Thursday, 25 June 2009

Ferronat




Ferronat may be available in the countries listed below.


Ingredient matches for Ferronat



Ferrous Fumarate

Ferrous Fumarate is reported as an ingredient of Ferronat in the following countries:


  • Bulgaria

  • Czech Republic

  • Romania

Ferrous Gluconate

Ferrous Gluconate is reported as an ingredient of Ferronat in the following countries:


  • Bangladesh

Ferrous Sulfate

Ferrous Sulfate is reported as an ingredient of Ferronat in the following countries:


  • Czech Republic

  • Slovakia

International Drug Name Search

Mixtard 20 Penfill




Mixtard 20 Penfill may be available in the countries listed below.


Ingredient matches for Mixtard 20 Penfill



Insulin Injection, Biphasic Isophane

Insulin Injection, Biphasic Isophane human (a derivative of Insulin Injection, Biphasic Isophane) is reported as an ingredient of Mixtard 20 Penfill in the following countries:


  • Greece

International Drug Name Search

Wednesday, 24 June 2009

Floxal EDO




Floxal EDO may be available in the countries listed below.


Ingredient matches for Floxal EDO



Ofloxacin

Ofloxacin is reported as an ingredient of Floxal EDO in the following countries:


  • Germany

International Drug Name Search

Tuesday, 23 June 2009

Domes




Domes may be available in the countries listed below.


Ingredient matches for Domes



Nimesulide

Nimesulide is reported as an ingredient of Domes in the following countries:


  • Italy

International Drug Name Search

Wednesday, 17 June 2009

Pacid




Pacid may be available in the countries listed below.


Ingredient matches for Pacid



Pantoprazole

Pantoprazole is reported as an ingredient of Pacid in the following countries:


  • India

International Drug Name Search

Saturday, 13 June 2009

Penthotal Sodium




Penthotal Sodium may be available in the countries listed below.


Ingredient matches for Penthotal Sodium



Thiopental

Thiopental Sodium is reported as an ingredient of Penthotal Sodium in the following countries:


  • Venezuela

International Drug Name Search

Wednesday, 10 June 2009

Cefalotina 1g.Drawer




Cefalotina 1g.Drawer may be available in the countries listed below.


Ingredient matches for Cefalotina 1g.Drawer



Cefalotin

Cefalotin sodium salt (a derivative of Cefalotin) is reported as an ingredient of Cefalotina 1g.Drawer in the following countries:


  • Argentina

International Drug Name Search

Diabetes


Diabetes is a life-long disease marked by high levels of sugar in the blood.
It can be caused by too little insulin (a hormone produced by the pancreas to regulate
blood sugar), resistance to insulin, or both.



Also see: Diabetes Overview | Symptoms & Complications | Diabetes Treatment | Risk Factors & Prevention


Causes of Diabetes


To understand diabetes, it is important to first understand the normal process
of food metabolism. Several things happen when food is digested:


  • A sugar called glucose enters the bloodstream. Glucose is a source of fuel
    for the body.

  • An organ called the pancreas makes insulin. The role of insulin is to move
    glucose from the bloodstream into muscle, fat, and liver cells, where it can
    be used as fuel.

People with diabetes have high blood glucose. This is because their pancreas
does not make enough insulin or their muscle, fat, and liver cells do not respond
to insulin normally, or both.


There are three major types of diabetes:


  • Type 1 diabetes
    is usually diagnosed in childhood. The body makes little or no insulin, and
    daily injections of insulin are required to sustain life. Without proper daily
    management, medical emergencies can arise.

  • Type 2 diabetes
    is far more common than type 1 and makes up 90% or more of all cases of diabetes.
    It usually occurs in adulthood. Here, the pancreas does not make enough insulin
    to keep blood glucose levels normal, often because the body does not respond
    well to the insulin. Many people with type 2 diabetes do not know they have
    it, although it is a serious condition. Type 2 diabetes is becoming more common
    due to the growing number of older Americans, increasing obesity, and failure
    to exercise.

  • Gestational
    diabetes
    is high blood glucose that develops at any time during pregnancy
    in a person who does not have diabetes.

Diabetes affects about 18 million Americans. There are many risk factors for
diabetes, including:


  • A parent, brother, or sister with diabetes

  • Obesity

  • Age greater than 45 years

  • Some ethnic groups (particularly African-Americans and Hispanic Americans)

  • Gestational diabetes or delivering a baby weighing more than 9 pounds

  • High blood pressure

  • High blood levels of triglycerides (a type of fat molecule)

  • High blood cholesterol level

The American Diabetes Association recommends that all adults be screened for
diabetes at least every three years. A person at high risk should be screened more
often.


