Enison may be available in the countries listed below.
Ingredient matches for Enison
Vindesine sulfate (a derivative of Vindesine) is reported as an ingredient of Enison in the following countries:
- Spain
International Drug Name Search
Enison may be available in the countries listed below.
Vindesine sulfate (a derivative of Vindesine) is reported as an ingredient of Enison in the following countries:
International Drug Name Search
Gliquidon LPH may be available in the countries listed below.
Gliquidone is reported as an ingredient of Gliquidon LPH in the following countries:
International Drug Name Search
Cypafly may be available in the countries listed below.
In some countries, this medicine may only be approved for veterinary use.
Cypermethrin is reported as an ingredient of Cypafly in the following countries:
International Drug Name Search
Adofen may be available in the countries listed below.
Fluoxetine hydrochloride (a derivative of Fluoxetine) is reported as an ingredient of Adofen in the following countries:
International Drug Name Search
Generic Name: lidocaine and prilocaine (Gingival route)
LYE-doe-kane, PRIL-oh-kane
In the U.S.
Available Dosage Forms:
Therapeutic Class: Anesthetic, Amino Amide Combination
Chemical Class: Amino Amide
Lidocaine and prilocaine periodontal (gingival) gel is used on the gums to cause numbness or loss of feeling during dental procedures. This medicine contains a mixture of two topical local anesthetics (numbing medicines). It deadens the nerve endings in the gum.
This medicine is available only with your dentist's prescription.
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 this medicine, the following should be considered:
Tell your doctor if you have ever had any unusual or allergic reaction to this medicine or any other medicines. Also tell your health care professional if you have any other types of allergies, such as to foods, dyes, preservatives, or animals. For non-prescription products, read the label or package ingredients carefully.
Appropriate studies have not been performed on the relationship of age to the effects of lidocaine and prilocaine periodontal gel in the pediatric population. Safety and efficacy have not been established.
Appropriate studies performed to date have not demonstrated geriatric-specific problems that would limit the usefulness of lidocaine and prilocaine periodontal gel in the elderly. However, elderly patients are more likely to have age-related kidney or liver problems, which may require caution and an adjustment in the dose for patients receiving lidocaine and prilocaine periodontal gel.
Pregnancy Category | Explanation | |
---|---|---|
All Trimesters | B | Animal studies have revealed no evidence of harm to the fetus, however, there are no adequate studies in pregnant women OR animal studies have shown an adverse effect, but adequate studies in pregnant women have failed to demonstrate a risk to the fetus. |
There are no adequate studies in women for determining infant risk when using this medication during breastfeeding. Weigh the potential benefits against the potential risks before taking this medication while breastfeeding.
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. Tell your healthcare professional if you are taking any other prescription or nonprescription (over-the-counter [OTC]) medicine.
Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur. Discuss with your healthcare professional the use of your medicine with food, alcohol, or tobacco.
The presence of other medical problems may affect the use of this medicine. Make sure you tell your doctor if you have any other medical problems, especially:
This section provides information on the proper use of a number of products that contain lidocaine. It may not be specific to Burnamycin. Please read with care.
A dentist or other trained health professional will give you this medicine in an office or clinic setting. The medicine is applied to the gums using a special dispenser.
It is very important that your dentist check you closely for any problems or unwanted effects that may be caused by this medicine.
This medicine may cause serious types of allergic reactions, including anaphylaxis. Anaphylaxis can be life-threatening and requires immediate medical attention. Tell your dentist right away if you have a rash; itching; hoarseness; trouble with breathing; trouble with swallowing; or any swelling of your hands, face, or mouth after you receive the medicine.
This medicine may cause a rare, but serious blood problem called methemoglobinemia. Call your dentist right away if you develop a blue or bluish purple color on the lips, fingernails, or skin, or have headaches, dizziness, fainting, sleepiness, or trouble with breathing after you receive this medicine.
During the time that the gum feels numb, serious injury can occur. Be especially careful to avoid injury until the numbness wears off and you have normal feeling in the area. Avoid foods or liquids that are very hot or very cold. Do not chew gum or food while your mouth feels numb. You may accidentally bite your tongue or the inside of your cheeks.
Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.
Check with your doctor or nurse immediately if any of the following side effects occur:
Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:
Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.
Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.
See also: Burnamycin Topical side effects (in more detail)
The information contained in the Thomson Reuters Micromedex products as delivered by Drugs.com is intended as an educational aid only. It is not intended as medical advice for individual conditions or treatment. It is not a substitute for a medical exam, nor does it replace the need for services provided by medical professionals. Talk to your doctor, nurse or pharmacist before taking any prescription or over the counter drugs (including any herbal medicines or supplements) or following any treatment or regimen. Only your doctor, nurse, or pharmacist can provide you with advice on what is safe and effective for you.
