%PDF-1.5
%
1 0 obj<>
endobj
2 0 obj<>
endobj
3 0 obj<>
endobj
5 0 obj null
endobj
6 0 obj<>
endobj
7 0 obj<>
endobj
8 0 obj<>>>
endobj
9 0 obj<>
endobj
10 0 obj<><><><><><><>]/C/SpdrArt/P 9 0 R/S/Article/Pg 11 0 R>>
endobj
11 0 obj<>/ProcSet[/PDF/Text]>>/StructParents 0>>
endobj
12 0 obj<>/Subtype/Link/A<>>>
endobj
13 0 obj<>/Font<>>>/DA(/Helv 0 Tf 0 g )>>
endobj
14 0 obj<>
endobj
15 0 obj<>
endobj
16 0 obj<>
endobj
17 0 obj[12 0 R]
endobj
18 0 obj<>
endobj
19 0 obj[10 0 R]
endobj
20 0 obj<>/ProcSet[/PDF/Text]>>/StructParents 1>>
endobj
21 0 obj[10 0 R 10 0 R]
endobj
22 0 obj<>/Subtype/Link/A<>>>
endobj
23 0 obj[22 0 R 24 0 R]
endobj
24 0 obj<>/Subtype/Link/A<>>>
endobj
25 0 obj<>/ProcSet[/PDF/Text]>>/StructParents 2>>
endobj
26 0 obj[10 0 R 10 0 R 10 0 R]
endobj
27 0 obj<>/ProcSet[/PDF/Text]>>/StructParents 3>>
endobj
28 0 obj[10 0 R 10 0 R]
endobj
29 0 obj<>/Subtype/Link/A<>>>
endobj
30 0 obj[29 0 R]
endobj
31 0 obj<>
endobj
32 0 obj<>
endobj
33 0 obj<>
endobj
34 0 obj<>
endobj
35 0 obj<>
endobj
36 0 obj 8324
endobj
37 0 obj<>stream
/Artifact <>BDC
0 0 0 rg
0 i
BT
/T1_0 1 Tf
0 Tc 0 Tw 0 Ts 100 Tz 0 Tr 9 0 0 9 18 780.17 Tm
(HIVInfo.us - opiate analgesics)Tj
ET
EMC
/WebCaptureBG BMC
/WebCaptureFN <>BDC
q
0 18 612 756 re
W* n
/Artifact <>BDC
Q
10 766 m
501.422 766 l
500.422 765 l
11 765 l
h
f
10 766 m
10 693.81538 l
11 694.81538 l
11 765 l
h
f
501.422 766 m
501.422 693.81538 l
500.422 694.81538 l
500.422 765 l
h
f
10 693.81538 m
501.422 693.81538 l
500.422 694.81538 l
11 694.81538 l
h
f
EMC
q
0 18 612 756 re
W* n
/Artifact <>BDC
Q
0 0.50197 0 rg
16 730.61539 479.422 29.38461 re
f
0 0 0 rg
15 761 m
496.422 761 l
495.422 760 l
16 760 l
h
f
15 761 m
15 729.61539 l
16 730.61539 l
16 760 l
h
f
496.422 761 m
496.422 729.61539 l
495.422 730.61539 l
495.422 760 l
h
f
15 729.61539 m
496.422 729.61539 l
495.422 730.61539 l
16 730.61539 l
h
f
EMC
q
0 18 612 756 re
W* n
/Artifact <>BDC
Q
1 1 1 rg
16 699.81538 479.422 24.8 re
f
0 0 0 rg
15 725.61539 m
496.422 725.61539 l
495.422 724.61539 l
16 724.61539 l
h
f
15 725.61539 m
15 698.81538 l
16 699.81538 l
16 724.61539 l
h
f
496.422 725.61539 m
496.422 698.81538 l
495.422 699.81538 l
495.422 724.61539 l
h
f
15 698.81538 m
496.422 698.81538 l
495.422 699.81538 l
16 699.81538 l
h
f
EMC
q
0 18 612 756 re
W* n
/Artifact <>BDC
Q
0.06667 0.06667 0.06667 rg
10 679.81538 m
602 679.81538 l
599 676.81538 l
13 676.81538 l
h
f
10 679.81538 m
10 36 l
13 36 l
13 676.81538 l
h
f
602 679.81538 m
602 36 l
599 36 l
599 676.81538 l
h
f
EMC
q
0 18 612 756 re
W* n
/Artifact <>BDC
Q
0.50197 0 0.50197 rg
18 611.8 576 60.01538 re
f
0.06667 0.06667 0.06667 rg
17 672.81538 m
595 672.81538 l
594 671.81538 l
18 671.81538 l
h
f
17 672.81538 m
17 610.8 l
18 611.8 l
18 671.81538 l
h
f
595 672.81538 m
595 610.8 l
594 611.8 l
594 671.81538 l
h
f
17 610.8 m
595 610.8 l
594 611.8 l
18 611.8 l
h
f
EMC
q
0 18 612 756 re
W* n
/Artifact <>BDC
Q
17 606.8 m
114.40245 606.8 l
113.40245 605.8 l
18 605.8 l
h
f
17 606.8 m
17 483.67693 l
18 484.67693 l
18 605.8 l
h
f
114.40245 606.8 m
114.40245 483.67693 l
113.40245 484.67693 l
113.40245 605.8 l
h
f
17 483.67693 m
114.40245 483.67693 l
113.40245 484.67693 l
18 484.67693 l
h
f
EMC
q
0 18 612 756 re
W* n
/Artifact <>BDC
Q
118.40245 606.8 m
595 606.8 l
594 605.8 l
119.40245 605.8 l
h
f
118.40245 606.8 m
118.40245 483.67693 l
119.40245 484.67693 l
119.40245 605.8 l
h
f
595 606.8 m
595 483.67693 l
