Less risk of abuse due to the mixed agonist-antagonist properties of the drug. The narcotic antagonist activity is greater than that of pentazocine. Approximately two-thirds of a dose is excreted in the urine mostly as the glucuronide conjugate. Analgesic when use of a narcotic is desirable. Individuals dependent on narcotics.
Elderly clients are at an increased risk for altered respiratory patterns and mental changes.
Respiratory depression, atelectasis. Hypotension, irregular heart or pulse, hypertension, chest pain, pallor, thrombophlebitis. Reactions at the injection site, pruritus, rash, erythema. Urinary frequency, retention, or hesitancy. Additive depressant effect when used with general anesthetics, sedatives, antianxiety drugs, hypnotics, alcohol, and other opiate analgesics.