The use of the Thomson Reuters Healthcare products is at your sole risk. These products are provided "AS IS" and "as available" for use, without warranties of any kind, either express or implied. Thomson Reuters Healthcare and Drugs.com make no representation or warranty as to the accuracy, reliability, timeliness, usefulness or completeness of any of the information contained in the products. Additionally, THOMSON REUTERS HEALTHCARE MAKES NO REPRESENTATION OR WARRANTIES AS TO THE OPINIONS OR OTHER SERVICE OR DATA YOU MAY ACCESS, DOWNLOAD OR USE AS A RESULT OF USE OF THE THOMSON REUTERS HEALTHCARE PRODUCTS. ALL IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE OR USE ARE HEREBY EXCLUDED. Thomson Reuters Healthcare does not assume any responsibility or risk for your use of the Thomson Reuters Healthcare products.
Generic Name: hydrocortisone (Topical application route)
hye-droe-KOR-ti-sone
In the U.S.
In Canada
Available Dosage Forms:
Therapeutic Class: Corticosteroid, Weak
Pharmacologic Class: Adrenal Glucocorticoid
Hydrocortisone topical is used to help relieve redness, itching, swelling, or other discomfort caused by skin conditions. This medicine is a corticosteroid (cortisone-like medicine or steroid).
This medicine is available both over-the-counter (OTC) and with your doctor's prescription.
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 this medicine, the following should be considered:
Tell your doctor if you have ever had any unusual or allergic reaction to this medicine or any other medicines. Also tell your health care professional if you have any other types of allergies, such as to foods, dyes, preservatives, or animals. For non-prescription products, read the label or package ingredients carefully.
Appropriate studies performed to date have not demonstrated pediatric-specific problems that would limit the usefulness of hydrocortisone topical in the pediatric population. However, because of this medicine's toxicity, it should be used with caution. Children may absorb large amounts through the skin, which can cause serious side effects. If your child is using this medicine, follow your doctor's instructions very carefully.
No information is available on the relationship of age to the effects of hydrocortisone topical in geriatric patients.
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. Tell your healthcare professional if you are taking any other prescription or nonprescription (over-the-counter [OTC]) medicine.
Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur. Discuss with your healthcare professional the use of your medicine with food, alcohol, or tobacco.
The presence of other medical problems may affect the use of this medicine. Make sure you tell your doctor if you have any other medical problems, especially:
This section provides information on the proper use of a number of products that contain hydrocortisone. It may not be specific to Dermarest. Please read with care.
It is very important that you use this medicine only as directed by your doctor. Do not use more of it, do not use it more often, and do not use it for a longer time than your doctor ordered. To do so may cause unwanted side effects or skin irritation.
This medicine is for use on the skin only. Do not get it in your eyes. Do not use it on skin areas that have cuts, scrapes, or burns. If it does get on these areas, rinse it off right away with water.
This medicine should only be used for skin conditions that your doctor is treating. Check with your doctor before using it for other conditions, especially if you think that a skin infection may be present. This medicine should not be used to treat certain kinds of skin infections or conditions, such as severe burns.
To use:
The dose of this medicine will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of this medicine. If your dose is different, do not change it unless your doctor tells you to do so.
The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.
If you miss a dose of this medicine, apply it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule.
Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing.
Keep out of the reach of children.
Do not keep outdated medicine or medicine no longer needed.
Ask your healthcare professional how you should dispose of any medicine you do not use.
It is very important that your doctor check your or your child's progress at regular visits for any unwanted effects that may be caused by this medicine.
If your or your child's symptoms do not improve within a few days, or if they become worse, check with your doctor.
Using too much of this medicine or using it for a long time may increase your risk of having adrenal gland problems. The risk is greater for children and patients who use large amounts for a long time. Talk to your doctor right away if you or your child have more than one of these symptoms while you are using this medicine: blurred vision; dizziness or fainting; a fast, irregular, or pounding heartbeat; increased thirst or urination; irritability; or unusual tiredness or weakness.
Stop using this medicine and check with your doctor right away if you or your child have a skin rash, burning, stinging, swelling, or irritation on the skin.
Do not use cosmetics or other skin care products on the treated areas.
Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.
Check with your doctor immediately if any of the following side effects occur:
Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:
Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.
Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.
The information contained in the Thomson Reuters Micromedex products as delivered by Drugs.com is intended as an educational aid only. It is not intended as medical advice for individual conditions or treatment. It is not a substitute for a medical exam, nor does it replace the need for services provided by medical professionals. Talk to your doctor, nurse or pharmacist before taking any prescription or over the counter drugs (including any herbal medicines or supplements) or following any treatment or regimen. Only your doctor, nurse, or pharmacist can provide you with advice on what is safe and effective for you.
