Narcotic analgesics history

The miscellaneous anticonvulsants are used cautiously in patients with glaucoma or increased intraocular pressure a history of cardiac, renal or liver dysfunction and psychiatric disorders. When the miscellaneous anticonvulsants are used with other CNS depressants (eg, alcohol, narcotic analgesics, and antidepressants), an additive CNS depressant effect may occur. 

Scopolamine (42), an optically active, viscous Hquid, also isolated from Solanaceae, eg. Datura metell. decomposes on standing and is thus usually both used and stored as its hydrobromide salt. The salt is employed as a sedative or, less commonly, as a prophylactic for motion sickness. It also has some history of use ia conjunction with narcotics as it appears to enhance their analgesic effects. BiogeneticaHy, scopolamine is clearly an oxidation product of atropiae, or, more precisely, because it is optically active, of (—)-hyoscyamiae. 

Opioid analgesics are contraindicated in patients with a history of hypersensitivity to narcotics, because there is a... 

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