594 484.67693 l
594 605.8 l
h
f
118.40245 483.67693 m
595 483.67693 l
594 484.67693 l
119.40245 484.67693 l
h
f
EMC
q
0 18 612 756 re
W* n
/Artifact <>BDC
Q
17 479.67693 m
114.40245 479.67693 l
113.40245 478.67693 l
18 478.67693 l
h
f
17 479.67693 m
17 451.67693 l
18 452.67693 l
18 478.67693 l
h
f
114.40245 479.67693 m
114.40245 451.67693 l
113.40245 452.67693 l
113.40245 478.67693 l
h
f
17 451.67693 m
114.40245 451.67693 l
113.40245 452.67693 l
18 452.67693 l
h
f
EMC
q
0 18 612 756 re
W* n
/Artifact <>BDC
Q
118.40245 479.67693 m
595 479.67693 l
594 478.67693 l
119.40245 478.67693 l
h
f
118.40245 479.67693 m
118.40245 451.67693 l
119.40245 452.67693 l
119.40245 478.67693 l
h
f
595 479.67693 m
595 451.67693 l
594 452.67693 l
594 478.67693 l
h
f
118.40245 451.67693 m
595 451.67693 l
594 452.67693 l
119.40245 452.67693 l
h
f
EMC
q
0 18 612 756 re
W* n
/Artifact <>BDC
Q
17 447.67693 m
114.40245 447.67693 l
113.40245 446.67693 l
18 446.67693 l
h
f
17 447.67693 m
17 36 l
18 36 l
18 446.67693 l
h
f
114.40245 447.67693 m
114.40245 36 l
113.40245 36 l
113.40245 446.67693 l
h
f
EMC
q
0 18 612 756 re
W* n
/Artifact <>BDC
Q
118.40245 447.67693 m
595 447.67693 l
594 446.67693 l
119.40245 446.67693 l
h
f
118.40245 447.67693 m
118.40245 36 l
119.40245 36 l
119.40245 446.67693 l
h
f
595 447.67693 m
595 36 l
594 36 l
594 446.67693 l
h
f
EMC
EMC
EMC
/Article <>BDC
q
0 18 612 756 re
W* n
1 1 1 rg
BT
/TT0 1 Tf
16.15384 0 0 16.15384 20 742.61305 Tm
(HIVInfo.us)Tj
14 0 0 14 99.88077 742.61305 Tm
( )Tj
10.76923 0 0 10.76923 103.77277 742.61305 Tm
(presents)Tj
0 0 0 rg
14 0 0 14 20 709.01337 Tm
(An HIV Information Site & HIV Educational Resource Site \(HIS & HERS\))Tj
1 1 1 rg
17.5 0 0 17.5 22 653.31287 Tm
(opiate analgesics)Tj
12.92308 0 0 12.92308 22 636.10583 Tm
(including morphine, methadone, fentanyl, oxycodone, hydromorphone, hydro\
codone, )Tj
0 -1.2 TD
(codeine, and others)Tj
0 0 0 rg
15 0 0 15 22 550.80772 Tm
(General )Tj
T*
(Information)Tj
/TT1 1 Tf
12.92308 0 0 12.92308 123.40245 590.74014 Tm
(Opiate analgesic drugs include drugs made from extracts of the opium pop\
py as )Tj
0 -1.26631 TD
(well as synthetic drugs which act like the naturally derived ones.)Tj
/T1_0 1 Tf
14 0 0 14 488.98338 574.37555 Tm
( )Tj
/TT1 1 Tf
12.92308 0 0 12.92308 123.40245 539.64783 Tm
(Opiate drugs include the following: morphine \(MS Contin, Oramorph, Rox\
anol,\) )Tj
0 -1.2 TD
(methadone \(Dolophine\), oxycodone \(OxyContin, Percocet, Roxicet\), )Tj
T*
(hydrocodone \(Vicodin, Lorcet, Lortab\), hydromorphone \(Dilaudid\), fen\
tanyl )Tj
T*
(\(Duragesic, Actiq\), codeine \(Tylenol #3, Tylenol #4, Fiornal #3\) and\
many others.)Tj
/TT0 1 Tf
15 0 0 15 22 462.24619 Tm
(Specifics)Tj
/TT1 1 Tf
12.92308 0 0 12.92308 123.40245 462.37091 Tm
(Opiates have been used for serious painful conditions for many, many yea\
rs.)Tj
/TT0 1 Tf
15 0 0 15 22 224.49026 Tm
(Dosing)Tj
/TT1 1 Tf
12.92308 0 0 12.92308 123.40245 418.69398 Tm
(The dosing of opiates depends on a number of factors: the exact drug, w\
hether )Tj
T*
(or not it is a long-acting preparation, the nature and severity of the p\
ain, and the )Tj
0 -1.26631 TD
(patient's tolerance to the medication.)Tj
/T1_0 1 Tf
14 0 0 14 333.46707 386.82172 Tm
( )Tj
/TT0 1 Tf
12.92308 0 0 12.92308 123.40245 352.44429 Tm
(As opiates carry a risk of death if used improperly, it is important to \
never )Tj
0 -1.2 TD
