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Cancer%20 pain%20medication
Cancer%20 pain%20medication
Cancer%20 pain%20medication
Cancer%20 pain%20medication
Cancer%20 pain%20medication
Cancer%20 pain%20medication
Cancer%20 pain%20medication
Cancer%20 pain%20medication
Cancer%20 pain%20medication
Cancer%20 pain%20medication
Cancer%20 pain%20medication
Cancer%20 pain%20medication
Cancer%20 pain%20medication
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Cancer%20 pain%20medication

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  • 1. Cancer Pain Medicationmeperidinehydrochloride Trade Name(s): Demerol, Mepergan Fortis Type of Drug: Meperidine hydrochloride is a synthetic opioid analgesic, similar to morphine. How Drug Works: Meperidine hydrochloride relieves moderate to severe acute pain. It binds to opioid receptors in the brain and central nervous system (CNS), altering the perception of pain as well as the emotional response to pain. How Drug Is Given: Meperidine hydrochloride can be given by an injection in a vein, in the muscle, or under the skin. It can also be given as a pill by mouth. The dose depends on the reason the medicine is being given and how well your pain goes away with the dose. How Should I Take This Drug? Take this drug exactly as directed by your doctor. If you do not understand the instructions, ask your doctor or nurse to explain them to you. Read the following information. If you do not understand it or if any of it causes you special concern, check with your doctor. Before taking this drug, tell your doctor if you are taking any other prescription or over-the-counter drugs, including vitamins and herbals. Should I avoid any other medications, foods, alcohol, and/or activities? Your prescription and nonprescription medications may interact with other drugs, causing a harmful effect. Certain foods or alcohol can also interact with drug products. Never begin taking a new medication, prescription or nonprescription, without asking your doctor or nurse if it will interact with alcohol, foods or other medications. Some drug products can cause drowsiness and may affect activities such as driving. Precautions: Take the smallest effective dose to prevent development of tolerance (larger doses needed to give the same effect) as well as physicalHurst Review Services 1
  • 2. dependence (body goes into withdrawal if drug is suddenly stopped). This is different from addiction, which is psychological dependence (take drug for psychological effect, not for relief of pain). Tell your doctor or nurse if you still are in pain even though you are taking the medicine as directed. Since meperidine hydrochloride affects the central nervous system (CNS), it is important not to take other drugs or substances that are known CNS depressants such as alcohol, sedatives, and hypnotics. Acetaminophen or aspirin may be combined with meperidine hydrochloride to increase pain relief. You should be on a bowel regimen to prevent constipation while you are taking opioid pain relievers. Talk to your nurse or doctor about this. Meperidine hydrochloride is used to relieve acute pain, such as postoperative pain. It should not be used to manage chronic pain related to cancer. The pain relief is short acting, and frequent use can cause dangerous side effects. Tell all the doctors, dentists, and pharmacists you visit that you are taking this drug. Most of the following side effects probably will not occur. Your doctor or nurse will want to discuss specific care instructions with you. They can help you understand these side effects and help you deal with them. Side Effects: More Common Side Effects: Constipation Drowsiness Sedation Nausea Vomiting Dizziness Dry mouth Less Common Side Effects: Changes in mood Euphoria Mental clouding Decreased breathing rate Decreased blood pressure when changing position Delayed digestionHurst Review Services 2
  • 3. Decreased heart rate Rare Side Efects: Difficulty urinating Seizures Decreased sexual interest Impotence Side Effects/Symptoms of the Drug: Drink fluids (8 oz every hour in sips) to prevent constipation. Also, try to eat foods high in fiber such as bran, fruits, and vegetables. You may need to take a stool softener, bulk–forming agent, and/or laxative to help keep your bowel movements regular. Call your doctor or nurse right away if you have not moved your bowels in 2 days. Abruptly stopping the drug can cause anxiety, dizziness, nausea and vomiting, and tiredness. The drug should be gradually stopped. Other side effects not listed above can also occur in some patients. Tell your doctor or nurse if you develop any problems. FDA Approval: YesHurst Review Services 3
