A steam engineer and boiler fireman license allows you to operate a boiler or steam engine. When you get your license, remember that: You must renew your license each year. You can renew and pay for trade licenses online.
Adverse Effects And Risks Of Long-Term Opioid Use. Most medications have adverse effects and opioids are no different. Adverse effects of opioids may include fatigue, constipation, sedation, nausea, vomiting, confusion, dry mouth, constricted pupils (miosis), and itching (pruritis).
Safety Announcement. 1  Opioids can interact with antidepressants and migraine medicines to cause a serious central nervous system reaction called serotonin syndrome, in which high levels of the chemical serotonin build up in the brain and cause toxicity (see List of Serotonergic Medicines).