hydrochloride Capsules. If Methadone hydrochloride tablets are abruptly discontinued in a physically dependent patient, a withdrawal syndrome may occur. Some or all of the following can characterize this syndrome: restlessness, lacrimation, rhinorrhea, yawning, perspiration, chills, myalgia, and mydriasis. Other signs and symptoms also may develop, including irritability, anxiety, backache, joint pain, weakness, abdominal cramps, insomnia, nausea, anorexia, vomiting, diarrhea, or increased blood pressure, respiratory rate, or heart rate. Instruct patients how to properly take tramadol hydrochloride tablets. purchase cheapest oxcarbazepine visa europe oxcarbazepine

Reviews for mirtazapine

Orally Disintegrating Tablets will disintegrate rapidly on the tongue and can be swallowed with saliva. No water is needed for taking the tablet. Patients should not attempt to split the tablet. Renal Impairment: Morphine pharmacokinetics are altered in patients with renal failure. The AUC is increased and clearance is decreased and the metabolites, M3G and M6G, may accumulate to much higher plasma levels in patients with renal failure as compared to patients with normal renal function. Adequate studies of the pharmacokinetics of morphine in patients with severe renal impairment have not been conducted. Patients should be advised to notify their physician if they are breast-feeding an infant. Known hypersensitivity to mirtazapine or any ingredient in the formulation. When switching between the oral solution and tablet formulations, care should be taken as slight pharmacokinetic differences may exist. However, there is substantial evidence from placebo-controlled maintenance trials in adults with depression that the use of antidepressants can delay the recurrence of depression. Get emergency help right away if you take too much morphine sulfate oral solution overdose. When you first start taking morphine sulfate oral solution, when your dose is changed, or if you take too much overdose serious or life-threatening breathing problems that can lead to death may occur. Oxycodone needed, 3 the degree of opioid tolerance, 4 the general condition and medical status of the patient, and 5 the balance between pain control and adverse experiences. Trouble breathing, shortness of breath, fast heartbeat, chest pain, swelling of your face, tongue, or throat, extreme drowsiness, light-headedness when changing positions, feeling faint, agitation, high body temperature, trouble walking, stiff muscles, or mental changes such as confusion. However, the evidence strongly suggests that Methadone possesses the potential for adverse cardiac conduction effects in some patients. The effects of Methadone on the QT interval have been confirmed in in vivo laboratory studies, and Methadone has been shown to inhibit cardiac potassium channels in in vitro studies. Do not use household teaspoons or tablespoons to measure morphine sulfate oral solution, as using a tablespoon instead of a teaspoon could lead to overdosage. The developmental and health benefits of breastfeeding should be considered along with the mother's clinical need for Oxycodone Hydrochloride Capsules and any potential adverse effects on the breastfed infant from Oxycodone Hydrochloride Capsules or from the underlying maternal condition. The potential for these risks should not, however, prevent the proper management of pain in any given patient. Patients at increased risk may be prescribed opioids such as Oxycodone Hydrochloride Capsules, but use in such patients necessitates intensive counseling about the risks and proper use of Oxycodone Hydrochloride Capsules along with intensive monitoring for signs of addiction, abuse, and misuse. Patients in Methadone maintenance treatment for opioid dependence who experience physical trauma, postoperative pain or other acute pain cannot be expected to derive analgesia from their existing dose of Methadone. Such patients should be administered analgesics, including opioids, in doses that would otherwise be indicated for non-Methadone-treated patients with similar painful conditions. This information should not be used to decide whether or not to take mirtazapine or any other medicine. Only your health care provider has the knowledge and training to decide which medicines are right for you. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about mirtazapine. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to mirtazapine. This information is not specific medical advice and does not replace information you receive from your health care provider. You must talk with your health care provider for complete information about the risks and benefits of using mirtazapine. purchase now fexofenadine shopping

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Mirtazapine tablets may cause serious side effects: 1. See "What is the most important information I should know about mirtazapine tablets? Steady-state plasma concentrations of both tramadol and M1 are achieved within two days with four times per day dosing. There is no evidence of self-induction see Figure 1 and Table 1 below. False positive urine drug screens for Methadone have been reported for several drugs including diphenhydramine, doxylamine, clomipramaine, chlorpromazine, thioridazine, quetiapine, and verapamil. Tramadol hydrochloride tablets expose patients and other users to the risks of opioid addiction, abuse and misuse, which can lead to overdose and death. Adverse Reactions 6 Clinical Pharmacology 12. This may not be a complete list of all interactions that may occur. Ask your health care provider if mirtazapine may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.

