Propoxyphene (PPX) is a weak opioid analgesic (pain reliever) that can
additionally be used as a local anesthetic and anti-tussive (cough
suppressant). Its properties are similar to other weak opioids
such as codeine, and until very recently was used in several
pharmaceutical preparations that also contained large amounts of
aspirin, caffeine or acetaminophen.
In November 2010 the FDA requested that all manufacturers withdraw
propoxyphene from sale. Recent clinical studies have concluded
that propoxyphenes (such as Darvocet-N® and Di-Gesic®) can put users at
risk of serious and sometimes life threatening heart arrhythmia.
It is estimated that over 10 million patients have used these products
in the United States, and as a result have been instructed to return to
their doctors for alternative medications.
Recreationally, propoxyphene is used for its ability to produce
euphoria, pain relief and drowsiness. PPX is usually taken orally
and its effects peak approximately 1-2 hours after it is taken.
Common physiological short-term side effects can include constipation,
drowsiness, constricted pupils, respiratory depression, nausea, sore
throat, itching, impaired alertness, confusion and possible
life-threatening heart arrhythmia.
Continued use can result in tolerance, as well as physical and
psychological dependence. Common effects due to a PPX overdose
can result in severe damage to the brain and the body’s organs.
Side effects include slow and shallow breathing, sweating, severe
euphoria, convulsions, coma and/or possible death. Withdrawal
symptoms can include cold or flu-like symptoms, irritability, tremors,
panic attacks, nausea, chills, drowsiness and a loss of appetite.
The DrugCheck® Drug of Abuse Test yields a positive result when the
concentration of Propoxyphene in urine exceeds 300 ng/mL.
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