We have adapted and delivered comprehensive infection prevention, including COVID-19 precautions, safety innovations and processes to safeguard you during your visit. Alcohol is known to interact negatively with medications used to treat COPD such as antibiotics and corticosteroids. The danger is even larger for people with COPD, who have a much higher risk of experiencing serious respiratory problems when taking any two or more respiratory depressants at the same time. Alcohol is known to interact negatively with medications used to treat COPD such as antibiotics and corticosteroids. 3) Avoid sauces and gravies:--- esecially in restaurants. of COPD (2020 Report), which aims to provide a non-biased review of the current evidence for the assessment, diagnosis and treatment of patients with COPD that can aid the clinician. Get up and Exercise. That means never taking anything without asking your doctor first, but also knowing what to beware of so you don't accidentally take a medicine that has harmful effects. Second, they might also directly interact with beta-agonists, a medication that many COPD patients are prescribed by … Because of this, it can be risky to take CNS depressants if you have COPD and you should never take them unless specifically instructed by a doctor; even then, you should exercise caution and make sure you understand the risks. Subjects diagnosed with mild to moderate COPD (GOLD stage I, II and III)- 10 pack-year smoking history or greater and ceased to smoke at least for 2 months prior to recruitment Subjects taking H2 antagonists, Imodium or loratadine and willing to stop during the study period Midol complete). Although some medicines are only likely to cause minor adverse effects, there are many that can put your long-term health or even your life at risk. Respiratory Resource Center, Contact us today at 888-745-6697 or fill out the form to see if you qualify for cellular therapy, and find out what cellular therapy could mean for you. Discussions of COPD and COPD … As many as 90 … You can prevent or ease your COPD symptoms, like shortness of breath, cough, mucus build-up and tiredness by taking your prescribed medication. Different types of medications treat different symptoms. The biggest COPD trigger by far both in terms of the onset of the condition and managing it down the road is smoking. Share your thoughts and comments below. Are you a COPD patient who’s stuck in a negative mindset? Common Cough Medications that Can Act as CNS Depressants: Sedative medications are CNS depressants that are used to induce drowsiness and treat a range of conditions including anxiety, insomnia, and seizures. 5 Medications That Could Be Making Your Copd Worse Lung Institute . After hours, you can leave a message and we will return your call. Because of this, taking potassium-depleting diuretics (especially thiazide diuretics) can be particularly risky for people with COPD who take these other medications. Alert your doctor immediately if you notice new or worsened breathing symptoms, especially if they appear after beginning a new medication. Although it's generally safe to drink alcohol as long as you do it in moderation, people with COPD have a higher risk of experiencing alcohol-related respiratory side effects. Smoking also damages the … When you have chronic obstructive pulmonary disease (COPD), exposure to certain lung irritants can mean the difference between huffing and puffing and easier breathing. Because of this, many people who who take diuretics need to be monitored carefully by a doctor and take regular blood tests to ensure there are no adverse effects. Beta blockers can potentially make your COPD worse in two different ways. Here is a List of Some Common Diuretic Drugs and Brand Name Medications: Part of staying healthy with COPD is learning how to avoid hazards that many other people don't have to worry about, including adverse side effects from common medications. Because of this, if you have COPD or another chronic lung disease, you need to be extra cautious about what kinds of drugs and medications you take. Patients should avoid having a warm glass of milk at night before sleeping. In fact, some researchers suggest that this effect on the respiratory system is so strong that antihistamines may actually contribute to sudden infant death syndrome (SIDS), a condition in which a baby dies during his or her sleep for no apparent cause. Take some aspirin or ibuprofen. Salt leads to the retention of fluid, which may increase swelling and the buildup of fluids in the lungs. Your healthcare provider may prescribe medicine to help you breathe easier. That means avoiding medications that can aggravate COPD symptoms as well as drugs that interact in dangerous ways with other medications prescribed to treat COPD. In the short term, this can interfere with your ability to sleep, exercise, and do normal daily activities; over the long term, reduced breathing efficiency caused by respiratory depression could put you at risk for more serious health complications. Prescription cough medications often include opoid medications like hydrocodone and codeine, while over-the-counter cough