The use of the Thomson Reuters Healthcare products is at your sole risk. These products are provided "AS IS" and "as available" for use, without warranties of any kind, either express or implied. Thomson Reuters Healthcare and Drugs.com make no representation or warranty as to the accuracy, reliability, timeliness, usefulness or completeness of any of the information contained in the products. Additionally, THOMSON REUTERS HEALTHCARE MAKES NO REPRESENTATION OR WARRANTIES AS TO THE OPINIONS OR OTHER SERVICE OR DATA YOU MAY ACCESS, DOWNLOAD OR USE AS A RESULT OF USE OF THE THOMSON REUTERS HEALTHCARE PRODUCTS. ALL IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE OR USE ARE HEREBY EXCLUDED. Thomson Reuters Healthcare does not assume any responsibility or risk for your use of the Thomson Reuters Healthcare products.
Temporarily relieving pain and itching associated with insect bites, minor burns, sunburn, minor skin irritations, minor cuts, scrapes, and rashes caused by poison ivy, poison oak, and poison sumac.
Dermarest Cream is an antihistamine. It works by blocking the action of histamine, which reduces the symptoms of an allergic reaction.
Contact your doctor or health care provider right away if any of these apply to you.
Some medical conditions may interact with Dermarest Cream. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:
Some MEDICINES MAY INTERACT with Dermarest Cream. Because little, if any, of Dermarest Cream is absorbed into the blood, the risk of it interacting with another medicine is low.
Ask your health care provider if Dermarest Cream may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.
Use Dermarest Cream as directed by your doctor. Check the label on the medicine for exact dosing instructions.
Ask your health care provider any questions you may have about how to use Dermarest Cream.
All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:
Skin irritation.
Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue).
This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. To report side effects to the appropriate agency, please read the Guide to Reporting Problems to FDA.
See also: Dermarest side effects (in more detail)
Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center, or emergency room immediately. Dermarest Cream may be harmful if swallowed. Symptoms after swallowing Dermarest Cream may include confusion, hallucinations, or loss of consciousness.
Store Dermarest Cream at room temperature, between 59 and 77 degrees F (15 and 25 degrees C). Store away from heat, moisture, and light. Keep Dermarest Cream out of the reach of children and away from pets.
This information is a summary only. It does not contain all information about Dermarest Cream. If you have questions about the medicine you are taking or would like more information, check with your doctor, pharmacist, or other health care provider.
Class: Opiate Agonists
VA Class: CN101
CAS Number: 357-07-3
Brands: Opana
Schedule II controlled substance with abuse liability similar to morphine.c
Potential for abuse in a manner similar to other legal or illicit opiates.c Consider abuse potential when prescribing or dispensing oxymorphone extended-release tablets in situations where the clinician or pharmacist is concerned about increased risk of misuse, abuse, or diversion.c
Oxymorphone hydrochloride extended-release tablets are indicated for the management of moderate to severe pain when a continuous, around-the-clock analgesic is needed for an extended period of time.c
Oxymorphone hydrochloride extended-release tablets are not intended for use as a prn analgesic.c
Oxymorphone hydrochloride extended-release tablets are to be swallowed whole and are not to be broken, chewed, dissolved, or crushed.c
Chewing, crushing, or dissolving the extended-release tablets could result in rapid release and absorption of a potentially fatal dose of oxymorphone.c
Do not consume alcoholic beverages or prescription or nonprescription preparations containing alcohol during therapy with extended-release tablets.c Consuming alcohol while receiving extended-release tablets could result in increased plasma concentrations of oxymorphone and a potentially fatal dose of the drug.c
Opiate agonist; phenanthrene derivative.a b c d e
Relief of moderate to severe pain.b c d
Symptomatic relief of moderate to moderately severe pain such as that associated with acute and some chronic medical disorders including renal or biliary colic, acute trauma, postoperative pain, and cancer.e
Consider around-the-clock dosing of analgesics in the initial stages of acute pain to avoid wide swings in pain and sedation often associated with as-needed dosing regimens.e
In the management of chronic pain associated with a terminal illness such as cancer, the principal goal of analgesic therapy is to make the patient relatively pain-free while maintaining as good a quality of life as possible.e
Analgesic therapy must be individualized and titrated according to patient response and tolerance.b c d e
Extended-release tablets (Opana ER) are used orally for management of moderate to severe pain when a continuous, around-the-clock analgesic is needed for an extended period of time.c The extended-release tablets are not intended for use on an as-needed (“prn”) basis, for preoperative administration to control postoperative pain, for pain in the immediate postoperative period (12–24 hours after surgery) in patients not previously exposed to opiates, or for postoperative pain that is expected to be mild or of short duration.c Patients who were receiving this preparation prior to surgery may reinitiate such use after they are able to resume oral therapy.c Extended-release tablets may be used postoperatively if pain is expected to be moderate to severe and persist for an extended period of time.c
Used parenterally as a supplement to anesthesia.a d
Used parenterally for analgesia during labor.d
Used in patients with acute pulmonary edema for its cardiovascular effects and to allay anxiety.a d e Should not be used in the treatment of pulmonary edema resulting from a chemical respiratory irritant.d
Administer orally,b c or by sub-Q, IM, or IV injection.a d
Administer orally as conventional tablets or extended-release tablets.b c
Administer conventional and extended-release tablets on an empty stomach, at least 1 hour before or 2 hours after food.b c Food affects oral absorption.b c (See Food under Pharmacokinetics.)