See manufacturer product information

Oxycodone hydrochloride is extensively metabolized by multiple metabolic pathways to noroxycodone, oxymorphone, and noroxymorphone, which are subsequently glucuronidated. CYP3A4 mediated N-demethylation to noroxycodone is the primary metabolic pathway of oxycodone with a less contribution from CYP2D6 mediated 0-demethylation to oxymorphone. If intolerable symptoms occur, consider resuming the previously prescribed dose and decreasing the dose at a more gradual rate. Abuse and addiction are separate and distinct from physical dependence and tolerance. Healthcare providers should be aware that addiction may not be accompanied by concurrent tolerance and symptoms of physical dependence in all addicts. In addition, abuse of opioids can occur in the absence of true addiction. Mirtazapine Tablets is unclear. Acute overdose with morphine sulfate oral solution can be manifested by respiratory depression, somnolence progressing to stupor or coma, skeletal muscle flaccidity, cold and clammy skin, constricted pupils, and, in some cases, pulmonary edema, bradycardia, hypotension, partial or complete airway obstruction, atypical snoring, and death. Tramadol causes a reduction in motility associated with an increase in smooth muscle tone in the antrum of the stomach and duodenum. Digestion of food in the small intestine is delayed and propulsive contractions are decreased. Propulsive peristaltic waves in the colon are decreased, while tone may be increased to the point of spasm resulting in constipation. Other opioid-induced effects may include a reduction in biliary and pancreatic secretions, spasm of sphincter of Oddi, and transient elevations in serum amylase. Clinical experience with Mirtazapine Tablets in patients with concomitant systemic illness is limited. Accordingly, care is advisable in prescribing mirtazapine for patients with diseases or conditions that affect metabolism or hemodynamic responses. Sarilumab: May decrease the serum concentration of CYP3A4 Substrates. The concomitant use of Methadone hydrochloride tablets with all cytochrome P450 3A4, 2B6, 2C19, 2C9 or 2D6 inhibitors may result in an increase in Methadone plasma concentrations, which could cause potentially fatal respiratory depression. In addition, discontinuation of concomitantly used cytochrome P450 3A4 2B6, 2C19, or 2C9 inducers may also result in an increase in Methadone plasma concentration. Patients should be advised to inform their physician if they are taking, or intend to take, any prescription or over-the-counter drugs, since there is a potential for Mirtazapine Tablets to interact with other drugs. Monitor patients for increased respiratory and CNS depression when morphine sulfate oral solution is used concomitantly with cimetidine. Methadone to 10 mg oral Methadone. Spontaneous post-marketing reports indicate that seizure risk is increased with doses of tramadol hydrochloride tablets above the recommended range. What are the possible side effects of Mirtazapine Tablets? Accidental ingestion of even one dose of Methadone hydrochloride tablets, especially by children, can result in respiratory depression and death due to an overdose of Methadone. pharmacy citalopram reviews

How should i take mirtazapine

Each tablet also contains the following inactive ingredients: corn starch, lactose monohydrate, microcrystalline cellulose, sodium starch glycolate and stearic acid. The use of Methadone hydrochloride tablets in patients with acute or severe bronchial asthma in an unmonitored setting or in the absence of resuscitative equipment is contraindicated. Drug-seeking” behavior is very common in persons with substance use disorders. Drug-seeking tactics include emergency calls or visits near the end of office hours, refusal to undergo appropriate examination, testing, or referral, repeated “loss” of prescriptions, tampering with prescriptions and reluctance to provide prior medical records or contact information for other treating health care providers. “Doctor shopping” visiting multiple prescribers to obtain additional prescriptions is common among drug abusers and people suffering from untreated addiction. Preoccupation with achieving adequate pain relief can be appropriate behavior in a patient with poor pain control. Mirtazapine Tablets has an elimination half-life of approximately 20 to 40 hours; therefore, dose changes should not be made at intervals of less than one to two weeks in order to allow sufficient time for evaluation of the therapeutic response to a given dose. Antidepressants are medicines used to treat depression and other illnesses. Serious, life-threatening, or fatal respiratory depression may occur with use of Oxycodone HCl. Serious, life-threatening, or fatal respiratory depression has been reported with the use of opioids, even when used as recommended. Respiratory depression, if not immediately recognized and treated, may lead to respiratory arrest and death. Though more common in children and adolescents, they also strike in adulthood. Tramadol hydrochloride tablets are not recommended for obstetrical preoperative medication or for post-delivery analgesia in nursing mothers because its safety in infants and newborns has not been studied. Overestimating the Oxycodone HCl dosage when converting patients from another opioid product can result in fatal overdose with the first dose. Urogenital: Menopausal symptoms, Urinary frequency, Urinary retention. There is a relationship between increasing tramadol plasma concentration and increasing frequency of dose-related opioid adverse reactions such as nausea, vomiting, CNS effects, and respiratory depression. Advise both patients and caregivers about the risks of respiratory depression and sedation when Morphine Sulfate Tablets are used with benzodiazepines or other CNS depressants including alcohol and illicit drugs. Advise patients not to drive or operate heavy machinery until the effects of concomitant use of the benzodiazepine or other CNS depressant have been determined. People who take Mirtazapine Tablets close in time to an MAOI may have serious or even life-threatening side effects. meloxicam