  • 4. fentanyltransdermalsystem Trade Name(s): Duragesic Type of Drug: Fentanyl transdermal system is an opioid analgesic. How Drug Works: Fentanyl transdermal system relieves moderate to severe pain. Fentanyl binds to opioid receptors in the brain and central nervous system, altering the perception of pain as well as the emotional response to pain. Fentanyl transdermal system is a patch. The patch is placed on the skin, and the drug is absorbed through the skin. How Drug Is Given: Fentanyl transdermal system is a patch that has the medicine inside it. When you first start the patch, you will not feel its effect for 17 to 20 hours, so you need to take other pain medicine until the patch starts working. The patch is put firmly on the skin. First, find a good place on your body to put the patch; it should be clean, flat, and without any skin injury, bumps, etc. The best sites to apply the patch are on the chest below the collar bones, on your back, or on the tops of your arms. Choose sites that will not bend or wrinkle a lot. Avoid skin that is irritated or has been radiated. You can clip any of the hair at the site but do not shave it. Then, press the patch firmly to the skin, and keep the palm of your hand pressed on the patch for at least 30 to 60 seconds. Make sure that all the edges stick to your skin. Some people like to tape the patch to the skin with paper tape or put a film dressing over it. If it is very hot and you sweat a lot, you may need to use a sticky solution like Skin Prep or benzoin. Ask your nurse or doctor about this. Write the date and time on the white sticker that comes with the patch. When you shower, you can cover the patch with plastic wrap lightly taped over it, or you may not have to use anything. The patch should be left on for 3 days. Try to change the patch at about the same time of the day. Sometimes, especially if you have high fevers, you may need to change the patch every 2 days. When you remove the old patch, gently pull it off the skin and then fold it in half back on itself. Flush it down the toilet in case there is some drug left in it. Keep the box of unopened patches in a safe place and out of the reach of children or pets. The dose depends on how much opioid medicine you needed before to control your pain. If you did not get good control with the other medicine, the patch dose should be higher than the pill dose; the right dose is the dose that controls your pain.Hurst Review Services 4
  • 5. How Should I Take This Drug? Take this drug exactly as directed by your doctor. If you do not understand these instructions, ask your doctor or nurse to explain them to you. Read the following information. If you do not understand it or if any of it causes you special concern, check with your doctor. Before taking this drug, tell your doctor if you are taking any other prescription or over-the-counter drugs, including vitamins and herbals. Should I avoid any other medications, foods, alcohol, and/or activities? Your prescription and nonprescription medications may interact with other drugs, causing a harmful effect. Certain foods or alcohol can also interact with drug products. Never begin taking a new medication, prescription or nonprescription, without asking your doctor or nurse if it will interact with alcohol, foods or other medications. Some drug products can cause drowsiness and may affect activities such as driving. Precautions: If you have never taken opioid pain relievers before, your doctor will start you at the lowest dose. Keep a record of the pain relievers you are taking so that you can show it to your doctor or nurse. This will help in determining the best dosage for you. Since fentanyl transdermal system affects the central nervous system (CNS), it is important not to take other drugs or substances that are known CNS depressants such as alcohol, sedatives, and hypnotics. You should be on a bowel regimen to prevent constipation while you are taking opioid pain relievers. Talk to your nurse or doctor about this. Acetaminophen or aspirin may be combined with fentanyl transdermal system to increase the pain relief action. Take the smallest effective dose to prevent development of tolerance and physical dependence. Tolerance can develop (larger doses are needed to give the same effect) as well as physical dependence (body goes into withdrawal if drug is suddenly stopped). This is different from addiction, which is psychological dependence (taking drug for psychological effect, not for relief of pain). Tell your doctor or nurse if you still have pain even though you are taking the medicine asHurst Review Services 5
  • 6. directed. Tell all the doctors, dentists, and pharmacists you visit that you are taking this drug. Most of the following side effects probably will not occur. Your doctor or nurse will want to discuss specific care instructions with you. They can help you understand these side effects and help you deal with them. Side Effects: More Common Side Effects: Sleepiness Constipation Dizziness Nausea Less Common Side Effects: Difficulty breathing Confusion Tremors Euphoria Vomiting Decreased blood pressure when changing positions Difficulty urinating Decreased breathing rate Depression Lack of coordination Difficulty speaking Chest pain Sweating Rash ItchingHurst Review Services 6
