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The developed lip print was lifted by glue portion of cellophane tape and fixed to medicine cabinets with mirrors order atomoxetine 18mg amex contrast paper. Even in the examination of noncritical areas such as the oral cavity or ear canal, it is prudent to remember that many animals (particularly carnivores) may harbor pathogenic organisms that can be physically transferred to another patient (particularly birds) if instrumentation is not disinfected between examinations. If either one of those additional Elisas turns up positive, do a confirmatory Western blot. They are chemotactically attracted to the site of microbial invasion where they help to eliminate the intruder. The general causes of a leukocytosis include infection (general or localized), trauma, toxicities, hemorrhage into a body cavity, rapidly growing neoplasms and leukemias. Butane, liquefied petroleum gas, propane, and propylene have a faint petroleum-like odour and may be stenched with mercaptans for transport and storage. These marks are dry, brown with irregular margins and are usually seen in moist areas of body such as groin, scrotum, anus, armpits etc. Although the risk appeared small among individual users, the overall risk of a heart attack was twice the risk, as compared to placebo-treated patients. The chemical tests for ethchorvynol and chloral hydrate fill another gap in the screening protocol, since these drugs are not detected by immunoassay or in chromatographic screens for basic drug or volatiles. An overall review of these cases found that court orders were granted in 86% (18 of 21). Recipents of substitute prescribing may fall into one or more of the following categories: 1. A recent study affirms the central importance of the dopamine-reuptake transporter in the behavioural and biochemical action of cocaine and defines it as a site on which efforts to develop an anti-cocaine medication should be focused. Variations from the typical mature erythrocyte are occasionally seen in the peripheral blood of birds. Hepatotoxicity with therapeutic quinine use has been reported, and has occurred within 24 hours of initiation of a quinine dose, although onset generally occurs after 2 weeks of therapy. Chronic administration can cause confusion, restlessness, extrapyramidal effects, seizures, and peripheral neuropathies. Poisoning occurs from consumption of improperly preserved fish in which the endogenous histidine has been broken down by bacteria into high levels of histamine and saurine. Which of the following statements is not true of two genes that show 50% recombination frequency? Depending on the method of Nanobiotechnology 48 preparation, lipid vesicles can be multi-, oligo- or unilamellar, containing many, a few, or one bilayer shell(s) respectively. Birds that are housed outdoors are exposed to natural sunlight and should not require supplemental Vitamin D3. Additionally, empty medicine vials are not necessarily indicative of a drug overdose. Drugs may be atomized or volatilized and inhaled as droplets or particulates in air, a common example being the smoking of drugs. In one case series, withdrawal of clozapine resulted in delirium and psychosis which rapidly resolved when low dose clozapine was resumed. Farm workers and people who eat pesticidedrenched foods suffer from immune-suppression. The significant neuropharmacologic features shared by this class of compounds include high affinities for serotonin receptor subtypes and the presence of a substituted amine separated by two aliphatic carbons from an aromatic nucleus (see Figure 6. Neurotoxic Poisons Section 5 Concurrent administration of clozapine with risperidone decreases the clearance of risperidone. The risk of haemorrhage increases with the duration of heparin therapy, but may be reduced by careful control of dosage. It is difficult to predict the minimum toxic or lethal dose of insulin and severity of intoxication must be based on clinical findings. Decomposition Changes External Signs Putrefaction is the most absolute sign of death. Haemodialysis and haemoperfusion are unlikely to be useful in risperidone overdose because of high degree of protein binding. Consider administration of morphine sulfate for chest pain if hemodynamically stable (2.

