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Meloxicam has been shown, especially at low therapeutic doses, to selectively inhibit COX-2 over COX-1. [9] Meloxicam concentrations in synovial fluid range from 40% to 50% of those in plasma. The free fraction in synovial fluid is 2.5 times higher than in plasma, due to the lower albumin content in synovial fluid compared to plasma.
Studies of meloxicam 7.5 mg per day for 23 days find a level of gastric injury similar to that of a placebo, and for meloxicam 15 mg per day a level of injury lower than that of other NSAIDs; however, in clinical practice meloxicam can still cause some ulcer complications.
130–200 mg Codeine: 3 ⁄ 20: 100–120 mg ~90% 2.5–3 (C6G 1.94; [14] morphine 2–3) 15–30 min 4–6 hours Tramadol: 1 ⁄ 10 ~100 mg 75% (IR), 85–90% (ER) 6.0–8.8 [15] (M1) Opium 1 ⁄ 10 ~100 mg ~25% 2.5–3.0 (morphine, codeine) Tilidine: 1 ⁄ 10: 100 mg Dihydrocodeine: 1 ⁄ 5: 50 mg 20% 4 Anileridine [16] 1 ⁄ 4: 40 mg ...
MXL is a 24-hour release formula designed to be taken once daily. It is available in doses between 30 mg and 200 mg in 30 mg intervals (equating to between 1.25 mg/hour and 8.33 mg/hour). MST Continus is a 12-hour release formula, therefore it is given 2 times per day.
7.46 mg dihydrocodeine as co-dydramol 7.46/500 (e.g. in the branded product Paramol). 10 mg dihydrocodeine as co-dydramol 10/500, this is also the preparation to be dispensed if no strength is specified on a prescription. 20 mg dihydrocodeine as co-dydramol 20/500 (e.g. branded products Paracod 500/20 and Remedeine).
Research tracing radiolabelled levobupivacaine showed that 71% was recovered in urine and 24% was recovered in faecesl [9] After the intravenous administration of 40 mg of levobupivacaine, the half-life was approximately 80 minutes and the rate of clearance was 651 ± 221.5 mL/min. [10] [16]
Methysergide produces psychedelic effects at high doses (3.5–7.5 mg). [28] Metabolism of methysergide into methylergonovine is considered to be responsible for the psychedelic effects of methysergide. [26] The psychedelic effects can specifically be attributed to activation of the 5-HT 2A receptor. [29]
Oral hydrocodone has a mean equivalent daily dosage (MEDD) factor of 0.4, meaning that 1 mg of hydrocodone is equivalent to 0.4 mg of intravenous morphine. However, because of morphine's low oral bioavailability , there is a 1:1 correspondence between orally administered morphine and orally administered hydrocodone.
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