Symptoms of Diabetes


High blood levels of glucose can cause several problems, including frequent urination,
excessive thirst, hunger, fatigue, weight loss, and blurry vision. However, because
type 2 diabetes develops slowly, some people with high blood sugar experience no
symptoms at all.


Symptoms of type 1 diabetes:


  • Increased thirst

  • Increased urination

  • Weight loss in spite of increased appetite

  • Fatigue

  • Nausea

  • Vomiting

Symptoms of type 2 diabetes:


  • Increased thirst

  • Increased urination

  • Increased appetite

  • Fatigue

  • Blurred vision

  • Slow-healing infections

  • Impotence in men

Exams and Tests


A urine analysis may be
used to look for glucose and ketones from the breakdown of fat. However, a urine
test alone does not diagnose diabetes. The following blood glucose tests are used
to diagnose diabetes:


  • Fasting blood glucose
    level
    -- diabetes is diagnosed if higher than 126 mg/dL on two occasions.
    Levels between 100 and 126 mg/dl are referred to as impaired fasting glucose
    or pre-diabetes. These levels are considered to be risk factors for type 2 diabetes
    and its complications.

  • Random
    (non-fasting) blood glucose level
    -- diabetes is suspected if higher than
    200 mg/dL and accompanied by the classic symptoms of increased thirst, urination,
    and fatigue. (This test must be confirmed with a fasting blood glucose test.)

  • Oral glucose
    tolerance test
    -- diabetes is diagnosed if glucose level is higher than
    200 mg/dL after 2 hours (This test is used more for type 2 diabetes.)

Patients with type 1 diabetes usually develop symptoms over a short period of
time, and the condition is often diagnosed in an emergency setting. In addition
to having high glucose levels, acutely ill type 1 diabetics have high levels of
ketones.


Ketones are produced by the breakdown of fat and muscle, and they are toxic at
high levels. Ketones in the blood cause a condition called "acidosis" (low blood
pH). Urine testing detects both glucose and ketones in the urine. Blood glucose
levels are also high.


Diabetes Treatment


There is no cure for diabetes. The immediate goals are to stabilize your blood
sugar and eliminate the symptoms of high blood sugar. The long-term goals of treatment
are to prolong life, relieve symptoms, and prevent long-term complications such
as heart disease and kidney failure.


LEARN THESE SKILLS


Basic diabetes management skills will help prevent the need for emergency care.
These skills include:


  • How to recognize and treat low blood sugar (hypoglycemia) and high blood
    sugar (hyperglycemia)

  • What to eat and when

  • How to take insulin or oral medication

  • How to test and record blood glucose

  • How to test urine for ketones (type 1 diabetes only)

  • How to adjust insulin and/or food intake when changing exercise and eating
    habits

  • How to handle sick days

  • Where to buy diabetes supplies and how to store them

After you learn the basics of diabetes care, learn how the disease can cause
long-term health problems and the best ways to prevent these problems. People with
diabetes need to review and update their knowledge, because new research and improved
ways to treat diabetes are constantly being developed.


WHAT TO EAT


You should work closely with your health care provider to learn how much fat,
protein, and carbohydrates you need in your diet. Your specific meal plans need
to be tailored to your food habits and preferences. People with type 1 diabetes
should eat at about the same times each day and try to be consistent with the types
of food they choose. This helps to prevent blood sugars from becoming extremely
high or low. Type 2 diabetics should follow a well-balanced and low-fat diet.


A registered dietician can be very helpful in planning dietary needs.


Weight management is important to achieving control of diabetes. Some people
with type 2 diabetes can stop medications after losing excess weight, although the
diabetes is still present.


HOW TO TAKE INSULIN OR ORAL MEDICATION


Medications to treat diabetes include insulin and glucose-lowering pills, called
oral hypoglycemic agents. The bodies of people with type 1 diabetes cannot make
their own insulin, so daily insulin injections are required. The bodies of people
with type 2 diabetes make insulin but cannot use it effectively.


Insulin is not available in oral form. It is delivered by injections that are
generally required one to four times per day. Some people use an insulin pump, which
is worn at all times and delivers a steady flow of insulin throughout the day.


Insulin preparations differ in how quickly they start to work and how long they
remain active. Sometimes different types of insulin are mixed together in a single
injection. The types of insulin to use, the doses required, and the number of daily
injections are chosen by a health care professional trained to provide diabetes
care.