  • 7. Rare Side Efects: Blood–tinged sputum Hiccups Hallucinations Sore throat Asthma Headache Side Effects/Symptoms of the Drug: Tell your doctor or nurse right away if you have any difficulty breathing, in passing your urine, or walking. Report any other problems. Tell your doctor or nurse if you have skin problems where you apply the patch. They will tell you ways to prevent this. Other side effects not listed above can also occur in some patients. Tell your doctor or nurse if you develop any problems.Hurst Review Services 7
  • 8. FDA Approval: Yeshydromorphone Trade Name(s): Dilaudid Type of Drug: Hydromorphone is an opioid analgesic. How Drug Works: Hydromorphone relieves moderate to severe pain and is similar to morphine. It binds to opioid receptors in the brain and central nervous system (CNS), altering the perception of pain as well as the emotional response to pain. How Drug Is Given: Hydromorphone is given in a number of ways. It can be given by mouth as a pill or a liquid. As an injection, it is given under the skin or in a vein as a short infusion or a continuous infusion with extra medicine that you can take when needed (patient controlled analgesia or PCA). It can also be given as a rectal suppository. Take the pill or liquid with a full glass of water, with or without food. Make sure to shake the liquid before pouring the dose. When taking a suppository, open the package and dip the tip in water. If you are right–handed, lie down on your left side, bring your knees up near your chest, and insert the suppository in your rectum about an inch. Stay in this position for about 15 minutes, then get up and wash your hands well. The dose depends on how well the medicine controls your pain. The medicine will cause constipation, so make sure you take a laxative regularly to prevent this. Keep the medicine in a tightly closed container away from heat and moisture and out of the reach of children and pets. How Should I Take This Drug? Take this drug exactly as directed by your doctor. If you do not understand the instructions, ask your doctor or nurse to explain them to you. Read the following information. If you do not understand it or if any of it causes you special concern, check with your doctor. Before taking this drug, tell your doctor if you are taking any other prescription or over-the-counter drugs, including vitamins and herbals. Should I avoid any other medications, foods, alcohol, and/orHurst Review Services 8
  • 9. activities? Your prescription and nonprescription medications may interact with other drugs, causing a harmful effect. Certain foods or alcohol can also interact with drug products. Never begin taking a new medication, prescription or nonprescription, without asking your doctor or nurse if it will interact with alcohol, foods or other medications. Some drug products can cause drowsiness and may affect activities such as driving. Precautions: Take the smallest effective dose to prevent development of tolerance and physical dependence. Tolerance (larger doses needed to give the same effect) can develop as well as physical dependence (body goes into withdrawal if drug is suddenly stopped). This is different from addiction, which is psychological dependence (take drug for psychological effect, not for relief of pain). Tell your doctor or nurse if you still have pain even though you are taking the medicine as directed. Since hydromorphone affects the central nervous system, it is important not to take other drugs or substances that are known CNS depressants such as alcohol, sedatives, and hypnotics. Acetaminophen or aspirin may be combined with hydromorphone to increase the pain relief action. You should be on a bowel regimen to prevent constipation while you are taking opioid pain relievers. Talk to your nurse or doctor about this. Tell all the doctors, dentists, and pharmacists you visit that you are taking this drug. Most of the following side effects probably will not occur. Your doctor or nurse will want to discuss specific care instructions with you. They can help you understand these side effects and help you deal with them. Side Effects: More Common Side Effects: Constipation Drowsiness Sedation Dizziness Nausea Dry mouthHurst Review Services 9
