Reply
  • Mmm Hmm 😆
    Apr 18, 2024
    Cole2
    !https://youtu.be/ElhZsNRXBpU?si=2W_ld0lK7Fu-yAbB

    THIS IS CRAZY LMAO



    Fire

  • Apr 18, 2024
    ·
    1 reply

  • Cole2
    !https://youtu.be/ElhZsNRXBpU?si=2W_ld0lK7Fu-yAbB

    THIS IS CRAZY LMAO



    i know exactly where you got this from. this guy needs to work for lucasarts 😎

  • Apr 18, 2024

    Kendrick did say he has two tees with him perhaps he is golfing with Drake

  • Apr 18, 2024
    ·
    3 replies
    BIG early

    y'all seen thi?

  • AR15 💯
    Apr 18, 2024
    PAINMAN

    How I look waiting for 🐢🐢🐢 to rap back

  • Mmm Hmm 😆
    Apr 18, 2024
    Cole2
    !https://youtu.be/ElhZsNRXBpU?si=2W_ld0lK7Fu-yAbB

    THIS IS CRAZY LMAO



    @Extraterrestrial
    @Camille

  • BIG early ⏱️
    Apr 18, 2024
    Jim Napster

    y'all seen thi?

  • Apr 18, 2024
    ·
    3 replies
    Jim Napster

    y'all seen thi?

    Yeah I’m still hard

  • Apr 18, 2024
    Jim Napster

    y'all seen thi?

    10:23am

  • Apr 18, 2024
    Chiron

    Yeah I’m still hard

  • Apr 18, 2024

    Contra-indications
    Contra-indicationsFor all opioids
    Acute respiratory depression; comatose patients; head injury (opioid a***gesics interfere with pupillary responses vital for neurological assessment); raised intracranial pressure (opioid a***gesics interfere with pupillary responses vital for neurological assessment); risk of paralytic ileus

    Contra-indicationsFor oxycodone hydrochloride
    Acute abdomen; chronic constipation; cor pulmonale; delayed gastric emptying

    Cautions
    CautionsFor all opioids
    Adrenocortical insufficiency (reduced dose is recommended); asthma (avoid during an acute attack); central sleep apnoea; convulsive disorders; current or history of mental health disorder; current or history of substance use disorder; debilitated patients (reduced dose is recommended); diseases of the biliary tract; elderly (reduced dose is recommended); hypotension; hypothyroidism (reduced dose is recommended); impaired respiratory function (avoid in chronic obstructive pulmonary disease); inflammatory bowel disorders; myasthenia gravis; obstructive bowel disorders; prostatic hypertrophy; shock; urethral stenosis

    Cautions, further information
    Dependence and addiction
    Prolonged use of opioid a***gesics may lead to d*** dependence and addiction, even at therapeutic doses. There is an increased risk in individuals with current or history of substance use disorder or mental health disorders. See also Important safety information.

    Central sleep apnoea
    Opioids cause a dose-dependent increased risk of central sleep apnoea, consider total opioid dose reduction.

    Palliative care
    In the control of pain in terminal illness, the cautions listed should not necessarily be a deterrent to the use of opioid a***gesics.

    Elderly
    Prescription potentially inappropriate (STOPP criteria):

    if prescribed a strong, oral or transdermal opioid (i.e. morphine, oxycodone, fentanyl, buprenorphine, diamorphine, methadone, tramadol, pethidine, pentazocine) as first-line therapy for mild pain (WHO a***gesic ladder not observed)
    if used regularly without concomitant laxative (risk of severe constipation)
    if prescribed a long-acting (modified-release) opioid without a short-acting (immediate-release) opioid for breakthrough pain (risk of persistence of severe pain)
    See also Prescribing in the elderly.