People who need insulin are taught to give themselves injections by their health
care providers or diabetes educators.


Unlike type 1 diabetes, type 2 diabetes may respond to treatment with exercise,
diet, and/or oral medications. There are several oral hypoglycemic agents that lower
blood glucose in type 2 diabetes. They fall into one of three groups:


  • Medications that increase insulin production by the pancreas. These include
    Amaryl, Glucotrol, and Glucotrol XL, Micronase, Diabeta, Glynase, Prandin, and
    Starlix.

  • Medications that increase sensitivity to insulin. These include Glucophage,
    Avandia, and Actos.

  • Medications that delay absorption of glucose from the gut. These include
    Precose and Glyset.

Most type 2 diabetics will require more than one medication for good blood sugar
control within three years of starting their first medication. Different groups
of oral medications may be combined, or insulin and oral medications may be used
together.


Some people with type 2 diabetes find they no longer need medication if they
lose weight and increase activity, because when their ideal weight is reached, their
own insulin and a careful diet can control their blood glucose levels.


Oral hypoglycemic agents are not known to be safe for use in pregnancy; women
who have type 2 diabetes and take these medications may be switched to insulin during
pregnancy and while breast-feeding.


Gestational diabetes is treated with diet and insulin.


SELF-TESTING


Self-monitoring of blood glucose is done by checking the glucose content of a
drop of blood. Regular testing tells you how well diet, medication, and exercise
are working together to control your diabetes.


The results of the test can be used to adjust meals, activity, or medications
to keep blood sugar levels in an appropriate range. Testing provides valuable information
for the health care provider and identifies high and low blood sugar levels before
serious problems develop.


The American Diabetes Association recommends that premeal blood sugar levels
fall in the range of 80 to 120 mg/dL and bedtime blood levels fall in the range
of 100 to 140 mg/dL. Your doctor may adjust this depending on your circumstances.


You should also ask your doctor how often to check your
hemoglobin A1c (HbA1c) level.
The HbA1c is a measure of average blood glucose during the previous two to three
months. It is a very helpful way to monitor a patient's overall response to diabetes
treatment over time. A person without diabetes has an HbA1c around 5%. People with
diabetes should try to keep it below 7%.


Ketone testing is another test that is used in type 1 diabetes. Ketones build
up in the blood when there is not enough insulin in people with type 1 diabetes,
eventually "spilling over" into the urine. The ketone test is done on a urine sample.
High levels of blood ketones may result in a serious condition called
ketoacidosis.
Ketone testing is usually done at the following times:


  • When the blood sugar is higher than 240 mg/dL

  • During acute illness (for example, pneumonia, heart attack, or stroke)

  • When nausea or vomiting occur

  • During pregnancy

EXERCISE


Regular exercise is especially important for people with diabetes. It helps with
blood sugar control, weight loss, and high blood pressure. People with diabetes
who exercise are less likely to experience a heart attack or stroke than diabetics
who do not exercise regularly. You should be evaluated by your physician before
starting an exercise program.


Here are some exercise considerations:


  • Choose an enjoyable physical activity that is appropriate for your current
    fitness level.

  • Exercise every day, and at the same time of day, if possible.

  • Monitor blood glucose
    levels
    before and after exercise.

  • Carry food that contains a fast-acting carbohydrate in case you become
    hypoglycemic during
    or after exercise.

  • Carry a diabetes identification card and a mobile phone or change for a
    payphone in case of emergency.

  • Drink extra fluids that do not contain sugar before, during, and after exercise.

Changes in exercise intensity or duration may require changes in diet or medication
dose to keep blood sugar levels from going too high or low.


FOOT CARE


People with diabetes are prone to foot problems because of the likelihood of
damage to blood vessels and nerves and a decreased ability to fight infection. Problems
with blood flow and damage to nerves may cause an injury to the foot to go unnoticed
until infection develops. Death of skin and other tissue can occur.


If left untreated, the affected foot may need to be amputated. Diabetes is the
most common condition leading to amputations.


To prevent injury to the feet, people with diabetes should adopt a daily routine
of checking and caring for the feet as follows:


  • Check your feet every day, and report sores or changes and signs of infection.

  • Wash your feet every day with lukewarm water and mild soap, and dry them
    thoroughly.

  • Soften dry skin with lotion or petroleum jelly.

  • Protect feet with comfortable, well-fitting shoes.

  • Exercise daily to promote good circulation.

  • See a podiatrist for foot problems or to have corns or calluses removed.

  • Remove shoes and socks during a visit to your health care provider and remind
    him or her to examine your feet.

