"Nov. 2, 2012 -- Safety steps taken in the wake of the fungal meningitis outbreak have worsened drug shortages, raising questions about whether the U.S. must choose between the safety and the availability of crucial medicines.
Exalgo Patient Information including If I Miss a Dose
In this Article
- What is hydromorphone (Exalgo)?
- What are the possible side effects of hydromorphone (Exalgo)?
- What is the most important information I should know about hydromorphone (Exalgo)?
- What should I discuss with my healthcare provider before using hydromorphone (Exalgo)?
- How should I use hydromorphone (Exalgo)?
- What happens if I miss a dose (Exalgo)?
- What happens if I overdose (Exalgo)?
- What should I avoid while using hydromorphone (Exalgo)?
- What other drugs will affect hydromorphone (Exalgo)?
- Where can I get more information?
What happens if I miss a dose (Exalgo)?
Since hydromorphone is used on an as needed basis, you are not likely to miss a dose. Do not use extra medicine to make up the missed dose.
Extended-release hydromorphone is not for use on an as-needed basis for pain.
What happens if I overdose (Exalgo)?
Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. An overdose of hydromorphone can be fatal.
Overdose symptoms may include extreme drowsiness, pinpoint pupils, confusion, cold and clammy skin, weak pulse, shallow breathing, fainting, or breathing that stops.
What should I avoid while using hydromorphone (Exalgo)?
Do not drink alcohol. Dangerous side effects or death can occur when alcohol is combined with a narcotic pain medicine. Check your food and medicine labels to be sure these products do not contain alcohol.
This medication may impair your thinking or reactions. Avoid driving or operating machinery until you know how hydromorphone will affect you.
What other drugs will affect hydromorphone (Exalgo)?
Do not take hydromorphone with other narcotic pain medications, sedatives, tranquilizers, muscle relaxers, or other medicines that can make you sleepy or slow your breathing. Dangerous side effects may result.
Tell your doctor about all other medicines you use, especially:
- buprenorphine (Buprenex, Subutex);
- butorphanol (Stadol);
- nalbuphine (Nubain);
- pentazocine (Talwin);
- atropine (Atreza, Sal-Tropine), belladonna (Donnatal, and others), benztropine (Cogentin), dimenhydrinate (Dramamine), methscopolamine (Pamine), or scopolamine (Transderm Scop);
- bladder or urinary medicines such as darifenacin (Enablex), flavoxate (Urispas), oxybutynin (Ditropan, Oxytrol), tolterodine (Detrol), or solifenacin (Vesicare);
- bronchodilators such as ipratropium (Atrovent) or tiotropium (Spiriva);
- irritable bowel medicines such as dicyclomine (Bentyl), hyoscyamine (Hyomax), or propantheline (Pro Banthine); or
- ulcer medications such as glycopyrrolate (Robinul) or mepenzolate (Cantil).
This list is not complete and other drugs may interact with hydromorphone. Tell your doctor about all medications you use. This includes prescription, over-the-counter, vitamin, and herbal products. Do not start a new medication without telling your doctor.
Where can I get more information?
Your pharmacist can provide more information about hydromorphone.
Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.
Every effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.
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Additional Exalgo Information
- Exalgo Drug Interactions Center: hydromorphone oral
- Exalgo Side Effects Center
- Exalgo Overview including Precautions
- Exalgo FDA Approved Prescribing Information including Dosage
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