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So Buy Demerol Online Canada because DEMEROL Tablets or Oral Solution should not be used for the treatment of chronic pain. Prolonged DEMEROL Tablet or Oral Solution use may increase the risk of toxicity (e.g.seizures) from the accumulation of the meperidine metabolite, normeperidine.

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Dosage and Administration

DOSAGE FORMS AND STRENGTHS

Tablets: 50 mg and 100 mg.

Oral Solution: 50mg/5mL (10 mg/mL)

Buy quality demerol online Ensure accuracy when prescribing, dispensing, and administrating DEMEROL Oral Solution to avoid dosing errors due to confusion between mg and mL, and with other Meperidine Hydrochloride Oral Solutions of different concentrations, which could result in accidental verdose and death. Ensure the proper dose is communicated and dispensed. When writing prescriptions, include both the total dose in mg and the total dose in volume. Do not use household teaspoons or tablespoons to measure DEMEROL Oral Solution, as using a tablespoon instead of a teaspoon could lead to overdosage. Use the lowest effective dosage for the shortest duration consistent with individual patient treatment goals. Dilute each dose of DEMEROL oral solution in one-half glass of water because the undiluted solution may exert a slight topical anesthetic effect on mucous membranes. Initiate the dosing regimen for each patient individually; taking into account the patient’s severity of pain, patient response, prior analgesic treatment experience, and risk factors for addiction, abuse, and misuse.

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Initiate treatment with DEMEROL Tablets or Oral Solution in a dosing range of 50 mg to 150mg orally, every 3 or 4 hours as needed for pain.

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Initiate treatment with DEMEROL Tablets or Oral Solution in a dosing range of 1.1 mg/kg to 1.8mg/kg orally, up to the adult dose, every 3 or 4 hours as necessary.

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CONTRAINDICATIONS

• Buy quality demerol online Patients who are hypersensitive to the active substance meperidine or other opioid analgesics or to any ingredient in the formulation. For a complete listing, see the DOSAGE FORMS, COMPOSITION AND PACKAGING section of the Product Monograph.
• In patients with known or suspected mechanical gastrointestinal obstruction (e.g., bowel obstruction or strictures) or any diseases/conditions that affect bowel transit (e.g., ileus of any type).
• Patients with suspected surgical abdomen (e.g., acute appendicitis or pancreatitis). The administration of DEMEROL or other narcotics in patients with acute abdominal conditions may obscure the diagnosis or clinical course.
• Patients with mild pain that can be managed with other pain medications.
• Patients with acute or severe bronchial asthma, chronic obstructive airway, status asthmaticus, substantially decreased respiratory reserve; hypoxia, elevated carbon dioxide levels in the blood, cor pulmonale and other preexisting respiratory depression. In such patients, even usual therapeutic doses of opioids may decrease respiratory drive while simultaneously increasing airway resistance to the point of apnea.
• Patients with acute alcoholism, delirium tremens, and convulsive disorders.
• Patients with severe CNS depression, increased cerebrospinal or intracranial pressure, and head injury. The respiratory depressant effects of DEMEROL and its capacity to elevate cerebrospinal fluid pressure may be markedly exaggerated in the presence of head injury,other intracranial lesions, or a preexisting increase in intracranial pressure. Furthermore, narcotics produce adverse reactions which may obscure the clinical course of patients with head injuries.
• Patients taking monoamine oxidase (MAO) inhibitors (or within 14 days of such therapy).Therapeutic doses of DEMEROL have occasionally precipitated severe, unpredictable, and sometimes fatal reactions in patients who have received MAOIs within the previous 14 days.The mechanism of these reactions is unclear, but may be related to a pre-existing hyperphenylalaninemia. Some cases have been characterized by coma, severe respiratory depression, cyanosis and hypotension, and have resembled acute opioid overdose. Other cases have resembled serotonin toxicity; predominant manifestations have included hyperexcitability, agitation, convulsions, diarrhea, tachycardia, sweating, tremor, impaired consciousness, hyperpyrexia and hypertension.