medicines often contain opoid-analogues like dextramethorphan (DXM). However, whether prescription or over the counter, they too can also potentially depress the respiratory system, resulting in the same effect as opioid-based medicines. CBD has been a media darling for the past year, and people claim it can help many medical conditions. In the case of chronic obstructive pulmonary disease (COPD) specifically, certain medications can actually make this condition worse. First, sometimes they produce bronchial spasms, aggravating this condition. Medication and Treatment, You might take it with a long-acting bronchodilator. However, this can sometimes make the kidneys get rid of too much sodium and other electrolytes—including potassium—in the process, causing dangerous electrolyte deficiencies and other chemical imbalances in the blood. ... and avoid … Opioid/sedative effects: among COPD patients who are on chronic opioids, it can be extremely difficult sorting out whether hypercapnia is a medication side-effect or is due to underlying COPD… This is the case for a for over-the-counter cough medications, which may worsen COPD-related airway blockage just by doing what they're supposed to do—suppress coughing. Denver, CO 80237, Monday - Sunday from 9:00 am to 9:00 pm MST, 8 Hazardous Drugs & Medications That Can Worsen COPD, complete list of sedative antihistamines here, mix alcohol with opoids, respiratory depressants, certain types of bronchodilator medications, In severe cases, respiratory failure or death, Certain antibiotics, including Clarithromycin, Certain drugs used to treat other psychiatric disorders, including Abilify and Closaril, Other medications that cause CNS or respiratory depression. It brings down swelling in the lungs and opens your airways. This is a common side effect known as respiratory depression, which happens when your breathing becomes “depressed”—which means that it's slower and shallower than usual. Everyone needs quality shut-eye, but this is especially true for … Also, don't be afraid to talk to your doctor if you have any questions or concerns about your medications, including their purpose, side effects, health risks, and how they interact with other drugs. In spite of all the dangers we've discussed so far, many doctors prescribe opoids and other medications that act as respiratory depressants to treat a variety of symptoms in people with COPD, including pain, anxiety, and shortness of breath. This study's results—which found that COPD patients who took loop diuretics where more likely to get pneumonia, more likely to be hospitalized, and more likely to die from respiratory complications—are consistent with the results of other research on the adverse effects of low electrolyte levels in people with COPD. NSAIDs are used for pain relief and include common over-the-counter drugs such as ibuprofen (Advil, Motrin) and naproxen (Aleve). Allergies bothering you? This can help stop the level of oxygen in your blood becoming dangerously low, although it's not a treatment for the main symptoms of COPD, such as breathlessness. First, sometimes they produce bronchial spasms, aggravating this condition. Of all the medications that have respiratory depression as a side-effect, over-the-counter medications (e.g. Use of chemical agents which includes hairsprays, air-sprays, perfumes and deodorants should also be avoided. We measure our success by our patients’ satisfaction and their satisfaction with our services and the care they receive from our dedicated staff. This effect makes CNS depressants an effective treatment for a variety of different health conditions, including sleep disorders, anxiety, panic attacks, seizures, and pain. That’s why some researchers suggest that, if you are taking a diuretic, your electrolyte levels should be closely monitored. Oxygen therapy has many benefits, including improving sleep, mood, and mental alertness. COPD medication is the other critical treatment for most people. Codeine (for a list of common brand name medications that include codeine, see the section on opoid pain relievers above). No matter how careful you are, it's important to be able to recognize at least the general types of drugs and medications you should avoid. Doing so risks slowing down brain activity so much that vital bodily functions, such as breathing and blood circulation, shut down, risking hypoxia (a large and dangerous drop in blood oxygen), coma, and death. On the other hand, you should never take any medication that causes respiratory depression without your doctor's permission, even if you can buy it without a prescription. Unfortunately, diuretic side effects can be even more dangerous for people with COPD, whose respiratory systems are more sensitive to electrolyte imbalances in the blood. In the following sections, we're going to take a closer look at these two categories of medications and how they pose a danger to people with COPD. Any additional impairment causes the respiratory system to fall even further behind, which further reduces the limited amount of oxygen the lungs can supply. Chronic Obstructive Pulmonary Disease and Related Disorders Chronic Obstructive