Re: Nubain Problems in chronic pain pts
I find everyone's answers very interesting. Nubain actually works on different opioid receptors. It works on the kappa and mu receptors and should actually provide a more powerful pain relief than others. It is actullay very effective for pain relief during post sheath removal. Is this medication ever mixed with Phenergan? If not, I highly recommend this because it provides a sedative effect as well.
This combination is often given to labor patients right before the transition phase. The effects usually wear off in a couple hours. I am sure in older patients the dosage should be cut in half, and for chronic pain patients, a higher dose is often needed.
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