Indications & Dose:

Acute pain

BY MOUTH

Adult: 50-150 mg every 4 hours

BY SUBCUTANEOUS INJECTION OR BY INTRAMUSCULAR INJECTION

Adult: 25-100 mg then 25-100 mg after 4 hours for debilitated patients use dose described for elderly patients

Elderly: Initially 25 mg then 25-100 mg after 4 hours

BY SLOW INTRAVENOUS INJECTION

Adult: 25-50 mg then 25-50 mg after 4 hours for debilitated patients use dose described for elderly patients

Elderly: Initially 25 mg then 25-50 mg after 4 hours Obstetric analgesia

BY SUBCUTANEOUS INJECTION OR BY INTRAMUSCULAR INJECTION

Adult: 50-100 mg then 50-100 mg after 1-3 hours if required maximum 400 mg per day

Premedication

BY INTRAMUSCULAR INJECTION

Adult: 25-100 mg dose to be given 1 hour before operation for debilitated patients use dose described for elderly patients

Elderly: 25 mg dose to be given 1 hour before operation

BY SUBCUTANEOUS INJECTION OR BY INTRAMUSCULAR INJECTION

Adult: 25-100 mg every 2-3 hours if required for debilitated patients use dose described for elderly patients

Elderly: Initially 25 mg every 2-3 hours if required

Contraindications:

Phaeochromocytoma

Cautions:

Accumulation of metabolites may result in neurotoxicity . cardiac arrhythmias . not suitable for severe continuing pain . severe cor pulmonale

Precautions:

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Interaction:

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Warnings:

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Adverse Effects:

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Lactations:

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Special Precautions:

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Counselling:

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Side Effects Or Adverse Reactions:

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Patient And Carer Advice:

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