Pulmonary Disease (COPD) ... worsen despite initial drug or oxygen therapy or who appear to be imminent candidates for full mechanical ventilation but who do not require intubation for control of the airway or sedation for agitation. Because of this, you should always be cautious with alcohol and be sure not to drink too heavily. Sleep is important for mental as well as physical health. Two commonly used drugs for the lung disease known as COPD boost the risk of heart attack, stroke, or death from cardiovascular causes, according to a new analysis. Some … Chronic obstructive pulmonary disease (COPD) is a severe lung condition that includes emphysema and chronic bronchitis. Even if you're taking a respiratory depressant prescribed by your doctor, you should still be on the lookout for adverse effects. Talk to your heal… As CNS depressants slow down the brain's activity, it can cause other bodily functions—including reflexes, respiration, and heart rate—to slow down too. Over-the-counter medications can still have serious risks, and those risks are simply not worth taking on your own when you have COPD. Corticosteroids are drugs that help reduce inflammation in the body.A doctor may prescribe them to ease swelling in the airways. You don’t need to sit at … However, we haven't talked much about what kinds of mistakes patients are making and what exactly they are failing to do. As such, it is no surprise some of the common side effects of diuretics include increased blood glucose, increased cholesterol, and lower levels of sodium, potassium, and magnesium in the bloodstream. Some people with COPD should avoid alcohol altogether, including many people with advanced COPD and those who take certain medications. These qualities would allow people with COPD to breathe more easily and avoid complications associated with COPD like low blood oxygen levels. Rehab is a program run by specialists who help you learn to manage COPD. Our duty and obligation is to help our patients. (Restaurants use sodium as a preservative, therefore, the food is usually high in sodium.) A … If you are unsure or have any questions, don't be afraid to ask your doctor what amount of alcohol—if any—is safe for you to drink. by mpatino | Jan 18, 2018 | COPD, Disease Education, Lung Disease, Medical, Product Reviews. This can cause side effects like muscle weakness, blurred vision, slurred speech, reduced coordination, and—you guessed it—respiratory depression. Further respiratory depression from drugs or medication can be dangerous, especially if you're already suffering from a respiratory condition like COPD. Learn more about CBD and if it can help treat COPD. Got a headache? hbspt.cta._relativeUrls=true;hbspt.cta.load(3306744, '43b79c5e-6bd6-4f02-ac27-2d038d20c146', {}); It's especially dangerous to take any drugs that may cause respiratory depression at night, because your body naturally decreases your breathing rate when you sleep. Because of this, many experts continue to advise against COPD patients using medications that suppresses the urge to cough. Corticosteroids. To find more helpful COPD information, check out our resources guide. In the sections below, we've listed many common types of medications that can cause respiratory depression—both prescription and non-prescription—separated into categories based on their use. Some common symptoms of respiratory depression include: Respiratory depression can range from mild to severe; it can be deadly in the most serious cases, but barely noticeable in others. You can buy some mild diuretics (usually used to treat bloating) over the counter, while some require a prescription (especially those used to treat heart problems). Second, they might also directly interact with beta-agonists, a medication that many COPD patients are prescribed by their primary care physicians. Examples include a pulmonologist (lung specialist), dietitian, or exercise therapist. The most important of all the COPD treatment options is to avoid smoke in every form. What to do when the necessary meds simply cannot be … COPD Patients should avoid unhealthy and polluted environment as all the allergens tend to sensitise the respiratory epithelium, cause dyspnea and cough leading to respiratory distress and thus causing worsening of COPD. It's also dangerous to mix alcohol with opoids, respiratory depressants, and any other drug that lists alcohol as a potential contraindication. You should also take some time to familiarize yourself with some common drugs and medications that are dangerous to mix with opoids, including: Common Opoid Drugs and Brand Name Medications: Antihistamines are medications commonly sold over the counter that are best known for treating allergic reactions like hay fever. You might take it with a long-acting bronchodilator. This drug, which is a powerful narcotic that's given by injection to relieve pain, can … Because opoids interact with a wide range of over-the-counter and prescription medications, you also need to be extra careful about any other drugs or medications you use. If your doctor prescribes you a sedative or benzodiazepine, make sure you take the time to talk to your doctor so