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HDD throughout the gestation period. No overt malformations were reported in either publication; although only limited endpoints were evaluated. Gestation Day 5 to 20. There was no evidence of fetal malformations or maternal toxicity. Pregnant or planning to become pregnant. Prolonged use of Morphine Sulfate during pregnancy can cause withdrawal. Instruct patients not to share Morphine Sulfate Tablets with others and to take steps to protect Morphine Sulfate from theft or misuse. Not known whether mirtazapine is distributed into milk. a b Caution if used in nursing women. fludrocortisone

Does mirtazapine interact with other medications

Available data with Oxycodone Hydrochloride Capsules are insufficient to inform a drug-associated risk for major birth defects and miscarriage. CNS reactions possible when linezolid Zyvox is given to patients taking certain psychiatric medications. Frazer A. Pharmacology of antidepressants. J Clin Psychopharmacol. The common adverse reactions seen on initiation of therapy with morphine were dose-dependent and were typical opioid-related adverse reactions. The most frequent of these included constipation, nausea, and somnolence. Other commonly observed adverse reactions included: lightheadedness, dizziness, sedation, vomiting, and sweating. Available as a clear, light blue liquid with raspberry odor.

Mirtazapine warnings

Tramadol hydrochloride tablets, like other opioids, can be diverted for non-medical use into illicit channels of distribution. Careful record-keeping of prescribing information, including quantity, frequency, and renewal requests, as required by state and federal law, is strongly advised. The major hazards of Methadone are respiratory depression and, to a lesser degree, systemic hypotension. Respiratory arrest, shock, cardiac arrest, and death have occurred. REMERONSolTab can cause sleepiness or may affect your ability to make decisions, think clearly, or react quickly. You should not drive, operate heavy machinery, or do other dangerous activities until you know how REMERONSolTab affects you. About 60 to 87% of an oral dose reaches the systemic circulation in comparison to a parenteral dose. Long-term studies in animals to evaluate the carcinogenic potential of oxycodone hydrochloride have not been conducted. Concomitant administration of tramadol IR tablets with cimetidine, a weak CYP3A4 inhibitor, does not result in clinically significant changes in tramadol pharmacokinetics. No alteration of the tramadol hydrochloride tablets dosage regimen with cimetidine is recommended. Pharmacokinetic studies revealed a decreased clearance in the elderly. Food and Drug Administration. WebMD does not endorse any specific product, service or treatment. If you have been taking Oxycodone Hydrochloride Capsules regularly, do not stop taking Oxycodone Hydrochloride Capsules without talking to your healthcare provider. The development of a potentially life-threatening serotonin syndrome has been reported with SNRIs and SSRIs, including Mirtazapine Tablets, alone but particularly with concomitant use of other serotonergic drugs including triptans, tricyclic antidepressants, fentanyl, lithium, tramadol, tryptophan, buspirone, and St. John's wort and with drugs that impair metabolism of serotonin in particular, MAOIs, both those intended to treat psychiatric disorders and also others, such as linezolid and intravenous methylene blue. In the tabulations that follow, reported adverse events were classified using a standard COSTART-based dictionary terminology. The frequencies presented, therefore, represent the proportion of the 2796 patients exposed to multiple doses of Mirtazapine Tablets who experienced an event of the type cited on at least one occasion while receiving Mirtazapine Tablets. All reported events are included except those already listed in Table 4, those adverse experiences subsumed under COSTART terms that are either overly general or excessively specific so as to be uninformative, and those events for which a drug cause was very remote. Has a potential for abuse less than those in schedules 1 and 2. Has a currently accepted medical use in treatment in the United States. Abuse may lead to moderate or low physical dependence or high psychological dependence. Some products may contain phenylalanine. Inform patients that Oxycodone Hydrochloride Capsules may impair the ability to perform potentially hazardous activities such as driving a car or operating heavy machinery. Abuse of street or prescription drugs, alcohol addiction, or mental health problems. Antiemetics 5HT3 Antagonists: May enhance the serotonergic effect of Serotonin Modulators. This could result in serotonin syndrome. buy now online slimex shop

