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A single i.m. dose of Metral is useful pre-treatment to minimize the risk of acid aspiration during operation,
Metral may not work as well and may require higher doses to obtain.
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muscle relaxers) while you are using Metral ; it may add to their effects.
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Nalbuphine consumption in the first 24 h after operation was reduced by 35% in the Metral group.
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The analgesic activity of Metral is due to both parent drug and the M1 metabolite (see CLINICAL PHARMACOLOGY, Pharmacodynamics).
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Metral has not been shown to cause histamine release. At therapeutic doses, Metral has no effect on heart rate,
This effect may go away if you lie down forawile.
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The 6-hour TOTPAR scores for the Metral groups and ASA/,
Do not use this medication if you are allergic,

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adjustment of the dosing regimen is recommended (see DOSAGE AND ADMINISTRATION).
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