UK Edition. Click here for US version.
OXYNORM LIQUID 5MG/5ML ORAL SOLUTION
Active substance(s): OXYCODONE HYDROCHLORIDE / OXYCODONE HYDROCHLORIDE / OXYCODONE HYDROCHLORIDE
Package leaflet: Information for the user
OxyNorm® liquid 5 mg/5 ml oral solution
Read all of this leaflet carefully before
you start taking this medicine because it
contains important information for you.
• Keep this leaflet. You may need to read it
• If you have any further questions, ask your
doctor or pharmacist.
• This medicine has been prescribed for you
only. Do not pass it on to others. It may
harm them, even if their signs of illness are
the same as yours.
• If you get any side effects, talk to your
doctor or pharmacist. This includes any
possible side effects not listed in this
leaflet. See section 4.
In this leaflet:
1. What OxyNorm liquid is and what it is
2. What you need to know before you take
3. How to take OxyNorm liquid
4. Possible side effects
5. How to store OxyNorm liquid
6. Contents of the pack and other information
1. What OxyNorm liquid is and what it is
This medicine has been prescribed for you by
your doctor to relieve moderate to severe pain.
It contains the active ingredient oxycodone
which belongs to a group of medicines called
strong analgesics or ‘painkillers’.
2. What you need to know before you
take OxyNorm liquid
Do not take OxyNorm liquid if you:
• are allergic (hypersensitive) to oxycodone,
or any of the other ingredients of the
medicine (listed in section 6);
• have breathing problems, such as severe
chronic obstructive lung disease, severe
bronchial asthma or severe respiratory
depression. Your doctor will have told you if
you have any of these conditions. Symptoms
may include breathlessness, coughing or
breathing more slowly or weakly than
• have a condition where the small bowel does
not work properly (paralytic ileus), your
stomach empties more slowly than it should
(delayed gastric emptying) or you have
severe pain in your abdomen;
• have a heart problem after long-term
lung disease (cor pulmonale);
• have moderate to severe liver problems.
If you have other long-term liver
problems you should only take this
medicine if recommended by your
• have ongoing problems with
• are under 18 years of age.
Warnings and precautions
Talk to your doctor or pharmacist before
taking this medicine if you:
• are elderly or weakened;
• have an under-active thyroid gland
(hypothyroidism), as you may need a
• have myxoedema (a thyroid disorder
with dryness, coldness and swelling
[‘puffiness’] of the skin affecting the
face and limbs;
• have a head injury, severe headache or
feel sick as this may indicate that the
pressure in your skull is increased;
• have low blood pressure (hypotension);
• have low blood volume (hypovolaemia);
this can happen with severe external
or internal bleeding, severe burns,
excessive sweating, severe diarrhoea or
• have a mental disorder as a result of an
infection (toxic psychosis);
• have inflammation of the pancreas
(which causes severe pain in the
abdomen and back);
• have problems with your gall bladder or
• have inflammatory bowel disease;
• have an enlarged prostate gland, which causes
difficulty in passing urine (in men);
• have poor adrenal gland function (your adrenal
gland is not working properly which may cause
symptoms including weakness, weight loss,
dizziness, feeling or being sick), e.g. Addison’s
• have breathing problems such as severe
pulmonary disease. Your doctor will have told
you if you have this condition. Symptoms may
include breathlessness and coughing;
• have kidney or liver problems;
• have previously suffered from withdrawal
symptoms such as agitation, anxiety, shaking or
sweating, upon stopping taking alcohol or drugs;
• are or have ever been addicted to alcohol or
drugs or have a known opioid dependence;
• have an increased sensitivity to pain;
• need to take increasingly higher doses of
OxyNorm to gain the same level of pain relief
If you are going to have an operation, please tell
the doctor at the hospital that you are taking this
Other medicines and OxyNorm liquid
Please tell your doctor or pharmacist if you are
taking, have recently taken or might take any other
medicines, including medicines obtained without
a prescription. If you take this medicine with some
other medicines, the effect of this medicine or the
other medicine may be changed.
Tell your doctor or pharmacist if you are taking:
• a type of medicine known as a monoamine
oxidase inhibitor or you have taken this type of
medicine in the last two weeks;
• medicines to help you sleep or stay calm
(for example tranquillisers, hypnotics or
• medicines to treat depression (such as
• medicines to treat psychiatric or mental
disorders (such as phenothiazines or
• other strong analgesics (‘painkillers’);
• muscle relaxants;
• medicines to treat high blood pressure;
• quinidine (a medicine to treat a fast heart
• cimetidine (a medicine for stomach ulcers,
indigestion or heartburn);
• antifungal medicines (such as ketoconazole,
voriconazole, itraconazole and
• antibiotics (such as clarithromycin,
erythromycin or telithromycin);
• medicines known as ‘protease inhibitors’
to treat HIV (e.g. boceprevir, ritonavir,
indinavir, nelfinavir or saquinavir);
• rifampicin (to treat tuberculosis);
• carbamazepine (a medicine to treat seizures,
fits or convulsions and certain pain
• phenytoin (a medicine to treat seizures, fits
• a herbal remedy called St. John’s Wort (also
known as Hypericum perforatum);
• medicines to treat Parkinson’s disease.