(deviate from the dosing guidelines that are proposed by your healthcare \
)Tj
T*
(provider.)Tj
ET
0.5 0.5 0.5 rg
123.40245 288.63077 m
123.40245 290.63077 l
590 290.63077 l
589 289.63077 l
124.40245 289.63077 l
124.40245 289.63077 l
h
f
0.875 0.875 0.875 rg
590 290.63077 m
590 288.63077 l
123.40245 288.63077 l
124.40245 289.63077 l
589 289.63077 l
589 289.63077 l
h
f
0 0 0 rg
BT
/TT0 1 Tf
13.75 0 0 13.75 123.40245 251.23593 Tm
(Combined Opiates with Acetaminophen)Tj
/TT1 1 Tf
12.92308 0 0 12.92308 123.40245 235.07091 Tm
(Several opiates are produced in combination with acetaminophen \(Tylenol\
\). )Tj
T*
(Hydrocodone \(Lortab, Lorcet, Vicodin,\) oxycodone \(Percocet, Roxicet\)\
, )Tj
T*
(propoxyphene \(Darvocett,\) and codeine \(Tylenol #3, Tylenol #4\) are a\
ll )Tj
T*
(coformulated with acetaminophen. )Tj
/TT0 1 Tf
( )Tj
/TT1 1 Tf
(Acetaminophen may add a small of pain )Tj
0 -1.22711 TD
(relief, but usually not a significant amount especially for people with \
chronic pain )Tj
0 -1.2 TD
(or pain of an intensity anything more than mild. However, the acetamino\
phen in )Tj
0 -1.2 TD
(these medications may limit the amount of opiate medication that can be \
)Tj
0 -1.20001 TD
(administered because it may be toxic to the liver to take more than 3000\
mg of )Tj
0 -1.2 TD
(acetaminophen per day on a sustained basis. For example Vicodin 5/500 )Tj
0 -1.2 TD
(consists of 5 mg of hydrocodone mixed with 500 mg of acetaminophen. It \
would )Tj
T*
(be unwise to take more than six of these tablets a day as acetaminophen \
toxicity )Tj
T*
(might be seen. If pain control is inadequate with the acetaminophen )Tj
T*
(combination drug, an alternative pain medication that is available in pu\
re form )Tj
ET
EMC
/Artifact <>BDC
Q
0 0 0 rg
BT
/T1_0 1 Tf
9 0 0 9 18 7.17 Tm
(http://hivinfo.us/opiates.html \(1 of 4\)8/9/2005 2:27:46 AM)Tj
ET
EMC
endstream
endobj
38 0 obj 7097
endobj
39 0 obj<>stream
/Artifact <>BDC
0 0 0 rg
0 i
BT
/T1_0 1 Tf
0 Tc 0 Tw 0 Ts 100 Tz 0 Tr 9 0 0 9 18 780.17 Tm
(HIVInfo.us - opiate analgesics)Tj
ET
EMC
/WebCaptureBG BMC
/WebCaptureFN <>BDC
q
0 18 612 756 re
W* n
/Artifact <>BDC
Q
0.06667 0.06667 0.06667 rg
10 766 m
10 36 l
13 36 l
13 766 l
h
f
602 766 m
602 36 l
599 36 l
599 766 l
h
f
EMC
q
0 18 612 756 re
W* n
/Artifact <>BDC
Q
118.40245 766 m
118.40245 729.98462 l
119.40245 730.98462 l
119.40245 766 l
h
f
595 766 m
595 729.98462 l
594 730.98462 l
594 766 l
h
f
118.40245 729.98462 m
595 729.98462 l
594 730.98462 l
119.40245 730.98462 l
h
f
EMC
q
0 18 612 756 re
W* n
/Artifact <>BDC
Q
17 766 m
17 729.98462 l
18 730.98462 l
18 766 l
h
f
114.40245 766 m
114.40245 729.98462 l
113.40245 730.98462 l
113.40245 766 l
h
f
17 729.98462 m
114.40245 729.98462 l
113.40245 730.98462 l
18 730.98462 l
h
f
EMC
q
0 18 612 756 re
W* n
/Artifact <>BDC
Q
17 725.98462 m
114.40245 725.98462 l
113.40245 724.98462 l
18 724.98462 l
h
f
17 725.98462 m
17 280.69635 l
18 281.69635 l
18 724.98462 l
h
f
114.40245 725.98462 m
114.40245 280.69635 l
113.40245 281.69635 l
113.40245 724.98462 l
h
f
17 280.69635 m
114.40245 280.69635 l
113.40245 281.69635 l
18 281.69635 l
h
f
EMC
q
0 18 612 756 re
W* n
/Artifact <>BDC
Q
118.40245 725.98462 m
595 725.98462 l
594 724.98462 l
119.40245 724.98462 l
h
f
118.40245 725.98462 m
118.40245 280.69635 l
119.40245 281.69635 l
119.40245 724.98462 l
h
f
595 725.98462 m
595 280.69635 l
594 281.69635 l
594 724.98462 l
h
f
118.40245 280.69635 m
595 280.69635 l
