Evidence is presented from more than 300 subjects to show that promethazine potentiates the action of six different narcotics (morphine, pethidine, oxymorphone, hydromorphone, fentanyl and pentazocine). In each instance there was prolongation rather than deepening of the narcotic action. Such an effect is consistent with the known membrane-stabilizing action of promethazine and is likely to occ...

conclusions pain management in patients with liver dysfunction is always challenging to physicians because of the adverse reactions of drugs, especially opioids. opioids should be used cautiously since they can cause sedation, constipation and sudden encephalopathy effects. since the clearance of these drugs in patients with hepatic insufficiency is decreased, the initial dose must be decreased...

The United Nation’s (UN) Sustainable Development Goal 3 on health and well–being contains important commitments to reducing by one third premature mortality from non–communicable diseases (NCDs), promoting mental health and well–being, strengthening the prevention and treatment of substance abuse, including narcotic drug abuse and harmful use of alcohol, and halving the number of global deaths ...

conclusions as the results showed, the trend of activities was encouraging and some additional activities could be included to future programs relying on early-onset preventions. results summarizing the data led to three distinguished sections: 1) drug supply reduction activities; 2) drug demand reduction activities; 3) harm reduction activities. evidence acquisition in this report, authors gat...

BACKGROUND The negative consequences of narcotic use and diversion for nonmedical use are on the rise. A growing number of narcotic abusers obtain narcotic prescriptions from multiple providers ("doctor shopping"). This study sought to determine the effects of multiple postoperative narcotic providers on the number of narcotic prescriptions, duration of narcotics, and morphine equivalent dose p...

Study Design Retrospective case-control study using prospectively collected data. Purpose Evaluate the impact of liposomal bupivacaine (LB) on postoperative pain management and narcotic use following standardized single-level low lumbar transforaminal lumbar interbody fusion (TLIF). Overview of Literature Poor pain control after surgery has been linked with decreased pain satisfaction and i...