ÕÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍ͸ ³ ³ ³ ------Narcotic Pain Relievers------ ³ ³ ³ ³ A. Narcotic and Aspirin ³ ³ B. Narcotic and Acetaminophen ³ ³ C. Narcotic Analgesics ³ ³ ³ ÔÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍ; NARCOTIC AND ASPIRIN BRAND NAMES (Generic names in capitals) 222 Darvon-N with A.S.A. 282 Dolene Compound 292 Doxaphene Compound A&C with codeine DROCODE, ASPIRIN & CAFFEINE A.C.& C. Emcodeine Ancasal Empirin with Codeine Anexsia with Codeine HYDROCODONE, ASPIRIN & CAFFEINE Anexsia-D Instantine Plus A.S.A. and Codeine Novo AC&C Compound Oxycodan Ascriptin with Codeine OXYCODONE & ASPIRIN ASPIRIN & CODEINE PENTAZOCINE & ASPIRIN ASPIRIN, CODEINE & Percodan CAFFEINE Percodan-Demi Bexophene PROPOXYPHENE & ASPIRIN BUFFERED ASPIRIN & PROPOXYPHENE ASPIRIN & CODEINE CAFFEINE Codoxy SK-65 Compound Coryphen with Codeine SK-Oxycodone with Aspirin C2 with Codeine Synalgos-DC Damason-P Talwin Compound Darvon Compound Darvon with A.S.A. BASIC INFORMATION Habit forming? Yes Prescription needed? Yes Available as generic? Yes Drug class: Narcotic, analgesic, anti-inflammatory USES Reduces pain, fever, inflammation. Suppresses cough. DOSAGE AND USAGE INFORMATION How to take: Tablet or capsule--Swallow with liquid. If you can't swallow whole, crumble tablet or open capsule and take with liquid or food. When to take: When needed. No more often than every 4 hours. If you forget a dose: Take as soon as you remember. Wait 4 hours for next dose. What drug does: Affects hypothamamus, the part of the brain which regulates temperature by dilating small blood vessels in skin. Prevents clumping of platelets (small blood cells) so blood vessels remain open. Decreases prostaglandin effect. Suppresses body's pain messages. Reduces sensitivity of brain's cough-control center. Time lapse before drug works: 30 minutes. Don't take with: Tetracyclines. Space doses 1 hour apart. POSSIBLE ADVERSE REACTIONS OR SIDE EFFECTS Symptoms What To Do Life-threatening: Hives, rash, intense Seek emergency treatment itching, faintness immediately. soon after a dose (anaphylaxis). Clot or pain over Discontinue. Seek blood vessel, cold emergency treatment. hands, feet. Common: Nausea, abdominal Discontinue. Call doctor cramps or pain. right away. Dizziness, red or Continue. Call doctor flushed face, frequent when convenient. urination, unusual tiredness, ringing in ears, heartburn, indigestion. Infrequent: Constipation, Discontinue. Call doctor abdominal pain or right away. cramps, vomiting. Rare: Slow heartbeat; Discontinue. Call doctor change in vision; right away. black, bloody or tarry stool; blood in urine; jaundice. Depression, blurred Continue. Call doctor vision. when convenient. OVERDOSE Symptoms: Ringing in ears; nausea; vomiting; dizziness; fever; deep sleep; slow breathing; slow pulse; flushed, warm skin; constricted pupils; hallucinatins; convulsions; coma. What to do: Dial 0 (operator) or 911 (emergency) for an ambulance or medical help. Then give first aid immediately. If patient is unconscious and not breathing, give mouth-to-mouth breathing. If there is no heartbeat, use cardiac massage and mouth-to-mouth breathing (CPR). Don't try to make patient vomit. If you can't get help quickly, take patient to nearest emergency facility. See emergency information. WARNINGS AND PRECAUTIONS Don't take if: You are allergic to any narcotic or subject to any substance abuse. You have a peptic ulcer of stomach of duodenum or a bleeding disorder. Before you start, consult your doctor: If you have impaired liver or kidney function, asthma or nasal polyps. If you have had stomach or duodenal ulcers, gout. If you will have surgery within 2 months, including dental surgery, requiring