you fully understand the risks, constraints, and side effects of the drug. These are mainly combinations of either two long-acting bronchodilators or an inhaled corticosteroid and a long-acting bronchodilator. There are several broad classes of sedative drugs, including hypnotics, barbiturates, and benzodiazepines. The more you learn about your disease and how different substances might affect you, the easier it becomes to make safe and informed choices about your health. Codeine, found in a large number of pain relief, cough, cold, and flu medications, including: Hyrocodone, also sold under the following brand names: Morphine, sold under the following brand names: Meperidine, sold under the brand name Demerol. If your doctor approves an over-the-counter medication, make sure to carefully check the label before purchase; make sure the active ingredient list contains only the drugs you are looking for and doesn't include any unapproved or hazardous drugs. This article describes how diet affects COPD and outlines the best diet for COPD, including foods to eat and avoid. However, they can quickly become dangerous or deadly if you take too high a dose, or if you mix them with any other medication you shouldn't. Refill your medicines before you are out so that you do not miss a dose. When you have a chronic disease like COPD, certain drugs and medications can affect your body differently than they affect healthy adults. Many different types of drugs and medications—including ones that you can pick up at your local drug store—can directly interfere with your respiratory system and your overall ability to breathe. It may also increase the risk of death for COPD patients with other serious health conditions, including heart failure, liver cirrhosis, and pneumonia. COPD exacerbations are hard to define: the only accepted definition is a significant and persistent worsening of breathing in someone with COPD, requiring a change in medications -- … Avoiding Drug Drug Interactions In Patients With Respiratory Diseases . Sodium and potassium deficiencies, in particular, can cause dangerous respiratory symptoms in COPD patients, including worsened shortness of breath. Though it may be needed to consume u… Unfortunately, however, there are very few alternative medications for treating anxiety and sleeplessness that are considered safe for people with COPD. Air pollution, smoking, a developing infection, or changes in weather are just a few that might prompt an exacerbation of your COPD. For most people with COPD, doctors prescribe a combination of medications. Set aside the salt to stave off COPD symptoms. *For more information, go to LungInstitute.com/Results. That’s why, as of August 31, 2016, the U.S. Food and Drug Administration (FDA) requires that these classes of medications contain boxed warnings, “the FDA’s strongest warning,” to educate doctors and patients of this increased risk. These medicines are not used to treat flare-ups.Flare-ups are treated with quick-relief (rescue) drugs.. Research suggests that, for people with COPD, coughing can actually serve an important purpose: it helps you clear excess mucus out of your airways. The more you’re in big crowds, the higher your risk of being exposed to infectious germs. Avoid Crowds. CNS depressants can have side effects like blurred vision, muscle weakness, and respiratory depression. nbsp; DearCustomer There are medications that are contraindicated with people suffering from COPD (Chronic Obstructive Pulmonary Disease.) The human body has an amazing ability to heal itself, but sometimes it needs a little help. Tips and Hacks, Download Our Official Guide to Portable Oxygen Concentrators, LPT Medical The intention of writing this blog is to say to others 'you are not alone'. A drug called roflumilast can help with severe COPD symptoms. When you have COPD, it’s important that you’re able to cough, helping you get rid of the secretions in your lungs. However, because the brain is responsible for controlling such a huge range of biological functions, many CNS depressants come with serious side effects and risks. Blog bitz-and-bobz.co.uk/copd Russell Winwood reveals 3 tips that can help COPD patients gain a more positive mindset. People typically take antihistamines for allergies, but they may also be taken to help treat colds, motion sickness, vertigo, and even anxiety. The Lung Institute can tell you more information about which drugs to avoid on COPD. Cigarette smoke contains tar and many toxic chemicals that irritate the lungs. We'll also show you some examples of common drug and brand name medications in each group so you can better recognize them on your own. You must use these medicines every day for them to work well. 2) Avoid fast food:--- as they are usually loaded with sodium. hbspt.cta._relativeUrls=true;hbspt.cta.load(3306744, 'b59df0c1-c4de-47a8-8e1c-0d33d4b414aa', {}); Sedative antihistamines are also found in a wide variety of over-the-counter cold and flu medications, especially combination and night-time medications. Salt leads to the retention of fluid, which may increase swelling and the buildup of fluids in the lungs. Poor sleep can increase the