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Metral may rarely be habit forming. Metral should be avoided in patients with a history of opiate addiction or hypersensitivity to opiate medications.
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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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which may affect the therapeutic response (see PRECAUTIONS - Drug Interactions). Metral and its metabolites are excreted primarily in he urine with observed plasma half-lives of 6.3 and 7.4 hours for Metral and M1, respectively.
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Forty patients were treated with either Metral suppositories 100 mg 6 hourly (qds) or acetaminophen/codeine suppositories 1000/20 mg qds.
Metral was not mutagenic in the following assays:
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Use Metral with caution in the ELDERLY; they may be more sensitive to its effects.Metral should not be used in CHILDREN younger than 16 years old;
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which may affect the therapeutic response (see PRECAUTIONS - Drug Interactions). Metral and its metabolites are excreted primarily in he urine with observed plasma half-lives of 6.3 and 7.4 hours for Metral and M1, respectively.
Forty patients were treated with either Metral suppositories 100 mg 6 hourly.
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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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