"Young children have died or become seriously ill from accidental exposure to a skin patch containing fentanyl, a powerful pain reliever. As a result of this, the Food and Drug Administration (FDA) is issuing a Drug Safety Communication to warn pa"...
Talwin Nx Patient Information including If I Miss a Dose
In this Article
- What is naloxone and pentazocine (Talwin Nx)?
- What are the possible side effects of naloxone and pentazocine (Talwin Nx)?
- What is the most important information I should know about naloxone and pentazocine (Talwin Nx)?
- What should I discuss with my health care provider before taking naloxone and pentazocine (Talwin Nx)?
- How should I take naloxone and pentazocine (Talwin Nx)?
- What happens if I miss a dose (Talwin Nx)?
- What happens if I overdose (Talwin Nx)?
- What should I avoid while taking naloxone and pentazocine (Talwin Nx)?
- What other drugs will affect naloxone and pentazocine (Talwin Nx)?
- Where can I get more information?
What happens if I miss a dose (Talwin Nx)?
Since naloxone and pentazocine is taken as needed, you may not be on a dosing schedule. If you are taking the medication regularly, take the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not take extra medicine to make up the missed dose.
Do not take more than 12 tablets in a 24-hour period.
What happens if I overdose (Talwin Nx)?
Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.
Overdose symptoms may include extreme drowsiness, cold and clammy skin, pinpoint pupils, shallow breathing, slow heart rate, fainting, seizure (convulsions), or coma.
What should I avoid while taking naloxone and pentazocine (Talwin Nx)?
Do not drink alcohol while you are taking naloxone and pentazocine. Alcohol can increase some of the side effects of narcotic pain medicine.
Naloxone and pentazocine can cause side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert.
Avoid smoking, which can make this medication less effective in relieving your pain.
What other drugs will affect naloxone and pentazocine (Talwin Nx)?
You should not take naloxone and pentazocine with any other narcotic pain medications, sedatives, tranquilizers, sleeping pills, muscle relaxers, or other medicines that can make you sleepy or slow your breathing. Dangerous side effects may result. Tell your doctor if you regularly use any of these medications, or medicine for seizures, depression, or anxiety.
If you are using any other opioid pain medication, the pain-relieving effects of the narcotic will be reversed while you are also receiving naloxone and pentazocine. Opioid medicines include:
- codeine (Tylenol #3);
- fentanyl (Abstral, Actiq, Fentora, Duragesic, Lazanda, Onsolis);
- hydrocodone (Lortab, Vicodin, Vicoprofen);
- hydromorphone (Dilaudid, Palladone);
- methadone (Methadose, Dolophine);
- morphine (Kadian, MS Contin, Oramorph);
- oxycodone (OxyContin, Combunox, Roxicodone, Percocet); or
- and many others.
Tell your doctor about all other medicines you use, especially:
- an antidepressant such as amitriptyline (Elavil, Vanatrip, Limbitrol), doxepin (Sinequan, Silenor), nortriptyline (Pamelor), and others;
- an MAO inhibitor such as furazolidone (Furoxone), isocarboxazid (Marplan), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl, Emsam, Zelapar), or tranylcypromine (Parnate); or
- a phenothiazine such as chlorpromazine (Thorazine), fluphenazine (Permitil, Prolixin), perphenazine (Trilafon), prochlorperazine (Compazine, Compro), promethazine (Pentazine, Phenergan, Anergan, Antinaus), thioridazine (Mellaril), or trifluoperazine (Stelazine).
This list is not complete and other drugs may interact with naloxone and pentazocine. 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 naloxone and pentazocine.
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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