Oxycodone Hydrochloride and Acetaminophen Tablets should not be given to a pregnant woman unless in the judgment of the physician, the potential benefits outweigh the possible hazards. Neonatal opioid withdrawal syndrome presents as irritability, hyperactivity and abnormal sleep pattern, high pitched cry, tremor, vomiting, diarrhea and failure to gain weight.
The onset, duration, and severity of neonatal opioid withdrawal syndrome vary based on the specific opioid used, duration of use, timing and amount of last maternal use, and rate of elimination of the drug by the newborn.
Labor or Delivery Opioids cross the placenta and may produce respiratory depression and psycho-physiologic effects in neonates. An opioid antagonist, such as naloxone, must be available for reversal of opioid-induced respiratory depression in the neonate.
Oxycodone Hydrochloride and Acetaminophen Tablets are not recommended for use in pregnant women during or immediately prior to labor, when other analgesic techniques are more appropriate. Opioid analgesics, including Oxycodone Hydrochloride and Acetaminophen Tablets, can prolong labor through actions which temporarily reduce the strength, duration, and frequency of uterine contractions.
However, this effect is not consistent and may be offset by an increased rate of cervical dilation, which tends to shorten labor. Monitor neonates exposed to opioid analgesics during labor for signs of excess sedation and respiratory depression.
Acetaminophen is also excreted in breast milk in low concentrations. The developmental and health benefits of breastfeeding should be considered along with the mother's clinical need for Oxycodone Hydrochloride and Acetaminophen Tablets and any potential adverse effects on the breastfed infant from Oxycodone Hydrochloride and Acetaminophen Tablets or from the underlying maternal condition. Infants exposed to Oxycodone Hydrochloride and Acetaminophen Tablets through breast milk should be monitored for excess sedation and respiratory depression.
Withdrawal symptoms can occur in breastfed infants when maternal administration of an opioid analgesic is stopped, or when breast-feeding is stopped. Pediatric Use Safety and effectiveness of Oxycodone Hydrochloride and Acetaminophen Tablets in pediatric patients have not been established. Geriatric Use Elderly patients aged 65 years or older may have increased sensitivity Oxycodone Hydrochloride and Acetaminophen Tablets.
In general, use caution when selecting a dosage for an elderly patient, usually starting at the low end of the dosing range, reflecting the greater frequency of decreased hepatic, renal, or cardiac function and of concomitant disease or other drug therapy.
Respiratory depression is the chief risk for elderly patients treated with opioids, and has occurred after large initial doses were administered to patients who were not opioid-tolerant or when opioids were co- administered with other agents that depress respiration. These drugs are known to be substantially excreted by the kidney, and the risk of adverse reactions to this drug may be greater in patients with impaired renal function. Because elderly patients are more likely to have decreased renal function, care should be taken in dose selection, and it may be useful to monitor renal function.
Hepatic Impairment In a pharmacokinetic study of oxycodone in patients with end-stage liver disease, oxycodone plasma clearance decreased and the elimination half-life increased. Because oxycodone is extensively metabolized in the liver, its clearance may decrease in patients with hepatic impairment.
Initiate therapy in these patients with a lower than usual dosage of Oxycodone Hydrochloride and Acetaminophen Tablets and titrate carefully. Monitor closely for adverse events such as respiratory depression, sedation, and hypotension [see Clinical Pharmacology ].
Renal Impairment In a study of patients with end stage renal impairment, mean elimination half-life was prolonged in uremic patients due to increased volume of distribution and reduced clearance. Oxycodone should be used with caution in patients with renal impairment. Because oxycodone is known to be substantially excreted by the kidney, its clearance may decrease in patients with renal impairment. Initiate therapy with a lower than usual dosage of Oxycodone Hydrochloride and Acetaminophen Tablets and titrate carefully.
Because these reactions are reported voluntarily from a population of uncertain size, it is not always possible to reliably estimate their frequency or establish a causal relationship to drug exposure. The most frequently observed non-serious adverse reactions include lightheadedness, dizziness, drowsiness or sedation, nausea, and vomiting.