  • Stop smoking, which hinders blood flow to the feet.

Support Groups


For additional information, see
diabetes resources.


Outlook (Prognosis)


The risks of long-term complications from diabetes can be reduced.


The Diabetes Control and Complications Trial (DCCT) studied the effects of tight
blood sugar control on complications in type 1 diabetes. Patients treated for tight
blood glucose control had an average HbA1c of approximately 7%, while patients treated
less aggressively had an average HbA1c of about 9%. At the end of the study, the
tight blood glucose group had dramatically fewer cases of kidney disease, eye disease,
and nervous system disease than the less-aggressively treated patients.


In the United Kingdom Prospective Diabetes Study (UKPDS), researchers followed
nearly 4,000 people with type 2 diabetes for 10 years. The study monitored how tight
control of blood glucose (HbA1c of 7% or less) and blood pressure (less than 144
over less than 82) could protect a person from the long-term complications of diabetes.


This study found dramatically lower rates of kidney, eye, and nervous system
complications in patients with tight control of blood glucose. In addition, there
was a significant drop in all diabetes-related deaths, including lower risks of
heart attack and stroke. Tight control of blood pressure was also found to lower
the risks of heart disease and stroke.


The results of the DCCT and the UKPDS dramatically demonstrate that good blood
glucose and blood pressure control, many of the complications of diabetes can be
prevented.


Possible Complications


Emergency complications include

diabetic hyperglycemic hyperosmolar coma
.


Long-term complications include:


  • Diabetic retinopathy

  • Diabetic nephropathy

  • Diabetic neuropathy



  • Peripheral vascular disease



  • Hyperlipidemia
    , hypertension,
    atherosclerosis,
    and coronary artery disease

When to Contact a Medical Professional


Go to the emergency room or call the local emergency number (such as 911) if
symptoms of ketoacidosis occur:


  • Increased thirst and urination

  • Nausea

  • Deep and rapid breathing

  • Abdominal pain

  • Sweet-smelling breath

  • Loss of consciousness

Go to the emergency room or call the local emergency number if symptoms of extremely
low blood sugar (hypoglycemic
coma or severe
insulin reaction) occur:


  • Weakness

  • Drowsiness

  • Headache

  • Confusion

  • Dizziness

  • Double vision

  • Lack of
    coordination

  • Convulsions or
    unconsciousness

Prevention of Diabetes


Maintaining an ideal body weight and an active lifestyle may prevent the onset
of type 2 diabetes. Currently there is no way to prevent type 1 diabetes.




Also see: Diabetes Overview | Symptoms & Complications | Diabetes Treatment | Risk Factors & Prevention




Drug List:

Monday, 8 June 2009

Oxydose


Generic Name: oxycodone (Oral route)


ox-i-KOE-done hye-droe-KLOR-ide


Oral route(Tablet, Extended Release)

Oxycodone hydrochloride is an opioid agonist and a Schedule II controlled substance with an abuse potential similar to morphine. Patients should be assessed for their clinical risks for opioid abuse or addiction prior to being prescribed opioids. Oxycodone hydrochloride controlled-release tablets are indicated for continuous, around the clock analgesia for an extended period of time; not for use on an as needed basis. The 60 mg and 80 mg tablets, a single dose greater than 40 mg, or a total daily dose greater than 80 mg, are only for use in opioid-tolerant patients as they may cause fatal respiratory depression when administered to patients who are not tolerant to the respiratory depressant effects of opioids. Oxycodone hydrochloride controlled-release tablets must be swallowed whole to avoid a rapid release of the drug which can be potentially fatal. Concomitant use with CYP3A4 inhibitors may result in an increase in oxycodone plasma concentrations and may cause potentially fatal respiratory depression .



Commonly used brand name(s)

In the U.S.


  • Dazidox

  • Eth-Oxydose

  • Oxecta

  • Oxycontin

  • Oxycontin CR

  • Oxydose

  • Oxyfast

  • Oxy IR

  • Roxicodone

  • Roxicodone Intensol

In Canada


  • Oxy-IR

Available Dosage Forms:


  • Tablet, Extended Release

  • Tablet

  • Capsule

  • Solution

Therapeutic Class: Analgesic


Chemical Class: Oxycodone


Uses For Oxydose


Oxycodone is used to relieve moderate to severe pain. It belongs to the group of medicines called narcotic analgesics (pain medicines). Oxycodone acts on the central nervous system (CNS) to relieve pain.