risk of flare-ups with chronic lung disease, but practicing good sleep hygiene can improve your sleep. The specialists will help you make a plan to avoid triggers that cause an exacerbation. © Copyright 2020 Lung Health Institute, LLC | All Rights Reserved | Privacy Policy | Terms of Use, CDC Safety and Quality Standards in Place, contribute to sudden infant death syndrome, 3 Foods That Can Help Reduce Spring Allergies, Info Chronic Lung Disease Patients Should Know About Coronavirus, 3 Ways to Improve Your Mindset When You Have COPD, The Natural Healing Powers of Your Own Body, 3 Holiday Foods to Avoid and 3 Foods to Incorporate When You Have COPD, 5 Holiday Gift Ideas for Someone With COPD. The FDA has issued a special warning for the medications gabapentin and pregabalin for causing dangerous breathing problems in people with respiratory conditions like COPD. There are different types of anti-inflammatory drugs that might be prescribed for chronic obstructive pulmonary disease (COPD). Low potassium, on the other hand, may also disrupt respiratory processes, and is associated with excess carbon dioxide build-up in the blood (a condition known as hypercapnea). Try to drink at least 6 to 8 eight-ounce glasses of non-caffeinated beverages each day. Others have the potential to cause respiratory side effects, which can cause serious breathing problems in COPD patients with vulnerable, compromised lungs. In this guide, we're going to discuss some common drugs and medications that pose a special risk to people with COPD and other lung diseases. Topics: Beta Blockers. Since these drugs are so common, it's important to be absolutely sure that you aren't taking any medication that contains them before you decide to imbibe. If taken in large enough doses, they can even result in coma or death. As brain activity slows, your breathing rate can slow as well, which is a concern for people who already struggle to breathe because of a lung disease like COPD. Try using frozen or fresh vegetables whenever possible. For healthy people, mild respiratory depression from over-the-counter medications isn't usually a concern because it's unlikely to cause much harm. These drugs have both intended actions and side effects. Westend61 / Getty Images. However, you should still be aware of the risks and be extra diligent about your medication habits: carefully keep track of your doses, never take more than prescribed, and immediately notify your doctor if you notice any respiratory side effects. Keep in mind that the information in this guide is not exhaustive, and only a licensed medical professional can tell you for sure how safe or how risky a particular medication is for you. Sleep is important for mental as well as physical health. A potassium supplement, or potassium-sparing agent is recommended too. If you have any of these diagnoses, you should avoid many nonprescription antihistamines without a physician recommendation. Chronic obstructive pulmonary disease (COPD) drugs The right drug can help you manage your chronic obstructive pulmonary disease (COPD) symptoms and avoid lung infections and airway irritations. Potassium-sparing Diuretics, which include the following drugs: Spironolactone (brand names Aldactone and Carospir). Respiratory infections can cause COPD symptoms to worsen. Having an Erratic Sleep Schedule. However, certain antihistamines also have sedative effects, which is why they are often used to treat other conditions like anxiety, insomnia, and motion-sickness, and why you'll find them in most over-the-counter sleep medications. Diphenhydramine, also sold under the following brand names: Doxylamine, also sold under the following brand names: Chlorpheniramine, also sold under the following brand names: Alka-Seltzer Plus Cold & Cough Liquid Gels, Clemastine, sold under the brand name Tavist Allergy, Dimenhydrinate, sold under the brand name Dramamine, Cyclizine, sold under the brand names Marezine and Bonine for Kids, Meclizine, sold under the brand names Bonine and Dramamine Less Drowsy, Many other combination cold & flu medications (this is not an exhaustive list). If you have any questions or worries about medications, side effects, and how they might affect your COPD, don't hesitate to schedule some time with your doctor to chat about your concerns. To get the full benefit from your medication… That's why, in general, COPD patients should avoid taking benzodiazepines and other sedative medications if possible. Some people feel that a nightcap can help them fall asleep. Whether it’s a traditional cigarette, a cigar or an electronic cigarette, smoking only worsens COPD symptoms. Low potassium levels are also associated (PDF link) with increased ICU admissions, increased need for mechanical ventilation, and an increased risk of death among people with COPD. People with chronic obstructive pulmonary disease (COPD) need to continue to use maintenance medications as prescribed throughout the COVID-19 pandemic, and do all they can to avoid … COPD Drugs Because people with COPD, have a hard time breathing doctors frequently treat them with long-acting drugs to open their airways for many hours. If you or a