Pentazocine Side Effects
Medically reviewed by Drugs.com. Last updated on Apr 13, 2025.
Applies to pentazocine: oral tablets.
Important warnings
This medicine can cause some serious health issues
Side effects include:
Dizziness, lightheadedness, euphoria, sedation, nausea.
For healthcare professionals
Applies to pentazocine: injectable solution.
General adverse events
The most commonly occurring adverse reactions have included nausea, dizziness or lightheadedness, vomiting, and euphoria.
Dermatologic
- Postmarketing reports: Soft tissue induration, nodules and cutaneous depressions at injection sites; ulceration (sloughing), severe sclerosis of the skin and subcutaneous tissues and, rarely, underlying muscle; diaphoresis, sting on injection, flushed skin including plethora, dermatitis including pruritus[Ref]
Hypersensitivity
- Postmarketing reports: Anaphylaxis, facial edema, toxic epidermal necrolysis[Ref]
Nervous system
- Postmarketing reports: Dizziness, lightheadedness, sedation, headache, weakness, flushing, syncope, tremor, paresthesia
Opioids:
- Postmarketing reports: Serotonin syndrome[Ref]
Serotonin syndrome has been reported during concomitant use of opioids with serotonergic drugs.[Ref]
Psychiatric
- Postmarketing reports: Depression, euphoria, confusion, disorientation, disturbed dreams, insomnia, irritability, excitement, hallucinations[Ref]
Respiratory
- Postmarketing reports: Respiratory depression, dyspnea, transient apnea (in infants whose mothers received this drug during labor)[Ref]
Cardiovascular
- Postmarketing reports: Circulatory depression, shock, hypertension, tachycardia, syncope[Ref]
Gastrointestinal
- Postmarketing reports: Nausea, vomiting, constipation, dry mouth, taste alteration, diarrhea and cramps[Ref]
Hematologic
- Postmarketing reports: Depression of the white blood cell count (especially granulocytes), moderate transient eosinophilia[Ref]
Depression of the white blood cell count is usually reversible.[Ref]
Other
Ocular
- Postmarketing reports: Visual blurring and focusing difficulty, blurred vision, diplopia, miosis, nystagmus[Ref]
Genitourinary
- Postmarketing reports: Urinary retention, alteration in rate or strength of labor contractions[Ref]
Endocrine
Opioids:
- Postmarketing reports: Adrenal insufficiency, Androgen deficiency
Cases of adrenal insufficiency have been reported with opioid use, generally use greater than 1 month. Cases of androgen deficiency have been reported with chronic opioid use.
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References
1. (2001) "Product Information. Talwin NX (pentazocine)." Sanofi Winthrop Pharmaceuticals
More about pentazocine
- Check interactions
- Compare alternatives
- Reviews (13)
- Dosage information
- During pregnancy
- Drug class: Opioids (narcotic analgesics)
- Breastfeeding
Patient resources
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Professional resources
Related treatment guides
Further information
Pentazocine side effects can vary depending on the individual. Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.
Note: Medication side effects may be underreported. If you are experiencing side effects that are not listed, submit a report to the FDA by following this guide.