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Respiratory depression should be treated as an overdose.
Metral was evaluated in peri- and post-natal studies in rats.
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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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The effects of Metral and its metabolite mono-O-demethyl-Metral,
Metral has not been shown to cause histamine release. At therapeutic doses, Metral has no effect on heart rate,
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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Metral and M1 elimination half-lives (13 hrs. for Metral and 19 hrs. for M1).

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