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.
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)
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 tablets.
But a bad traffic accident sent him to the hospital for a month, and there he was given OxyContin and
Demerol. He was hooked.