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Narcotic Analgesics For Pain Relief (Systemic)
Brand name(s): ph
Before Using This Medicine
In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For narcotic analgesics, the following should be considered:
Allergies-Tell your doctor if you have ever had any unusual or allergic reaction to any of the narcotic analgesics. Also tell your health care professional if you are allergic to any other substances, such as foods, preservatives, or dyes.
Pregnancy-Although studies on birth defects with narcotic analgesics have not been done in pregnant women, these medicines have not been reported to cause birth defects. However, hydrocodone, hydromorphone, and morphine caused birth defects in animals when given in very large doses. Buprenorphine and codeine did not cause birth defects in animal studies, but they caused other unwanted effects. Butorphanol, nalbuphine, pentazocine, and propoxyphene did not cause birth defects in animals. There is no information about whether other narcotic analgesics cause birth defects in animals.
Too much use of a narcotic during pregnancy may cause the baby to become dependent on the medicine. This may lead to withdrawal side effects after birth. Also, some of these medicines may cause breathing problems in the newborn infant if taken just before delivery.
Breast-feeding-Most narcotic analgesics have not been reported to cause problems in nursing babies. However, when the mother is taking large amounts of methadone (in a methadone maintenance program), the nursing baby may become dependent on the medicine. Also, butorphanol, codeine, meperidine, morphine, opium, and propoxyphene pass into the breast milk.
Children-Breathing problems may be especially likely to occur in children younger than 2 years of age. These children are usually more sensitive than adults to the effects of narcotic analgesics. Also, unusual excitement or restlessness may be more likely to occur in children receiving these medicines. Hydromorphone extended-release capsules should not be used in children younger than 18 years of age.
Older adults-Elderly people are especially sensitive to the effects of narcotic analgesics. This may increase the chance of side effects, especially breathing problems, during treatment.
Other medicines-Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. When you are taking a narcotic analgesic, it is especially important that your health care professional know if you are taking any of the following:
- Carbamazepine (e.g., Tegretol)-Propoxyphene may increase the blood levels of carbamazepine, which increases the chance of serious side effects
- Central nervous system (CNS) depressants or
- Monoamine oxidase (MAO) inhibitor activity (isocarboxazid [e.g., Marplan], phenelzine [e.g., Nardil], procarbazine [e.g., Matulane], tranylcypromine [e.g., Parnate] (taken currently or within the past 2 weeks) or
- Tricyclic antidepressants (amitriptyline [e.g., Elavil], amoxapine [e.g., Asendin], clomipramine [e.g., Anafranil], desipramine [e.g., Pertofrane], doxepin [e.g., Sinequan], imipramine [e.g., Tofranil], nortriptyline [e.g., Aventyl], protriptyline [e.g., Vivactil], trimipramine [e.g., Surmontil])-The chance of side effects may be increased; the combination of meperidine (e.g., Demerol) and MAO inhibitors is especially dangerous
- Naltrexone (e.g., Trexan)-Narcotics will not be effective in people taking naltrexone
- Rifampin (e.g., Rifadin)-Rifampin decreases the effects of methadone and may cause withdrawal symptoms in people who are dependent on methadone
- Zidovudine (e.g., AZT, Retrovir)-Morphine may increase the blood levels of zidovudine and increase the chance of serious side effects
- Alcohol abuse, or history of, or
- Drug dependence, especially narcotic abuse, or history of, or
- Emotional problems-The chance of side effects may be increased; also, withdrawal symptoms may occur if a narcotic you are dependent on is replaced by buprenorphine, butorphanol, nalbuphine, or pentazocine
- Brain disease or head injury or
- Emphysema, asthma, or other chronic lung disease or
- Enlarged prostate or problems with urination or
- Gallbladder disease or gallstones-Some of the side effects of narcotic analgesics can be dangerous if these conditions are present
- Colitis or
- Heart disease or
- Kidney disease or
- Liver disease or
- Underactive thyroid-The chance of side effects may be increased
- Convulsions (seizures), history of-Some of the narcotic analgesics can cause convulsions
Last Revised: 12/02/2004
Last Topics in Meds-Help.com Forums
Pain relief
I have suffered chronical low back pain for 30 years, as I know perfectly well how a person can feel with a chronic pain I have decided to make a website with information about the different characteristics and treatment of different types of pain.
You can visit my site PainRelief Advisor at http://www.painreliefadvisor.com
Read More in our Diclofenac (Cataflam, Voltaren) Forum Forum
Shelf life?
Sorry, accidentally I had removed this comment:
[quote:7accccf0ec]Hi Lou,
[url=http://www.icm.tn.gov.in/drug%20formulary/ANALGESICS,%20ANTIPYRETICS%20&%20ANTI%20INFLAMMATORY%20DRUGS.htm]http://www.icm.tn.gov.in/drug%20formulary/ANALGESICS,%20ANTIPYRETICS%20&%20ANTI%20INFLAMMATORY%20DRUGS.htm[/url]
At this site it says the shelf life is 3 years. Hope that helps.