When oxycodone is used for a long time, it may become habit-forming, causing mental or physical dependence. However, people who have continuing pain should not let the fear of dependence keep them from using narcotics to relieve their pain. Mental dependence (addiction) is not likely to occur when narcotics are used for this purpose. Physical dependence may lead to withdrawal side effects if treatment is stopped suddenly. However, severe withdrawal side effects can usually be prevented by gradually reducing the dose over a period of time before treatment is stopped completely.


This medicine is available only with your doctor's prescription.


Before Using Oxydose


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:


Allergies


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.


Pediatric


Appropriate studies have not been performed on the relationship of age to the effects of oxycodone in the pediatric population. Safety and efficacy have not been established.


Geriatric


Appropriate studies performed to date have not demonstrated geriatric-specific problems that would limit the usefulness of oxycodone in the elderly. However, elderly patients are more likely to have age-related liver or kidney problems, which may require caution and an adjustment in the dose for patients receiving oxycodone.


Pregnancy








Pregnancy CategoryExplanation
All TrimestersBAnimal 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.

Breast Feeding


Studies in women breastfeeding have demonstrated harmful infant effects. An alternative to this medication should be prescribed or you should stop breastfeeding while using this medicine.


Interactions with 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 this medicine, it is especially important that your healthcare professional know if you are taking any of the medicines listed below. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive.


Using this medicine with any of the following medicines is not recommended. Your doctor may decide not to treat you with this medication or change some of the other medicines you take.


  • Naltrexone

Using this medicine with any of the following medicines is usually not recommended, but may be required in some cases. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.


  • Acetophenazine

  • Adinazolam

  • Alfentanil

  • Alprazolam

  • Amobarbital

  • Anileridine

  • Aprobarbital

  • Atazanavir

  • Brofaromine

  • Bromazepam

  • Brotizolam

  • Buprenorphine

  • Buspirone

  • Butabarbital

  • Butalbital

  • Butorphanol

  • Carisoprodol

  • Chloral Hydrate

  • Chlordiazepoxide

  • Chlorpromazine

  • Chlorzoxazone

  • Clarithromycin

  • Clobazam

  • Clonazepam

  • Clorazepate

  • Clorgyline

  • Codeine

  • Dantrolene

  • Desflurane

  • Dexmedetomidine

  • Dezocine

  • Diazepam

  • Diphenhydramine

  • Doxylamine

  • Enflurane

  • Erythromycin

  • Escitalopram

  • Estazolam

  • Eszopiclone

  • Ethchlorvynol

  • Ethopropazine

  • Fentanyl

  • Flumazenil

  • Flunitrazepam

  • Fluphenazine

  • Flurazepam

  • Fluvoxamine

  • Fospropofol

  • Furazolidone

  • Halazepam

  • Halothane

  • Hydrocodone

  • Hydromorphone

  • Hydroxyzine

  • Indinavir

  • Iproniazid

  • Isocarboxazid

  • Isoflurane

  • Itraconazole

  • Ketamine

  • Ketazolam

  • Ketoconazole

  • Lazabemide

  • Levorphanol

  • Linezolid

  • Lorazepam

  • Lormetazepam

  • Medazepam

  • Meperidine

  • Mephenesin

  • Mephobarbital

  • Meprobamate

  • Mesoridazine

  • Metaxalone

  • Methdilazine

  • Methocarbamol

  • Methohexital

  • Midazolam

  • Moclobemide

  • Morphine

  • Morphine Sulfate Liposome

  • Nalbuphine

  • Nefazodone

  • Nelfinavir

  • Nialamide

  • Nitrazepam

  • Nitrous Oxide

  • Nordazepam

  • Opium

  • Oxazepam

  • Oxycodone

  • Oxymorphone

  • Pargyline

  • Pentazocine

  • Pentobarbital

  • Perphenazine

  • Phenelzine

  • Phenobarbital

  • Prazepam

  • Procarbazine

  • Prochlorperazine

  • Promazine

  • Promethazine

  • Propiomazine

  • Propofol

  • Propoxyphene

  • Quazepam

  • Ramelteon

  • Rasagiline

  • Remifentanil

  • Ritonavir

  • Saquinavir

  • Secobarbital

  • Selegiline

  • Sertraline

  • Sevoflurane

  • Sodium Oxybate

  • Sufentanil

  • Tapentadol

  • Telithromycin

  • Temazepam

  • Thiethylperazine

  • Thiopental

  • Thioridazine

  • Toloxatone

  • Tranylcypromine

  • Triazolam

  • Trifluoperazine

  • Triflupromazine

  • Trimeprazine

  • Zaleplon

  • Zolpidem

Using this medicine with any of the following medicines may cause an increased risk of certain side effects, but using both drugs may be the best treatment for you. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.