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Activated charcoal alone or after gastric lavage: A simulated large paracetamol intoxication medicine 3604 pill cheap atomoxetine 25 mg mastercard. The Civil Surgeons, assistant surgeons and subassistant surgeons, were all conducting chemical examination of the stomach contents, vomitus and other incriminating material; at the civil stations. However, studies show that of all those who successfully commit suicide, 80% have threatened to do so in the past, and may have even made previous attempts. It is particularly valuable for the tricyclic antidepressants and many other drugs which are very highly protein bound. Ethanol in intracerebral clot: Report of two homicidal cases with prolonged survival after injury, Am J For Med Path, 1, 149, 1980. All of these limitations must be addressed by scientific research before it will be possible to correlate a positive hair test with time since use, dose ingested or behavioral consequences in the workplace. Peripheral neuropathies have also been noted following chronic hydralazine therapy. Malted liquors - they are fermented product but are undistilled liquids so alcohol concentration is low. Esmolol has also been used in the management of pheochromocytoma with a rapid decrease in systolic blood pressure without effect on diastolic pressure. The New Bird Acquisition Initially, most aviculturists have little concept of which species they will ultimately be breeding. The other factors are same and q = concentration of alcohol in urine in grams/liter. Tachycardia, palpitations, hypotension, myocardial ischaemia (especially on systemic administration). Magnesium generally functions in enzyme systems by catalyzing the reaction through the formation of a metal-enzyme complex, where the magnesium ion is loosely associated with the enzyme. The spectacled cobra is encountered virtually over the whole of mainland India except the north-east. The resulting trace on a strip-chart recorder shows a peak for ethanol followed by a peak for the internal standard (n-propanol). Drug Interactions Salicylate and/or acetazolamide toxicity may occur in patients taking salicylates chronically when acetazolamide is added to drug regimen. Also (to convince me), the demonstration of a plausible mechanism to explain latency of the virus. If patient dies and exact diagnosis or cause of death could not be made out or the patient is brought dead, the doctor should inform the Police regarding the matter and should not issue a death certificate. The effect of intravenous glucose infusion on the exercise-induced serum growth hormone rise in normals and juvenile diabetics. Stability on four of the computerized tests was supported by high correlations between scores when research subjects were tested on four separate days. Moist, slick mucosal membranes have been described in pheasants with Newcastle disease virus and in chronic cholera. However, avoid infusing large amounts of fluids due to the risk of pulmonary oedema. Loosing the opportunity of caring of people denies us an essential part of our humanity. Paraesthesias are the hallmark of ciguatera poisoning, and may also persist for weeks. Serotonin modulates many psychological and physiological processes including mood, personality, affect, appetite, sexual desire, motor function, temperature regulation, pain perception, and sleep induction. Over the next decade, various rigid endoscopes were introduced into human gynecology, orthopedics and otolaryngology. Frequency of left ventricular dysfunction and other echocardiographic abnormalities in human immunodeficiency virus seronegative intravenous drug abusers. Many have shown beneficial effects in the body when provided at low amounts, but at higher amounts they may be toxic or carcinogenic.

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The National Nanotechnology Initiative defines nanoscale materials as particle approximately in the 1 -100 nm size regime in at least one dimension medicine for uti quality 25mg atomoxetine. Therefore, it is recommended that, in countries where milk is not processed, tests on various cheeses, butter, and other milk products should be carried out by inoculation into guinea pigs and that the results of these tests should be used as the basis for preventive measures concerning the products in question. Magnesium hydroxide solution (1%) administered orally may help reduce absorption of iron by precipitating the Fig 9. The term "foetal tobacco syndrome" is applied in those cases where the mother had smoked 5 or more cigarettes per day throughout the pregnancy, had no evidence of hypertension during pregnancy, and the newborn baby showed symmetrical growth retardation as manifested by low birth weight (less than 2. Previously, saline was recommended for the procedure but it resulted in electrolyte and fluid imbalance. Surgery: In the presence of a leaking or a ruptured package, decisions about surgical removal should be made on an individual basis; laparotomy is indicated if this is intestinal obstruction. Note the large follicle (f) and enlarged left oviduct (arrows) indicative of a reproductively active hen. Maintenance Requirements for the maintenance of an adult bird are the lowest for the entire life cycle. A neurologic examination of affected birds should include assessment of cloacal tone, grasping strength of the feet and ability to move the tail (see Chapter 28). The process may also occur in living person characterized by focal tissue injury and necrosis surrounded by inflammatory reaction. The process is facilitated by degrading anaerobic bacteria such as Clostridium welchii. Low-dose aspirin is used in the prophylaxis of cerebrovascular ischaemic