Extended-release tablets: Swallow tablets whole; do not divide, crush, or chew.c Do not administer with alcohol.c (See Boxed Warning.)
Administer by direct IV injection.e
When administered IV, an opiate antagonist and facilities for administration of oxygen and control of respiration should be available.a e
Available as oxymorphone hydrochloride; dosage expressed in terms of the salt.b c
Give the smallest effective dose as infrequently as possible to minimize the development of tolerance and physical dependence.a
Individualize dosage according to clinical status of the patient, desired therapeutic effect, degree of existing opiate tolerance, and age and weight; assess dosage at periodic intervals.b c d
Reduce dosage in poor-risk patients, in geriatric patients, and in patients receiving other CNS depressants.a (See Specific Drugs under Interactions)
Avoid abrupt withdrawal from relatively high dosages (e.g., in chronic pain patients) since precipitation of severe abstinence syndrome is likely.b c d
Extended-release tablets usually are administered twice daily in 2 equally divided doses; an asymmetric daily dosing regimen (i.e., different dose in the morning than in the evening) may be appropriate in some patients, depending on the pain pattern.c
Opiate-naive patients: Usually, initiate with 10–20 mg every 4–6 hours as needed.b Alternatively, use 5 mg every 4–6 hours.b Do not initiate with doses >20 mg.b Adjust according to response and tolerance.b
Calculate the total daily dosage of the parenteral preparation, multiply by a factor of 10 and administer as conventional tablets in 4 or 6 equally divided doses.b For example, 10 mg of oral oxymorphone hydrochloride given every 6 hours as conventional tablets can be substituted for a total daily IM oxymorphone hydrochloride dosage of 4 mg.b
Opiate-naive patients: Initiate with 5 mg every 12 hours.c Adjust according to response and tolerance.c Titrate in increments of 5–10 mg every 12 hours every 3–7 days to provide adequate analgesia.c
Calculate the total daily dosage of the conventional preparation and give as extended-release tablets in 2 divided doses at 12-hour intervals.c
Calculate the total daily dosage of the parenteral preparation, multiply by a factor of 10 and administer as extended-release tablets in 2 equally divided doses.c For example, 20 mg of oral oxymorphone hydrochloride given every 12 hours as extended-release tablets can be substituted for a total daily IM oxymorphone hydrochloride dosage of 4 mg.c
Monitor closely to ensure adequate analgesia and to minimize side effects.c
The equivalent total daily dosage of oxymorphone hydrochloride should be calculated based on standard conversion factors suggested by the manufacturer (table below); initiate therapy with oxymorphone hydrochloride extended-release tablets by administering half the calculated dose in 2 divided doses at 12-hour intervals.c Titrate dosage to provide adequate analgesia.c
If patients are on a regimen of several opiates, calculate the approximate oral oxymorphone dose for each opiate and add the totals to estimate the total daily oxymorphone hydrochloride dosage.c
Prior Opiate | Approximate Oral Equivalent Dose | Factor Oral |
---|---|---|
Oxymorphone | 10 mg | 1 |
Hydrocodone | 20 mg | 0.5 |
Oxycodone | 20 mg | 0.5 |
Methadone | 20 mg | 0.5 |
Morphine | 30 mg | 0.333 |
Table to be used only for conversion to oxymorphone extended-release tablets.c
Refer to published relative potency information, keeping in mind that conversion ratios are only approximate.c
When converting from methadone to oxymorphone, monitor patients closely. c
Initially, 0.5 mg.d Adjust according to response and tolerance.d
1–1.5 mg every 4 to 6 hours as necessary.d
0.5–1 mg.d
Conventional tablet: Maximum initial dose is 20 mg.b
In patients with mild hepatic impairment, initiate with lowest dosage and increase dose slowly.b c d (See Contraindications.)