general or spinal anesthesia. Over age 60: More likely to be drowsy, dizzy, unsteady or constipated. Use only if absolutely necessary. More likely to cause hidden bleeding in stomach or intestines. Watch for dark stools. Pregnancy: Risk to unborn child outweighs drug benefits. Don't use. Breast-feeding: Drug passes into milk and may harm child. Avoid drug or discontinue nursing until you finish medicine. Consult doctor for advice on maintaining milk supply. Infants and children: Not recommended. Prolonged use: Causes psychologican and physican dependence (addiction) Kidney damage. Periodic kidney-function test recommended. Skin and sunlight: May cause rash or intensify sunburn in areas exposed to sun or sunlamp. Driving, piloting or hazardous work: Don't drive or pilot aircraft until you learn how medicine affects you. Don't work around dangerous machinery. Don't climb ladders or work in high places. Danger increases if you drink alcohol or take medicine affecting alertness and reflexes, such as antihistamines, tranquilizers, sedatives, pain medicine, narcotics and mind-altering drugs. Discontinuing: May be unnecessary to finish medicine. Follow doctor's instructions. Others: Aspirin can complicate surgery, pregnancy, labor and delivery, and illness. Urine tests for blood sugar may be inaccurate. POSSIBLE INTERACTION WITH OTHER DRUGS Generic Name or Drug Class Combined Effect Acebutolol Decreased antihypertensive effect of acebutolol. Allopurinol Decreased allopurinol effect. Antacids Decreased aspirin effect. Anticoagulants Increased anticoagulant effect. Abnormal bleeding. Antidepressants Increased sedative effect. Antidiabetics (oral) Low blood sugar. Anti-inflammatory drugs Risk of stomach bleeding (non-steroid) and ulcers. Aspirin (other) Likely aspirin toxicity. Cortisone drugs Increased cortisone effect. Risk of ulcers and stomach bleeding. Furosemide Possible aspirin toxicity. Gold compounds Increased likelihood of kidney damage. Indomethacin Risk of stomach bleeding and ulcers. Methotrexate Increased methotrexate effect. Minoxidil Decreased minoxidil effect. Narcotics (other) Increased narcotic effect. Nitrates Excessive blood-pressure drop. Oxprenolol Decreased antihypertensive effect of oxprenolol. Para-aminosalicylic acid Possible aspirin toxicity. (PAS) Penicillins Increased effect of both drugs. Phenobarbital Decreased aspirin effect. Phenytoin Increased phenytoin effect. Probenecid Decreased probenecid effect. Propranolol Decreased aspirin effect. Rauwolfia alkaloids Decreased aspirin effect. Salicylates (other) Likely aspirin toxicity. Sedatives Increased sedative effect. Sleep inducers Increased sedative effect. Sleep inducer. Spironolactone Decreased spironolactone effect. Sulfinpyrazone Decreased sulfinpyrazone effect. Terfenadine Possible excessive sedation. May conceal symptoms of aspirin overdose, such as ringing in ears. Tranquilizers Increased sedative effect. Vitamin C (large doses) Possible aspirin toxicity. POSSIBLE INTERACTION WITH OTHER SUBSTANCES Interacts With Combined Effect Alcohol Possible stomach irritation and bleeding. Increases alcohol's intoxicating effect. Avoid Beverages None expected. Cocaine Decreased cocaine toxic effects. Avoid. Foods None expected. Marijuana Impairs physical and mental performance. Avoid. Tobacco None expected. NARCOTIC & ACETAMINOPHEN BRAND NAMES (Generic names in capitals) ACETAMINOPHEN & CODEINE Lortab 7 Aceta with Codeine MEPERIDINE & ACETAMINOPHEN Amacodone Norcet Atasol with Codeine Oxycocet Bancap-HC OXYCODONE & ACETAMINOPHEN Bayapap with Codeine PENTAZOCINE & ACETAMINOPHEN Codap Percocet Co-gesic Percocet-Demi Cotabs Phenaphen with Codeine Darvocet-N PROPOXYPHENE & ACETAMINOPHEN Demerol-APAP Proval