594 281.69635 l
119.40245 281.69635 l
h
f
EMC
q
0 18 612 756 re
W* n
/Artifact <>BDC
Q
17 276.69635 m
114.40245 276.69635 l
113.40245 275.69635 l
18 275.69635 l
h
f
17 276.69635 m
17 36 l
18 36 l
18 275.69635 l
h
f
114.40245 276.69635 m
114.40245 36 l
113.40245 36 l
113.40245 275.69635 l
h
f
EMC
q
0 18 612 756 re
W* n
/Artifact <>BDC
Q
118.40245 276.69635 m
595 276.69635 l
594 275.69635 l
119.40245 275.69635 l
h
f
118.40245 276.69635 m
118.40245 36 l
119.40245 36 l
119.40245 275.69635 l
h
f
595 276.69635 m
595 36 l
594 36 l
594 275.69635 l
h
f
EMC
EMC
EMC
/Article <>BDC
q
0 18 612 756 re
W* n
0 0 0 rg
BT
/TT0 1 Tf
12.92308 0 0 12.92308 123.40245 754.94014 Tm
(should be considered \(oxycodone, morphine, fentanyl\).)Tj
0 -1.2 TD
( )Tj
/TT1 1 Tf
14 0 0 14 22 633.76183 Tm
(Adherence)Tj
18.75 0 0 18.75 94.35201 633.76183 Tm
( )Tj
/TT0 1 Tf
12.92308 0 0 12.92308 22 616.21539 Tm
(T)Tj
12.5 0 0 12.5 29.896 616.21539 Tm
(his refers to )Tj
-0.63168 -1.21165 Td
(your )Tj
T*
(willingness, )Tj
T*
(ability, and )Tj
T*
(actual )Tj
T*
(performance in )Tj
T*
(taking your )Tj
0 -1.29413 TD
(medications.)Tj
/T1_0 1 Tf
14 0 0 14 92.16251 509.89311 Tm
( )Tj
/TT0 1 Tf
12.92308 0 0 12.92308 22 475.20769 Tm
(For further )Tj
0 -1.2 TD
(information )Tj
T*
(and tips on )Tj
T*
(adherence, go )Tj
T*
(to the )Tj
0.50197 0 0.50197 rg
/TT1 1 Tf
0 -1.1729 TD
(Adherence )Tj
0 -1.38187 TD
(section)Tj
0 0 0 rg
/TT0 1 Tf
( of this )Tj
T*
(site.)Tj
/TT1 1 Tf
7.84662 25.92636 Td
(It is very important to take every dose that is prescribed unless instru\
cted )Tj
0 -1.29341 TD
(by your healthcare provider or unless you are limited by side effects.)Tj
/T1_0 1 Tf
14 0 0 14 546.42645 680.6371 Tm
( )Tj
/TT0 1 Tf
12.92308 0 0 12.92308 123.40245 645.7791 Tm
(If the medication is not taken correctly or long enough, you may not get\
the )Tj
0 -1.26631 TD
(benefits of this medication.)Tj
/T1_0 1 Tf
14 0 0 14 276.39876 629.41452 Tm
( )Tj
/TT1 1 Tf
12.92308 0 0 12.92308 123.40245 595.03709 Tm
(Do not adjust the amount of the dose or the frequency of any opiate )Tj
0 -1.2 TD
(medication without speaking to your healthcare provider first.)Tj
/TT0 1 Tf
0 -1.29341 TD
( )Tj
/T1_0 1 Tf
14 0 0 14 126.99507 562.81451 Tm
( )Tj
ET
0.5 0.5 0.5 rg
123.40245 530.14665 m
123.40245 532.14665 l
590 532.14665 l
589 531.14665 l
124.40245 531.14665 l
124.40245 531.14665 l
h
f
0.875 0.875 0.875 rg
590 532.14665 m
590 530.14665 l
123.40245 530.14665 l
124.40245 531.14665 l
589 531.14665 l
589 531.14665 l
h
f
1 0 0 rg
BT
/TT1 1 Tf
13.75 0 0 13.75 123.40245 492.75182 Tm
(Withdrawal)Tj
0 0 0 rg
/TT0 1 Tf
12.92308 0 0 12.92308 123.40245 476.58679 Tm
(Unless one has been taking an opiate pain reliever for a short period of\
time )Tj
0 -1.2 TD
(\(<72 hours\), the dose of the opiate has been taken infrequently, or th\
e dose is )Tj
T*
(relatively low, it is inadvisable to suddenly stop opiate analgesics as \
there may )Tj
T*
(be unpleasant "withdrawal" symptoms. Withdrawal is characterized by dif\
fuse )Tj
T*
(body pain, an elevated heartrate, elevated blood pressure, sweating, anx\
iety, )Tj
T*
(restlessness, and diarrhea. Withdrawal is a sign of physical dependence\
; )Tj
T*
(withdrawal does not necessarily indicate that addiction to opiates has )Tj
T*
(developed. Withdrawal may be prevented by tapering off of the opiate sl\
owly. If )Tj
T*
(one reduces the dose of opiate by 50% every 2 days, the chance of withdr\
