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|Trycet Trypsin/Balsam Peru/Castor Oil

Trycet

Trycet is used for:

Treating mild to moderate pain.

Trycet is a combination analgesic. It works in the brain to decrease pain.

Do NOT use Trycet if:

• you are allergic to any ingredient in Trycet
• you have severe diarrhea or other bowel problems caused by antibiotics or food poisoning
• you are taking sodium oxybate (GHB)

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

Before using Trycet :

Some medical conditions may interact with Trycet . Tell your health care provider 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 hepatitis, other liver problems, kidney problems, lung or breathing problems (eg, asthma), thyroid problems, heart problems, urinary problems (eg, narrowing of the urinary tract), prostate problems, or the blood disease porphyria
• if you have a history of depression, other mental or mood problems, head injury, growths in your brain, increased pressure in your brain, seizures, or suicidal thoughts or actions
• if you have stomach or bowel problems (eg, inflammation) or have had surgery of the stomach or bowel
• if you drink alcohol regularly or drink more than 3 alcoholic drinks per day
• if you have a history of dependence on alcohol or any other substance

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

• Anticoagulants (eg, warfarin) because the risk of bleeding may be increased
• Cimetidine, HIV protease inhibitors (eg, ritonavir), or isoniazid because they may increase the risk of Trycet "s side effects
• Naltrexone because it may decrease Trycet "s effectiveness and may cause withdrawal symptoms
• Anticonvulsants (eg, carbamazepine), antidepressants (eg, amitriptyline, fluoxetine), barbiturate anesthetics (eg, thiopental), or sodium oxybate (GHB) because the risk of their side effects may be increased by Trycet
• Medicines that may harm the liver (eg, methotrexate, ketoconazole) because the risk of liver side effects may be increased. Ask your doctor if you are unsure if any of your medicines might harm the liver.

This may not be a complete list of all interactions that may occur. Ask your health care provider if Trycet 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 Trycet :

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

• An extra patient leaflet may be available with Trycet . Talk to your pharmacist if you have questions about this information.
• Take Trycet by mouth with or without food. If stomach upset occurs, take with food to reduce stomach irritation.
• If you miss a dose of Trycet and you are taking it regularly, 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 Trycet .

Important safety information:

• Trycet may cause drowsiness, dizziness, or minor vision changes. These effects may be worse if you take it with alcohol or certain medicines. Use Trycet with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.
• If dizziness, drowsiness, nausea, or vomiting occur while you are taking Trycet , it may help to lie down.
• Drinking alcohol while you use Trycet may cause serious side effects. Talk to your doctor before drinking alcohol while you use Trycet . Limit your intake of alcohol while you are using Trycet .
• Talk to your doctor before you take any other medicines that may cause drowsiness (eg, antihistamines, sleep aids, muscle relaxers) while you use Trycet ; it may add to their effects. Ask your pharmacist if you have questions about which medicines may cause drowsiness.
• Tell your doctor or dentist that you take Trycet before you receive any medical or dental care, emergency care, or surgery.
• Trycet may be habit-forming. Do NOT take more than the recommended dose or use for longer than prescribed without checking with your doctor.
• Trycet has acetaminophen in it. Before you start any new medicine, check the label to see if it has acetaminophen in it too. If it does or if you are not sure, check with your doctor or pharmacist.
• Use Trycet with caution in the ELDERLY; they may be more sensitive to its effects.
• Trycet should not be used in CHILDREN younger than 12 years old; safety and effectiveness in these children have not been confirmed.
• PREGNANCY and BREAST-FEEDING: Trycet may 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 Trycet while you are pregnant. Trycet is found in breast milk. If you are or will be breast-feeding while you use Trycet , check with your doctor. Discuss any possible risks to your baby.

When used for long periods of time or at high doses, Trycet 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 Trycet stops working well. Do not take more than prescribed.

Some people who use Trycet 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 Trycet , you may experience WITHDRAWAL symptoms including anxiety; diarrhea; fever, runny nose, or sneezing; goose bumps and abnormal skin sensations; nausea; vomiting; pain; rigid muscles; rapid heartbeat; seeing, hearing, or feeling things that are not there; shivering or tremors; sweating; and trouble sleeping.

Possible side effects of Trycet :

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; headache; lightheadedness; nausea; stomach pain; vomiting.

Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); change in amount of urine produced; dark urine; hallucinations; mental or mood changes; severe drowsiness or dizziness; severe or persistent stomach pain; severe or persistent vision changes; 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 anxiety; blue, cold, or clammy skin; confusion; dark urine; decreased urination; dilated or pinpoint pupils; excessive sweating; irregular heartbeat; loss of appetite; loss of consciousness; muscle pain; seizures; severe drowsiness or dizziness; severe or persistent nausea, vomiting, or stomach pain; severe or persistent weakness; trouble breathing; yellowing of the skin or eyes.

Store Trycet at room temperature, between 68 and 77 degrees F (20 and 25 degrees C), in a tightly closed container. Store away from heat, moisture, and light. Keep Trycet out of the reach of children and away from pets.

General information:

• If you have any questions about Trycet , please talk with your doctor, pharmacist, or other health care provider.
• Trycet 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 Trycet . 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.