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Publication date Quarterly The Monthly Index of Medical Specialities or MIMS is a pharmaceutical prescribing reference guide published in the United Kingdom since 1959. The guide contains information about branded and generic drugs in the UK formulary. The print title is published quarterly, freely available to all practice-based UK, and on a paid basis to subscribers.

An online version is available, with all content save drug listings available for free. Concise drug monographs form the core of MIMS; these include safety information, details of the active ingredient, presentation, price, indication, dosage and manufacturer. In addition, the book includes drug comparison tables, and summaries of clinical guidance.

Drugs that are blacklisted (i.e. Not prescribable on the ) or unlicensed are not included in the guide, nor does it provide information about. Contents • • • • Publications [ ] Haymarket Group also publishes three related: MIMS Dermatology and MIMS Oncology, and MIMS Women's Health. The MIMS Consultation Guide was published in 2011.

MIMS Conferences [ ] Several one-day clinical conferences are held each year on topics such as,,, and. MIMS Learning [ ] MIMS Learning is an educational website for general practitioners and nurses offering clinical education modules.

The website has an integrated magazine, also named MIMS Learning, showcasing content from the website. External links [ ] • •.

Key:PJMPHNIQZUBGLI-UHFFFAOYSA-N Y Fentanyl, also known as fentanil, is an which is used as a and together with other medications for. It has a rapid onset and effects generally last less than an hour or two. Fentanyl is available in a number of forms including by, as a, and to be absorbed through the. Common side effects include,, sleepiness, and confusion.

Serious side effects may include a (respiratory depression),,,. Fentanyl works in part by receptors. It is about 75 times stronger than for a given amount. Some may be as much as 10,000 times stronger than morphine. Fentanyl was first made by in 1960 and approved for medical use in the United States in 1968.

It was developed by testing chemicals similar in structure to (meperidine) for opioid activity. In 2015, 1,600 kilograms (3,500 lb) were used globally. As of 2017, fentanyl was the most widely used in medicine. Fentanyl patches are on the, the most effective and safe medicines needed in a. The wholesale cost in the as of 2015 is between 0.08 and 0.81 USD per 100 micrograms vial. In the United States this amount costs about 0.40 USD as of 2017. Fentanyl is also made illegally and used as a often mixed with.

In 2016 more than 20,000 deaths occurred in the United States due to overdoses of fentanyl and its analogues. Contents • • • • • • • • • • • • • • • • • • • • • • • • • Medical uses [ ] Intravenous and intrathecal [ ] Intravenous fentanyl is often used for and. During anaesthesia it is often used along with a hypnotic agent like. It is also administered in combination with a, such as, to produce for procedures such as,, and oral surgery, or in emergency rooms. It is often used in the of including.