In patients with Clcr <50 mL/minute, reduce dosage.b c d (See Special Populations under Pharmacokinetics.)
Select dosage with caution; use lower than usual initial dosages.b c d (See Geriatric Use under Cautions and see Special Populations under Pharmacokinetics.)
Known hypersensitivity to oxymorphone, morphine analogs such as codeine, or any ingredient in the formulation.b c d
Respiratory depression in the absence of resuscitative equipment.b c d
Acute or severe asthma or hypercarbia.b c d
Known or suspected paralytic ileus.b c d
Moderate or severe hepatic impairment.b c d
Extended-release preparation contraindicated in the management of immediate postoperative pain (first 12–24 hours following surgery), in patients with mild pain, and in those who are expected to require analgesia for a short period of time.c
Parenteral use contraindicated in the treatment of pulmonary edema resulting from a chemical respiratory irritant.d
Possible tolerance, psychologic dependence, and physical dependence following prolonged administration.b c Use only with careful surveillance in patients with a history of drug or alcohol dependence or abuse.b c Clinicians should consider abuse potential when prescribing or dispensing oxymorphone in situations where they are concerned about an increased risk of misuse, abuse, or diversion.d However, concerns about abuse, addiction, and diversion should not prevent the proper management of pain.c d
Oxymorphone tablets can be abused by crushing, chewing, “snorting” the powder, or dissolving the contents in water and injecting.c d
Breaking, chewing, or crushing of extended-release tablets results in immediate release of the opiate and the risk of a potentially fatal overdose.c (See Boxed Warning.)
Abrupt cessation of therapy or sudden reduction in dosage after prolonged use may result in withdrawal symptoms.b c d After prolonged exposure to opiate analgesics, if withdrawal is necessary, it must be undertaken gradually.b c d
Health-care professionals should contact the professional licensing board or controlled substance authority in their states for information about prevention and detection of abuse or diversion.c d
The major toxicity associated with oxymorphone.c d e
Occurs most frequently in geriatric or debilitated patients and in those with conditions accompanied by hypoxia or hypercapnia when even moderate therapeutic opiate dosages may dangerously decrease pulmonary ventilation.c d e
Use with extreme caution in patients with hypoxia, hypercapnia, or substantially decreased respiratory reserve (e.g., asthma, COPD, cor pulmonale, severe obesity, sleep apnea syndrome, myxedema, kyphoscoliosis, CNS depression, coma).c d e In such patients, even therapeutic oxymorphone doses may decrease respiratory drive while simultaneously increasing airway resistance to the point of apnea.c d e Consider use of non-opiate analgesics.c d e Use oxymorphone only with careful medical supervision and at lowest effective dosage.c d e
Additive depressant effects may occur with concomitant use of other CNS depressants including other opiates, sedatives or hypnotics, general anesthetics, phenothiazines, tranquilizers, illicit drugs associated with CNS depression, and alcohol.c d e (See Specific Drugs under Interactions.)
Hypoventilation, hypotension, and profound sedation or coma may occur.c d e
Respiratory depressant effects of oxymorphone (with CO2 retention and secondary elevation of CSF pressure) may be markedly exaggerated in the presence of head injury, other intracranial lesions, or preexisting increase in intracranial pressure.c d e
Opiates produce effects (e.g., pupillary changes) that may obscure neurologic signs of further increase in pressure in patients with head injuries.c d e
Possible severe hypotension in individuals whose ability to maintain their BP is compromised by depleted blood volume or concomitant drugs that compromise vasculature tone (e.g., phenothiazines, general anesthetics).b c d e
Use with caution in patients in circulatory shock, because vasodilation produced by the drug may further reduce cardiac output and BP.b c d
Administration may complicate assessment of patients with acute abdominal conditions.b c d (See GI Effects under Cautions.)
May aggravate preexisting seizures in patients with seizure disorders.c d e May induce seizures.b c d
Use with caution in debilitated patients, those sensitive to CNS depressants, patients with Addison’s disease, CNS depression or coma, kyphoscoliosis, myxedema or hypothyroidism, prostatic hypertrophy, urethral stricture, severe impairment of pulmonary function, toxic psychosis, acute alcoholism, delirium tremens, or following GI surgery.b c d
May cause spasm of the sphincter of Oddi.b c d Use with caution in patients with biliary tract disease, including acute pancreatitis, and patients undergoing biliary tract surgery.b c d
Monitor for decreased bowel motility in post-operative patients.b c d (See Acute Abdominal Conditions under Cautions.)
