This medication is a narcotic analgesic, prescribed for moderate to severe pain. It works by changing the way the brain and nervous system respond to pain.
Contraindicated in patients with respiratory depression and hypersensitivity.
PO- The starting dose is 2.5 mg to 10 mg every 8 to 12 hours.
It comes as a tablet and liquid to take by mouth, with or without food.
Caution should be exercised in patients with lung or breathing problems, chronic obstructive pulmonary disease (COPD), stomach problems, stomach pain, constipation, liver, kidney, thyroid or Addison disease, urinary obstruction, low blood volume, tumors, seizures, head injury, any allergy, who are taking other medications, elderly, children, during pregnancy and breastfeeding.
It may cause drowsiness, dizziness, blurred vision, or lightheadedness, do not drive a car or operate machinery and get up slowly from bed while taking this medication.
Avoid alcohol consumption.
It may cause constipation; consult with your doctor to avoid this problem.
Monitor patients condition during treatment initiation, during conversion from one opioid to another, and during dose titration.
Most Common :
Lightheadedness, dizziness, sedation, nausea, vomiting and sweating.
Body as a Whole : Weakness, swelling and headache.
Heart : Abnormal heart rhythm, slow/fast heart rate, ECG abnormalities, flushing, heart failure, low blood pressure, palpitations, vein inflammation, QT interval prolongation and fainting.
Gastrointestinal : Abdominal pain, loss of appetite, constipation, dry mouth and tongue inflammation.
Metabolic : Weight gain.
Central Nervous System : Agitation, confusion, disorientation, emotion, anxiety, sleeplessness and seizures.
Respiratory : Lung swelling and respiratory depression.
Skin : Itching, hives and rash.
Eye and ENT : Hallucinations and visual disturbances.
Genitourinary : Absence of menstrual periods, reduced sexual activity and/or impotence and urinary retention or hesitancy.
Avoid excess dosage.
Store it at room temperature (20° to 25°C), and in an airtight container.
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