Dolacet SK-APAP with Codeine Dolene-AP SK-Oxycodone and Dolo-Pap Acetaminophen Duradyne DHC SK-65 APAP Empracet with Codeine Talacen Exdol with Codeine T-Gesic Forte Hycodaphen Tylenol with Codeine HYDROCODONE & ACETAMINOPHEN Tylox Hydrogesic Ty-Tabs Lortab 5 Vicodin Wygesic BASIC INFORMATION Habit forming? Yes Prescription needed? Yes Available as generic? Yes Drug class: Narcotic, analgesic, fever-reducer USES Relieves pain. Suppresses cough. DOSAGE AND USAGE INFORMATION How to take: Tablet or capsule--Swallow with liquid. If you can't swallow whole, crumble tablet or open capsule and take with liquid or food. Drops or liquid--Dilute dose in beverage before swallowing. When to take: When needed. No more often than every 4 hours. If you forget a dose: Take as soon as you remember. Wait 4 hours for next dose. What drug does: May affect hypothalamus--the part of the brain that helps regulate body heat and receives body's pain messages. Blocks pain messages to brain and spinal cord. Reduces sensitivity of brain's cough-control center. Time lapse before drug works: 15 to 30 minutes. May last 4 hous. Don't take with: Other drugs with acetaminophen. Too much acetaminophen can damage liver and kidneys. POSSIBLE ADVERSE REACTIONS OR SIDE EFFECTS Symptoms What To Do Life-threatening: Irregular or slow Discontinue. Seek emergency heartbeat, difficult treatment. breathing. Common: Dizziness, agitation, Continue. Call doctor tiredness. when convenient. Infrequent: Abdominal pain, Discontinue. Call doctor constipation, vomiting. right away. Rare: Fatigue; itchy skin; Discontinue. Call doctor rash; sore throat, right away. fever, mouth sores; bruising and bleeding increased; painful or difficult urination; blood in urine; anemia; blurred vision. Depression. Continue. Call doctor when convenient. OVERDOSE Symptoms: Stomach upset; irritability; convulsions; deep sleep; slow breathing; slow pulse; flushed, warm skin; constricted pupils; coma. What to do: Dial 0 (operator) or 911 (emergency) for an ambulance or medical help. Then give first aid immediately. If patient is unconscious and not breathing, give mouth-to-mouth breathing. If there is no heartbeat, use cardiac massage and mouth-to-mouth breathing (CPR). Don't try to make patient vomit. If you can't get help quickly, take patient to nearest emergency facility. See emergency information. WARNINGS AND PRECAUTIONS Don't take if: You are allergic to any narcotic or acetaminophen. Your symptoms don't improve after 2 days use. Call your doctor. Before you start, consult your doctor: If you have bronchial asthma, kidney disease or liver damage. If you will have surgery within 2 months, including dental surgery, requiring general or spinal anesthesia. Over age 60: More likely to be drowsy, dizzy, unsteady or constipated. Don't exceed recommended dose. You can't emiminate drug as efficiently as younger persons. Use only if absolutely necessary. Pregnancy: Decide with your doctor whether drug benefits justify risk to unborn child. Abuse by pregnant woman will result in addicted newborn. Withdrawal of newborn can be life-threatening. Breast-feeding: Drug filters into milk. May harm child. Avoid. Infants and children: Not recommended. Prolonged use: Causes psychological and physical dependence (addiction). May affect blood stream and cause anemia. Limit use to 5 days for children 12 and under, and 10 days for adults. Skin and sunlight: May cause rash or intensify sunburn in areas exposed to sun or sunlamp. Driving, piloting or hazardous work: Don't drive or pilot aircraft until you learn how medicine affects you. Don't work around dangerous machinery. Don't climb ladders or work in high places. Danger increases if you drink alcohol or take