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narcotic analgesics-oral tablet sustained action (cont.)

SIDE EFFECTS: May cause constipation, lightheadedness, dizziness, drowsiness, stomach upset, nausea, and flushing the first few days as your body adjusts to the medication. If these symptoms persist or become bothersome, inform your doctor. Notify your doctor if you develop: irregular heartbeat, anxiety, tremors, seizures. In the unlikely event you have a serious allergic reaction to this drug, seek immediate medical attention. Symptoms of a serious allergic reaction include: rash, itching, swelling, severe dizziness, trouble breathing. If you notice other effects not listed above, contact your doctor or pharmacist.

PRECAUTIONS: Tell your doctor your medical history, especially of: kidney or liver disease, breathing problems, history of alcohol and/or drug use, colitis or other intestinal/stomach problems, severe diarrhea, head injury, heart problems, drug allergies. Use caution when engaging in activities requiring alertness such as driving. Limit alcohol intake because it may add to the dizziness/drowsiness effects of this medication. Caution is advised when using this drug in the elderly because they may be more sensitive to the effects of the drug. This medication should be used during pregnancy only when clearly needed. Discuss the risks and benefits with your doctor. This medication is excreted into breast milk. Though to date, no problems have been noted in nursing infants, consult your doctor before breast-feeding.

DRUG INTERACTIONS: Tell your doctor of all drugs you are taking, both prescription and nonprescription, especially of: alcohol- containing drugs, tranquilizers, antidepressants, buprenorphine, seizure medications, naltrexone, zidovudine, MAO inhibitors (e.g., furazolidone, linezolid, phenelzine, selegiline, tranylcypromine), cimetidine. Do not start or stop any medicine without doctor or pharmacist approval.

OVERDOSE: If overdose is suspected, contact your local poison control center or emergency room immediately. US residents can call the US national poison hotline at 1-800-222-1222. Canadian residents should call their local poison control center directly. Symptoms of overdose may include cold and clammy skin, low body temperature, slowed breathing, slowed heartbeat, drowsiness, dizziness, lightheadedness, deep sleep, and loss of consciousness.



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You are encouraged to report negative side effects of prescription drugs to the FDA. Visit the FDA MedWatch website or call 1-800-FDA-1088.

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