Butorphanol (Nasal-Systemic)
Brand Names : Stadol NS
Before Using This MedicineIn deciding to use a medicine,
the risks of taking the medicine must be weighed against the good it will
do. This is a decision you and your doctor will make. For butorphanol, the
following should be considered:
Allergies - Tell your doctor if you have ever had any unusual or
allergic reaction to butorphanol or any other narcotic analgesic. Also tell
your health care professional if you are allergic to any other substances,
such as foods, preservatives, or dyes.
Pregnancy - Nasal butorphanol has not been studied in pregnant
women. However, studies in animals have shown that butorphanol causes a decreased
pregnancy rate and an increase in stillbirths. Before taking this medicine
make sure your doctor knows if you are pregnant or if you may become pregnant. Too much use of butorphanol during pregnancy may cause the baby to become
dependent on the medicine. This may lead to withdrawal side effects after
birth.
Breast-feeding - Although butorphanol may pass into the breast milk,
it is not expected to cause problems in nursing babies.
Children - Studies on this medicine have been done only in adult
patients, and there is no specific information comparing use of butorphanol
in children with use in other age groups.
Older adults - Elderly people are especially sensitive to the effects
of butorphanol. This may increase the chance of side effects, especially dizziness,
during treatment. Studies in older adults show that butorphanol stays in the
body for a longer time than it does in younger adults. Your doctor will consider
this when deciding on your dose.
Other medicines - Although certain medicines should not be used
together at all, in other cases two different medicines may be used together
even if an interaction might occur. In these cases, your doctor may want to
change the dose, or other precautions may be necessary. When you are taking
butorphanol it is especially important that your health care professional
know if you are taking any of the following:
-
Central nervous system (CNS) depressants (medicines that make you
drowsy or less alert) or
-
Tricyclic antidepressants (medicines for depression) (amitriptyline
[e.g., Elavil], amoxapine [e.g., Asendin], clomipramine [e.g., Anafranil],
desipramine [e.g., Pertofrane], doxepin [e.g., Sinequan], imipramine [e.g.,
Tofranil], nortriptyline [e.g., Aventyl], protriptyline [e.g., Vivactil],
trimipramine [e.g., Surmontil]) - The chance of side effects may be increased
-
Narcotic pain medicine, other - Withdrawal symptoms may occur
if a narcotic you are dependent on is replaced by butorphanol.
Other medical problems - The presence of other medical
problems may affect the use of butorphanol. Make sure you tell your doctor
if you have any other medical problems, especially:
-
CNS disease affecting breathing or
-
Emphysema, asthma, or other chronic lung disease or
-
Head injury - Some of the side effects of butorphanol can be
dangerous if you have any of these conditions
-
Drug dependence, especially narcotic abuse, or history of, or
-
Emotional problems - The chance of side effects may be increased;
also, withdrawal symptoms may occur if a narcotic you are dependent on is
replaced by butorphanol
-
Heart disease or
-
Kidney disease or
-
Liver disease - The chance of side effects may be increased
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