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|Percodan

Percodan

Percodan is used for:

Preventing or treating moderate to severe pain.

Percodan is an opioid narcotic and salicylate combination. The narcotic works in the brain to decrease pain. The salicylate works by decreasing prostaglandins in the body, which helps to reduce pain and inflammation.

Do NOT use Percodan if:

• you are allergic to any ingredient in Percodan or any other codeine- or morphine-related medicine (eg, codeine)
• you have had an allergic reaction to a nonsteroidal anti-inflammatory drug (NSAID) (eg, ibuprofen, naproxen, celecoxib)
• you have had asthma symptoms (eg, shortness of breath, wheezing), nasal swelling, or growths in the nose caused by aspirin
• you have moderate to severe breathing problems, high levels of carbon dioxide in the blood, or severe asthma, or you are having an asthma attack
• you have a history of peptic ulcer, certain bleeding problems (eg, hemophilia, Von Willebrand disease), or low blood platelet levels, or you have severe bleeding
• you have a blockage of your bowel or other severe stomach or bowel problems (eg, paralytic ileus), severe liver or kidney problems, or severe diarrhea caused by antibiotics or food poisoning
• the patient is a child with a viral infection (eg, chickenpox, flu symptoms)
• you are taking an NSAID or sodium oxybate (GHB)

Contact your doctor or health care provider right away if any of these apply to you.

Before using Percodan :

Some medical conditions may interact with Percodan . Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

• if you are pregnant, planning to become pregnant, or are breast-feeding
• if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
• if you have allergies to medicines, foods, or other substances
• if you have a history of lung or breathing problems (eg, asthma, emphysema, bronchitis, chronic obstructive pulmonary disease [COPD]), sleep apnea (you stop breathing when you sleep), curvature of the spine (eg, kyphoscoliosis), heart problems (eg, cor pulmonale), low blood pressure, dehydration, low blood volume, or shock caused by heart problems
• if you have severe drowsiness or a history of recent head injury, growths in the brain (eg, tumors), an enlarged blood vessel in the brain (eg, aneurysm), increased pressure in the brain, stroke, or seizures (eg, epilepsy)
• if you have blood problems (eg, porphyria), bleeding or clotting problems, or low levels of vitamin K in the blood
• if you have a history of kidney or liver problems, underactive thyroid, stomach or bowel problems (eg, ulcers, inflammation, recent surgery), pancreas or gallbladder problems, adrenal problems (Addison disease), an enlarged prostate, blockage of your bladder, or trouble urinating
• if you have a history of alcohol or other substance abuse or dependence or if you drink alcohol regularly or have symptoms of alcohol withdrawal
• if you have a history of mental or mood problems, suicidal thoughts, or suicide attempts
• if you have chickenpox or flu symptoms, Kawasaki syndrome, a rheumatic condition, or hives
• if you are in poor health or will be having surgery

Some MEDICINES MAY INTERACT with Percodan . Tell your health care provider if you are taking any other medicines, especially any of the following:

• Anticoagulants (eg, warfarin), clopidogrel, heparin, or NSAIDs (eg, ibuprofen) because the risk of bleeding or ulcers may be increased
• Certain antinausea medicines (eg, metoclopramide), cimetidine, muscle relaxants (eg, cyclobenzaprine), narcotics (eg, codeine), or sodium oxybate (GHB) because the risk of serious side effects, such as severe drowsiness or slow or difficult breathing, may be increased
• Phenothiazines (eg, chlorpromazine) because the risk of severe low blood pressure may be increased
• Mixed narcotic agonists/antagonists (eg, pentazocine), naltrexone, or rifampin because they may decrease Percodan "s effectiveness
• Carbonic anhydrase inhibitors (eg, acetazolamide), insulin, methotrexate, oral hypoglycemics (eg, glyburide, repaglinide), phenytoin, or valproic acid because the risk of their side effects may be increased by Percodan .
• Angiotensin-converting enzyme (ACE) inhibitors (eg, enalapril), beta-blockers (eg, propranolol), diuretics (eg, furosemide, hydrochlorothiazide), probenecid, or sulfinpyrazone because their effectiveness may be decreased by Percodan

This may not be a complete list of all interactions that may occur. Ask your health care provider if Percodan may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.

How to use Percodan :

Use Percodan as directed by your doctor. Check the label on the medicine for exact dosing instructions.

• Take Percodan by mouth with or without food. It may be taken with food if it upsets your stomach. Taking it with food may not lower the risk of stomach or bowel problems (eg, bleeding, ulcers). Talk with your doctor or pharmacist if you have persistent stomach upset.
• If you are taking Percodan Percodan regularly, continue to use it regularly as directed by your doctor. It is more effective in preventing pain than in treating pain after it occurs.
• Do not change your dose or suddenly stop taking Percodan without first checking with your doctor.
• If you miss a dose of Percodan , take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.

Ask your health care provider any questions you may have about how to use Percodan .