awal )Tj
T*
(is minimized. )Tj
/TT1 1 Tf
(To avoid withdrawal and uncontrolled pain, note carefully )Tj
T*
(when you will run out of your opiate pain reliever and plan ahead to get\
a )Tj
T*
(refill from your healthcare provider on a timely basis.)Tj
/TT0 1 Tf
0 -1.2271 TD
( )Tj
/TT1 1 Tf
15 0 0 15 22 51.96701 Tm
(Possible )Tj
ET
EMC
/Article <>BDC
BT
/TT1 1 Tf
12.5 0 0 12.5 123.40245 248.48679 Tm
(Most people take )Tj
12.92308 0 0 12.92308 228.28996 248.48679 Tm
(opiate medications )Tj
12.5 0 0 12.5 348.9398 248.48679 Tm
(without any or very many side effects. )Tj
-18.04298 -1.21257 Td
(Opiate medication does not produce permanent side effects; any side effe\
cts )Tj
0 -1.2 TD
(that occur with opiate medication will go away with dose reduction or )Tj
T*
(discontinuation of the medication.)Tj
/TT0 1 Tf
12.92308 0 0 12.92308 123.40245 168.62878 Tm
(Many side effects get better with time.)Tj
0 -2.67024 TD
(The most frequent side effects of opiate medications are nausea, itching\
, )Tj
0 -1.2 TD
(sleepiness, dry mouth, constipation \(which may be severe,\) or feeling \
altered.)Tj
0 -2.2 TD
(Occasionally patients will experience jerking of their muscles \(myoclon\
us\) which )Tj
0 -1.2 TD
(may occur when they are still.)Tj
ET
0.5 0.5 0.5 rg
123.40245 42.22711 m
123.40245 44.22711 l
590 44.22711 l
589 43.22711 l
124.40245 43.22711 l
124.40245 43.22711 l
h
f
0.875 0.875 0.875 rg
590 44.22711 m
590 42.22711 l
123.40245 42.22711 l
124.40245 43.22711 l
589 43.22711 l
589 43.22711 l
h
f
EMC
/Artifact <>BDC
Q
0 0 0 rg
BT
/T1_0 1 Tf
9 0 0 9 18 7.17 Tm
(http://hivinfo.us/opiates.html \(2 of 4\)8/9/2005 2:27:46 AM)Tj
ET
EMC
endstream
endobj
40 0 obj 6357
endobj
41 0 obj<>stream
/Artifact <>BDC
0 0 0 rg
0 i
BT
/T1_0 1 Tf
0 Tc 0 Tw 0 Ts 100 Tz 0 Tr 9 0 0 9 18 780.17 Tm
(HIVInfo.us - opiate analgesics)Tj
ET
EMC
/WebCaptureBG BMC
/WebCaptureFN <>BDC
q
0 18 612 756 re
W* n
/Artifact <>BDC
Q
0.06667 0.06667 0.06667 rg
10 766 m
10 36 l
13 36 l
13 766 l
h
f
602 766 m
602 36 l
599 36 l
599 766 l
h
f
EMC
q
0 18 612 756 re
W* n
/Artifact <>BDC
Q
17 766 m
17 261.09914 l
18 262.09914 l
18 766 l
h
f
114.40245 766 m
114.40245 261.09914 l
113.40245 262.09914 l
113.40245 766 l
h
f
17 261.09914 m
114.40245 261.09914 l
113.40245 262.09914 l
18 262.09914 l
h
f
EMC
q
0 18 612 756 re
W* n
/Artifact <>BDC
Q
118.40245 766 m
118.40245 261.09914 l
119.40245 262.09914 l
119.40245 766 l
h
f
595 766 m
595 261.09914 l
594 262.09914 l
594 766 l
h
f
118.40245 261.09914 m
595 261.09914 l
594 262.09914 l
119.40245 262.09914 l
h
f
EMC
q
0 18 612 756 re
W* n
/Artifact <>BDC
Q
17 257.09914 m
114.40245 257.09914 l
113.40245 256.09914 l
18 256.09914 l
h
f
17 257.09914 m
17 36 l
18 36 l
18 256.09914 l
h
f
114.40245 257.09914 m
114.40245 36 l
113.40245 36 l
113.40245 256.09914 l
h
f
EMC
q
0 18 612 756 re
W* n
/Artifact <>BDC
Q
118.40245 257.09914 m
595 257.09914 l
594 256.09914 l
119.40245 256.09914 l
h
f
118.40245 257.09914 m
118.40245 36 l
119.40245 36 l
119.40245 256.09914 l
h
f
595 257.09914 m
595 36 l
594 36 l
594 256.09914 l
h
f
EMC
EMC
EMC
/Article <>BDC
q
0 18 612 756 re
W* n
0 0 0 rg
BT
/TT0 1 Tf
15 0 0 15 22 753.56926 Tm
(Side Effects)Tj
/TT1 1 Tf
12.5 0 0 12.5 22 737.30222 Tm
(The package )Tj
0 -1.2 TD
(insert for most )Tj
T*
(drugs )Tj
T*
(including )Tj
T*
(opiate )Tj
T*
(medication is )Tj
T*
(often )Tj
T*
(overwhelming )Tj
T*
(and scary with )Tj
T*
(perhaps an )Tj
T*
