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Astelin has not been shown to cause histamine release. At therapeutic doses, Astelin has no effect on heart rate,
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If you think you may be pregnant, contact your doctor. You will need to discuss the benefits and risks of using Astelin while you are pregnant.
This indicates that Astelin slightly decreases the precision of thermoregulatory control in addition to reducing the setpoint.
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Astelin may induce psychic and physical dependence of the morphine-type (?- opioid) (See WARNINGS).
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Talk with your doctor if Astelin stops working well. Do not take more than prescribed.Some people who use Astelin for a long time without a break may develop a physical need to continue taking it.
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Astelin is found in breast milk. Do not breast-feed while taking Astelin .When used for long periods of time or at high doses,
The mean absolute bioavailability of a 100 mg oral dose is approximately 75%. The mean peak plasma concentration of racemic Astelin and M1 occurs at two and three hours, respectively, after administration in healthy adults.
Astelin may not work as well and may require higher doses to obtain the same effect as when originally taken. This is known as TOLERANCE.
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Forty patients were treated with either Astelin suppositories 100 mg 6 hourly (qds) or acetaminophen/codeine suppositories 1000/20 mg qds.
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the drug are not limited to those patients with prior history of opioid dependence.
Astelin and M1 elimination half-lives (13 hrs. for Astelin and 19 hrs. for M1).
Astelin had only slight thermoregulatory effects. Its use is thus unlikely to provoke hypothermia or to facilitate fever.
safety and effectiveness in these children have not been confirmed.PREGNANCY and BREAST-FEEDING: Astelin has been shown to cause harm to the fetus.
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IMPLICATIONS: The authors evaluated the effects of the analgesic Astelin on the three major
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which may affect the therapeutic response (see PRECAUTIONS - Drug Interactions). Astelin and its metabolites are excreted primarily in he urine with observed plasma half-lives of 6.3 and 7.4 hours for Astelin and M1, respectively.
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Respiratory depression should be treated as an overdose.

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Astelin is administered as a racemate and both [-] and [+] forms of both Astelin and M1 are detected in the circulation.
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Astelin was not mutagenic in the following assays: Ames Salmonella microsomal activation test,
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Ask your health care provider if Astelin may interact with other medicines that you take.
alcohol or use medicines that may cause drowsiness (eg, sleep aids, muscle relaxers) while you are using Astelin ; it may add to their effects.
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