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The opiate class of medication is complicated to describe. There are several types of receptors in the nervous system that respond to opiates. What the effects of a given opiate are euphoria, cough suppression, pain relief, hallucination, addiction etc. Some opiates only stimulate receptors. What this boils down to, is that butorphanol makes for only mild very short-acting pain relief but good cough suppression and does so without addiction and with minimal sedation. In a surgical or anesthetic setting, butorphanol can be used to reverse the respiratory depression of mu antagonist such as fentanyl, should that become problematic, without reversing the pain relief. The chief side effect is sedation. Occasionally, it can cause diarrhea or appetite loss. Butorphanol is able to slow the heart rate though this is rarely of meaningful significance to normal patients.

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P - Contraindicated in pregnancy L - Caution when used during lactation. Butorphanol is a phenanthrene derivative with opioid agonist and antagonist properties.

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