Also tell your doctor if you have recently been
given an anaesthetic.
Taking OxyNorm liquid with food, drink
Drinking alcohol during your treatment
with this medicine may make you sleepy or
increase the risk of serious side effects such
as shallow breathing with a risk of stopping
breathing, and loss of consciousness. It is
recommended not to drink alcohol while
you’re taking OxyNorm liquid.
You should avoid drinking grapefruit juice
during your treatment with this medicine.
Pregnancy and breastfeeding
Do not take this medicine if you are pregnant
Ask your doctor or pharmacist for advice
before taking any medicine.
Driving and using machines
This medicine may cause a number of side
effects such as drowsiness which could
affect your ability to drive or use machinery
(see section 4 for a full list of side effects).
These are usually more noticeable when
you first start taking this medicine, or when
changing to a higher dose. If you are affected
you should not drive or use machinery.
This medicine can affect your ability to drive
as it may make you sleepy or dizzy.
• Do not drive while taking this medicine
until you know how it affects you.
• It is an offence to drive while you
have this medicine in your body over a
specified limit unless you have a defence
(called the ‘statutory defence’).
• This defence applies when:
• The medicine has been prescribed
to treat a medical or dental problem;
• You have taken it according to the
instructions given by the prescriber
and in the information provided with
• Please note that it is still an offence to
drive if you are unfit because of the
medicine (i.e. your ability to drive is
Details regarding a new driving offence
concerning driving after drugs have been
taken in the UK may be found here:
Talk to your doctor or pharmacist if you
are not sure whether it is safe for you to
drive while taking this medicine.
3. How to take OxyNorm liquid
Always take this medicine exactly as your
doctor has told you. The label on your
medicine will tell you how much to take
and how often.
Adults (over 18 years of age)
The usual starting dose is 5 ml every
4 to 6 hours. However, your doctor will
prescribe the dose required to treat your
pain. If you find that you are still in pain
whilst taking this medicine discuss this
with your doctor.
Children and adolescents under 18 years
of age should not take the medicine.
Patients with kidney or liver problems
Please tell your doctor if you suffer from
kidney or liver problems as they may prescribe
a lower dose depending on your condition.
Do not exceed the dose recommended by your
doctor. You should check with your doctor or
pharmacist if you are not sure.
You must only take this medicine by mouth.
This medicine should never be injected as this
may lead to serious side effects, which may be
If you take more OxyNorm liquid than you
should or if someone accidentally swallows
Call your doctor or hospital straight away.
People who have taken an overdose may
feel very sleepy, sick or dizzy. They may
also have breathing difficulties leading to
unconsciousness or even death and may need
emergency treatment in hospital. When seeking
medical attention make sure that you take this
leaflet and any remaining medicine with you to
show to the doctor.
If you forget to take OxyNorm liquid
If you miss a dose you should take the next
dose as soon as you remember then carry on as
before. Do not take two doses within 4 hours.
Do not take a double dose to make up for a
If you stop taking OxyNorm liquid
You should not suddenly stop taking this
medicine unless your doctor tells you to.
If you want to stop taking your medicine,
discuss this with your doctor first. They will
tell you how to do this, usually by reducing
the dose gradually so you do not experience
unpleasant effects. Withdrawal symptoms such
as agitation, anxiety, palpitations, shaking
or sweating may occur if you suddenly stop
taking this medicine.
If you have any further questions on the use of
this medicine, ask your doctor or pharmacist.
4. Possible side effects
Like all medicines, this medicine can cause
side effects, although not everybody gets them.
All medicines can cause allergic reactions,
although serious allergic reactions are rare.
Tell your doctor immediately if you get any
sudden wheeziness, difficulties in breathing,
swelling of the eyelids, face or lips, rash or
itching especially those covering your whole
The most serious side effect is a condition
where you breathe more slowly or weakly than
expected (respiratory depression). Tell your
doctor immediately if this happens to you.
As with all strong painkillers, there is a risk
that you may become addicted or reliant on
Very common side effects
(May affect more than 1 in 10 people)
• Constipation (your doctor can prescribe a
laxative to overcome this problem).
• Feeling or being sick (this should normally
wear off after a few days, however your
doctor can prescribe an anti-sickness
medicine if it continues to be a problem).
• Drowsiness (this is most likely when you
start taking your medicine or when your
dose is increased, but it should wear off after
a few days).
• Itchy skin.
