Butorphanol (Nasal-Systemic)

Brand name(s): "Stadol NS"

Proper Use of This Medicine

You will be given an instruction sheet with your prescription for butorphanol that explains how to use the pump spray unit. If you have any questions about using the unit, ask your health care professional.

To use:

• Use this medicine only as directed by your medical doctor or dentist. Do not use more of it, do not use it more often, and do not use it for a longer time than your medical doctor or dentist told you. This is especially important for elderly patients, who may be more sensitive to the effects of butorphanol. If too much is used, the medicine may become habit-forming (causing mental or physical dependence) or lead to medical problems because of an overdose.
• Remove the protective cover and clip. Before you use each new bottle of butorphanol, the spray pump needs to be started. To do this, point the sprayer away from you and other people or pets. Pump the spray unit firmly about 7 or 8 times. A fine, wide spray should come out by the seventh or eighth time you pump the unit. If the unit is not used for 48 hours or longer, the spray pump should be started again by pumping it 1 or 2 times only.
• Before each use, blow your nose gently.
• For a 1-mg dose, insert the spray tip into one nostril. Close off the other nostril by pressing the side of your nose with your index finger. Tilt your head slightly forward and spray one time. Sniff gently with your mouth closed.
• Remove the spray tip from your nostril. Tilt your head back and sniff gently.
• For a 2-mg dose, repeat these steps using the other nostril.
• Replace the protective cover and clip after each use.

Dosing-

The dose of butorphanol will be different for different patients. Follow your doctor's or dentist's orders or the directions on the label. The following information includes only the average doses of butorphanol. If your dose is different, do not change it unless your doctor or dentist tells you to do so.

• For nasal dosage form:
  • For pain:
    • Adults-1 mg (one spray in one nostril). If pain is not relieved within sixty to ninety minutes, another spray (1 mg) in one nostril may be used. This dosing procedure may be repeated in three to four hours as needed. However, if pain is severe, a 2-mg dose (one spray in each nostril) may be used every three to four hours, but it is important to remain lying down if drowsiness or dizziness occurs.
    • Children and teenagers-Use and dose must be determined by your doctor.

Missed dose-

If your medical doctor or dentist has told you to use this medicine on a regular schedule and you miss a dose, use it as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not double doses.

Storage-

To store this medicine:

• Keep out of the reach of children. Overdose is very dangerous in young children.
• Store away from heat and direct light.
• Keep the medicine from freezing.
• Do not keep outdated medicine or medicine no longer needed. Be sure that any discarded medicine is out of the reach of children.

Last Revised: 03/30/1998

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