events, angina pectoris, and is also recommended by some authorities for the prevention of colon cancer, and migraine. Given subcutaneously, it causes vomiting within 3 to 5 minutes by acting directly on the chemoreceptor trigger zone. There have been reports of pancytopenia and pancreatitis associated with use of intravenous ribavirin. The Scenario at Bombay16: the Grant Medical College was started at the jeejeebhoy Jasmhed jee hospitals in the year 1845. Cardiac arrhythmias should be treated with standard antiarrhythmic drugs, if necessary. From the heel or toe end, the relative position of the assailant and the victim can be known. However, technical challenges still remain before the use of the clinical samples such as urine, sputum, stool and other discharged specimens because of the biocompatibility concern. While the anticipation or experience of withdrawal may indeed be a potent source of negative reinforcement for drinking, it is not the only source of reinforcement, and it may be that the positive reinforcement of a pharmacological (drug) effect is more important whether or not an individual also experiences withdrawal. If an aviculturist is breeding small birds (canaries, finches, budgerigars, lovebirds) outdoors, the enclosure should be constructed with small wire or screen to prevent entry of snakes. Sulfadoxine is a long-acting sulfonamide which is usually used in combination with pyrimethamine in the prophylaxis and treatment of malaria (page no 460). Forensic Issues Occupational exposure results in health problems among workers (vide supra). Sociodermographic profile of burn cases in the reproductive age group (15-45 years) admitted in shri chhatrapati shivaji maharaj general hospital, solapur. Ingestion of one mothball may produce toxicity; patients with ingestion of more than this amount should be referred to a health care facility for gastric decontamination and observation. Hypovitaminosis D3 and calcium and phosphorus imbalances result in changes in the size, shape and length of bones that are characterized by generalized osteopenia and folding fractures secondary to osteomalacia (see Figure 31. An instrumented sheath and rigid endoscope are inserted into the incision and maneuvered carefully between the ribs so that the surface of the lung can be visualized. Most people make the assumption that if a laboratory makes a mistake, such as reporting a false positive, the employee or donor can sue the laboratory for negligence. Copyright 1988 Jon Rappoport in which the entire catalog of human symptoms were interlocked. Marrow can also be obtained from the sternum (keel) of some birds with the biopsy needle inserted into the widest part of the sternal ridge.

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The dressings are changed every two to 3 medications that cannot be crushed purchase 10 mg atomoxetine with visa three days initially, or more often if excessive exudate production results in fluid leakage from underneath the dressing. Youden stated that the mean of the results obtained by a number of independent laboratories, using comparable methods of data presentation and data handling, can be assumed to be the "true value". Specimen Collection for Ancillary Testing Ancillary testing often is essential to confirm or establish a definitive diagnosis. Food and water bowls should be made of stainless steel, hard plastic or crockery and should be washed daily. Disposal of the body ­ in rare instances, the spontaneous movements of muscle may occur after somatic death and if such movements are witnessed or perceived by laypersons, the event may give rise to apprehension that the person was not actually dead but was prematurely disposed off. Immerse the brain tissue (s) thus obtained in 2ml of virus transport medium in sterile screw capped bottles. Positive Contrast Tracheography and Bronchography Contrast studies of the lower respiratory tract should be considered high risk because patients requiring these procedures are usually experiencing serious respiratory compromise. It has been shown that the organism can survive pickling and smoking as well as chilling and freezing. The Juvenile Justice boards are constituted to make juvenile system meant for juvenile and are more appreciative for the developmental needs of children in comparison to criminal justice system as applicable to adults. The intestines (i) are filled with gas secondary to aerophagia caused by severe dyspnea. Study Measures - (1) Pupillary Measures: Measures of pupillary diameter and parameters of the light reflex were made using a Pupilscan (Fairville Medical Optics) handheld pupillometer. Vaporized ethanol chlorpromazine, Tricyclic antidepressants may be rapidly absorbed by inhalation. A competitive inhibitor of succinic dehydrogenase is (1) m-ketoglutarate (2) Malonate (3) Malate (4) Oxaloacetate Ans: (2) (1) calcium and phosphorus (2) sulphur and magnesium (3) phosphorus and sulphur. Admission after opioid overdose: All patients who have required more than one dose of antidote to maintain their mental status should be admitted for further evaluation and therapy including possible infusion of naloxone or flumazenil. Responses to hapten-carrier molecules indicate that production of antibodies to epitopes of the haptens is possibly independent of the carrier molecule itself. Government of India is making attempts at prohibiting tobacco smoking in public, and a few states have begun to implement this with varying success rates. Hyperlipemia and hyperproteinemia will cause falsely low potassium levels by a mechanism similar to that described for potassium. Ingestion of up to 6 grams of lovastatin has been reported without specific effects or sequelae. Typically, the