  • Miconazole

  • Rifampin

  • St John's Wort

  • Voriconazole

Interactions with Food/Tobacco/Alcohol


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. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive.


Using this medicine with any of the following is usually not recommended, but may be unavoidable in some cases. If used together, your doctor may change the dose or how often you use this medicine, or give you special instructions about the use of food, alcohol, or tobacco.


  • Ethanol

Other Medical Problems


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:


  • Addison's disease (adrenal gland problem) or

  • Alcohol abuse, or history of or

  • Brain tumor, history of or

  • Breathing problems (e.g., hypoxia) or

  • Cancer of the esophagus or colon or

  • Central nervous system (CNS) depression or

  • Chronic obstructive pulmonary disease (COPD) or

  • Cor pulmonale (serious heart condition) or

  • Drug dependence, especially with narcotics, or history of or

  • Enlarged prostate (BPH, prostatic hypertrophy) or

  • Gallbladder disease or gallstones or

  • Head injuries, history of or

  • Hypothyroidism (an underactive thyroid) or

  • Hypovolemia (low blood volume) or

  • Kyphoscoliosis (curvature of the spine with breathing problems) or

  • Problems with passing urine or

  • Psychosis (a mental disease) or

  • Trouble with swallowing or

  • Weakened physical condition—Use with caution. May increase risk for more serious side effects.

  • Asthma, severe or

  • Hypercarbia (high carbon dioxide in the blood) or

  • Paralytic ileus (intestine stops working and may be blocked) or

  • Respiratory depression (very slow breathing)—Should not be used in patients with these conditions.

  • Hypotension (low blood pressure) or

  • Pancreatitis (inflammation of the pancreas) or

  • Seizures, history of—Use with caution. May make these conditions worse.

  • Kidney disease, severe or

  • Liver disease—Use with caution. The effects may be increased because of slower removal of the medicine from the body.

Proper Use of oxycodone

This section provides information on the proper use of a number of products that contain oxycodone. It may not be specific to Oxydose. Please read with care.


Take this medicine only as directed by your doctor. Do not take more of it, do not take it more often, and do not take it for a longer time than your doctor ordered. This is especially important for elderly patients, who may be more sensitive to the effects of pain medicines. If too much of this medicine is taken for a long time, it may become habit-forming (causing mental or physical dependence).


This medicine comes with a patient information leaflet. Read and follow these instructions carefully. Ask your doctor if you have any questions.


Oxycodone extended-release tablets should only be used by patients who have already been taking narcotic pain medicines, also called opioids. These patients are called opioid-tolerant. If you are uncertain whether or not you are opioid-tolerant, check with your doctor before using this medicine.


Measure the oral liquid concentrate with the calibrated dropper that comes with the package. Your doctor may have you mix the concentrate with a small amount of liquid or food. Carefully follow the instructions and take the medicine mixture right away.


Measure the oral liquid with a marked measuring spoon, oral syringe, or medicine cup. The average household teaspoon may not hold the right amount of liquid.


Swallow the Oxecta® or OxyContin® tablet whole with water. Do not break, crush, cut, chew, or dissolve it. Do not pre-soak, lick, or wet the tablet before placing it in the mouth. Take one tablet at a time. Also, do not give this medicine through nasogastric or feeding tubes.


Oxycodone extended-release tablets work differently from the regular oxycodone oral solution or tablets, even at the same dose. Do not switch from one brand or form to the other unless your doctor tells you to.


Dosing


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.


  • For oral dosage form (extended-release tablets):
    • For moderate to severe pain:
      • Patients switching from regular oxycodone forms:
        • Adults—The tablet is given every 12 hours. The total amount of milligrams (mg) per day is the same as the total amount of regular oxycodone that is taken per day. The total amount per day will be divided and given as 2 doses during the day. Your doctor may adjust your dose if needed.

        • Children—Use and dose must be determined by your doctor.


      • Patients switching from other narcotic medicines:
        • Adults—The tablet is given every 12 hours. The total amount of milligrams (mg) per day will be determined by your doctor and depends on which narcotic you were using. The total amount per day will be divided and given as 2 doses during the day. Your doctor may adjust your dose if needed.

        • Children—Use and dose must be determined by your doctor.


      • Patients who are not taking narcotic medicines:
        • Adults—At first, 10 milligrams (mg) every 12 hours. Your doctor may adjust your dose if needed.