medicine affecting alertness and reflexes, such as antihistamines, tranquilizsers, sedatives, pain medicine, narcotics and mind-altering drugs. Discontinuing: Discontinue in 2 days if symptoms don't improve. POSSIBLE INTERACTION WITH OTHER DRUGS Generic Name or Drug Class Combined Effect Analgesics (other) Increased analgesic effect. Anticoagulants (other) May increase anticoagulant effect. Prothrombin times should be monitored. Anticholinergics Increased anticholinergic effect. Antidepressants Increased sedative effect. Antihistamines Increased sedative effect. Mind-altering drugs Increased sedative effect. Narcotics (other) Increased narcotic effect. Nitrates Excessive blood-pressure drop. Phenobarbital and other Quicker elimination and barbiturates decreased effect of acetaminophen. Phenothiazines Increased phenothiazine effect. Sedatives Increased sedative effect. Sleep inducers Increased sedative effect. Terfenadine Possible oversedation. Tetracyclines May slow tetracycline absorption. Space doses 2 hours apart. Tranquilizers Increased sedative effect. POSSIBLE INTERACTION WITH OTHER SUBSTANCES Interacts With Combined Effect Alcohol Increases alcohol's intoxicating effect. Avoid. Beverages None expected. Cocaine Increased cocaine toxic effects. Avoid. Foods None expected. Marijuana Impairs physical and mental performance. Avoid. Tobacco None expected. NARCOTIC ANALGESICS BRAND NAMES AND GENERIC NAMES (Generic Names in capitals) 642 Dolophine Pargesic Aceta w/Codeine Dolor Pavadon Acetaco Doxaphene Paveral Acetaminophen/Codeine Dromoran Pediacof Actifed-C Dularin PENTAZOCINE Actifec_C Expectorant Duramorph PF Percodan Adatuss Dynosal Pethadol Algodex Empirin w/Codeine Pethidine Ambenyl Empracet w/Codeine Phenaphen w/Codeine Anaphen Emprazil-C Phenergan A.P.C. w/Codeine Phos. Ephedrol w/Codeine Phrenilin Arthralgen Epimorph Physeptone Ascriptin w/Codeine Esgic Poly-Histine w/Codeine Aspirin w/Codeine FL-Tussex Presalin Axotal Florinal w/Codeine Prodolor Bancap w/Codeine Fortral Profene Banesin Forte Gaysal Promethazine w/Codeine More [Y,n,=]? = BUTORPHANOL Hasacode Pro-65 Calcidrine Hycodan Proxagesic Calcidrine Syrup Hycotuss Proxene Capital w/Codeine HYDROCODONE Prunicodeine Cetro Cirose HYDROMORPHONE RMS Uniserts Cheracol Isoclor Robidone Coastaldyne Levo-Dromoran Robitussin A-C Coastalgesic Levorphan Roxanol Codalan LEVORPHANOL Roxanol SR Codalex Liquix-C S-A-C Codap Lo-Tussin Salatin CODEINE Maxigesic Saleto Codeine Sulfate Mepergan Fortis Salimeph Forte Codimal PH MEPERIDINE Sedapap Coditrate METHADONE SK-APAP w/Codeine Codone Methadose Soma Comp.w/Codeine Colrex Compound Metrogesic Sorbase II Copavin Minotal Stadol Corutol DH MORPHINE Statex Cotussis Morphitec Strascogesic Co-Xan M.O.S. Syrup Supac Dapase MS Contin Supeudol Darvocet-N 100 MSIR Sylapar Darvon MST Continus Synalgos-DC Demer-idine NALBUPHINE Talwin Demerol Novahistine DH Talwin-NX Depronal-SA Novopropoxyn Terpin Hydrate w/Cod. Dialog Nubain Triaminic w/Codeine Dicodid Numorphan Trigesic Dihydromorphinone OPIUM Tussar Dilaudid Ossonate-Plus Tussend Dilaudid-HP OXYCODONE Tussi-Organidin Dimetane-DC OXYMORPHONE Tylenol w/Codeine Dimetane Expectorant Pantapon Vicodin Dolene PAREGORIC BASIC INFORMATION Habit forming? Yes Prescription needed? Yes Available as generic? Yes Drug class: Narcotic USES Relieves pain. Suppresses cough. DOSAGE AND USAGE INFORMATION How to take: Tablet or capsule--Swallow with liquid. If you can't swallow whole, crumble tablet or open capsule and take with liquid or food. Drops or liquid--Dilute dose in beverage before swallowing. When to take: When needed. No more often than every 4 hours. If you forget a dose: Take as soon as you remember. Wait 4 hours for next dose. What drug