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Pethidine could be developed in a very two-action synthesis. The initial step is reaction of benzyl cyanide and chlormethine inside the presence of sodium amide to sort a piperidine ring. The nitrile is then transformed to an ester.[forty four] Samtidig användning av Petidin Meda och vissa läkemedel ökar risken fileör dåsighet, andningssvåri