Symptomatic relief of moderate to severe pain especially associated w/ neoplastic disease, MI & surgery. Adjunctive therapy in acute pulmonary oedema secondary to left ventricular failure.
AnalgesicAdultIM or SC Initially 10 mg every 4 hr as needed. Dose range: 5-20 mg. Slow IV 4-10 mg diluted in sterile water for inj 4-5 mL. Epidural 5 mg w/ incremental doses of 1-2 mg/hr if needed up to max: 10 mg/24 hr. Intrathecal 0.2-1 mg/kg as single dose. Paed SC 0.1-0.2 mg/kg every 4 hr as needed. Max: Not to exceed 15 mg/dose. Very slow IV 0.05-0.1 mg/kg. Pre-op 0.05-0.1 mg/kg IM. Max: Not to exceed 10 mg/dose.
Decreased resp reserve; myasthenia gravis; hypothyroidism, adrenocortical insufficiency, prostatic hypertrophy, shock, inflammatory or obstructive bowel disorders. May affect ability to drive & use machines. Renal or hepatic impairment. Pregnancy. Not recommended during lactation. Not to be given pre-op in childn <1 yr. Newborn or premature infants. Elderly & debilitated patients.
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