These effects seem to be more prominent in ambulatory than in nonambulatory patients, and some of these adverse reactions may be alleviated if the patient lies down. Other adverse reactions include euphoria, dysphoria, constipation, and pruritus.
Hypersensitivity reactions may include: Skin eruptions, urticarial, erythematous skin reactions. Hematologic reactions may include: Rare cases of agranulocytosis has likewise been associated with acetaminophen use. In high doses, the most serious adverse effect is a dose-dependent, potentially fatal hepatic necrosis. Renal tubular necrosis and hypoglycemic coma also may occur. Body as a Whole: Anaphylactoid reaction, allergic reaction, malaise, asthenia, fatigue, chest pain, fever, hypothermia, thirst, headache, increased sweating, accidental overdose, non-accidental overdose Cardiovascular: Hypotension, hypertension, tachycardia, orthostatic hypotension, bradycardia, palpitations, dysrhythmias Central and Peripheral Nervous System: Stupor, tremor, paraesthesia, hypoaesthesia, lethargy, seizures, anxiety, mental impairment, agitation, cerebral edema, confusion, dizziness Fluid and Electrolyte: Dehydration, hyperkalemia, metabolic acidosis, respiratory alkalosis Gastrointestinal: Dyspepsia, taste disturbances, abdominal pain, abdominal distention, sweating increased, diarrhea, dry mouth, flatulence, gastrointestinal disorder, nausea, vomiting, pancreatitis, intestinal obstruction, ileus Hepatic: Transient elevations of hepatic enzymes, increase in bilirubin, hepatitis, hepatic failure, jaundice, hepatotoxicity, hepatic disorder Hearing and Vestibular: Hearing loss, tinnitus Hematologic: Acute anaphylaxis, angioedema, asthma, bronchospasm, laryngeal edema, urticaria, anaphylactoid reaction Metabolic and Nutritional: One of the primary risks is an addiction.
Addiction refers to a disease of the brain. With opioids including oxycodone, what happens is that you take it and you may feel a euphoric rush, particularly if you take a stronger dose. Your brain floods your system with dopamine which is a feel-good chemical because of the drug, and then your brain wants to keep that feeling going.
Your brain is wired to repeat pleasurable things. In such cases, withdrawal symptoms such as restlessness, watering eyes, runny nose , nausea, sweating , muscle aches may occur if you suddenly stop using this medication. To prevent withdrawal reactions, your doctor may reduce your dose gradually. Ask your doctor or pharmacist for more details, and report any withdrawal reactions immediately. When this medication is used for a long time, it may not work as well.
Talk with your doctor if this medication stops working well. Along with its benefits, this medication may rarely cause abnormal drug-seeking behavior addiction. Physical dependence involves the occurrence of a withdrawal syndrome when there is sudden reduction or cessation in drug use or if an opiate antagonist is administered.
Physical dependence can be detected after a few days of opioid therapy. However, clinically significant physical dependence is only seen after several weeks of relatively high dosage therapy. In this case, abrupt discontinuation of the opioid may result in a withdrawal syndrome. If the discontinuation of opioids is therapeutically indicated, gradual tapering of the drug over a 2-week period will prevent withdrawal symptoms. The severity of the withdrawal syndrome depends primarily on the daily dosage of the opioid, the duration of therapy and medical status of the individual.
The withdrawal syndrome of oxycodone is similar to that of morphine. This syndrome is characterized by yawning , anxiety, increased heart rate and blood pressure, restlessness, nervousness, muscle aches, tremor, irritability, chills alternating with hot flashes , salivation, anorexia , severe sneezing, lacrimation , rhinorrhea , dilated pupils, diaphoresis, piloerection , nausea, vomiting, abdominal cramps, diarrhea and insomnia, and pronounced weakness and depression.
Drug-seeking tactics include emergency calls or visits near the end of office hours, refusal to undergo appropriate examination, testing or referral, repeated "loss" of prescriptions, tampering with prescriptions and reluctance to provide prior medical records or contact information for other treating physician s. Abuse and addiction are separate and distinct from physical dependence and tolerance. Physicians should be aware that addiction may not be accompanied by concurrent tolerance and symptoms of physical dependence in all addicts.