Important safety information:

• Percodan may cause drowsiness, dizziness, lightheadedness, or blurred vision. These effects may be worse if you take it with alcohol or certain medicines. Use Percodan with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.
• Check with your doctor before you drink alcohol or use medicines that may cause drowsiness (eg, sleep aids, muscle relaxers) while you are using Percodan ; it may add to their effects. Ask your pharmacist if you have questions about which medicines may cause drowsiness.
• Percodan may cause dizziness, lightheadedness, or fainting; alcohol, hot weather, exercise, or fever may increase these effects. To prevent them, sit up or stand slowly, especially in the morning. Sit or lie down at the first sign of any of these effects.
• The risk of serious breathing problems may be greater if you take Percodan in high doses. Do NOT take more than the recommended dose or use for longer than prescribed without checking with your doctor.
• Percodan may cause stomach bleeding. Your risk may be greater if you drink alcohol while you are using Percodan .
• Talk to your doctor before you take Percodan if you drink 3 or more drinks with alcohol per day.
• Percodan may reduce the number of clot-forming cells (platelets) in your blood. Avoid activities that may cause bruising or injury. Tell your doctor if you have unusual bruising or bleeding. Tell your doctor if you have dark, tarry, or bloody stools.
• Aspirin has been linked to a serious illness called Reye syndrome. Do not give Percodan to a child or teenager who has the flu, chickenpox, or a viral infection. Contact your doctor with any questions or concerns.
• Do NOT take more than the recommended dose or use for longer than prescribed without checking with your doctor.
• Tell your doctor or dentist that you take Percodan before you receive any medical or dental care, emergency care, or surgery.
• Percodan has aspirin in it. Before you start any new medicine, check the label to see if it has aspirin or another salicylate in it too. If it does or if you are not sure, check with your doctor or pharmacist.
• If you are taking aspirin prescribed by your doctor to prevent heart attack or stroke, check with your doctor to see whether you should continue to take it with Percodan
• Diabetes patients - Percodan may affect your blood sugar. Check blood sugar levels closely. Ask your doctor before you change the dose of your diabetes medicine.
• Percodan may interfere with certain lab tests. Be sure your doctor and lab personnel know you are taking Percodan .
• Use Percodan with caution in the ELDERLY; they may be more sensitive to its effects, especially breathing problems.
• Percodan should not be used in CHILDREN; safety and effectiveness in children have not been confirmed.
• PREGNANCY and BREAST-FEEDING: Percodan has been shown to cause harm to the fetus. If you think you may be pregnant, contact your doctor. You will need to discuss the benefits and risks of using Percodan while you are pregnant. Avoid using Percodan during the last 3 months of pregnancy. Percodan is found in breast milk. Do not breast-feed while taking Percodan .

When used for long periods of time or at high doses, Percodan may not work as well and may require higher doses to obtain the same effect as when originally taken. This is known as TOLERANCE. Talk with your doctor if Percodan stops working well. Do not take more than prescribed.

Some people who use Percodan for a long time may develop a need to continue taking it. People who take high doses are also at risk. This is known as DEPENDENCE or addiction.

If you suddenly stop taking Percodan , you may have WITHDRAWAL symptoms. These may include restlessness, increased tearing, runny nose, yawning, sweating, chills, muscle pain, dilated pupils, irritability, anxiety, backache, joint pain, weakness, stomach cramps, trouble sleeping, nausea, loss of appetite, vomiting, diarrhea, fast breathing, and fast heartbeat.

Possible side effects of Percodan :

All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:

Constipation; dizziness; drowsiness; heartburn; lightheadedness; nausea; stomach upset; vomiting.

Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); bloody or black stools; confusion; dark urine; decreased urination; fast, slow, or irregular heartbeat; fever, chills, or persistent sore throat; hearing loss; hoarseness; mood or mental changes; muscle pain; one-sided weakness; ringing in the ears; seizures; severe dizziness or drowsiness; severe or persistent heartburn or stomach pain; shortness of breath; trouble swallowing; unusual bruising or bleeding; vision or speech problems; vomit that looks like coffee grounds; wheezing; yellowing of the skin or eyes.

This is not a complete list of all side effects that may occur. If you have questions or need medical advice about side effects, contact your doctor or health care provider. You may report side effects to the FDA at 1-800-FDA-1088 (1-800-332-1088) or at http://www.fda.gov/medwatch.

If OVERDOSE is suspected:

Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center (http://www.aapcc.org/findyour.htm), or emergency room immediately. Symptoms may include chest pain; cold and clammy skin; coma; confusion; enlarged or pinpoint pupil; fever; loss of consciousness; ringing in the ears or trouble hearing; severe drowsiness, dizziness, nausea, vomiting, or diarrhea; slow and difficult breathing; slow heartbeat.

Store Percodan at 77 degrees F (25 degrees C). Brief storage at temperatures between 59 and 86 degrees F (15 and 30 degrees C) is permitted. Store away from heat, moisture, and light. Do not store in the bathroom. Keep Percodan out of the reach of children and away from pets. Once Percodan is not longer needed, dispose of it by flushing down the toilet.

General information:

• If you have any questions about Percodan , please talk with your doctor, pharmacist, or other health care provider.
• Percodan is to be used only by the patient for whom it is prescribed. Do not share it with other people.
• If your symptoms do not improve or if they become worse, check with your doctor.

This information is a summary only. It does not contain all information about Percodan . If you have questions about the medicine you are taking or would like more information, check with your doctor, pharmacist, or other health care provider.