    CautionsFor oxycodone hydrochloride
    Pancreatitis; toxic psychosis

    Interactions
    View interactions for oxycodone

    Side-effects
    Side-effectsFor all opioids
    Common or very common
    Arrhythmias; confusion; constipation; dizziness; drowsiness; dry mouth; euphoric mood; flushing; hallucination; headache; hyperhidrosis; miosis; nausea (more common on initiation); palpitations; respiratory depression (with high doses); skin reactions; urinary retention; vertigo; vomiting (more common on initiation); withdrawal syndrome

    Uncommon
    D*** dependence; dysphoria

    Side-effects, further information
    Respiratory depression

    Respiratory depression is a major concern with opioid a***gesics and it may be treated by artificial ventilation or be reversed by naloxone.

    Dependence, addiction, and withdrawal

    Long term use of opioids in non-malignant pain (longer than 3 months) carries an increased risk of dependence and addiction, even at therapeutic doses. At the end of treatment the dosage should be tapered slowly to reduce the risk of withdrawal effects; tapering from a high dose may take weeks or months. See also Important safety information.

    Overdose
    Opioids (narcotic a***gesics) cause coma, respiratory depression, and pinpoint pupils. For details on the management of poisoning, see Opioids, under Emergency treatment of poisoning and consider the specific antidote, naloxone hydrochloride.

    Side-effectsFor oxycodone hydrochloride
    General side-effects:
    Common or very common
    Anxiety; bronchospasm; depression; diarrhoea; dyspnoea; gastrointestinal discomfort; hiccups; mood altered; tremor

    Uncommon
    Biliary colic; burping; chills; dehydration; dysphagia; gastrointestinal disorders; malaise; memory loss; neuromuscular dysfunction; oedema; seizure; sensation abnormal; sexual dysfunction; speech disorder; syncope; taste altered; thirst; vasodilation; visual impairment

    Rare or very rare
    Hypotension

    Frequency not known
    Aggression; amenorrhoea; cholestasis

    Specific side-effects:
    Common or very common
    With oral use
    Appetite abnormal; asthenic conditions; cognitive impairment; insomnia; movement disorders; perception altered; psychiatric disorders; urinary frequency increased

    With parenteral use
    Appetite decreased; asthenia; cough decreased; sleep disorders; thinking abnormal

    Uncommon
    With oral use
    Chest pain; cough; hyperacusia; increased risk of infection; injury; lacrimation disorder; migraine; oral disorders; pain; SIADH; voice alteration

    With parenteral use
    Fever; hypogonadism; ureteral spasm

    Rare or very rare
    With oral use
    Haemorrhage; lymphadenopathy; muscle spasms; photosensitivity reaction; tooth discolouration; weight changes

    Frequency not known
    With parenteral use
    Dental caries; hyperalgesia; withdrawal syndrome neonatal

    Pregnancy
    PregnancyFor all opioids
    Respiratory depression and withdrawal symptoms can occur in the neonate if opioid a***gesics are used during delivery; also gastric stasis and inhalation pneumonia has been reported in the mother if opioid a***gesics are used during labour.

    Breast feeding
    Breast feedingFor oxycodone hydrochloride
    Present in milk—avoid.

    Hepatic impairment
    Hepatic impairmentFor oxycodone hydrochloride
    Caution in mild impairment; avoid in moderate to severe impairment .

    Dose adjustments
    Initial dose reduction of 50% in mild impairment; adjust according to response.

    Renal impairment
    Renal impairmentFor oxycodone hydrochloride
    Caution (risk of increased and prolonged effects).

    Dose adjustments
    Initial dose reduction of 50%; adjust according to response.

    Treatment cessation
    Treatment cessationFor all opioids
    Avoid abrupt withdrawal after long-term treatment; they should be withdrawn gradually to avoid abstinence symptoms.

    Directions for administration
    Directions for administrationFor oxycodone hydrochloride
    With intravenous use:
    For intravenous infusion (Oxynorm®), manufacturer advises give continuously or intermittently in Glucose 5% or Sodium chloride 0.9%; dilute to a concentration of 1 mg/mL.