General information about mirtazapine

The opioid antagonists, naloxone or nalmefene, are specific antidotes to respiratory depression resulting from opioid overdose. For clinically significant respiratory or circulatory depression secondary to tramadol overdose, administer an opioid antagonist. Opioid antagonists should not be administered in the absence of clinically significant respiratory or circulatory depression secondary to tramadol overdose. Inform patients that opioids could cause a rare but potentially life-threatening condition resulting from concomitant administration of serotonergic drugs. Warn patients of the symptoms of serotonin syndrome and to seek medical attention right away if symptoms develop. Instruct patients to inform their healthcare providers if they are taking, or plan to take serotonergic medications. There are conflicting reports on whether Sudden Infant Death Syndrome occurs with an increased incidence in infants born to women treated with Methadone during pregnancy. Abnormal fetal non-stress tests have been reported to occur more frequently when the test is performed 1 to 2 hours after a maintenance dose of Methadone in late pregnancy compared to controls. Labor or Delivery: Opioids cross the placenta and may produce respiratory depression and psycho-physiologic effects in neonates. Most of a dose of Morphine Sulfate is excreted in urine as M3G and M6G, with elimination of Morphine Sulfate occurring primarily as renal excretion of M3G. Approximately 10% of the dose is excreted unchanged in urine. A small amount of glucuronide conjugates are excreted in bile, with minor enterohepatic recycling. Seven to 10% of administered Morphine Sulfate is excreted in the feces. Tetrahydrocannabinol: May enhance the CNS depressant effect of CNS Depressants. Oxycodone HCl passes into breast milk and may harm your baby. buy cetirizine boots online

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Mirtazapine overdose

What other drugs will affect mirtazapine

The relative bioavailability of Oxycodone Hydrochloride Capsules compared to extended-release oxycodone is unknown, so conversion to extended-release tablets must be accompanied by close observation for signs of excessive sedation and respiratory depression. In case of overdose, priorities are the re-establishment of a patent and protected airway and institution of assisted or controlled ventilation, if needed. Employ other supportive measures including oxygen, vasopressors in the management of circulatory shock and pulmonary edema as indicated. Cardiac arrest or arrhythmias will require advanced life support techniques. macrobid

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Antidepressants increased the risk compared with placebo of suicidal thinking and behavior suicidality in children, adolescents, and young adults in short-term studies of major depressive disorder MDD and other psychiatric disorders. Anyone considering the use of mirtazapine or any other antidepressant in a child, adolescent, or young adult must balance this risk with the clinical need. Short-term studies did not show an increase in the risk of suicidality with antidepressants compared with placebo in adults older than 24 years; there was a reduction in risk with antidepressants compared with placebo in adults 65 years and older. Depression and certain other psychiatric disorders are associated with increases in suicide risk. Appropriately monitor and closely observe patients of all ages who are started on antidepressant therapy for clinical worsening, suicidality, or unusual changes in behavior. Advise families and caregivers of the need for close observation and communication with the health care provider. Mirtazapine is not approved for use in pediatric patients.

Prescribing information for mirtazapine

Inform patients that Morphine Sulfate Tablets may cause orthostatic hypotension and syncope. Patients, their families, and their caregivers should be encouraged to be alert to the emergence of anxiety, agitation, panic attacks, insomnia, irritability, hostility, aggressiveness, impulsivity, akathisia psychomotor restlessness hypomania, mania, other unusual changes in behavior, worsening of depression, and suicidal ideation, especially early during antidepressant treatment and when the dose is adjusted up or down. Families and caregivers of patients should be advised to look for the emergence of such symptoms on a day-to-day basis, since changes may be abrupt. Such symptoms should be reported to the patient's prescriber or health professional, especially if they are severe, abrupt in onset, or were not part of the patient's presenting symptoms. Symptoms such as these may be associated with an increased risk for suicidal thinking and behavior and indicate a need for very close monitoring and possibly changes in the medication.

Before taking mirtazapine

Keep REMERONSolTab away from light and moisture. WebMD User Reviews should not be considered as medical advice and are not a substitute for professional medical advice, diagnosis, or treatment. Never delay or disregard seeking professional medical advice from your physician or other qualified healthcare provider because of something you have read on WebMD. You should always speak with your doctor before you start, stop, or change any prescribed part of your care plan or treatment. WebMD understands that reading individual, real-life experiences may be a helpful health information resource but they are never a substitute for professional medical advice from a qualified healthcare provider.

The onset of symptoms generally occurs within several hours to a few days of concomitant use, but may occur later than that. Discontinue tramadol hydrochloride tablets if serotonin syndrome is suspected. Moderately clinically significant. Usually avoid combinations; use it only under special circumstances. Linezolid: May enhance the serotonergic effect of Mirtazapine. This could result in serotonin syndrome. Morphine produces respiratory depression by direct action on brain stem respiratory centers. The respiratory depression involves a reduction in the responsiveness of the brain stem respiratory centers to both increases in carbon dioxide tension and electrical stimulation.

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