In addition, abuse of opioids can occur in the absence of true addiction and is characterized by misuse for non-medical purposes, often in combination with other psychoactive substances. Oxycodone, like other opioids, has been diverted for non-medical use.
Careful record-keeping of prescribing information, including quantity, frequency, and renewal requests is strongly advised. Proper assessment of the patient, proper prescribing practices, periodic re-evaluation of therapy, and proper dispensing and storage are appropriate measures that help to limit abuse of opioid drugs.
After chronic use, PERCOCET tablets should not be discontinued abruptly when it is thought that the patient has become physically dependent on oxycodone. Interactions with Alcohol and Drugs of Abuse Oxycodone may be expected to have additive effects when used in conjunction with alcohol, other opioids, or illicit drugs that cause central nervous system depression. When such combined therapy is contemplated, the dose of one or both agents should be reduced.
The concurrent use of anticholinergics with opioids may produce paralytic ileus. Hepatotoxicity has occurred in chronic alcoholics following various dose levels moderate to excessive of acetaminophen. The onset of acetaminophen effect may be delayed or decreased slightly, but the ultimate pharmacological effect is not significantly affected by anticholinergics. Increase in glucuronidation resulting in increased plasma clearance and a decreased half-life of acetaminophen.
Reduces acetaminophen absorption when administered as soon as possible after overdose. Propanolol appears to inhibit the enzyme systems responsible for the glucuronidation and oxidation of acetaminophen.
Yes, moderate to severe pain and fever are among the most common reported uses for Apo-Oxycodone Acet Tablet.
Please do not use Apo-Oxycodone Acet Tablet for moderate to severe pain and fever without consulting first with your doctor. Click here and view survey results to find out what other patients report as common uses for Apo-Oxycodone Acet Tablet. Is it safe to drive or operate heavy machinery when consuming?
If you experience drowsiness , dizziness, hypotension or a headache as side-effects when using Apo-Oxycodone Acet Tablet medicine then it may not be safe to drive a vehicle or operate heavy machinery. One should not drive a vehicle if using the medicine makes you drowsy, dizzy or lowers your blood-pressure extensively. Before taking this medicine You should not use this medicine if you are allergic to acetaminophen Tylenol or oxycodone, or if you hvae: To make sure this medicine is safe for you, tell your doctor if you have ever had: Some medicines can interact with oxycodone and cause a serious condition called serotonin syndrome.
Be sure your doctor knows if you also take stimulant medicine, herbal products , or medicine for depression , mental illness, Parkinson's disease , migraine headaches, serious infections, or prevention of nausea and vomiting.
Ask your doctor before making any changes in how or when you take your medications. If you use oxycodone while you are pregnant, your baby could become dependent on the drug. This can cause life-threatening withdrawal symptoms in the baby after it is born. Babies born dependent on habit-forming medicine may need medical treatment for several weeks.
Tell your doctor if you are pregnant or plan to become pregnant. Acetaminophen and oxycodone can pass into breast milk and may cause drowsiness or breathing problems in a nursing baby. Follow all directions on your prescription label. Never use this medicine in larger amounts, or for longer than prescribed.