        • Children—Use and dose must be determined by your doctor.




  • For oral dosage form (immediate-release tablets):
    • For moderate to severe pain:
      • Patients who are not taking narcotic medicines:
        • Adults—At first, 5 to 15 milligrams (mg) every 4 to 6 hours as needed. Your doctor may adjust your dose if needed.

        • Children—Use and dose must be determined by your doctor.


      • Patients switching from fixed-ratio oral narcotic/non-narcotic combinations:
        • Adults—Your doctor will determine whether or not to continue the non-narcotic pain medicine. Also, the total amount of milligrams (mg) per day will be determined by your doctor and depends on which narcotic you were using. Your doctor may adjust your dose if needed.

        • Children—Use and dose must be determined by your doctor.


      • Patients switching from other narcotic medicines:
        • Adults—The total amount of milligrams (mg) per day will be determined by your doctor and depends on which narcotic you were using. Your doctor may adjust your dose if needed.

        • Children—Use and dose must be determined by your doctor.




  • For oral dosage forms (liquid concentrate, solution, or tablets):
    • For moderate to severe pain:
      • Adults—10 to 30 milligrams (mg) every 4 hours as needed. Your doctor may adjust your dose if needed.

      • Children—Use and dose must be determined by your doctor.



Missed Dose


If you miss a dose of this medicine, take 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. Do not double doses.


Storage


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.


Oxycodone can cause serious unwanted effects if taken by adults who are not used to strong narcotic pain medicines, children, or pets. Make sure you store the medicine in a safe and secure place to prevent others from getting it.


Flush the unused extended-release tablets and immediate-release tablets down the toilet.


Precautions While Using Oxydose


It is very important that your doctor check your progress while you are taking this medicine. This will allow your doctor to see if the medicine is working properly and to decide if you should continue to take it.


This medicine will add to the effects of alcohol and other CNS depressants (medicines that can make you drowsy or less alert). Some examples of CNS depressants are antihistamines or medicine for allergies or colds; sedatives, tranquilizers, or sleeping medicine; other prescription pain medicine or narcotics; medicine for seizures or barbiturates; muscle relaxants; or anesthetics, including some dental anesthetics. Check with your doctor before taking any of these medicines while you are using this medicine.


This medicine may be habit-forming. If you feel that the medicine is not working as well, do not use more than your prescribed dose. Call your doctor for instructions.


Dizziness, lightheadedness, or fainting may occur when you get up suddenly from a lying or sitting position. Getting up slowly may help lessen this problem. Also, lying down for a while may relieve the dizziness or lightheadedness.


This medicine may make you dizzy, drowsy, or lightheaded. Make sure you know how you react to this medicine before you drive, use machines, or do anything else that could be dangerous if you are dizzy or not alert.


Using narcotics for a long time can cause severe constipation. To prevent this, your doctor may direct you to take laxatives, drink a lot of fluids, or increase the amount of fiber in your diet. Be sure to follow the directions carefully, because continuing constipation can lead to more serious problems.


If you have been using this medicine regularly for several weeks or longer, do not change your dose or suddenly stop using it without checking with your doctor. Your doctor may want you to gradually reduce the amount you are using before stopping it completely. This may help prevent worsening of your condition and reduce the possibility of withdrawal symptoms, such as abdominal or stomach cramps, anxiety, fever, nausea, runny nose, sweating, tremors, or trouble with sleeping.


Using this medicine while you are pregnant may cause serious unwanted effects in your newborn baby. Tell your doctor right away if you think you are pregnant or if you plan to become pregnant while using this medicine.


Do not take other medicines unless they have been discussed with your doctor. This includes prescription or nonprescription (over-the-counter [OTC]) medicines and herbal or vitamin supplements.


Oxydose Side Effects


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:


Less common
  • Chills

  • cold sweats

  • confusion

  • difficult or labored breathing

  • dizziness, faintness, or lightheadedness when getting up suddenly from a lying or sitting position

  • fever

  • shortness of breath

  • tightness in the chest

  • twitching

  • wheezing

Rare
  • Abdominal or stomach pain

  • bloating or swelling of the face, arms, hands, lower legs, or feet

  • blood in the urine

  • burning while urinating burning, crawling, itching, numbness, prickling, "pins and needles", or tingling feelings

  • chest pain

  • convulsions

  • cough

  • decrease in the frequency of urination

  • decrease in urine volume

  • decreased urine output

  • difficult or painful urination

  • difficulty in passing urine (dribbling)