incongruent task takes more time than the neutral stimulus task because the tendency to read the color word interferes with naming its ink color; the difference in time between the two tasks is considered a measure of selective attention or distractibility. If one assumes that the defendant was fully post-absorptive at the time of the accident, estimating back 4 h and allowing a mean burn-off rate of 0. After stomping is complete, the coca solution is poured through a course filter to remove the insolubles including the plant material. Urine may be excreted without urates when birds are nervous, polydipsic or consuming fruits and vegetables with a high-water content. Special care is necessary in diabetics, since the hypoglycaemic effect of antidiabetic drugs can get aggravated. Laboratories can determine the antimicrobial susceptibility of a bacterial isolate by two primary methods: disk diffusion and dilution tests. The use of overwhelming force will often be all that is necessary to preclude a fight. Amiodarone has been demonstrated to cause congenital myxoedema in infants born of amiodarone-treated women. Yuassa N, et al: Isolation and some characteristics of an agent inducing anemia in chicks. Because the main objective is qualitative detection, rather than quantification, general screening methods are usually more flexible than special methods and can therefore be applied to a wider variety of materials. The consent is not written but legally it is effective the consent is provided for medical examination such as inspection, palpation and auscultation.

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Cocaine reduction in unmotivated crack users using carbamazepine versus placebo in a short-term symptoms gestational diabetes buy discount atomoxetine 10 mg, double-blind crossover design Clin Pharmacol Ther 1991; 50: 81-95. Section 3 indicative of the presence of phosphine in the breath, since silver nitrate is reduced to silver on exposure to it. Examination of a breeding bird being considered for addition to the aviary should be more than a health exam. Soaps and detergents can also inactivate the virus and should be used liberally for washing hands. Affected premises are to be quarantined for at least 20 days after the last case or 6 weeks after vaccination, whichever is later. These are similar to the progressive massive fibrosis seen in complicated pneumoconiosis. Controlled studies of the effect of various liver diseases on the rate of disappearance of alcohol from blood are rather sparse. Flammer K, et al: Plasma concentrations of enrofloxacin in African grey parrots treated with medicated water. The efficacy of the safeguards is, however, premised on the idea that the procedures will be followed. Unfortunately, the same motorists may again show substantially impaired performance after the immediate contingency of detection and arrest are removed. Opiate narcotic is (1) Heroin (2) Bhang (3) Nicotine (4) Charas ht tel tp eg s: ra //t m. Physical Appearance Hydrochloric acid is a colourless, fuming liquid which may acquire a yellowish tinge on exposure to air (Fig 5. Poisoning due to other pesticides is relatively uncommon except among individuals who are occupationally exposed. Record Keeping Daily recording of each run for sterilization of material should be maintained. He was given symptomatic treatment and kept under observation for a week and then discharged. Pet cats shedding oocysts can be temporarily isolated and treated with sulfadiazine and pyrimethamine. Isoniazid is readily absorbed on oral or parenteral administration, and diffuses easily into all body fluids and tissues. Bite marks (contusions and lacerations) of the tongue and lower lip should be specifically sought because these frequently accompany terminal convulsions which may be the result of cocaine or tricyclic antidepressant toxicity. Federal agencies directly involved in the issuance of licenses or documents for the performance of regulated activity hold hearings concerning alleged violations of federal drug and alcohol regulations. It is important to note that children may have different predominant signs of organophosphate poisoning than adults. These intestinal infections, termed taeniasis, normally produce only mild symptoms. Laminar necrosis may be apparent if sufficient time has elapsed between the time of anoxia and death. Clinical Features the general picture is the same as in the case of sulfuric acid, with the following differences: 1. The best contrast study can be performed when the gastrointestinal tract is empty. Nitrous oxide is a gas that acts as a central nervous system depressant and can cause asphyxiation by oxygen displacement. Effects of cimetidine on gastric alcohol dehydrogenase activity and blood ethanol levels. Certain test phrases may be usedtobringoutthisdifficultyinspeechsuchas"British constitution", "truly rural" etc. These reactions are oxidative or hydrolytic in nature and include N- and O-dealkylation, aliphatic and aromatic hydroxylation, N- and S-oxidation, and deamination. Legal Procedure Objectives of re-examination are to explain any ambiguities or correct any mistake or add details to the statements the witness has made in cross-examination. While strictly speaking, the term "opiate" refers to natural and semisynthetic derivatives, and the term "opioid" is a more inclusive term applying to all agonists and antagonists with morphine-like activity, for the sake of convenience (and to avoid confusion), the former term will be used in this book as an umbrella-expression to cover all derivatives of opium-natural, semisynthetic, and synthetic. Transition of radial vascular bundle in root to conjoint vascular bundle in stem occurs in which zone?

