Propoxyphene is a synthetic opiate with mild analgesic properties. As propoxyphene is widely prescribed it is prone to abuse. Propoxyphene by itself or associated with other drugs or alcohol can be toxic and it is associated with a large number of fatalities(22). It is among the most commonly encountered drugs associated with emergency department visits. (23) Oral ingestion is the most common route of administration in abuse and peak plasma levels occur within 1-2 hours after a single oral dose. (22)