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Those who suffer from gastrointestinal obstruction should not use tramadol (61)
The CDC's guidelines for multi-dose vial use (CDC MMWR 2012) recommend: Disinfecting the vial septum with alcohol before each puncture Using a new sterile needle and syringe for each entry Discarding vials if sterility is compromised (visible particulates, cloudiness, or if the vial is dropped or the stopper is damaged) Limiting vial use to 28 days after first puncture, even if solution remains Splitting a weekly dose into two injections means 8 punctures per month instead of 4
[DOI] [PubMed] [Google Scholar] 82.Cefalu W.T., Leiter L.A., de Bruin T.W., Gause-Nilsson I., Sugg J., Parikh S.J
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