Opana ER
Generic Name: oxymorphone (ox ee MOR fone)
Brand Names: Opana, Opana ER
What is Opana ER (oxymorphone)?
Oxymorphone is in a group of drugs called narcotic pain relievers. It is similar to
morphine.
Oxymorphone is used to treat moderate to severe pain. The extended-release form of this
medication is for around-the-clock treatment of pain.
Oxymorphone is not for treating pain just after surgery unless you were already taking
oxymorphone before the surgery.
Oxymorphone may also be used for purposes other than those listed in this medication
guide.
What is the most important information I should know about Opana ER (oxymorphone)?
Oxymorphone may be habit-forming and should be used only by the
person it was prescribed for. Oxymorphone should never be given to another person,
especially someone who has a history of drug abuse or addiction. Keep the medication in a
secure place where others cannot get to it.
Do not drink alcohol while you are taking oxymorphone. Dangerous side effects or
death can occur when alcohol is combined with a narcotic pain medicine. Check your food and
medicine labels to be sure these products do not contain alcohol.
Never take more than your prescribed dose of oxymorphone. Tell your doctor if the
medicine seems to stop working as well in relieving your pain.
Oxymorphone can cause side effects that may impair your thinking or reactions. Be
careful if you drive or do anything that requires you to be awake and alert.
What should I discuss with my healthcare provider before using
Opana ER (oxymorphone)?
Do not use this medication if you are allergic to oxymorphone, if you have severe
liver disease, if you are having an asthma attack, or if you have a bowel obstruction called
paralytic ileus. You should also not take oxymorphone if you have ever had an allergic reaction
to a narcotic medicine (examples include codeine, methadone, morphine, Oxycontin, Darvocet,
Percocet, Vicodin, Lortab, and many others).
Oxymorphone may be habit-forming and should be used only by the
person it was prescribed for. Oxymorphone should never be given to another person,
especially someone who has a history of drug abuse or addiction. Keep the medication in a
secure place where others cannot get to it.
Before using oxymorphone, tell your doctor if you are allergic to any drugs, or if you
have:
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asthma, COPD, sleep apnea, or other breathing disorders;
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liver or kidney disease;
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underactive thyroid;
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curvature of the spine;
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a history of head injury or brain tumor;
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epilepsy or other seizure disorder;
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a pancreas disorder;
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Addison's disease or other adrenal gland disorders;
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enlarged prostate, urination problems;
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mental illness; or
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a history of drug or alcohol addiction.
FDA pregnancy category C. This medication may be harmful to
an unborn baby, and could cause addiction or withdrawal symptoms in a newborn. Tell your
doctor if you are pregnant or plan to become pregnant during treatment.
Oxymorphone can pass into breast milk and may harm a nursing baby. Do not use
this medication without telling your doctor if you are breast-feeding a baby.
Older adults may be more sensitive to the effects of this medicine.
How should I use Opana ER (oxymorphone)?
Take this medication exactly as it was prescribed for you. Never take
oxymorphone in larger amounts, or use it for longer than recommended by your doctor. Follow the directions on your prescription label. Tell your doctor if the medicine
seems to stop working as well in relieving your pain.
Take this medicine with a full glass of water.
Do not crush, chew, or break an extended-release tablet. Swallow the pill whole. It
will release medicine slowly in the body. Breaking the pill would cause too much of the drug to
be released at one time.
The Opana ER tablet should be taken on an empty stomach, at least 1 hour before or
2 hours after a meal. Tell your doctor if you feel sick after taking the medicine on an empty
stomach.
Do not stop using oxymorphone suddenly, or you could have unpleasant withdrawal
symptoms. Talk to your doctor about how to avoid withdrawal symptoms when stopping the
medication.
Store this medication at room temperature, away from heat, moisture, and light.
Keep track of how many tablets have been used from each new bottle of this medicine.
Oxymorphone is a drug of abuse and you should be aware if any person in the household is using
this medicine improperly or without a prescription.
After you have stopped using this medication, flush any unused pills down the toilet.
What happens if I miss a dose?
Since oxymorphone is sometimes used as needed, you may not be on a dosing schedule.
If you are using the medication regularly, take the missed dose as soon as you remember. If it is
almost time for the next dose, skip the missed dose and wait until your next regularly scheduled
dose. Do not use extra medicine to make up the missed dose.
Extended-release oxymorphone is not for use on an as-needed basis for pain.
What happens if I overdose?
Seek emergency medical attention if you think you have used too much of this
medicine. An overdose of oxymorphone can be fatal.
Overdose symptoms may include extreme drowsiness, pinpoint pupils, confusion, cold
and clammy skin, weak pulse, shallow breathing, fainting, or breathing that stops.
What should I avoid while using Opana ER (oxymorphone)?
Do not drink alcohol while you are using oxymorphone. Dangerous side effects or
death can occur when alcohol is combined with oxymorphone. Check your food and medicine
labels to be sure these products do not contain alcohol.
Oxymorphone can cause side effects that may impair your thinking or reactions. Be
careful if you drive or do anything that requires you to be awake and alert.
Opana ER (oxymorphone) side effects
Get emergency medical help if you have any of these signs of an allergic
reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.
Call your doctor at once if you have any of these serious side effects:
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shallow breathing, slow heartbeat;
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seizure (convulsions);
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cold, clammy skin;
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confusion;
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severe weakness or dizziness; or
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feeling light-headed, fainting.
Less serious side effects are more likely to occur, such as:
This list is not complete and other side effects may occur. Tell your
doctor about any unusual or bothersome side effect.
What other drugs will affect Opana ER (oxymorphone)?
Do not take oxymorphone with other narcotic pain medications, sedatives,
tranquilizers, muscle relaxers, or other medicines that can make you sleepy or slow your
breathing. Dangerous side effects may result.
Before taking oxymorphone, tell your doctor if you are using pentazocine (Talwin),
nalbuphine (Nubain), butorphanol (Stadol), or buprenorphine (Buprenex, Subutex). If you are
using any of these drugs, you may not be able to use oxymorphone, or you may need dosage
adjustments or special tests during treatment.
This list is not complete and there may be other drugs that can interact with
oxymorphone. Tell your doctor about all the prescription and over-the-counter medications you
use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors.
Do not start using a new medication without telling your doctor.
Where can I get more information?
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Your pharmacist can provide more information about oxymorphone.
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Remember, keep this and all other medicines out of the reach of children, never share
your medicines with others, and use this medication only for the indication prescribed.
- Every effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate,
up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum
information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not
warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does
not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist
licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not
a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or
drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any
given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information
Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug
interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse
or pharmacist.
Copyright 1996-2006 Cerner Multum, Inc. Version: 5.03. Revision Date: 08/07/2007 11:41:13 PM.
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