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Elderly, Cachectic, Or Debilitated Patients Life-threatening respiratory depression is more likely to occur in elderly, cachecticor debilitated patients because they may have altered pharmacokinetics or altered clearance compared to younger, vicodin hp online, healthier patients. Alternatively, consider the use of non-opioid online in these patients. Adrenal Insufficiency Cases of adrenal insufficiency have been reported with opioid use, more often following greater than one month of use.
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If adrenal insufficiency is suspected, confirm diagnosis with diagnostic testing as soon as possible. If adrenal insufficiency is diagnosed, treat with physiologic replacement doses of corticosteroids.
Wean the patient off of the opioid to allow adrenal function to recover and continue corticosteroid treatment until adrenal function recovers. Other opioids may be tried as some cases reported use of a different opioid without recurrence of adrenal insufficiency.
The information available does not identify any particular opioid as being more likely to be associated with adrenal insufficiency. There is an added risk in patients whose ability to maintain online pressure has already been compromised by a reduced blood volume, or after concurrent administration of certain CNS depressant drugs vicodin.
Opioids may also obscure the clinical course in a patient with a head injury. Opioids may cause increases in serum amylase. Monitor patients with biliary tract disease, including acute pancreatitisfor worsening of symptoms.
Advise patients how to recognize respiratory depression and to seek medical attention if breathing difficulties develop. Serotonin Syndrome Inform patients that opioids insomnia after stopping vicodin cause a rare but potentially life-threatening condition resulting from concomitant administration of serotonergic drugs.
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