"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 How Should I Take
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 should I discuss with my healthcare provider before using hydromorphone (Exalgo)?
Do not use this medication if you have ever had an allergic reaction to a narcotic medicine (examples include codeine, methadone, morphine, Lortab, OxyContin, Percocet, Vicodin, and many others).
You should also not take hydromorphone if you have:
- a bowel obstruction called paralytic ileus; or
- if you are having an asthma attack.
Do not take hydromorphone if you have used an MAO inhibitor such as furazolidone (Furoxone), isocarboxazid (Marplan), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl, Emsam, Zelapar), or tranylcypromine (Parnate) in the last 14 days. A dangerous drug interaction could occur, leading to serious side effects.
To make sure you can safely take hydromorphone, tell your doctor if you have any of these other conditions:
- asthma, COPD, sleep apnea, or other breathing disorders;
- sulfite allergy;
- liver or kidney disease;
- underactive thyroid;
- curvature of the spine;
- a history of head injury or brain tumor;
- epilepsy or other seizure disorder;
- low blood pressure;
- gallbladder disease or pancreatitis;
- Addison's disease or other adrenal gland disorders;
- enlarged prostate, urination problems;
- mental illness;
- a history of alcoholism or drug addiction; or
- if you have recently used alcohol, sedatives, tranquilizers, or other narcotic medications.
Hydromorphone may be habit forming and should be used only by the person for whom it was prescribed. Never share hydromorphone with another person, especially someone with a history of drug abuse or addiction. Keep the medication in a place where others cannot get to it.
You may not be able to take hydromorphone unless you are already being treated with a similar opioid pain medicine and your body is tolerant to it. Opioid medicines include fentanyl (Actiq, Duragesic), methadone (Methadose, Dolophine), morphine (Kadian, MS Contin, Oramorph), oxycodone (Oxycontin), oxymorphone (Opana), and many others. Talk with your doctor if you are not sure you are opioid-tolerant.
FDA pregnancy category C. It is not known whether hydromorphone will harm an unborn baby. Hydromorphone may cause addiction or withdrawal symptoms in a newborn if the mother uses the medication during pregnancy. Tell your doctor if you are pregnant or plan to become pregnant while using hydromorphone.
Hydromorphone can pass into breast milk and may harm a nursing baby. You should not breast-feed while you are using hydromorphone.
Serious side effects may be more likely in older adults and those who are ill or debilitated.
How should I use hydromorphone (Exalgo)?
Take exactly as prescribed. Never take hydromorphone in larger amounts, or for longer than recommended by your doctor. Follow the directions on your prescription label. Tell your doctor if the medicine seems to stop working as well in relieving your pain.
Do not crush, chew, or break an extended-release tablet. Swallow it whole. Breaking the pill may cause too much of the drug to be released at one time.
Measure liquid medicine with a special dose-measuring spoon or medicine cup, not with a regular table spoon. If you do not have a dose-measuring device, ask your pharmacist for one.
Do not stop using hydromorphone suddenly after long-term use, or you could have unpleasant withdrawal symptoms. Ask your doctor how to avoid withdrawal symptoms when you stop using hydromorphone.
Store at room temperature away from moisture, heat, and light. Throw away any unused liquid after 90 days.
Keep track of the amount of medicine used from each new bottle. Hydromorphone is a drug of abuse and you should be aware if anyone is using your medicine improperly or without a prescription.
After you have stopped using this medication, flush any unused pills or liquid down the toilet. Disposal of medicines by flushing is recommended to reduce the danger of accidental overdose causing death. This advice applies to a very small number of medicines only. The FDA, working with the manufacturer, has determined this method to be the most appropriate route of disposal and presents the least risk to human safety.
Additional Exalgo Information
- Exalgo Drug Interactions Center: hydromorphone oral
- Exalgo Side Effects Center
- Exalgo Overview including Precautions
- Exalgo FDA Approved Prescribing Information including Dosage
Exalgo - User Reviews
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Report Problems to the Food and Drug Administration
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