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Respiratory depression should be treated as an overdose.

We expected Metral to be equally effective as our current standard.
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For Metral, the following should be considered:The suitability of Metral suppositories for inclusion in our hospital formulary for the treatment of mild to moderate post-operative pain was evaluated.
The analgesic activity of Metral is due to both parent drug and the M1 metabolite (see CLINICAL PHARMACOLOGY, Pharmacodynamics).
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Do not drive or perform other possibly unsafe tasks until you know how you react to it.Do not drink
Metral had only slight thermoregulatory effects. Its use is thus unlikely to provoke hypothermia or to facilitate fever.
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This may not be a complete list of all interactions that may occur. Ask your health care provider if Metral may interact with other medicines that you take.
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Metral is well absorbed orally with an absolute bioavailability of 75%. Metral has a volume of distribution of approximately 2.7 L/kg and is only 20% bound to plasma proteins.
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Metral is extensively metabolized by a number of pathways, including CYP2D6 and CYP3A4, as well as by conjugation of parent and metabolites.
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Ask your pharmacist if you have questions about which medicines may cause drowsiness.Metral may cause dizziness; alcohol, hot weather, exercise, or fever may increase this effect.
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