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The reduced heart rate after the injection period during submaximal work was the same as the reduction seen in the same individuals after they had received an infusion of red blood cells medications voltaren atomoxetine 40mg free shipping. The two most important enzyme systems involved in Phase I biotransformation reactions are the cytochrome P-450 system and the mixed function amine oxidase. For now avian veterinarians will continue to be required to diagnose and treat many medical problems subjectively until results from avian research efforts begin to satisfy the demand for information. The probability of their daughter becoming colour blind is (1) 50% (2) 0% (3) 75% (4) 25% Ans: (2) jo in [1990] Q1765. Drug-induced myopathies may result from a direct toxic effect which may be local. Gastric mucosa may show small hemorrhages and ulceration (Wischnewski ulcers) Organs are congested Kidneys may show signs of acute tubular necrosis Urinary catecholamine levels are elevated in hypothermic deaths. In some cases there are no suitable references, so results obtained by different techniques in different laboratories cannot effectively be compared, and it is difficult to establish clear criteria by which to distinguish an exogenous administration (banned) from a normal endogenous concentration. Two important points are to be noted in connection with radiographic changes in hydrocarbon ingestion- a. Vishal Koulapur, Anand B Mugadlimath, Kashif Ali, Khaja Azizuddin Junaidi Road Safety in Mangalore ­ An Observation. An oesophagogram should be done at 3 weeks to evaluate the formation of strictures. If the animal fails to respond to the treatment, it lapses into coma followed by death from shock. However, there are issues associated with a number of the assays that do deserve discussion. Of all the above criteria, transparency of root alone is the single most important one to determine age. Several blood proteins, including fibronectin, antibodies or C3b complexes derived from the complement cascade (in the case of the alternate pathway, this may occur independently of antibodies) can function as opsonins. Mandar Ramchandra Sane, Pankaj Verma, Rashmi Kulkarni, Pradeep Kumar Mishra, Manish Nigam, P C Sirkanungo 85-90 14. The development of a safer, easier method of manufacturing this free-base "crack" cocaine led to increased availability of the smokeable form and widespread increases in cocaine use. The second type of calibrators are those obtained from commercial sources as kits to be used in self-contained analytical systems. Dopamine D2 and D3 receptors inhbit dopamine release, J Pharmacol Exp Ther, 270, 475, 1994. Almost certainly there will be a need for multiple feeding and drinking stations, each of which can be easily cleaned and accessed by the aviculturist. Oral Medication and, because many drugs are available as oral suspensions in flavored pediatric strengths, dosing is easy. Central America-Mexico and Guatemala are the primary source countries for heroin in Central America. With very small birds, the wings and legs may be pinned to a dissecting tray or board to immobilize the carcass. Based on what is known about the death and the specimens available, a panel of screening tests is designed to quickly detect or rule out the most common drugs and, when appropriate, poisons. Flaking, balding, cracking, hemorrhage and peeling of the skin on the feet are all signs of abnormalities. The main reason is that most laboratory research is concerned with basic mechanisms, and applied research issues, such as these criteria for usefulness, have not been viewed as particularly relevant to an understanding of basic, underlying mechanisms of the effects of drugs. With $30 as the bare minimum for survival, doctors may sell drugs they receive on the black market, giving small amounts to patients and stretching out the available supplies. Procedures use the forward (lactate to pyruvate) or the reverse (pyruvate to lactate) reactions in almost equal numbers. Convulsions and hallucinations: diazepam or lorazepam titrated until these manifestations cease. Puncture wounds must be left open for drainage, but large gaping lacerations may require partial closure.