(overemphasis )Tj
T*
(on side )Tj
T*
(effects. We )Tj
T*
(have )Tj
T*
(summarized )Tj
T*
(the important )Tj
T*
(and more )Tj
T*
(common )Tj
T*
(problems here.)Tj
ET
EMC
/Article <>BDC
1 0 0 rg
BT
/TT0 1 Tf
13.75 0 0 13.75 123.40245 734.83228 Tm
(Constipation)Tj
0 0 0 rg
/TT1 1 Tf
12.5 0 0 12.5 123.40245 719.02933 Tm
(Constipation may be severe with opiates and therefore it is STRONGLY )Tj
T*
(recommended that aggressive preventative measures should be employed. )Tj
/TT0 1 Tf
(Use a )Tj
0 -1.22711 TD
(stool softener once or twice a day if you take opiates on a regular basi\
s.)Tj
/TT1 1 Tf
( )Tj
0 -1.2271 TD
(Drink plenty of fluids. Use an over-the-counter laxative such as senna \
or Senokot )Tj
0 -1.2 TD
(once or twice a day if needed. Take enough stool softener and/or laxati\
ve to keep )Tj
T*
(your bowel habits close to normal for you. If over the counter laxative\
s and stool )Tj
T*
(softeners do not work well enough, inform your healthcare provider promp\
tly for )Tj
T*
(further advice.)Tj
ET
0.5 0.5 0.5 rg
123.40245 581.04944 m
123.40245 583.04944 l
590 583.04944 l
589 582.04944 l
124.40245 582.04944 l
124.40245 582.04944 l
h
f
0.875 0.875 0.875 rg
590 583.04944 m
590 581.04944 l
123.40245 581.04944 l
124.40245 582.04944 l
589 582.04944 l
589 582.04944 l
h
f
1 0 0 rg
BT
/TT0 1 Tf
13.75 0 0 13.75 123.40245 543.6546 Tm
(Overdosage)Tj
0 0 0 rg
/TT1 1 Tf
12.92308 0 0 12.92308 123.40245 527.48958 Tm
(If the dose is too high or the patient is taking other drugs which act s\
imilarly on )Tj
T*
(the brain \("CNS depressants"\) the patient may experience intoxication \
with )Tj
T*
(slurred speech, decreased inhibitions, impaired walking, and sedation. \
If the )Tj
T*
(patient continues to take the pain medication while intoxicated or if to\
o large of a )Tj
T*
(dose is taken too soon, the patient may go to sleep and experience a dec\
rease )Tj
T*
(in respiratory function or stop breathing altogether. )Tj
1 0 0 rg
/TT0 1 Tf
(This is called "respiratory )Tj
T*
(depression" and it is a potentially deadly effect.)Tj
ET
0.5 0.5 0.5 rg
123.40245 401.64529 m
123.40245 403.64529 l
590 403.64529 l
589 402.64529 l
124.40245 402.64529 l
124.40245 402.64529 l
h
f
0.875 0.875 0.875 rg
590 403.64529 m
590 401.64529 l
123.40245 401.64529 l
124.40245 402.64529 l
589 402.64529 l
589 402.64529 l
h
f
1 0 0 rg
BT
/TT0 1 Tf
13.75 0 0 13.75 123.40245 364.25044 Tm
(Addiction)Tj
0 0 0 rg
/TT1 1 Tf
12.92308 0 0 12.92308 123.40245 348.08543 Tm
(One definition of addiction is to use an opiate drug for purposes other \
than for )Tj
T*
(which it was intended, to use more and more of the drug, and to suffer h\
ealth )Tj
T*
(consequences as a result. Addiction is very unlikely to result from the\
use of )Tj
T*
(opiates to treat genuine pain. If addiction does develop, your healthca\
re )Tj
T*
(provider can provide the proper treatment for this problem.)Tj
T*
( )Tj
/TT0 1 Tf
15 0 0 15 22 98.77487 Tm
(Interactions)Tj
/TT1 1 Tf
12.92308 0 0 12.92308 22 82.14574 Tm
(This refers to )Tj
T*
(the way that )Tj
T*
(opiate )Tj
ET
EMC
/Article <>BDC
BT
/TT0 1 Tf
12.92308 0 0 12.92308 123.40245 228.46651 Tm
(Make sure that your healthcare provider is aware of all the medications \
you )Tj
T*
(are taking so that important and possibly dangerous interactions are not\
)Tj
T*
(overlooked.)Tj
ET
0.5 0.5 0.5 rg
123.40245 164.65298 m
123.40245 166.65298 l
590 166.65298 l
589 165.65298 l