Contraindicated in patients with known or suspected paralytic ileus.b c d
Category C.b c d
Use parenteral preparation with caution during labor.d Administration during labor may cause neonatal respiratory depression.d An opiate antagonist and resuscitative equipment for reversal of opiate-induced respiratory depression should be readily available when opiates are administered during labor and delivery.d
Use of oxymorphone tablets and extended-release tablets not recommended during or immediately prior to labor.b c
Infants born to women regularly taking opiates during pregnancy may be physically dependent.b c d
Not known whether oxymorphone is distributed into human milk.b c d Women receiving oxymorphone generally should not nurse.b c d
Safety and efficacy not established in pediatric patients <18 years of age.b c d
No substantial difference in efficacy of oral preparations in geriatric patients relative to younger adults.b c Dizziness, somnolence, confusion, nausea reported more frequently in geriatric adults than in younger adults.b c
Following oral administration, plasma concentrations of oxymorphone are higher in geriatric patients ≥65 years of age than in younger patients.b c d (See Special Populations under Pharmacokinetics.)
Parenteral preparation not systematically evaluated in geriatric adults.d
Select dose with caution, starting at the low end of the dosing range, because of age-related decreases in hepatic, renal, and/or cardiac function and potential for concomitant disease and drug therapy.b c d
Use with caution in patients with mild hepatic impairment.b c d (See Hepatic Impairment under Dosage and Administration.)
Contraindicated in patients with moderate or severe hepatic impairment.b c d
Use with caution in patients with moderate or severe renal impairment.b c d Dosage adjustment needed in these patients.b c d (See Renal Impairment under Dosage and Administration and see Special Populations under Pharmacokinetics.)
Nausea, constipation, pyrexia, somnolence, vomiting, pruritus, headache, dizziness, confusion.b c d
Drug | Interaction | Comments |
---|---|---|
Alcohol | Additive CNS effectsb c d Oxymorphone extended-release tablets: Increased or decreased plasma oxymorphone concentrations reportedc | Avoid concomitant useb c |
Anticholinergic agents | Increased risk of urinary retention and/or severe constipation, which may lead to paralytic ileusb c d | |
Cimetidine | Adverse CNS effects (confusion, disorientation, respiratory depression, apnea, seizures) reported with opiatesb c d | Cautionb c d |
CNS depressants (e.g., opiate agonists, general anesthetics, tranquilizers, phenothiazines, sedatives/hypnotics) | Additive CNS effects.b d | Reduce dosage of one or both agents; initiate oxymorphone therapy using (1/3) to ½ the usual doseb c d |
MAO inhibitors | Use with cautionb c d | |
Opiate partial agonists (butorphanol, buprenorphine, nalbuphine, pentazocine) | Possible reduced analgesic effect and/or withdrawal symptomsb c d | Avoid concomitant useb c d |
Absolute oral bioavailability is 10%.b c
5–10 minutes following IV administration.a d
10–15 minutes following sub-Q or IM administration.a
3–6 hours following parenteral administration.a d
Conventional tablets with high-fat meal: Peak plasma concentration and AUC increase 38%.b
Extended-release tablets with food: Peak plasma concentrations increase 50%; time to peak plasma concentrations delayed; no change in AUC or small increase.c
Oxymorphone extended-release tablets: Bioavailability increased 26, 57, or 65% in patients with mild (Clcr 51–80 mL/minute), moderate (Clcr 30–50 mL/minute), or severe renal impairment (Clcr <30 mL/minute), respectively.c
Oxymorphone extended-release tablets: Based on information from a few individuals with hepatic impairment, bioavailability increased 1.6-, 3.7-, or 12.2-fold in patients with mild, moderate, or severe hepatic impairment, respectively.c
Oxymorphone extended-release tablets: Plasma concentrations increased 40% in geriatric individuals.c
10–12%.b c
Extensively metabolized in the liver; undergoes reduction or conjugation with glucuronic acid to form oxymorphone-3-glucuronide and 6-OH-oxymorphone.b c d
33–38% excreted in the urine as oxymorphone-3-glucuronide, <1% excreted in urine as 6-OH-oxymorphone, <1% excreted unchanged in the urine.b c d
Extended-release tablets: 9.4–11.3 hours.c
Tight container at 25°C (may be exposed to 15–30°C).b
Tight container at 25°C (may be exposed to 15–30°C).c
25°C (may be exposed to 15°–30°C).d Protect from light.d
A potent analgesic; shares the actions of the opiate agonists.b c d
Precise mechanism of action has not been fully elucidated; opiate agonists act at several CNS sites, involving several neurotransmitter systems to produce analgesia.e
Pain perception is altered in the spinal cord and higher CNS levels (e.g., substantia gelatinosa, spinal trigeminal nucleus, periaqueductal gray, periventricular gray, medullary raphe nuclei, hypothalamus).e
Opiate agonists do not alter the threshold or responsiveness of afferent nerve endings to noxious stimuli, nor peripheral nerve impulse conduction.e