  • 10. Less Common Side Effects: Mood changes Euphoria Mental clouding Decreased breathing rate Vomiting Delayed digestion Decreased blood pressure when changing position Decreased heart rate Rare Side Efects: Small pupils in the eyes Seizures Difficulty urinating Decreased sexual interest Impotence Bowel rupture due to constipation Side Effects/Symptoms of the Drug: Drink fluids (8 oz every hour in sips) to prevent constipation. Also, try to eat foods high in fiber such as bran. You may need to take a stool softener, bulk–forming agent, and/or laxative to help keep your bowel movements regular. Call your doctor or nurse right away if you have not moved your bowels in 2 days. Abruptly stopping the drug can cause anxiety, dizziness, nausea and vomiting, and tiredness. The drug should be gradually discontinued.Hurst Review Services 10
  • 11. oxycodone Trade Name(s): Endodan, Oxycontin, Percocet, Percodan, Roxiprin Type of Drug: Oxycodone is a synthetic opioid analgesic, similar to morphine. How Drug Works: Oxycodone relieves moderate to moderately severe pain. It binds to opioid receptors in the brain and central nervous system (CNS), altering the perception of pain as well as the emotional response to it. It also suppresses the cough reflex. How Drug Is Given: Oxycodone comes in a number of preparations to take by mouth. Oxycodone by itself is an immediate– release pill that lasts 3 to 4 hours. Sustained–release pills (like Oxycontin) are taken every 12 hours. Try to drink an 8 oz glass of water or fluid every hour to help prevent constipation. You should take a laxative so that you move your bowels at least every other day. The dose depends on how much is needed to control your pain. Keep the medicine in a tightly closed container away from heat and moisture and out of the reach of children and pets. How Should I Take This Drug? Take this drug exactly as directed by your doctor. If you do not understand the instructions, ask your doctor or nurse to explain them to you. Read the following information. If you do not understand it or if any of it causes you special concern, check with your doctor. Before taking this drug, tell your doctor if you are taking any other prescription or over-the-counter drugs, including vitamins and herbals. Should I avoid any other medications, foods, alcohol, and/or activities? Your prescription and nonprescription medications may interact with other drugs, causing a harmful effect. Certain foods or alcohol can also interact with drug products. Never begin taking a new medication, prescription or nonprescription, without asking your doctor or nurse if it will interact with alcohol, foods or other medications. Some drug products can cause drowsiness and may affect activities such as driving. Precautions: Take the smallest effective dose to prevent development of tolerance and physical dependence. Tolerance (larger doses needed to give the same effect) can develop as well as physical dependence (body goes into withdrawal if drug is suddenly stopped). This is different from addiction, which is psychological dependence (take drug for psychological effect, not for relief of pain). Tell your doctor or nurse if you still have pain even though you are taking the medicine as directed. Since oxycodone affects the central nervous system (CNS), it is important not to take other drugs or substances that are known CNS depressants such as alcohol, sedatives, and hypnotics. Acetaminophen or aspirin may be combined with oxycodone to increase the pain relief action.Hurst Review Services 11
  • 12. You should be on a bowel regimen to prevent constipation while you are taking opioid pain relievers. Talk to your nurse or doctor about this. Tell all the doctors, dentists, and pharmacists you visit that you are taking this drug. Most of the following side effects probably will not occur. Your doctor or nurse will want to discuss specific care instructions with you. They can help you understand these side effects and help you deal with them. Side Effects: More Common Side Effects: Constipation Drowsiness Sedation Nausea Dizziness Dry mouth Less Common Side Effects: Vomiting Changes in mood Euphoria Depression Confusion Decreased breathing rate Decreased blood pressure when changing position Delayed digestion Decreased heart rate Rare Side Efects: Difficulty urinating Decreased sexual interest ImpotenceHurst Review Services 12
  • 13. Side Effects/Symptoms of the Drug: Drink fluids (8 oz every hour in sips) to prevent constipation. Also, try to eat foods high in fiber such as bran, fruits, and vegetables. You may need to take a stool softener, bulk–forming agent, and/or laxative to help keep your bowel movements regular. Call your doctor or nurse right away if you have not moved your bowels in 2 days. Abruptly stopping the drug can cause anxiety, dizziness, nausea and vomiting, and tiredness. The drug should be gradually discontinued. Other side effects not listed above can also occur in some patients. Tell your doctor or nurse if you develop any problems. FDA Approval: YesHurst Review Services 13

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