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Using a combined spinal epidural technique, patients received an intrathecal injection of bupivacaine 12 mg and fentanyl 10 mcg. After closure of the fascia, a single-dose of either conventional morphine 4 mg or EREM 10 mg was administered epidurally. Postoperatively, all patients received ibuprofen 600 mg viagra bestellen lastschrift every 6 h. Oral oxycodone and IV morphine were available for breakthrough pain. All patients received paraa oximetry and respiratory monitoring for 48 h post-Cesarean delivery. Single-dose EREM significantly improved pain scores at tinte para ropa donde comprar viagra and during activity. The median (interquartile range) of supplemental opioid medication usage for 48 h post-Cesarean (in milligram-morphine equivalents) decreased from 17 (22) to 10 (17) mg with EREM compared to conventional epidural morphine (P 0. 037). Both drugs were well tolerated with no significant difference in adverse event profiles.

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