Opiate agonists act at specific receptor binding sites in the CNS and other tissues; opiate receptors are concentrated in the limbic system, thalamus, striatum, hypothalamus, midbrain, and spinal cord.e
Agonist activity at the opiate μ- or κ-receptor can result in analgesia, miosis, and/or decreased body temperature.e
Agonist activity at the μ-receptor can also result in suppression of opiate withdrawal (and antagonist activity can result in precipitation of withdrawal).e
Respiratory depression may be mediated by μ-receptors, possibly μ2-receptors (which may be distinct from μ1-receptors involved in analgesia); κ- and δ-receptors may also be involved in respiratory depression.e
Importance of not breaking, crushing, or chewing extended-release tablets; potentially fatal overdose can occur.c
Conventional and extended-release tablets: Advise patients to take tablets on an empty stomach, at least 1 hour before or 2 hours after food.b c
Importance of taking only as prescribed; do not increase dosage or abruptly discontinue without consulting a clinician.b c d
Advise patients to report any episodes of breakthrough pain or adverse experiences to their clinician.b c d
Advise patients that oxymorphone should not be combined with alcohol or other CNS depressants (e.g., sleep medications, tranquilizers).b c d
Potential for severe constipation.b c d Counsel patients on appropriate laxatives and/or stool softeners and other therapeutic approaches.b c d
Importance of informing patients that oxymorphone may impair mental and/or physical ability required for performance of potentially hazardous tasks; avoid driving or operating heavy machinery until effects on individual are known.b c d
Risk of dizziness and other adverse events.b c d
Importance of informing patients that this is a drug of potential abuse and should be protected from theft.b c d
Importance of informing patients that this medication should never be given to anyone other than the individual for whom it was prescribed.b c d
Importance of informing clinicians of existing or contemplated concomitant therapy, including prescription and OTC drugs, as well as any concomitant illnesses.b c d
Importance of women informing clinicians if they are or plan to become pregnant or plan to breast-feed.b c d
Importance of informing patients of other important precautionary information.b c d (See Cautions.)
Excipients in commercially available drug preparations may have clinically important effects in some individuals; consult specific product labeling for details.
Oxymorphone hydrochloride is subject to control under the Federal Controlled Substances Act of 1970 as a schedule II (C-II) drug.
Routes | Dosage Forms | Strengths | Brand Names | Manufacturer |
---|---|---|---|---|
Oral | Tablets | 5 mg | Opana ( C-II) | Endo |
10 mg | Opana ( C-II) | Endo | ||
Tablet, extended-release | 5 mg | Opana ER ( C-II) | Endo | |
10 mg | Opana ER ( C-II) | Endo | ||
20 mg | Opana ER ( C-II) | Endo | ||
40 mg | Opana ER ( C-II) | Endo | ||
Parenteral | Injection | 1 mg/mL | Opana ( C-II; preservative-free) | Endo |
This pricing information is subject to change at the sole discretion of DS Pharmacy. This pricing information was updated 04/2011. Actual costs to patients will vary depending on the use of specific retail or mail-order locations and health insurance copays.
Opana 5MG Tablets (ENDO PHARMACEUTICALS): 20/$71.99 or 30/$105.97
Opana ER 10MG 12-hr Tablets (ENDO PHARMACEUTICALS): 20/$81.99 or 30/$122.98
Opana ER 15MG 12-hr Tablets (ENDO PHARMACEUTICALS): 20/$114.99 or 30/$170.97
Opana ER 20MG 12-hr Tablets (ENDO PHARMACEUTICALS): 20/$143.99 or 30/$214.97
Opana ER 40MG 12-hr Tablets (ENDO PHARMACEUTICALS): 20/$248.98 or 30/$372.97
Opana ER 5MG 12-hr Tablets (ENDO PHARMACEUTICALS): 20/$47.99 or 30/$71.98
Opana ER 7.5MG 12-hr Tablets (ENDO PHARMACEUTICALS): 20/$65.99 or 30/$93.99
This report on medications is for your information only, and is not considered individual patient advice. Because of the changing nature of drug information, please consult your physician or pharmacist about specific clinical use.
The American Society of Health-System Pharmacists, Inc. and Drugs.com represent that the information provided hereunder was formulated with a reasonable standard of care, and in conformity with professional standards in the field. The American Society of Health-System Pharmacists, Inc. and Drugs.com make no representations or warranties, express or implied, including, but not limited to, any implied warranty of merchantability and/or fitness for a particular purpose, with respect to such information and specifically disclaims all such warranties. Users are advised that decisions regarding drug therapy are complex medical decisions requiring the independent, informed decision of an appropriate health care professional, and the information is provided for informational purposes only. The entire monograph for a drug should be reviewed for a thorough understanding of the drug's actions, uses and side effects. The American Society of Health-System Pharmacists, Inc. and Drugs.com do not endorse or recommend the use of any drug. The information is not a substitute for medical care.
