What should I watch for?
Tell your doctor or health care professional if your pain does not go away, if it gets worse, or if you have new or a different type of pain. You may develop tolerance to the medicine. Tolerance means that you will need a higher dose of the medicine for pain relief. Tolerance is normal and is expected if you take the medicine for a long time.
Do not suddenly stop taking it because you may develop a severe reaction. Your body becomes used to the medicine. This does NOT mean you are addicted. Addiction is a behavior related to getting and using a drug for a non-medical reason. If you have pain, you have a medical reason to take pain medicine. Your doctor will tell you how much medicine to take. If your doctor wants you to stop the medicine, the dose will be slowly lowered over time to avoid any side effects.
There are different types of narcotic medicines (opiates). If you take more than one type at the same time or if you are taking another medicine that also causes drowsiness, you may have more side effects. Give your health care provider a list of all medicines you use. Your doctor will tell you how much medicine to take. Do not take more medicine than directed. Call emergency for help if you have problems breathing or unusual sleepiness.
This medicine can irritate your stomach or cause bleeding problems. Do not smoke cigarettes or drink alcohol. Do not lie down for 30 minutes after taking this medicine to prevent irritation to your throat.
You may get drowsy or dizzy. Do not drive, use machinery, or do anything that needs mental alertness until you know how this medicine affects you. Do not stand or sit up quickly, especially if you are an older patient. This reduces the risk of dizzy or fainting spells. Alcohol may interfere with the effect of this medicine. Avoid alcoholic drinks.
Children may be at higher risk for side effects. If your child has slow breathing, noisy breathing, confusion, or unusual sleepiness, stop giving this medicine and get medical help right away.
If you are less than 15 years of age and have the chicken pox, flu, or other infection like the common cold, talk to your doctor. Do not use the medicine if you are a teenager or child that may have a viral infection.
This medicine may cause constipation. Try to have a bowel movement at least every 2 to 3 days. If you do not have a bowel movement for 3 days, call your doctor or health care professional.
Your mouth may get dry. Chewing sugarless gum or sucking hard candy, and drinking plenty of water may help. Contact your doctor if the problem does not go away or is severe.
Common and Rare Side Effects
Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.
Check with your doctor immediately if any of the following side effects occur:
Burning feeling in the chest or stomach
tenderness in the stomach area
difficult or troubled breathing
large, hive-like swelling on the face, eyelids, lips, tongue, throat, hands, legs, feet, or sex organs
shakiness and unsteady walk
tightness in the chest
unsteadiness, trembling, or other problems with muscle control or coordination
Incidence not known
continuing ringing or buzzing or other unexplained noise in the ears
difficulty with swallowing
dizziness, faintness, or lightheadedness when getting up suddenly from a lying or sitting position
fast, pounding, or irregular heartbeat or pulse
flushing or redness of the skin
painful or difficult urination
puffiness or swelling of the eyelids or around the eyes, face, lips, or tongue
sores, ulcers, or white spots on the lips or in the mouth
unusual bleeding or bruising
unusual tiredness or weakness
unusually warm skin
Get emergency help immediately if any of the following symptoms of overdose occur:
Symptoms of overdose
Agitation or combativeness
black, tarry stools
blue lips and fingernails
change in consciousness
cold, clammy skin
confusion as to time, place, or person
coughing that sometimes produces a pink frothy sputum
decreased awareness or responsiveness
difficult, fast, or noisy breathing, sometimes with wheezing
difficulty with sleeping
drowsiness to profound coma
expressed fear of impending death
extremely high fever or body temperature
fast or deep breathing
fast, weak pulse
holding false beliefs that cannot be changed by fact
irregular, fast or slow, or shallow breathing
loss of consciousness
loss of strength or energy
mood or other mental changes
muscle pain or weakness
pale or blue lips, fingernails, or skin
pale, clammy skin
swelling in the legs and ankles
unusual excitement, nervousness, or restlessness
vomiting of blood or material that looks like coffee grounds
Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:
Feeling of constant movement of self or surroundings
sensation of spinning
Incidence not known
constricted, pinpoint, or small pupils (black part of the eye)
relaxed and calm
Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.
Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.