    Prescribing and dispensing information
    Prescribing and dispensing informationFor all opioids
    The Faculty of Pain Medicine has produced resources for healthcare professionals around opioid prescribing:fpm.ac.uk/faculty-of-pain-medicine/opioids-aware

    Prescribing and dispensing informationFor oxycodone hydrochloride
    Modified-release preparations are available as 12-hourly or 24-hourly formulations. Preparations that should be given 12-hourly include Abtard®, Carexil®, Ixyldone®, Leveraxo®, Longtec®, Oxeltra®, OxyContin®, Oxypro®, Oxylan®, Reltebon®, and Renocontin®. Preparations that should be given 24-hourly include Onexila® XL.

    Palliative care
    Palliative careFor oxycodone hydrochloride
    For further information on the use of oxycodone in palliative care, see medicinescomplete.com/#/content/palliative/oxycodone.

    Patient and carer advice
    Patient and carer adviceFor all opioids
    MHRA safety leaflet: Opioid medicines and the risk of addiction
    gov.uk/guidance/opioid-medicines-and-the-risk-of-addiction

    Driving and skilled tasks
    Drowsiness may affect performance of skilled tasks (e.g. driving); effects of alcohol enhanced. Driving at the start of therapy with opioid a***gesics, and following dose changes, should be avoided.

    For information on 2015 legislation regarding driving whilst taking certain controlled d****, including opioids, see D**** and driving under Guidance on prescribing.

    National funding/access decisions
    National funding/access decisionsFor oxycodone hydrochloride
    For full details see funding body website.

    Scottish Medicines Consortium (SMC) decisionsFor oxycodone hydrochloride
    SMC No. 125/04

    Oxycodone injection (OxyNorm®) for the treatment of moderate to severe pain in patients with cancer (October 2004)

    Funding decision:Recommended with restrictions
    SMC No. 197/05

    Oxycodone 5 mg, 10 mg, 20 mg, 40 mg and 80 mg prolonged release tablets (OxyContin®) for the treatment of severe non-malignant pain requiring a strong opioid (September 2005)

    Funding decision:Recommended with restrictions
    SMC No. 648/10

    Oxycodone hydrochloride 50 mg/mL injection (OxyNorm®) for the treatment of moderate to severe pain in patients with cancer (November 2010)

    Funding decision:Recommended with restrictions
    Medicinal forms
    There can be variation in the licensing of different medicines containing the same d***.

    Forms available from special-order manufacturers include: oral solution, solution for infusion.

    View all medicinal forms and pricing information

    Or jump straight to:

    Oral tablet
    Modified-release tablet
    Oral capsule
    Oral solution
    Solution for injection

  • Apr 18, 2024
    Chiron

    Yeah I’m still hard

    wanna run duos king?

  • Mmm Hmm 😆
    Apr 18, 2024
    John Mauve

    I love it when the same fanbase who accuses everyone of being elitist make these "Drake is actually real rap" posts

  • BIG early ⏱️
    Apr 18, 2024
    Chiron

    Yeah I’m still hard

    proof?

  • Apr 18, 2024
    ·
    6 replies
    Everest

  • Apr 18, 2024
    BIG early

  • Apr 18, 2024
    Takotchi

    wait i see it now

  • Apr 18, 2024
    Takotchi

    King. This guy became so much more endearing after I saw this pic. How can you hate that guy

  • AR15 💯
    Apr 18, 2024
    Takotchi

    He really got that s*** on

  • Apr 18, 2024
    Takotchi

    gyatttt

  • Apr 18, 2024
    ·
    3 replies
  • Apr 18, 2024
    Takotchi

    Holy s***

  • Apr 18, 2024
    Ava
    https://twitter.com/kmarchived/status/1780751701772795922

  • Apr 18, 2024
    ·
    1 reply
    BIG early

    @Ava_Yeezy