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ASA physical status I or II parturients (n 75) were anesthetized with a combined spinalepidural technique. Parturients received intrathecal bupivacaine 12-15 mg and fentanyl 10 mug for spinal anesthesia and a single epidural injection of either 5 mg of standard (conventional preservative-free) morphine or 5, 10, or 15 traubenkern kosmetik wirkung viagra of extended-release morphine after cord clamping for postoperative pain control. Single-dose EREM 10 and 15 mg groups significantly decreased total supplemental opioid medication use and improved functional ability scores for 48 h after surgery compared with those receiving 5 mg of standard morphine. Visual analog scale pain scores at rest and with activity at 24 to 48 h after dosing were significantly better in the 10- and 15-mg single-dose EREM groups versus the standard morphine group.

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One or more of the following agents were dissolved in the microemulsions: Pueraria Mirifica root extract (to yield a final concentration of 8-10 mgml; Smith Naturals), Gatulene Expression (to yield a final concentration of 50 mgml; Trapeze), Dermican (to yield a final concentration of 30 mgml; Cognis) and Vialox (to yield a final concentration of 5 mgml; Pentapharm). Microemulsion formation was often assisted by gentle shaking and or heating the mixture to 50 degrees Celsius.

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