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The exception might be intravenous therapies like the MSC case, but even that was experimental

Kashyap P, Kumar S, Riar CS, Jindal N, Baniwal P, Guin RP, Correia PM, Mehra R, Kumar H

For high-risk patients taking multiple serotonergic agents, administering hydromorphone rather than fentanyl, oxycodone, tramadol, or methadone for analgesia should be considered