oxymorphone

(ox i MOR fone)
Numorphan HCl

What is the most important information I should know about oxymorphone?

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Do not stop using oxymorphone suddenly if you have been using it continuously for more than 5 to 7 days. Stopping suddenly could cause withdrawal symptoms and make you very uncomfortable. Your doctor may want to gradually reduce your dose.

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Oxymorphone is only available as a suppository and as an injection. The suppositories are for rectal use only.

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Oxymorphone will cause drowsiness and fatigue. Avoid alcohol, sleeping pills, antihistamines, sedatives, and tranquilizers except under the supervision of your doctor. These may also make you drowsy.

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Oxymorphone will also cause constipation. Drink plenty of water (six to eight full glasses a day) to lessen this side effect. Increasing the amount of fiber in your diet can also help to alleviate constipation.

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Never use more oxymorphone than is prescribed for you. If your pain is not being adequately treated, talk to your doctor.

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Store the suppositories in the refrigerator.

What is oxymorphone?

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Oxymorphone is in a class of drugs called narcotic analgesics. It relieves pain.

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Oxymorphone is used to treat moderate-to-severe pain.

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Oxymorphone may also be used for purposes other than those listed in this medication guide.

Who should not use oxymorphone?

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Oxymorphone is habit forming and should only be used under close supervision if you have an alcohol or drug addiction.

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Before taking this medication, tell your doctor if you have

kidney disease;

liver disease;

asthma;

urinary retention;

an enlarged prostate;

hypothyroidism;

seizures or epilepsy;

gallbladder disease;

a head injury; or

Addison's disease.

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You may not be able to take oxymorphone, or you may require a lower dose or special monitoring during treatment if you have any of the conditions listed above.

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Oxymorphone may cause addiction and withdrawal symptoms as well as other harmful effects in an unborn baby. Do not take oxymorphone without first talking to your doctor if you are pregnant.

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Oxymorphone may also cause addiction and withdrawal symptoms in a nursing infant. Do not take oxymorphone without first talking to your doctor if you are breast-feeding a baby.

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If you are younger than 18 years of age or older than 60 years of age, you may be more likely to experience side effects from oxymorphone therapy. Use extra caution.

How should I use oxymorphone?

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Use oxymorphone exactly as directed by your doctor. Oxymorphone is available as suppositories and as an injection. The suppositories are for rectal use. Ask your nurse, doctor, or pharmacist for directions if you do not know how to use a suppository.

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Never use more of this medication than is prescribed for you. Too much oxymorphone could be very harmful.

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Do not stop using oxymorphone suddenly if you have been using it continuously for more than 5 to 7 days. Stopping suddenly could cause withdrawal symptoms and make you feel uncomfortable. Your doctor may want to gradually reduce your dose.

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Increase the amount of fiber and water (six to eight full glasses daily) in your diet to prevent constipation.

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Do not share this medication with anyone else.

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Store oxymorphone suppositories in the refrigerator.

What happens if I miss a dose?

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Use the missed dose as soon as you remember. Do not use a double dose of this medication. Wait the prescribed amount of time before using your next dose.

What happens if I overdose?

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Seek emergency medical attention.

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Symptoms of a oxymorphone overdose include slow breathing, seizures, dizziness, weakness, loss of consciousness, coma, confusion, tiredness, cold and clammy skin, and small pupils.

What should I avoid while using oxymorphone?

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Avoid alcohol while using oxymorphone. Alcohol will greatly increase the drowsiness and dizziness caused by oxymorphone and could be dangerous.

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Also avoid sleeping pills, tranquilizers, sedatives, and antihistamines except under the supervision of your doctor. These medications also may cause dangerous sedation.

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Use caution when driving, operating machinery, or performing other hazardous activities. Oxymorphone may cause drowsiness. If you experience drowsiness, avoid these activities.

What are the possible side effects of oxymorphone?

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If you experience any of the following serious side effects, stop using oxymorphone and seek emergency medical attention:

an allergic reaction (difficulty breathing; closing of your throat; swelling of your lips, tongue, or face; or hives);

slow, weak breathing;

seizures;

cold, clammy skin;

severe weakness or dizziness; or

unconsciousness.

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Other, less serious side effects may be more likely to occur. Continue to take oxymorphone and talk to your doctor if you experience

constipation;

dry mouth, nausea, vomiting, or decreased appetite;

dizziness, tiredness, or lightheadedness;

muscle twitches;

sweating;

itching;

decreased urination; or

decreased sex drive.

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Oxymorphone is habit forming. Do not stop using it suddenly.

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Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.

What other drugs will affect oxymorphone?

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Do not use oxymorphone if you have taken a monoamine oxidase inhibitor (MAOI) such as isocarboxazid (Marplan), phenelzine (Nardil), or tranylcypromine (Parnate) in the last 14 days. Dangerous side effects could result.

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The most serious interactions affecting oxymorphone are with those drugs that also cause sedation. The following drugs may lead to dangerous sedation if taken with oxymorphone:

antihistamines such as brompheniramine (Dimetane, Bromfed, others), diphenhydramine (Benadryl, Nytol, Compoz, others), chlorpheniramine (Chlor-Trimeton, Teldrin, others), and others;

tricyclic antidepressants, such as amitriptyline (Elavil) and doxepin (Sinequan), and serotonin reuptake inhibitors such as fluoxetine (Prozac), sertraline (Zoloft), and paroxetine (Paxil);

other commonly used antidepressants, including amoxapine (Asendin), clomipramine (Anafranil), desipramine (Norpramin), imipramine (Tofranil), nortriptyline (Pamelor), and protriptyline (Vivactil);

anticholinergics such as belladonna (Donnatal), clidinium (Quarzan), dicyclomine (Bentyl, Antispas), hyoscyamine (Levsin, Anaspaz), ipratropium (Atrovent), propantheline (Pro-Banthine), and scopolamine (Transderm-Scop);

phenothiazines such as chlorpromazine (Thorazine), fluphenazine (Prolixin), thioridazine (Mellaril), and prochlorperazine (Compazine); and

tranquilizers and sedatives such as phenobarbital (Solfoton, Luminal), amobarbital (Amytal), secobarbital (Seconal), alprazolam (Xanax), diazepam (Valium), lorazepam (Ativan), flurazepam (Prosom), and temazepam (Restoril).

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Do not take any of the drugs listed above without the approval of your doctor.

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Drugs other than those listed here may also interact with oxymorphone. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines.

Where can I get more information?

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Your pharmacist has additional information about oxymorphone written for health professionals that you may read.

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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.

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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.