124.40245 165.65298 l
124.40245 165.65298 l
h
f
0.875 0.875 0.875 rg
590 166.65298 m
590 164.65298 l
123.40245 164.65298 l
124.40245 165.65298 l
589 165.65298 l
589 165.65298 l
h
f
1 0 0 rg
BT
/TT0 1 Tf
13.75 0 0 13.75 123.40245 127.25813 Tm
(CNS Depression or Overdosage)Tj
0 0 0 rg
12.92308 0 0 12.92308 123.40245 111.44342 Tm
(Opiate medications can interact with other medications that can cause )Tj
T*
(sedation which can make the sedation worse and produce intoxication and \
)Tj
T*
(possibly even )Tj
1 0 0 rg
(death)Tj
0 0 0 rg
(. These medications include the following:)Tj
0 -2.69734 TD
(Sleeping pills: )Tj
/TT1 1 Tf
(temazepam \(Restoril\), zolpidem \(Ambien\), flurazepam )Tj
ET
EMC
/Artifact <>BDC
Q
0 0 0 rg
BT
/T1_0 1 Tf
9 0 0 9 18 7.17 Tm
(http://hivinfo.us/opiates.html \(3 of 4\)8/9/2005 2:27:46 AM)Tj
ET
EMC
endstream
endobj
42 0 obj 4683
endobj
43 0 obj<>stream
/Artifact <>BDC
0 0 0 rg
0 i
BT
/T1_0 1 Tf
0 Tc 0 Tw 0 Ts 100 Tz 0 Tr 9 0 0 9 18 780.17 Tm
(HIVInfo.us - opiate analgesics)Tj
ET
EMC
/WebCaptureBG BMC
/WebCaptureFN <>BDC
q
0 18 612 756 re
W* n
/Artifact <>BDC
Q
0.06667 0.06667 0.06667 rg
10 766 m
10 370.69095 l
13 373.69095 l
13 766 l
h
f
602 766 m
602 370.69095 l
599 373.69095 l
599 766 l
h
f
10 370.69095 m
602 370.69095 l
599 373.69095 l
13 373.69095 l
h
f
EMC
q
0 18 612 756 re
W* n
/Artifact <>BDC
Q
17 766 m
17 501.95555 l
18 502.95555 l
18 766 l
h
f
114.40245 766 m
114.40245 501.95555 l
113.40245 502.95555 l
113.40245 766 l
h
f
17 501.95555 m
114.40245 501.95555 l
113.40245 502.95555 l
18 502.95555 l
h
f
EMC
q
0 18 612 756 re
W* n
/Artifact <>BDC
Q
118.40245 766 m
118.40245 501.95555 l
119.40245 502.95555 l
119.40245 766 l
h
f
595 766 m
595 501.95555 l
594 502.95555 l
594 766 l
h
f
118.40245 501.95555 m
595 501.95555 l
594 502.95555 l
119.40245 502.95555 l
h
f
EMC
q
0 18 612 756 re
W* n
/Artifact <>BDC
Q
17 497.95555 m
595 497.95555 l
594 496.95555 l
18 496.95555 l
h
f
17 497.95555 m
17 409.54895 l
18 410.54895 l
18 496.95555 l
h
f
595 497.95555 m
595 409.54895 l
594 410.54895 l
594 496.95555 l
h
f
17 409.54895 m
595 409.54895 l
594 410.54895 l
18 410.54895 l
h
f
EMC
q
0 18 612 756 re
W* n
/Artifact <>BDC
Q
17 405.54895 m
595 405.54895 l
594 404.54895 l
18 404.54895 l
h
f
17 405.54895 m
17 377.69095 l
18 378.69095 l
18 404.54895 l
h
f
595 405.54895 m
595 377.69095 l
594 378.69095 l
594 404.54895 l
h
f
17 377.69095 m
595 377.69095 l
594 378.69095 l
18 378.69095 l
h
f
EMC
EMC
EMC
/Article <>BDC
q
0 18 612 756 re
W* n
0 0 0 rg
BT
/TT0 1 Tf
12.92308 0 0 12.92308 22 754.94014 Tm
(medication )Tj
0 -1.2 TD
(affects other )Tj
T*
(medications )Tj
T*
(and how other )Tj
T*
(medications )Tj
T*
(might affect )Tj
T*
(opiate )Tj
T*
(medication.)Tj
ET
EMC
/Article <>BDC
BT
/TT0 1 Tf
12.92308 0 0 12.92308 123.40245 754.94014 Tm
(\(Dalmane\), and others)Tj
/TT1 1 Tf
T*
(Muscle relaxers: )Tj
/TT0 1 Tf
(cyclobenzaprine \(Flexeril\), carisprodal \(Soma\))Tj
/TT1 1 Tf
0 -1.22711 TD
(Anxiety medications: )Tj
/TT0 1 Tf
(diazepam \(Valium\), lorazepam \(Ativan\) and others)Tj
/TT1 1 Tf
0 -1.2271 TD
(Older antidepressants: )Tj
/TT0 1 Tf
(amitriptyline \(Elavil\) and others)Tj
/TT1 1 Tf
0 -1.22711 TD
(Antihistamines: )Tj
/TT0 1 Tf
(dipenhydramine \(Benadryl\))Tj
/TT1 1 Tf
T*
(Nausea mediations: )Tj
/TT0 1 Tf
(promethazine \(Phenergan\), perchlorapazine \(Compazine\))Tj
/TT1 1 Tf
0 -1.2271 TD
(Barbiturates: )Tj
/TT0 1 Tf
(meprobamate, secobarbital)Tj
