morphine and naltrexone (cont.)
What happens if I miss a dose (Embeda)?
Take the missed dose as soon as you remember. If it is almost time for the next dose, skip the missed dose and wait until your next regularly scheduled dose. Do not use extra medicine to make up the missed dose.
Morphine and naltrexone is not for use on an as-needed basis for pain.
What happens if I overdose (Embeda)?
Seek emergency medical attention if you think you have used too much of this medicine. An overdose of morphine and naltrexone can be fatal. Overdose symptoms may include extreme drowsiness or limp feeling, pinpoint or dilated pupils, cold and clammy skin, weak pulse, shallow breathing, fainting, or breathing that stops.
What should I avoid while using morphine and naltrexone (Embeda)?
Do not drink alcohol while you are taking this medication. Dangerous side effects or death can occur when alcohol is combined with morphine and naltrexone.
Morphine and naltrexone 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.
What other drugs will affect morphine and naltrexone (Embeda)?
Before taking this medication, tell your doctor if you take other medications that can make you sleepy or slow your breathing. This includes cold or allergy medicine, sedatives, narcotic pain medicine, sleeping pills, muscle relaxers, and medicine for seizures, depression or anxiety.
Also tell your doctor if you are using pentazocine (Talwin), nalbuphine (Nubain), butorphanol (Stadol), or buprenorphine (Buprenex, Subutex).
Tell your doctor about all other medications you use, especially:
- a diuretic (water pill);
- quinidine (Quinaglute, Quinidex, Quin-Release);
- atropine (Atreza, Sal-Tropine), belladonna (Donnatal, and others), benztropine (Cogentin), dimenhydrinate (Dramamine), methscopolamine (Pamine), or scopolamine (Transderm-Scop);
- a bronchodilator such as ipratropium (Atrovent) or tiotropium (Spiriva);
- ulcer or irritable bowel medication;
- bladder or urinary medications such as tolterodine (Detrol);
- an antibiotic such as clarithromycin (Biaxin) or erythromycin (E.E.S., EryPed, Ery-Tab, Erythrocin);
- an antifungal medication such as itraconazole (Sporanox) or ketoconazole (Nizoral);
- heart or blood pressure medication such as amiodarone (Cordarone, Pacerone), diltiazem (Cartia, Cardizem), felodipine (Plendil), nicardipine (Cardene), or verapamil (Calan, Covera, Isoptin, Verelan);
- HIV or AIDS medication such as indinavir (Crixivan) or ritonavir (Kaletra, Norvir); or
- medicines used to prevent organ transplant rejection.
This list is not complete and there may be other drugs that can interact with morphine and naltrexone. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.
Where can I get more information?
Your pharmacist can provide more information about morphine and naltrexone.
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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