OXYMORPHONE

(ox ee MOR fone) Brand: Opana, Opana ER

What is the most significant information I must know about oxymorphone?

• You must not take oxymorphone if you have severe breathing problems, if you are having an asthma onslaught, if you have severe liver malady, or if you have a bowel obstruction called paralytic ileus.

What is oxymorphone?

• Oxymorphone is an opioid pain medicine. An opioid is sometimes called a narcotic.

• Oxymorphone is used to treat temperate to severe pain. The extended-release form of this medicine is for around-the-clock treatment of pain.

• Oxymorphone may also be used for purposes not listed in this medicine guide.

What must I discuss with my healthcare provider till using oxymorphone?

• You must not take this medication if you are allergic to oxymorphone, or if you have:

· severe breathing problems or you are having an asthma attack;

· severe liver malady; or

· if you have a bowel obstruction called paralytic ileus.

• To create certain oxymorphone is safety for you, speak your doctor if you have:

· a blockage in your digestive tract (stomach or intestines);

· asthma, COPD, sleep apnea, or another breathing disorders.

· liver or kidney disease;

· a history of head injury or brain tumor;

· epilepsy or another seizure disorder;

· low blood pressure;

· gallbladder disease;

· a pancreas disorder;

· enlarged prostate, urination problems;

· mental diseases; or

· a history of drug or alcohol addiction.

• Oxymorphone may be habit forming. Never share oxymorphone with other face, especially somebody with a history of drug abuse or addiction. Hold the medicine in a seat where others can't get to it.

• FDA pregnancy category C. It is not known whether oxymorphone will harm an unborn child. Oxymorphone may reason addiction or withdrawal symptoms in your newborn if you take the medicine during pregnancy. Speak your doctor if you are pregnant or plan to become pregnant while using this medication.

• It is not known whether oxymorphone passes into breast milk or if it could harm a nursing child. Speak your doctor if you are breast-feeding a baby.

• Older adults and those who are ill or debilitated may be more likely to have serious side effects.

How must I use oxymorphone?

• Follow all directions on your prescription label. Never take this medication in larger amounts, or for longer than prescribed. Speak your doctor if the medication seems to stop working as well in relieving your pain.

• Always check your bottle to create certain you have received the correct pills (same brand and type) of medication predesigned by your doctor. Ask the pharmacist if you have any questions about the medication you receive at the pharmacy.

• Take oxymorphone on an empty stomach, at least 1 hour till or 2 hours after a meal.

• Do not crush, chew, or interrupt an extended-release tablet. Swallow it intact.

• Some forms of oxymorphone are made with ingredients that are not absorbed in the body. Part of the tablet may appear in your stool. This is a usual side effect of oxymorphone and will not create the medicine smaller effective.

• Do not stop using oxymorphone suddenly after long-term use, or you could have unpleasant withdrawal symptoms. Ask your doctor how to avoid withdrawal symptoms when you stop using oxymorphone.

• Store at room temperature away from moisture, heat, and light.

• Hold track of the amount of medication used from every new bottle. Oxymorphone is a drug of abuse and you must be aware if anyone is using your medication improperly or without a prescription.

• After you have stopped using this medicine, flush any unused pills down the toilet.

What happens if I miss a dose?

• Since oxymorphone is sometimes taken as needed, you may not be on a dosing schedule. If you are taking the medicine regularly, take the missed doze as soon as you remember. Skip the missed doze if it is nearly time for your following scheduled doze. Do not take extra medication to create up the missed dose.

• Extended-release oxymorphone is not for use on an as-needed basis for pain.

What happens if I overdose?

• Search abnormal medical attention or call the Poison Help line at 1-800-222-1222. An overdose of oxymorphone can be fatal, especially to a baby who accidentally swallows it.

• Overdose symptoms may include extreme drowsiness, muscle weakness, confusion, cool and clammy skin, pinpoint pupils, shallow breathing, slow heart course, fainting, or coma.

What must I avoid while using oxymorphone?

• Do not drink alcohol while you are taking this medicine. Dangerous side effects or death can occur when alcohol is combined with oxymorphone. Check your food and medication labels to be certain these commodity do not contain alcohol.

• This medicine may impair your thinking or reactions. Avoid driving or operating machinery before you know how oxymorphone will affect you.

What are the possible side effects of oxymorphone?

• Get abnormal medical help if you have any of these signs of an allergic reaction: hives; difficult breathing; swelling of your person, lips, tongue, or throat.

• Call your doctor at once if you have:

· a light-headed feeling, like you might pass out;

· seizure (convulsions);

· fever, chills, cough with yellow or green mucus;

· stabbing chest pain, wheezing, feeling short of breath; or

· severe vomiting.

• General side effects may include:

· dry mouth, nausea, loss of appetite;

· stomach pain, constipation, diarrhea;

· dizziness, drowsiness, headache, weary feeling;

· heighten sweating;

· sleep problems (insomnia); or

· mild rash or itching.

• This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may message side effects to FDA at 1-800-FDA-1088.

What another drugs will affect oxymorphone?

• Taking oxymorphone with another drugs that create you sleepy or slow your breathing can magnify these effects. Ask your doctor till taking oxymorphone with a sleeping pill, narcotic pain medication, muscle relaxer, or medication for anxiety, depression, or seizures.

• Speak your doctor about all another medicines you use, especially:

· cimetidine;

· another narcotic pain medications--buprenorphine, butorphanol, nalbuphine, pentazocine;

· bladder or urinary medicines such as darifenacin, fesoterodine, oxybutynin, tolterodine, solifenacin;

· bronchodilators such as ipratropium or tiotropium;

· cool or allergy medication that contains an antihistamine;

· medicine for Parkinson's malady; or

· medicine to treat excess stomach acid, stomach ulcer, motion sickness, or irritable bowel syndrome.

• This list is not complete and another drugs may interact with oxymorphone. Speak your doctor about all medications you use. This includes prescription, over-the-counter, vitamin, and herbal commodity. Do not start a new medicine without telling your doctor.

Where can I get more information?

• Your pharmacist can provide more information about oxymorphone.

Remember, hold this and all another medicines out of the reach of children, never share your medicines with others, and use this medicine only for the indication prescribed.

Disclaim: Each effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses external of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way must be construed to indicate that the drug or drug combination is safety, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the help of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.