No data suggest that one opioid is better than another, but he advised providers to avoid both meperidine (Demerol
or Pethidine) and propoxyphene (Darvocet) because of a risk of neurotoxic metabolites, and nalbuphine (Nubain) because it blocks the mu receptor.
Asked about funeral arrangements, Mr Jackson said: "We haven't got to that yet, we are working on that." Edward Chernoff, lawyer for the singer's doctor Conrad Murray said Mr Murray did not administer the drugs that contributed to his death, after reports emerged that the singer received a shot of Demerol
- a powerful painkiller - before he died.
They will quiz him about the daily injections of morphine-like Demerol
administered to the singer who was dependent on a cocktail of eight powerful drugs.
One source claimed Jackson was injected with the potent painkiller Demerol
at 11.30am the day he died, shortly after which he went into cardiac arrest.
Speculation has centered on Jackson's use of prescription drugs and reports that he was injected with the narcotic painkiller Demerol
shortly before he went into cardiac arrest.
Lawyer Brian Oxman, the late star's lawyer and spokesman, said he was concerned about prescription drugs the star took to relieve pain from performance injuries while a senior law enforcement official said Jackson was "heavily addicted" to the painkiller Oxycontin and was injected daily with that medication, along with Demerol
CASE FACTS: In March of 2002, Jourdanton Hospital sent a letter to William Meadows and other patients, who were among a group of patients treated at the hospital between June 4, 2001, and January 4, 2002, stating a concern that some of its patients "may have been exposed to medication that could nave been contaminated and might cause illness." The hospital stated its concern was based "on the possibility that a nurse, whom we now know is HIV positive, may have contaminated one or more vials of Demerol
." The patients were notified because they were treated at the hospital between the dates noted, and they received Demerol
during their treatment.
* Pain medications, such as codeine or meperidine (Demerol
), for example, is an opiate whose time has come and gone.
Ziering had examined compounds that were variants of Demerol
, a synthetic opiate already in use.
Alternatively, low-dose meperidine (Demerol
) can be used.
Timothy Kenney, an employee of the Iowa Orthopaedic Center (Center), wrote a prescription for Peggy Crouse for thirty Demerol
But a bad traffic accident sent him to the hospital for a month, and there he was given OxyContin and Demerol
. He was hooked.