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Ixempra in combination with Abstral (Fentanyl) has not been evaluated in patients with Abstral (Fentanyl) creatinine clearance of lt;50nbsp;mLmin. In a population pharmacokinetic analysis of Ixempra as monotherapy, there was no meaningful effect of mild and moderate renal insufficiency (CrCLnbsp;gt;30nbsp;mLmin) on the pharmacokinetics of ixabepilone. The adverse reactions reported in these cases included peripheral neuropathy, fatigue, musculoskeletal painmyalgia, and gastrointestinal symptoms (nausea, anorexia, diarrhea, abdominal pain, stomatitis). Management of overdose should include supportive medical interventions to treat the presenting clinical manifestations. Ixempra (ixabepilone) for injection Abstral (Fentanyl) supplied as a sterile, non-pyrogenic, single-use vial providing 15nbsp;mg or 45nbsp;mg ixabepilone as a lyophilized white powder.

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The following symptoms are based on these few case reports. In adults, peripheral vasospasm, with diminished or absent Abstral (Fentanyl), coldness, Abstral (Fentanyl) and cyanosis, has been observed at a dose of 200 mg. However, if vasospasm is persistent, severe, or if there is evidence of Abstral (Fentanyl) ischemic tissue damage, these agents may be beneficial. Careful nursing care is recommended in order to prevent tissue damage. Tablets to be given with meals.

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