--------------------
Gail
[/quote:7accccf0ec]
Read More in our Indomethacin (Indochron E-R, Indocin) Forum Forum
info about ativan
I am really worried about the medications of many people use... thats the reason because show that theme to you... The Drugs like the ATIVAN
the most important things about ativan
The [b:93d0f676d1][url=http://www.crdrx.com]Ativan[/url][/b:93d0f676d1] (Lorazepam) is a benzodiazepine with CNS depressant, anxiolytic and sedative properties. Peak serum concentrations of free lorazepam after oral administration are reached in 1 to 6 hours. Peak concentrations are reached in 60 to 90 minutes after i.m. administration and in 60 minutes after sublingual administration. Lorazepam is 85% bound to plasma proteins. Lorazepam is rapidly conjugated to an inactive glucuronide. Very small amounts of other metabolites have also been isolated in man. The serum half-life of lorazepam is approximately 12 to 15 hours while the half-life of the conjugate is 16 to 20 hours. Ninety-five percent of the drug was excreted within 120 hours, 88% in the urine and 6.6% in the stool.
In the same calification we can find drugs like
[url=http://www.crdrx.com][b:93d0f676d1]Vicoprofen[/b:93d0f676d1][/url], that drug is supplied in a fixed combination tablet form for oral administration. VICOPROFEN combines the opioid analgesic agent, hydrocodone bitartrate, with the nonsteroidal anti-inflammatory (NSAID) agent, ibuprofen tha means is a semisynthetic and centrally acting opioid analgesic.
Vicoprofen is a combination of an opioid analgesic (pain reliever related to narcotics, hydrocodone) and a nonsteroidal anti-inflammatory drug (ibuprofen). Both medications are effective against pain. It is estimated that one tablet of Vicoprofen is as effective as two tablets of Tylenol #3 (acetaminophen 300 mg plus codeine 30 mg). Vicoprofen was approved by the FDA in 1997.
This medication is used for short-term relief of pain. It is not recommended for such chronic conditions as arthritis.
This medication is taken by mouth, usually one tablet every 4 to 6 hours as necessary for pain. Dosage should not exceed 5 tablets per day. Treatment is for 10 days or less unless otherwise directed. Follow all instructions exactly to receive good pain relief. Contact your doctor or pharmacist if your pain is not relieved. Take this medication with a full glass (8 oz or 240 ml) of water unless your doctor directs you otherwise. Do not lie down for at least 30 minutes after taking this drug. After a period of time, this medicine may not work as well. If this occurs, consult your doctor or pharmacist. Prolonged or excessive use of this product may cause dependency (or addiction). Do not increase your dosage or use more often than directed.
[url=http://www.crdrx.com][b:93d0f676d1]Hydrocodone[/b:93d0f676d1][/url] is habit forming. It is possible become physically and/or psychologically dependent on the medication. Do not take more than the prescribed amount of medication or take it for longer than is directed by your doctor. Withdrawal effects may occur if hydrocodone and acetaminophen is stopped suddenly after several weeks of continuous use. Your doctor may recommend a gradual reduction in dose.
[url=http://www.crdrx.com][b:93d0f676d1]Lortab[/b:93d0f676d1][/url], this is Hydrocodone (related to codeine) is in a class of drugs called narcotic analgesics. It relieves pain, the Acetaminophen is a less potent pain reliever that increases the effects of hydrocodone.
Together, acetaminophen and hydrocodone are used to relieve moderate-to-severe pain.
Lortab may also be used for purposes other than those listed in this medication guide.
you can find more information about these themes and another ones in our website www.crdrx.com
Have a great day
Read More in our Lorazepam (Ativan) Forum
Indomethacin & shoulder pain
I have been off and on using Indomethacin for several years although recently my shoulder pain has increased from occassional to constantly and relatively easy to ignore to constant and quite uncomfortable. I am one of those who only likes to take medication as long as I need it and then for only as long as minimally needed. This medication also seems to bother my stomach so after a few weeks of 3 / 25 mg tabs I go off it and wait for it to return. Lately it is getting worse so I am back on it and may have to stay on it. When I was younger it seemed easier to get over these attacks but now that I am in my mid 60's I may have to stay on it for relief. Anyone had any long term use results or comments on how to get the best results?
Thanks,
W
Read More in our Indomethacin (Indochron E-R, Indocin) Forum Forum
Indomethacin and headaches
Hi, I've just joined this forum and seen your question.
I take Indo for Chronic Paroxsymal Hemiacrania - a type of cluster headache. It's known to be the only effective pain relief for CPH headaches.
I can't say for sure if my body's got used to it but I am suffering from more headaches than I used to when I first started taking it.
Read More in our Indomethacin (Indochron E-R, Indocin) Forum Forum
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