Common side effects
(May affect more up to 1 in 10 people)
• Dry mouth, loss of appetite, indigestion,
abdominal pain or discomfort, diarrhoea.
• Confusion, depression, a feeling of unusual
weakness, shaking, lack of energy, tiredness,
anxiety, nervousness, difficulty in sleeping,
abnormal thoughts or dreams.
• Difficulty in breathing or wheezing,
shortness of breath, decreased cough reflex.
Uncommon side effects
(May affect up to 1 in 100 people)
• Difficulty in swallowing, belching, hiccups,
wind, a condition where the bowel does not
work properly (ileus), inflammation of the
stomach, changes in taste.
• A feeling of dizziness or ‘spinning’,
hallucinations, mood changes, unpleasant or
uncomfortable mood, a feeling of extreme
happiness, restlessness, agitation, generally
feeling unwell, loss of memory, difficulty
in speaking, reduced sensitivity to pain or
touch, tingling or numbness, seizures, fits
or convulsions, blurred vision, fainting,
unusual muscle stiffness or slackness,
involuntary muscle contractions.
• Difficulty in passing urine, impotence,
decreased sexual drive, low levels of sex
hormones in the blood (‘hypogonadism’,
seen in a blood test).
• Fast, irregular heart beat, flushing of the
• Dehydration, thirst, chills, swelling of the
hands, ankles or feet.
• Dry skin, severe flaking or peeling of the
• Redness of the face, reduction in size of
the pupils in the eye, muscle spasm, high
• A need to take increasingly higher doses of
this medicine to obtain the same level of
pain relief (tolerance).
• Colicky abdominal pain or discomfort.
• A worsening of liver function tests (seen in
a blood test).
Rare side effects
(May affect up to 1 in 1,000 people)
• Low blood pressure.
• A feeling of ‘faintness’ especially on
• Hives (nettle rash).
Frequency not known
(Frequency cannot be estimated from the
• An increased sensitivity to pain.
• Tooth decay.
• Absence of menstrual periods.
• A blockage in the flow of bile from the
liver (cholestasis). This can cause itchy
skin, yellow skin, very dark urine and very
• Long term use of OxyNorm during
pregnancy may cause life-threatening
withdrawal symptoms in the newborn.
Symptoms to look for in the baby include
irritability, hyperactivity and abnormal sleep
pattern, high pitched cry, shaking, being
sick, diarrhoea and not putting on weight.
Reporting of side effects
If you get any side effects, talk to your doctor,
pharmacist or nurse. This includes any possible
side effects not listed in this leaflet. You can
also report side effects directly via the Yellow
Card Scheme at: www.mhra.gov.uk/yellowcard.
By reporting side effects you can help
provide more information on the safety of this
5. How to store OxyNorm liquid
Keep this medicine out of the sight and reach
of children. Accidental overdose by a child is
dangerous and may be fatal.
Do not use this medicine after the expiry
date which is stated on the label and carton.
EXP 08 2020 means that you should not take
any of this medicine after the last day of that
month i.e. August 2020.
Do not store your medicine above 30°C.
Do not throw away any medicines via
wastewater or household waste. Ask your
pharmacist how to throw away medicines you
no longer use. These measures will help to
protect the environment.
6. Contents of the pack and other
What OxyNorm liquid contains
The active ingredient is oxycodone
hydrochloride. Each 5 ml contains 5 mg of
The other ingredients are:
• Saccharin sodium
• Sodium benzoate
• Citric acid
• Sodium citrate
• Hydrochloric acid
• Sodium hydroxide
• Purified water
What OxyNorm liquid looks like and
contents of the pack
This medicine is a clear colourless/
Each bottle contains 250 ml of liquid.
Marketing Authorisation Holder and
This medicine is made by
Mundipharma Pharmaceuticals Limited,
13 Othellos Street, Dhali Industrial
Zone, 2540-Nicosia, Cyprus.
The marketing authorisation holder is
Napp Pharmaceuticals Limited,
Cambridge Science Park, Milton Road,
Cambridge CB4 0GW, UK.
This leaflet is also available in large print, Braille or as an
audio CD. To request a copy, please call the RNIB Medicine
Information line (free of charge) on:
0800 198 5000
You will need to give details of the product name and reference
number. These are as follows:
Product name: OxyNorm liquid
Reference number: 16950/0003
This leaflet was last revised in November2015.
® OxyNorm, NAPP and the NAPP logo are registered
© 2009-2015 Napp Pharmaceuticals Ltd.
Source: Medicines and Healthcare Products Regulatory Agency
Disclaimer: Every effort has been made to ensure that the information provided here is accurate, up-to-date and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. This information has been compiled for use by healthcare practitioners and consumers in the United States. The absence of a warning for a given drug or combination thereof in no way should be construed to indicate that the drug or combination is safe, effective or appropriate for any given patient. If you have questions about the substances you are taking, check with your doctor, nurse or pharmacist.