Butorphanol solution

Pronunciation

Generic Name: butorphanol (byoo-TOR-fan-ahl)
Brand Name: Stadol

Butorphanol solution is used for:

Treating or preventing moderate to severe pain due to surgery, labor, or other causes. It may also be used for other conditions as determined by your doctor.

Butorphanol solution is a narcotic analgesic. It works by blocking certain nerve stimulation that causes pain.

Do NOT use butorphanol solution if:

  • you are allergic to any ingredient in butorphanol solution
  • you have had a severe allergic reaction (severe rash, hives, breathing difficulties, or dizziness) to morphine or hydromorphone
  • you are taking sodium oxybate (GHB) or you drink alcohol
  • you have diarrhea due to poisoning, difficulty breathing, or pseudomembranous colitis
  • you are dependent on narcotic pain relievers

Contact your doctor or health care provider right away if any of these apply to you.

Slideshow: Are You at Risk of Prescription Drug Addiction?

Before using butorphanol solution:

Some medical conditions may interact with butorphanol solution. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

  • if you are pregnant, planning to become pregnant, or are breast-feeding
  • if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
  • if you have allergies to medicines, foods, or other substances
  • if you have stomach problems; prostate problems; asthma or other breathing problems; heart problems; liver disease; high blood pressure; an underactive thyroid; increased pressure on the brain or a brain lesion; thoughts of suicide; seizures; bowel problems; urinary problems, or you have had a recent heart attack, surgery, or trauma
  • if you have a history of substance abuse or dependence

Some MEDICINES MAY INTERACT with butorphanol solution. Tell your health care provider if you are taking any other medicines, especially any of the following:

  • Naltrexone or rifampin because they may decrease butorphanol solution's effectiveness
  • Cimetidine or ketorolac because side effects, such as difficulty breathing or seizures, may occur
  • Barbiturate anesthetics (eg, thiopental) or sodium oxybate (GHB) because the risk of their side effects may be increased by butorphanol solution
  • Methadone or mexiletine because their effectiveness may be decreased by butorphanol solution

This may not be a complete list of all interactions that may occur. Ask your health care provider if butorphanol solution 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.

How to use butorphanol solution:

Use butorphanol solution as directed by your doctor. Check the label on the medicine for exact dosing instructions.

  • Butorphanol solution is usually given as an injection at your doctor's office, hospital, or clinic. If you will be using butorphanol solution at home, a health care provider will teach you how to use it. Be sure you understand how to use butorphanol solution. Follow the procedures you are taught when you use a dose. Contact your health care provider if you have any questions.
  • Do not use butorphanol solution if it contains particles, is cloudy or discolored, or if the vial is cracked or damaged.
  • Keep this product, as well as syringes and needles, out of the reach of children and pets. Do not reuse needles, syringes, or other materials. Ask your health care provider how to dispose of these materials after use. Follow all local rules for disposal.
  • If you miss a dose of butorphanol solution and are using it regularly, use it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not use 2 doses at once.

Ask your health care provider any questions you may have about how to use butorphanol solution.

Important safety information:

  • Butorphanol solution may cause drowsiness or dizziness. These effects may be worse if you take it with alcohol or certain medicines. Use butorphanol solution with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.
  • Do not drink alcohol or use medicines that may cause drowsiness (eg, sleep aids, muscle relaxers) while you are using butorphanol solution; it may add to their effects. Ask your pharmacist if you have questions about which medicines may cause drowsiness.
  • Tell your doctor or dentist that you take butorphanol solution before you receive any medical or dental care, emergency care, or surgery.
  • Use butorphanol solution with caution in the ELDERLY; they may be more sensitive to its effects.
  • Butorphanol solution should not be used in CHILDREN; safety and effectiveness in children have not been confirmed.
  • PREGNANCY and BREAST-FEEDING: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using butorphanol solution while you are pregnant. Butorphanol solution is found in breast milk. If you are or will be breast-feeding while you use butorphanol solution, check with your doctor. Discuss any possible risks to your baby.

Some people who use butorphanol solution for a long time may develop a need to continue taking it. People who take high doses are also at risk. This is known as DEPENDENCE or addiction. If you stop taking butorphanol solution suddenly, you may have WITHDRAWAL symptoms. This may include unpleasant feelings. In more severe cases, you may have stomach and muscle cramps, vomiting, sweating, and shakiness. Seizures may rarely occur. If you take butorphanol solution for more than 1 to 2 weeks, do not stop taking it without talking to your doctor.

Possible side effects of butorphanol solution:

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:

Confusion; constipation; dizziness; dry mouth; excessive drowsiness; headache; itching; nausea; rash; seizures; sleepiness; sleeplessness; stuffy nose; sweating.

Seek medical attention right away if any of these SEVERE side effects occur:

Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); chest pain; excessive confusion; excessive drowsiness; fainting; ringing in the ears; seizures; slow or difficult breathing; slow or irregular heartbeat; vomiting.

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.

If OVERDOSE is suspected:

Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center, or emergency room immediately. Symptoms may include cold and clammy skin; deep sleep; dizziness; drowsiness; lightheadedness; loss of consciousness; slowed breathing; slowed heartbeat.

Proper storage of butorphanol solution:

Store butorphanol solution at room temperature, between 59 and 77 degrees F (15 and 25 degrees C). Store away from heat, moisture, and light. Do not store in the bathroom. Keep butorphanol solution out of the reach of children and away from pets.

General information:

  • If you have any questions about butorphanol solution, please talk with your doctor, pharmacist, or other health care provider.
  • Butorphanol solution is to be used only by the patient for whom it is prescribed. Do not share it with other people.
  • If your symptoms do not improve or if they become worse, check with your doctor.
  • Check with your pharmacist about how to dispose of unused medicine.

This information should not be used to decide whether or not to take butorphanol solution or any other medicine. Only your health care provider has the knowledge and training to decide which medicines are right for you. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about butorphanol solution. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to butorphanol solution. This information is not specific medical advice and does not replace information you receive from your health care provider. You must talk with your healthcare provider for complete information about the risks and benefits of using butorphanol solution.

Issue Date: July 2, 2014
Database Edition 14.3.1.001
Copyright © 2014 Wolters Kluwer Health, Inc.

Disclaimer: This information should not be used to decide whether or not to take this medicine or any other medicine. Only your health care provider has the knowledge and training to decide which medicines are right for you. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about this medicine. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to this medicine. This information is not specific medical advice and does not replace information you receive from your health care provider. You must talk with your healthcare provider for complete information about the risks and benefits of using this medicine.

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