Marinol Marinol

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Marinol, |Marinol Marinol
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Marinol

Generic Name: dronabinol (droe NAH bih nol)
Brand Names: Marinol

What is dronabinol?

Dronabinol is a man-made form of cannabis (marijuana is an herbal form of cannabis). Dronabinol causes many effects on your central nervous system.

Dronabinol is used to treat loss of appetite in people with AIDS. It is also used to treat severe nausea and vomiting that is caused by cancer chemotherapy. Dronabinol is for use only when other medications have been unable to control the nausea and vomiting.

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

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

Dronabinol may be habit-forming and should be used only by the person it was prescribed for. Dronabinol should never be given to another person, especially someone who has a history of drug addiction or habitual marijuana use. Keep the medication in a secure place where others cannot get to it. Do not use dronabinol if you have ever had an allergic reaction to natural or man-made marijuana.

Before taking dronabinol, tell your doctor if you have a seizure disorder, high blood pressure, heart disease, a history of mental illness or drug addiction, or if you are also using other medicines that can affect your central nervous system, such as a tranquilizer, sleep medicine, or anti-psychotic medications.

Use this medication exactly as it was prescribed for you. Do not use it in larger amounts or for longer than recommended by your doctor.

Avoid using other medicines that affect the central nervous system (such as stimulants, diet pills, cold medicine, pain medication, muscle relaxers, and medicine for seizures, depression, anxiety, mental illness, or Parkinson"s disease). These other drugs can add to the effects of dronabinol.

Dronabinol causes effects that will impair your thinking or reactions. Do not drive or do anything that requires you to be awake and alert until the effects of dronabinol wear off.

There are many other medicines that can add to the side effects of dronabinol. 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.

What should I discuss with my health care provider before taking dronabinol?

Do not use this medication if you are allergic to sesame oil, or if you have ever had an allergic reaction to natural or man-made marijuana such as dronabinol or nabilone (Cesamet).

Before using dronabinol, tell your doctor if you are allergic to any drugs, or if you have:

  • epilepsy or other seizure disorder;

  • high blood pressure (hypertension);

  • heart disease;

  • past or present mental illness such as depression, schizophrenia, or other psychotic disorders;

  • a history of drug or alcohol addiction; or

  • if you are also using other medicines that can affect your central nervous system, such as a tranquilizer, sleep medicine, or anti-psychotic medications.

If you have any of these conditions, you may not be able to use dronabinol, or you may need a dosage adjustment or special tests during treatment.

Dronabinol may be habit-forming and should be used only by the person it was prescribed for. Dronabinol should never be given to another person, especially someone who has a history of drug abuse or habitual marijuana use. Keep the medication in a secure place where others cannot get to it. FDA pregnancy category C. This medication may be harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment. Dronabinol can pass into breast milk and may harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.

Older adults may be especially sensitive to the side effects of dronabinol.

Dronabinol is not for use in patients younger than 18 years old.

How should I take dronabinol?

Take this medication exactly as it was prescribed for you. Do not take the medication in larger amounts, or take it for longer than recommended by your doctor. Follow the directions on your prescription label.

As an appetite stimulant, dronabinol is usually taken before lunch and dinner.

To prevent nausea and vomiting, dronabinol is usually given 1 to 3 hours before you receive your chemotherapy treatment, and every 2 to 4 hours afterward. Follow your doctor"s instructions.

Store dronabinol at cool room temperature. You may store the medicine in the refrigerator, but do not allow it to freeze.

What happens if I miss a dose?

Take the missed dose as soon as you remember. If it is almost time for your next dose, skip the missed dose and take the medicine at the next regularly scheduled time. Do not take extra medicine to make up the missed dose.

What happens if I overdose?

Seek emergency medical attention if you think you have used too much of this medicine. Symptoms of a dronabinol overdose may include dry mouth, extreme drowsiness, feeling extremely happy or sad, fast heartbeat, memory problems, urinating less than usual or not at all, disorientation, unusual thoughts or behaviors, problems with speech or coordination, panic, fainting, or seizure (convulsions).

What should I avoid while taking dronabinol?

Avoid using other medicines that affect the central nervous system (such as stimulants, diet pills, cold medicine, pain medication, muscle relaxers, and medicine for seizures, depression, anxiety, mental illness, or Parkinson"s disease). These other drugs can add to the effects of dronabinol.

Dronabinol causes effects that will impair your thinking or reactions. Do not drive or do anything that requires you to be awake and alert until the effects of dronabinol wear off.

Dronabinol side effects

Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Stop using dronabinol and call your doctor at once if you have any of these serious side effects:

  • seizure (convulsions);

  • paranoia, extreme fear;

  • fast heart rate;

  • feeling light-headed, fainting; or

  • unusual thoughts or behavior.

Continue using dronabinol and talk with your doctor if you have any of these less serious side effects:

  • mood changes;

  • dizziness, trouble concentrating;

  • feeling "high";

  • weakness, lack of coordination;

  • anxiety, confusion;

  • stomach pain, nausea, vomiting, diarrhea;

  • warmth or tingly feeling; or

  • sleep problems (insomnia).

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 dronabinol?

Before taking dronabinol, tell your doctor if you are using any of the following drugs:

  • sedatives such as Ativan, Dalmane, Halcion, Klonopin, Librium, ProSom, Restoril, Tranxene, Valium, Xanax;

  • barbiturates such as butalbital (Fiorinal), phenobarbital (Luminal, Solfoton), secobarbital (Seconal);

  • amphetamines, including stimulants and medicine to treat attention deficit hyperactivity disorder (ADHD);

  • prescription or over-the-counter weight loss aids (Dexatrim, Meridia);

  • antidepressants such as amitriptyline (Elavil), amoxapine (Ascendin), clomipramine (Anafranil), desipramine (Norpramin), imipramine (Tofranil), or nortriptyline (Pamelor);

  • lithium;

  • theophylline (Respbid, Slo-Bid, Theo-24, Theo-Dur, Uniphyl);

  • buspirone (BuSpar);

  • atropine (Donnatal, and others);

  • belladonna, dicyclomine (Bentyl);

  • clidinium (Quarzan);

  • glycopyrrolate (Robinul);

  • hyoscyamine (Anaspaz, Cystospaz, Levsin, and others);

  • mepenzolate (Cantil);

  • methscopolamine (Pamine), and scopolamine (Transderm-Scop);

  • methantheline (Provocholine), propantheline (Pro-Banthine); or

  • street drugs such as cocaine or Ectasy.

If you are using any of these drugs, you may not be able to use dronabinol, or you may need dosage adjustments or special tests during treatment.

There may be other drugs not listed that can affect dronabinol. 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 has more information about dronabinol written for health professionals that you may read.

What does my medication look like?

Dronabinol is available with a prescription under the brand name Marinol. Other brand or generic formulations may also be available. Ask your pharmacist any questions you have about this medication, especially if it is new to you.

  • Marinol 2.5 mg--white, round, gelatin capsules

  • Marinol 5 mg--brown, round, gelatin capsules

  • Marinol 10 mg--orange, round, gelatin capsules

  • 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.
Copyright 1996-2006 Cerner Multum, Inc. Version: 4.03. Revision Date: 8/28/06 5:01:22 PM.



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