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Example ­ A Medical Practitioner has a privilege to symptoms xanax addiction generic atomoxetine 25 mg online inform the railway authorities if he finds that a particular engine driver is colour blind. Hypo- or hyperthyroidism: Both hypo-and hyperthyroidism have been reported during chronic therapy. With polyuria, the feces are normal and are surrounded by a large volume of clear fluid, while with diarrhea the feces are abnormal (see Color 8). Physical restraints: Restraint has proven efficacy in reducing injury and agitation. The affected neurons become shrunken with eosinophilic cytoplasm and nuclear pyknosis, and gradually disappear. An Analytical Laboratory attached to the Centre tests for common poisons or drugs in body fluids, as well as in water and medicinal preparations, and other commercial products. Urinary incontinence can be managed with a sheath urinal for a male, but for a female, an indwelling silastic catheter inserted with aseptic precautions is necessary. It is also important to remember that many venomous species possess more than one set of fangs and thus multiple fang marks may be present even in the normal course. Power of discrimination is more due to hyper-variability at each locus and ability to look at many loci. Other nutrient guarantees are optional, except when the product specifically states that it is supplemented with certain nutrients (or category of nutrients), in which case those nutrients must be guaranteed. The parent compound of a second set of phenethylamine homologues and analogues (Figure 1. The plasma membrane consists mainly of: (1) proteins embedded in a polymer of glucose molecules (2) phospholipids embedded in a protein bilayer (3) proteins embedded in a carbohydrate bilayer (4) proteins embedded in a phospholipid bilayer Ans: (4) [2011] Q751. Homologous organs are in (1) Pectoral fins of Fish and fore limbs of Horse (2) Wings of insects and Bat (3) Wings of Grosshopper and Crow (4) Gills of Fish and lungs of Rabbit Ans: (1) [1994] Q2062. On physical examination, pallor of mucous membranes is evident in the oral cavity, palpebral conjunctiva and cloaca. Once a defect in the oral mucosa occurs, food may accumulate in the damaged tissues and create a nidus for secondary bacterial and fungal pathogens. Do use repellants in basements, attics and storerooms to ward off rodents and snakes. If such statement is · the rule states that the unlawful act of a person was raised then, the burden of proving mental unsoundness lies product of mental disease or mental defect. Principles of Wound Management Impediments to Wound Healing There are many factors that can impair or prevent normal wound healing. These drugs include analgesics (aspirin or paracetamol), anti-emetics (diphenhydramine, prochlorperazine, promethazine, metoclopramide), combination analgesics (aspirin or paracetamol with a mild vasoconstrictor. Long-term use in dogs has resulted in decreased cortisol levels and decreased testosterone synthesis. Pith and cortex do not differentiate in (1) monocot root (2) monocot stem (3) dicot root (4) dicot stem Ans: (2) Q532. Although contrast tracheography may help delineate some masses, tracheoscopy is less stressful to the patient and more definitive (Figure 12. A doctor is sometimes called upon by the police to examine an individual who has been taken into custody for creating public annoyance in a state of intoxication, or for driving a vehicle under the influence of alcohol, or for being involved in a criminal offence after drinking. Dipyridamole produces vasodilation via inhibition of adenosine reuptake, leading to accumulation in plasma and tissues. Restlessness, encephalopathy, and hallucinations may occur after abrupt withdrawal from high daily doses. A bullet may produce single entry wound with multiple exit wounds Ricochet bullet ­ a ricochet bullet is one, which gets deflected or deviated from its path by striking an intervening object in its way before striking the body. Limited data suggest that urinary 2,4-D levels may be useful in monitoring workers with industrial and commercial exposure. Normally a dramatic recovery of consciousness is seen during hyperbaric treatment. But Tardieu spots specifically refer to Petechial hemorrhages occurring in the visceral pleura. At high doses, respiratory depression occurs, which is the usual cause of death from acute opioid overdose.


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