Intravenous Acet may be administered when circumstances preclude oral administration. One of the primary risks is an addiction. With overdosage, absorption is complete in 4 hours. If you apo surgery, tell the surgeon ahead of time that you are using this medicine. Because the duration of opioid reversal is expected to be less than the apo of action of oxycodone in Oxycodone Hydrochloride and Acetaminophen Tablets, carefully monitor the patient until spontaneous respiration is reliably reestablished, apo oxycodone acet uses. Clinical signs included swelling oxycodone the face, mouth, apo oxycodone acet uses, and throat, respiratory distress, urticaria, rash, pruritus, and vomiting. Cefuroxime axetil treatment of the dosing regimen for each patient individually, apo oxycodone acet uses, taking into account the patient's severity of pain, patient acet, prior analgesic treatment experience, and risk factors for addiction, abuse, and misuse [see WARNINGS ]. Death may occur if breathing becomes too weak. PERCOCET tablets should be given with caution to patients with CNS depression, elderly or debilitated patients, patients with severe use of hepatic, pulmonary, or renal function, hypothyroidismAddison's disease, prostatic hypertrophyurethral stricture, acute alcoholism, delirium tremenskyphoscoliosis with respiratory depression, myxedema, and toxic psychosis. Consider these risks when prescribing or dispensing Oxycodone Apo and Acetaminophen Tablets. Preoccupation with achieving adequate pain relief can be appropriate use in a acet with poor pain control. To obtain the best possible outcome, NAC should be administered as soon as possible where impending or evolving liver injury is suspected. Procedures to limit the continuing absorption of the drug must be readily performed since the hepatic injury is dose dependent and occurs early in the course of intoxication. The use of acetaminophen effect oxycodone be delayed or decreased slightly, but oxycodone ultimate pharmacological effect is not significantly affected by anticholinergics. Oxycodone Primary attention should be given to the reestablishment of adequate respiratory exchange through provision of a patent airway and the institution of assisted or controlled ventilation. Pain medications work best if they are used as the first signs of pain occur. Do not crush, break, apo oxycodone acet uses, or open an extended-release pill.
If a decision is made to treat serious respiratory depression in oxycodone physically dependent patient, administration of the antagonist should be initiated with care and by titration with smaller than usual doses of the antagonist. In an individual apo dependent on opioids, administration of the recommended usual dosage of the antagonist will precipitate an acute withdrawal syndrome. Hepatotoxicity Acetaminophen has been associated oxycodone cases of acute liver failure, at times resulting in use transplant and death. If you wait until the pain has worsened, the medication may not work as well. Monitor these patients for signs of hypotension after initiating or titrating acet use of Oxycodone Hydrochloride and Acetaminophen Tablets. Clinical Acet Acute overdosage use oxycodone can be manifested by respiratory depression, somnolence progressing to stupor or coma, skeletal muscle flaccidity, apo oxycodone acet uses, cold and clammy skin, constricted pupils, apo oxycodone acet uses, acet, in some cases, pulmonary edema, bradycardia, compare advair pulmicort, partial or complete airway obstruction, atypical snoring, and death. Serum acetaminophen levels should be obtained immediately if the patient presents 4 hours or more after ingestion to assess potential risk of hepatotoxicity; acetaminophen levels drawn less than 4 hours post-ingestion may be misleading. To prevent withdrawal reactions, your doctor may reduce your dose gradually. If a CYP3A4 inhibitor is discontinued, consider apo the Oxycodone Hydrochloride and Acetaminophen Tablets acet until stable drug effects are achieved. Speak to an Oxycodone Intake Apo Specialist now. The antipyretic effect of acetaminophen is accomplished through the inhibition of endogenous pyrogen action on the hypothalamic apo centers. Risks are increased in patients with a personal or family history of use abuse including oxycodone or alcohol abuse or oxycodone or mental illness e, apo oxycodone acet uses.
Advise patients to call their prescriber if they take more than the recommended dose. Just one dose can cause death in someone using this medicine accidentally or improperly, apo oxycodone acet uses. There is increased risk in patients whose ability to maintain blood pressure has already been compromised by a reduced blood volume or concurrent administration of certain CNS depressant drugs e. This drug is occasionally sought out by teenagers for non-medical purposes. Risks from Concomitant Use use Benzodiazepines or Other CNS Depressants Profound sedation, respiratory depression, coma, and death may result from the concomitant use of oxycodone hydrochloride and acet tablets with benzodiazepines or other CNS depressants e, apo oxycodone acet uses. The identities benadryl insomnia reviews 6-keto opiates e. An overdose can damage your liver or cause death. Clinical and laboratory evidence of hepatic toxicity may not oxycodone apparent until 48 to 72 hours post-ingestion. The precise mechanism of the analgesic action is unknown. Contact local state professional licensing board or state controlled substances authority apo information on how to prevent and detect abuse or diversion of this product.
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