AHFS Drug Information. © Copyright, 1959-2011, Selected Revisions November 01, 2007. American Society of Health-System Pharmacists, Inc., 7272 Wisconsin Avenue, Bethesda, Maryland 20814.
a. AHFS drug information 2007. McEvoy GK, ed. Oxymorphone. Bethesda, MD: American Society of Health-System Pharmacists; 2007: 2154-5.
b. Endo Pharmaceuticals Inc. Opana (oxymorphone hydrochloride) tablets prescribing information. Chadds Ford, PA; 2006 Jul.
c. Endo Pharmaceuticals Inc. Opana ER (oxymorphone hydrochloride) extended-release tablets prescribing information. Chadds Ford, PA; 2007 June.
d. Endo Pharmaceuticals Inc. Opana (oxymorphone hydrochloride) injection prescribing information. Chadds Ford, PA; 2006 Sept.
e. AHFS drug information 2007. McEvoy GK, ed. Opioid Agonists General Statement. Bethesda, MD: American Society of Health-System Pharmacists; 2007:2123-8.
Famodar may be available in the countries listed below.
Famotidine is reported as an ingredient of Famodar in the following countries:
International Drug Name Search
Generic Name: topical emollients (TOP i kal ee MOL i ents)
Brand Names: Aloe Vesta Cream, AlphaSoft, AmeriPhor, Aqua Glycolic, Aqua Lube, Aquaphor, Aveeno, Baby Lotion, Baby Oil, Bag Balm, Baza-Pro, Beta Care, Blistex Lip Balm, Carmex, CarraKlenz, CeraVe, CeraVe AM, Cetaphil Lotion, Chap Stick, Citraderm, CoolBottoms, Corn Huskers Lotion, Curel Moisture Lotion, Derma Soothe, Dr Scholl's Essentials Cracked Skin Repair, Eucerin, Herpecin-L, K-Y Jelly, Keri Lotion, Lamisilk Heel Balm, Lubri-Soft, Lubriderm, Mederma, Moisturel, Natural Ice, NeutrapHor, NeutrapHorus Rex, Neutrogena Cleansing, Neutrogena Lotion, Nivea, Nutraderm, Pacquin, Phisoderm, Pretty Feet & Hands, Proshield Skincare Kit, Remedy 4-in-1 Cleansing Lotion, Replens, Secura, Sensi-Care, Soft Sense, St. Ives, Theraplex Lotion, Vaseline Intensive Care
Emollients are substances that moisten and soften your skin.
Topical (for the skin) emollients are used to treat or prevent dry skin. Topical emollients are sometimes contained in products that also treat acne, chapped lips, diaper rash, cold sores, or other minor skin irritation.
There are many brands and forms of topical emollients available and not all are listed on this leaflet.
Topical emollients may also be used for purposes not listed in this medication guide.
Ask a doctor or pharmacist before using this medication if you have deep wounds or open sores, swelling, warmth, redness, oozing, bleeding, large areas of skin irritation, or any type of allergy.
Ask a doctor or pharmacist if it is safe for you to use this medicine if you have:
deep wounds or open sores;
swelling, warmth, redness, oozing, or bleeding;
large areas of skin irritation;
any type of allergy; or
Use exactly as directed on the label, or as prescribed by your doctor. Do not use in larger or smaller amounts or for longer than recommended.
Clean the skin where you will apply the topical emollient. It may help to apply this product when your skin is wet or damp. Follow directions on the product label.
Apply a small amount of topical emollient to the affected area and rub in gently.
If you are using a stick, pad, or soap form of topical emollient, follow directions for use on the product label.
If your skin appears white or gray and feels soggy, you may be applying too much topical emollient or using it too often.
Store as directed away from moisture, heat, and light. Keep the bottle, tube, or other container tightly closed when not in use.
Since this product is used as needed, it does not have a daily dosing schedule. Seek medical advice if your condition does not improve after using a topical emollient.
Less serious side effects are more likely, and you may have none at all.
This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
It is not likely that other drugs you take orally or inject will have an effect on topically applied products. But many drugs can interact with each other. Tell your doctor about all medications you use. This includes prescription, over-the-counter, vitamin, and herbal products. Do not start a new medication without telling your doctor.
Flasicox may be available in the countries listed below.
Meloxicam is reported as an ingredient of Flasicox in the following countries:
International Drug Name Search