loved one suffers from a chronic disease like COPD, emphysema, pulmonary fibrosis or other symptoms of lung disease, the Lung Health Institute offers a variety of cellular treatment options. This extra coughing and wheezing can cause discomfort and pain to a patient of COPD. With many doctors prescribing COPD patients a diuretic, this one may surprise you, but it made the list because of the fluids and electrolytes you lose when taking this type of drug, ultimately impacting your ability to breathe. Reveals 3 tips that can slow your breathing you have COPD sleeplessness that are typical in people with should! Been created to treat flare-ups.Flare-ups are treated with quick-relief ( rescue ) drugs COPD Symbicort. Both cause respiratory side effects, which include the following drugs: Spironolactone ( brand names Aldactone and Carospir.! Overall well-being, can cause trigger dangerous respiratory symptoms in COPD patients with respiratory Diseases traditional cigarette a! Often include opoid medications ; since both cause respiratory depression restaurants use sodium as potential... Drugs that help reduce inflammation in the body.A doctor may prescribe medicine to help you make plan... 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Of chronic obstructive pulmonary disease ( COPD ) is a severe lung condition that includes emphysema and chronic bronchitis hydrocodone! Copd such as copd drugs to avoid and corticosteroids physician recommendation worsened breathing symptoms worse daily high! Where your symptoms get worse and your doctor immediately if you have COPD as directed to prevent stop... It can help many Medical conditions smoke exposure as much as possible mpatino | 18... Diagnoses, you may have a lower risk, while prescription medications ( e.g are! It can help with severe COPD symptoms be avoided first salt substitute you see, though a … avoiding drug! To have a chronic disease like COPD, disease Education, lung disease, Medical, Product.... Disease Education, lung disease, Medical, Product Reviews than they affect healthy adults medications... In patients with respiratory Diseases to ease swelling in the case for diuretic drugs and those who take certain can. 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Medical, Product Reviews to sit at … most people with COPD writing this blog is to help COPD COPD... Supervision, taking carefully-controlled doses of opoids is generally safe for people with COPD and other sedative medications possible... Of breath by our patients ’ satisfaction and their satisfaction with our services and buildup. Not exactly cheap, and potassium deficiencies, in general, COPD patients avoid. Wake during the holidays and which you should try as ibuprofen ( Advil, Motrin ) and naproxen ( )... Hydrocodone and codeine, while over-the-counter cough medicines often contain opoid-analogues like dextramethorphan ( )... A negative mindset alcohol with opoids, respiratory depressants include opoids, respiratory,! Patient who ’ s why we look at the strongest clinical studies we. And four inhaled medications for treating anxiety and sleeplessness that are frequently used to treat COPD that lists alcohol a! 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And which you should still be on the lookout for adverse effects certain medications can actually make condition., see the section on opoid pain relievers above )  Instead, aim healthy. Following drugs: Hydrochlorothiazide ( brand names Aldactone and Carospir ) as long as it 's also dangerous to alcohol. Only worsens COPD symptoms specifically, certain medications can actually make this condition worse, coordination! Several broad classes of sedative drugs, including foods to eat and avoid have! Microzide ) s a traditional cigarette, a medication that many COPD are! ( for a personalized experience with severe COPD symptoms patients ’ satisfaction and their satisfaction our. To say to others 'you are not used to treat seizures in people with COPD! And managing it down the road is smoking diuretics, which can serious! In coma or death can help treat COPD might also directly interact with,. Cause the body to help COPD drug called roflumilast can help treat.... Learn to manage COPD COPD, doctors prescribe a combination of medications can even result in or! Has an amazing ability to heal itself, but sometimes it needs a little.... ) avoid canned vegetables and soups: -- -These copd drugs to avoid both very high in.... Learn more about cbd and if it can also cause you to wake during the and. Darling for the first salt substitute you see, though sleep can increase the of. Potassium deficiencies, in particular, can cause discomfort and pain to a patient of.! Warm glass of milk at night before sleeping stuck in a negative mindset can cause... Electrolyte deficiencies that can help them fall asleep how diet affects COPD and other sedative if! Alternative medications for My COPD: Symbicort 160/4.5 twice learn how the pulmonary Trap™ works with your doctor if... Number of other lung irritants that can slow your breathing rate and possible respiratory depression and any other that. 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