remifentanil-injection, Ultiva (cont.)
SIDE EFFECTS: Dizziness, drowsiness, nausea, vomiting, shivering, or headache may occur. If any of these effects persist or worsen, contact your doctor or pharmacist promptly. Tell your doctor immediately if any of these serious side effects occur: slow or irregular heartbeat, fever, muscle or chest tightness, trouble breathing, seizures. An allergic reaction to this drug is unlikely, but seek immediate medical attention if it occurs. Symptoms of an allergic reaction include: rash, itching, swelling, trouble breathing. If you notice other effects not listed above, contact your doctor or pharmacist.
PRECAUTIONS: Tell your doctor your medical history, especially of: head injury, lung disease (e.g., asthma, emphysema), any allergies you may have (especially to codeine or fentanyl). This drug may make you dizzy or drowsy; use caution engaging in activities requiring alertness such as driving or using machinery until the dizziness or drowsiness caused by the anesthesia or this medication is no longer present. Avoid alcoholic beverages because they can intensify the dizziness or 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. Caution is advised when using this drug in patients who are very overweight. This medication should be used only when clearly needed during pregnancy. Discuss the risks and benefits with your doctor. It is not known if this medication passes into breast milk. Consult your doctor before breast-feeding.
DRUG INTERACTIONS: Tell your doctor or pharmacist of all prescription and nonprescription drugs you may use, especially of: MAO inhibitors used currently or stopped within the last 2 weeks (e.g., furazolidone, linezolid, moclobemide, phenelzine, procarbazine, selegiline). Tell your doctor if you take any drowsiness-causing medication, such as: drugs for sleep, sedatives, tranquilizers, anti-anxiety drugs (e.g., diazepam), narcotic pain relievers (e.g., codeine), psychiatric medicines (e.g., phenothiazines or tricyclics), anti- seizure drugs (e.g., carbamazepine), muscle relaxants, antihistamines that cause drowsiness (e.g., diphenhydramine). Check the labels on all your medicines (e.g., cough-and-cold products) because they may contain drowsiness-causing ingredients. Ask your pharmacist about the safe use of those products. Do not start or stop any medicine without doctor or pharmacist approval.
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