  • difficulty with swallowing

  • dizziness

  • dry mouth

  • fainting

  • fast or irregular heartbeat

  • fast, irregular, pounding, or racing heartbeat or pulse

  • feeling of warmth or heat

  • flushing or redness of the skin, especially on the face and neck

  • frequent urination

  • headache

  • hives

  • increase in heart rate

  • increased thirst

  • increased volume of pale, dilute urine

  • itching

  • lightheadedness

  • muscle pain or cramps

  • nausea or vomiting

  • puffiness or swelling of the eyelids or around the eyes, face, lips, or tongue

  • rapid breathing

  • rapid weight gain

  • severe constipation

  • severe vomiting

  • shakiness in the legs, arms, hands, or feet

  • skin rash

  • sunken eyes

  • sweating

  • swelling or puffiness of the face

  • swollen, painful, or tender lymph glands in the neck, armpit, or groin

  • thirst

  • tingling of the hands or feet

  • trembling or shaking of the hands or feet

  • unusual tiredness or weakness

  • unusual weight gain or loss

  • wrinkled skin

Incidence not known
  • Blurred vision

  • choking

  • clay-colored stools

  • cold, clammy skin

  • dark urine

  • diarrhea

  • fast, weak pulse

  • gagging

  • irregular, fast, slow, or shallow breathing

  • loss of appetite

  • low blood pressure or pulse

  • pale or blue lips, fingernails, or skin

  • trouble with swallowing

  • unconsciousness

  • unpleasant breath odor

  • very slow breathing

  • very slow heartbeat

  • yellow eyes or skin

Get emergency help immediately if any of the following symptoms of overdose occur:


Symptoms of overdose
  • Change in consciousness

  • chest pain or discomfort

  • constricted, pinpoint, or small pupils (black part of the eye)

  • decreased awareness or responsiveness

  • extreme drowsiness

  • loss of consciousness

  • no muscle tone or movement

  • severe sleepiness

  • slow or irregular heartbeat

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:


More common
  • Difficulty having a bowel movement (stool)

  • drowsiness

  • lack or loss of strength

  • relaxed and calm feeling

  • sleepiness or unusual drowsiness

Less common
  • Abnormal dreams

  • acid or sour stomach

  • anxiety

  • belching

  • burning feeling in the chest or stomach

  • false or unusual sense of well-being

  • heartburn

  • hiccups

  • indigestion

  • nervousness

  • sleeplessness

  • stomach discomfort, upset, or pain

  • tenderness in the stomach area

  • trouble with sleeping

  • unable to sleep

  • weight loss

Rare
  • Absent, missed, or irregular menstrual periods

  • bad, unusual or unpleasant (after) taste

  • bloated or full feeling

  • body aches or pain

  • change in taste

  • change in walking and balance

  • changes in vision

  • clumsiness or unsteadiness

  • congestion

  • continuing ringing or buzzing or other unexplained noise in the ears

  • cracks in the skin

  • crying

  • decreased interest in sexual intercourse

  • dental caries or tooth decay

  • depersonalization

  • depression

  • difficulty with speaking

  • dry skin

  • dryness or soreness of the throat

  • dysphoria

  • excess air or gas in the stomach or intestines

  • excessive muscle tone

  • feeling of constant movement of self or surroundings

  • feeling of unreality

  • general feeling of discomfort or illness

  • headache, severe and throbbing

  • hearing loss

  • hives or welts

  • hoarseness

  • hyperventilation

  • inability to have or keep an erection

  • increase in body movements

  • increased appetite

  • increased cough

  • irritability

  • loss in sexual ability, desire, drive, or performance

  • loss of heat from the body

  • loss of memory

  • loss of strength or energy

  • mental depression

  • muscle pain or weakness

  • muscle stiffness

  • muscle tension or tightness

  • neck pain

  • paranoia

  • passing of gas

  • problems with memory

  • quick to react or overreact emotionally

  • rapidly changing moods

  • red, swollen skin

  • restlessness

  • runny nose

  • scaly skin

  • sensation of spinning

  • sense of detachment from self or body

  • severe sleepiness

  • stomach pain, fullness, or discomfort

  • stopping of menstrual bleeding

  • swelling or inflammation of the mouth

  • tender, swollen glands in the neck

  • unusual weak feeling

  • voice changes

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: Oxydose 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.


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More Oxydose resources


  • Oxydose Side Effects (in more detail)
  • Oxydose Use in Pregnancy & Breastfeeding
  • Oxydose Drug Interactions
  • Oxydose Support Group
  • 0 Reviews for Oxydose - Add your own review/rating


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