Butorphanol SolutionGeneric Name:
Butorphanol (byoo-TOR-fan-ahl)Brand Name:
Generic only. No brands available.
Butorphanol Solution is used for:
Relieving headache or pain due to surgery, labor, or other causes. It may also be used for other conditions as determined by your doctor.
Butorphanol Solution is a narcotic analgesic. It works by blocking certain nerve stimulation that causes pain.
Do NOT use Butorphanol Solution if:
- you are allergic to any ingredient in Butorphanol Solution
- you are taking sodium oxybate (GHB) or you drink alcohol
- you have diarrhea due to poisoning, difficulty breathing, or pseudomembranous colitis
- you are dependent on narcotic pain relievers
Contact your doctor or health care provider right away if any of these apply to you.
Before using Butorphanol Solution:
Some medical conditions may interact with Butorphanol Solution. 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 stomach problems; prostate problems; asthma or other breathing problems; heart problems; liver disease; high blood pressure; an underactive thyroid; increased pressure on the brain or a brain lesion; thoughts of suicide; seizures; bowel problems; urinary problems, or you have had a recent heart attack, surgery, or trauma
- if you have a history of substance abuse or dependence
Some MEDICINES MAY INTERACT with Butorphanol Solution. Tell your health care provider if you are taking any other medicines, especially any of the following:
- Naltrexone or rifampin because they may decrease Butorphanol Solution's effectiveness
- Cimetidine or ketorolac because side effects, such as difficulty breathing or seizures, may occur
- Barbiturate anesthetics (eg, thiopental) or sodium oxybate (GHB) because the risk of their side effects may be increased by Butorphanol Solution
- Methadone or mexiletine because their effectiveness may be decreased by Butorphanol Solution
This may not be a complete list of all interactions that may occur. Ask your health care provider if Butorphanol Solution 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 Butorphanol Solution:
Use Butorphanol Solution as directed by your doctor. Check the label on the medicine for exact dosing instructions.
- An extra patient leaflet is available with Butorphanol Solution. Talk to your pharmacist if you have questions about this information.
- Butorphanol Solution is supplied as a nasal pump. Your pharmacist may have assembled the pump for you.
- The usual dose of Butorphanol Solution is one spray into one nostril. Do not spray into both nostrils unless directed by your doctor.
- If you miss a dose of Butorphanol Solution and are using it regularly, use 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 use 2 doses at once.
Ask your health care provider any questions you may have about how to use Butorphanol Solution.
Important safety information:
- Butorphanol Solution may cause drowsiness or dizziness. These effects may be worse if you take it with alcohol or certain medicines. Use Butorphanol Solution with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.
- Do not drink alcohol or use medicines that may cause drowsiness (eg, sleep aids, muscle relaxers) while you are using Butorphanol Solution; 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 Butorphanol Solution before you receive any medical or dental care, emergency care, or surgery.
- Do NOT take more than the recommended dose or use for longer than prescribed without checking with your doctor.
- Use Butorphanol Solution with caution in the ELDERLY; they may be more sensitive to its effects.
- Butorphanol Solution should not be used in CHILDREN; safety and effectiveness in children have not been confirmed.
- PREGNANCY and BREAST-FEEDING: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using Butorphanol Solution while you are pregnant. It is not known if Butorphanol Solution is found in breast milk. If you are or will be breast-feeding while you use Butorphanol Solution, check with your doctor. Discuss any possible risks to your baby.
Some people who use Butorphanol Solution 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 stop taking Butorphanol Solution suddenly, you may have WITHDRAWAL symptoms. This may include unpleasant feelings. In more severe cases, you may have stomach and muscle cramps, vomiting, sweating, and shakiness. Seizures may rarely occur. If you take Butorphanol Solution for more than 1 to 2 weeks, do not stop taking it without talking to your doctor.
Possible side effects of Butorphanol Solution:
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:
Blurred vision; dizziness; drowsiness; dry mouth; lightheadedness; nasal irritation; nasal stuffiness; nausea; runny nose; sleeplessness; sore throat; stuffy nose; unpleasant taste.Seek medical attention right away if any of these SEVERE side effects occur:
Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); anxiety; blurred vision; chest pain; confusion; cough; ear pain; excessive confusion; excessive drowsiness; fainting; flushing; rash or hives; restlessness; ringing in the ears; seizures; slow or difficult breathing; slow or irregular heartbeat; tremors; vomiting.
This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088. You may also report side effects 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), or emergency room immediately. Symptoms may include cold and clammy skin; deep sleep; dizziness; drowsiness; lightheadedness; loss of consciousness; slowed breathing; and slowed heartbeat.Proper storage of Butorphanol Solution:
Store Butorphanol Solution at room temperature, between 59 and 77 degrees F (15 and 25 degrees C). Store away from heat, moisture, and light. Do not store in the bathroom. Keep Butorphanol Solution out of the reach of children and away from pets.
- If you have any questions about Butorphanol Solution, please talk with your doctor, pharmacist, or other health care provider.
- Butorphanol Solution 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 summary only. It does not contain all information about Butorphanol Solution. 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.
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