does: Blocks pain messages to brain and spinal cord. Reduces sensitivity of brain's cough-control center. Time lapse before drug works: 30 minutes. Don't take with: See interaction column and consult doctor. POSSIBLE ADVERSE REACTIONS OR SIDE EFFECTS Symptoms What to do ____________________________________________________________________ Life-threatening: None expected. Common: Dizziness, flushed face, Continue. Call doctor when difficult urination, unusual convenient. tiredness. Infrequent: Severe constipation, Discontinue. Call doctor abdominal pain, vomiting right away. Rare: Hives, rash, itchy skin, Discontinue. Call doctor face swelling, slow right away. heartbeat, irregular breathing. Depression, blurred vision. Continue. Call doctor when convenient. OVERDOSE Symptoms: Deep sleep, slow breathing; slow pulse; flushed, warm skin; constricted pupils. What to do: Dial 0 (operator) or 911 (emergency) for an ambulance or medical help. Then give first aid immediately. If patient is unconscious and not breathing, give mouth-to-mouth breathing. If there is no heartbeat, use cardiac massage and mouth-to-mouth breathing (CPR). Don't try to make patient vomit. If you can't get help quickly, take patient to nearest emergency facility. See emergency information. WARNINGS AND PRECAUTIONS Don't take if: You are allergic to any narcotic. Before you start, consult your doctor: If you have impaired liver or kidney function. If you will have surgery within 2 months, including dental surgery, requiring general or spinal anesthesia. Over age 60: More likely to be drowsy, dizzy, unsteady or constipated. Use only if absolutely necessary. Pregnancy: Decide with your doctor whether drug benefits justify risk to unborn child. Abuse by pregnant woman will result in addicted newborn. Withdrawal of newborn can be life-threatening. Breast-feeding: Drug filters into milk. May harm child. Avoid. Infants & children: Not recommended. Prolonged use: Causes psychological and physical dependence (addiction). Skin and sunlight: May cause rash or intensify sunburn in areas exposed to sun or sunlamp. Driving, piloting or hazardous work: Don't drive or pilot aircraft until you learn how medicine affects you. Don't work around dangerous machinery. Don't climb ladders or work in high places. Danger increases if you drink alcohol or take medicine affecting alertness and reflexes, such as antihistamines, tranquilizers, sedatives, pain medicine, narcotics and mind-altering drugs. Discontinuing: May be unnecessary to finish medicine. Follow doctor's instructions. Others: No problems expected. POSSIBLE INTERACTION WITH OTHER DRUGS Generic name or drug class Combined effect ____________________________________________________________________ Analgesics (other) Increased analgesic effect. Anticholinergics Increased anticholinergic effect. Antidepressants Increased sedative effect. Antihistamines Increased sedative effect. Mind-altering drugs Increased sedative effect. Molindone Increased narcotic effect. Narcotics (other) Increased narcotic effect. Nitrates Excessive blood-pressure drop. Phenothiazines Increased phenothiazine effect. Sedatives Increased sedative effect. Sleep inducers Increased sedative effect. Terfenadine Possible oversedation. Tranquilizers Increased sedative effect. POSSIBLE INTERACTION WITH OTHER SUBSTANCES Interacts with Combined effect ____________________________________________________________________ Alcohol Increases alcohol's intoxicating effect. Avoid. Beverages None expected. Cocaine Increased cocaine toxic effects. Avoid. Foods None expected. Marijuana Impairs physical and mental performance. Avoid. Tobacco None expected. Downloaded From P-80 International Information Systems 304-744-2253