/TT1 1 Tf
0 -1.2 TD
(Other opiates)Tj
ET
0.5 0.5 0.5 rg
123.40245 611.83662 m
123.40245 613.83662 l
590 613.83662 l
589 612.83662 l
124.40245 612.83662 l
124.40245 612.83662 l
h
f
0.875 0.875 0.875 rg
590 613.83662 m
590 611.83662 l
123.40245 611.83662 l
124.40245 612.83662 l
589 612.83662 l
589 612.83662 l
h
f
1 0 0 rg
BT
/TT1 1 Tf
13.75 0 0 13.75 123.40245 574.44179 Tm
(Antagonism and Withdrawal)Tj
0 0 0 rg
/TT0 1 Tf
12.92308 0 0 12.92308 123.40245 558.27676 Tm
(Avoid taking certain opiates such as propoxyphene \(Darvon, Davocett\) o\
r )Tj
T*
(buprenorphene \(Stadol, Suboxone\) as these opiates block the receptors \
that )Tj
T*
(other opiates use and this may result in )Tj
/TT1 1 Tf
(withdrawal)Tj
/TT0 1 Tf
(.)Tj
/TT1 1 Tf
T*
( )Tj
1 0 0 rg
15 0 0 15 22 480.11821 Tm
(Report to you healthcare provider or go to an Emergency Room)Tj
/TT0 1 Tf
( )Tj
0 0 0 rg
12.5 0 0 12.5 480.42999 480.11821 Tm
(if you have severe )Tj
-36.67439 -1.30136 Td
(side effects, increasing side effects, increasing shortness of breath, f\
ever, eye pain or redness, loss of )Tj
T*
(vision, jaundice \(eyes and skin turn yellow,\) nausea and vomiting \(so\
that you cannot hold down your )Tj
T*
(food and liquids\) or rash. If someone observes that you become intoxic\
ated or unresponsive to verbal )Tj
T*
(or physical stimuli, they should be instructed to call for immediate eme\
rgency help for you.)Tj
12.92308 0 0 12.92308 22 389.48909 Tm
(You can download this handout in PDF format by clicking )Tj
0.50197 0 0.50197 rg
/TT1 1 Tf
(HERE)Tj
0 0 0 rg
/TT0 1 Tf
(.)Tj
10 0 0 10 10 343.13272 Tm
(8.9.2005)Tj
ET
EMC
/Artifact <>BDC
Q
0 0 0 rg
BT
/T1_0 1 Tf
9 0 0 9 18 7.17 Tm
(http://hivinfo.us/opiates.html \(4 of 4\)8/9/2005 2:27:46 AM)Tj
ET
EMC
endstream
endobj
44 0 obj(HIVInfo.us - opiate analgesics)
endobj
45 0 obj<>
endobj
46 0 obj<>
endobj
47 0 obj<>
endobj
48 0 obj<>
endobj
49 0 obj[46 0 R]
endobj
50 0 obj(http://hivinfo.us/opiates.html)
endobj
51 0 obj(3d\r)
endobj
52 0 obj<>
endobj
53 0 obj<>
endobj
54 0 obj(taŌ@*[)
endobj
55 0 obj<>
endobj
56 0 obj<>
endobj
57 0 obj<>
endobj
58 0 obj<>
endobj
59 0 obj<>
endobj
60 0 obj<>stream
HIVInfo.us - opiate analgesics
endstream
endobj
xref
0 61
0000000004 65535 f
0000000016 00000 n
0000000159 00000 n
0000000231 00000 n
0000000000 00001 f
0000000387 00000 n
0000000407 00000 n
0000000473 00000 n
0000000573 00000 n
0000000617 00000 n
0000000664 00000 n
0000000937 00000 n
0000001142 00000 n
0000001305 00000 n
0000001429 00000 n
0000001505 00000 n
0000001594 00000 n
0000002785 00000 n
0000002809 00000 n
0000002871 00000 n
0000002895 00000 n
0000003100 00000 n
0000003131 00000 n
0000003298 00000 n
0000003329 00000 n
0000003496 00000 n
0000003687 00000 n
0000003725 00000 n
0000003930 00000 n
0000003961 00000 n
0000004132 00000 n
0000004156 00000 n
0000004246 00000 n
0000005423 00000 n
0000005597 00000 n
0000006770 00000 n
0000006938 00000 n
0000006959 00000 n
0000015336 00000 n
0000015357 00000 n
0000022507 00000 n
0000022528 00000 n
0000028938 00000 n
0000028959 00000 n
0000033695 00000 n
0000033743 00000 n
0000033779 00000 n
0000033844 00000 n
0000033873 00000 n
0000033982 00000 n
0000034006 00000 n
0000034054 00000 n
0000034089 00000 n
0000034221 00000 n
0000034272 00000 n
0000034306 00000 n
0000034349 00000 n
0000034390 00000 n
0000034431 00000 n
0000034515 00000 n
0000034625 00000 n
trailer
<]>>
startxref
37954
%%EOF