Norspan Patch Product Information

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gov/Drugs/DrugSafety/ucm085729 htm) or the manufacturer's website to obtain the Medication Guide.. If the patch falls off during these activities, dispose of it properly Then dry your skin completely and apply a new patch.. Choose an area of skin that is flat and hairless Do not apply the patch to parts of the body that irritated, broken, cut, damaged, or changed in any way.. Do not take long, hot baths or sunbathe while you are wearing the patch You may bathe or shower while you are wearing a buprenorphine patch.. This medication may be prescribed for other uses; ask your doctor or pharmacist for more information.. Tell your doctor if you or anyone in your family drinks or has ever drunk large amounts of alcohol, uses or has ever used street drugs, or has overused prescription medications, or if you have or have ever had depression or another mental illness.. you should know that this medication may make you drowsy Do not drive a car, operate machinery, or do other possibly dangerous activities until you know how this medication affects you.. If there is hair on the skin, use scissors to clip the hair as close to the skin as possible.. Buprenorphine should not be used to treat mild or moderate pain, short-term pain, or pain that can be controlled by medication that is taken as needed.. If a patch falls off before it is time to remove it, dispose of the patch properly and apply a new patch at a different area of skin.. Press the patch firmly for at least 15 seconds Be sure that the patch sticks well to your skin, especially around the edges.. S Substance Abuse and Mental Health Services Administration (SAMHSA) National Helpline at 1-800-662-HELP.. If this increase involves the use of two patches, remove your current patch and at the same time, place the two new patches next to each other at a new site.. If you use buprenorphine transdermal with any of these medications and you develop any of the following symptoms, call your doctor immediately or seek emergency medical care: unusual dizziness, lightheadedness, extreme sleepiness, slowed or difficult breathing, or unresponsiveness.. Use buprenorphine patches exactly as directed Do not apply more patches, apply the patches more often, or use the patches in a different way than prescribed by your doctor.. To use the sharing features on this page, please enable JavaScript Buprenorphine patches can be habit forming, especially with prolonged use.. Transdermal buprenorphine comes as a patch to apply to the skin The patch is usually applied to the skin once every 7 days.. you should know that if you have a fever or if you get very hot after physical activity, the amount of buprenorphine that you receive from the patch may increase and possibly cause an overdosage of medication.. you should know that buprenorphine patches may cause constipation Talk to your doctor about changing your diet or using other medications to prevent or treat constipation while you are using buprenorphine patches.. tell your doctor what herbal products you are taking, especially St John's wort and tryptophan.. To apply the patch, follow these steps: Clean the area where you plan to apply the patch with clear water and pat completely dry.. Leave the new patch in place for 7 days When you are finished applying the patch, wash your hands with only clear water right away.. There is a greater risk that you will overuse buprenorphine if you have or have ever had any of these conditions.. Your doctor may tell you not to use buprenorphine patches Taking certain medications with buprenorphine patches may increase the risk of serious or life-threatening breathing problems, sedation, or coma.. Do not drink alcohol, take prescription or nonprescription medications that contain alcohol, or use street drugs during your treatment.. If you experience any of these symptoms or those listed in the IMPORTANT WARNING section, call your doctor immediately or get emergency medical treatment: difficulty breathing or swallowingshortness of breathchanges in heartbeatagitation, hallucinations (seeing things or hearing voices that do not exist), fever, sweating, confusion, fast heartbeat, shivering, severe muscle stiffness or twitching, loss of coordination, nausea, vomiting, or diarrheanausea, vomiting, loss of appetite, weakness, or dizzinessinability to get or keep an erectionirregular menstruationdecreased sexual desirechest painswelling of your face, tongue or throatrashhivesitchingBuprenorphine patches may cause other side effects.. If you forget to apply or change a buprenorphine patch, apply the patch as soon as you remember it.. Keep track of how many patches are left so you will know if any are missing Tell your doctor if you are pregnant or plan to become pregnant.. Remove the patch from the pouch and peel off the protective liner from the back of the patch.. Write down the date and time that the patch is applied When it is time to change your patch, peel off the old patch and apply a new patch to a different skin area.. Your doctor will monitor you carefully during your treatment Tell your doctor if you have or have ever had breathing difficulties, asthma, chronic obstructive pulmonary disease (COPD; a group of diseases that affect the lungs and airways), or other lung disease.. Buprenorphine patches may cause serious or life-threatening breathing problems, especially during the first 24 to 72 hours of your treatment and any time that your dose is increased.. If you suddenly stop using buprenorphine patches you may have symptoms of withdrawal.. It is in a class of medications called opiate (narcotic) analgesics It works by changing the way the brain and nervous system respond to pain.. Your doctor may need to change the doses of your medications or monitor you carefully for side effects.. The secondary objectives are to evaluate the safety and general satisfaction for the patients in the two treatment groups.. tell your doctor if you have or have ever had conditions mentioned in the IMPORTANT WARNING section or a paralytic ileus (condition in which digested food does not move through the intestines).. If you use buprenorphine patches regularly during your pregnancy, your baby may experience life-threatening withdrawal symptoms after birth.. Buprenorphine patches may cause side effects Tell your doctor if any of these symptoms are severe or do not go away: difficulty falling asleep or staying asleepheadachedry mouthstomach painskin irritation, itching, swelling, or redness in the area where you wore the patchSome side effects can be serious.. Change your patch at about the same time of day every time you change it Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand.. Do not rub the patch If the patch does not stick well or comes loose after it is applied, tape only the edges to your skin with first aid tape.. Buprenorphine skin patches are only for use on the skin Do not place patches in your mouth or chew or swallow the patches.. Be especially careful to keep buprenorphine patches out of the reach of children.. Many other medications may also interact with buprenorphine, so be sure to tell your doctor about all the medications you are taking, even those that do not appear on this list.. you should know that buprenorphine patches may cause dizziness, lightheadedness, and fainting when you get up too quickly from a lying position.. Leave the new patch in place for 7 days after you apply it You can apply a buprenorphine patch to your upper outer arms, upper chest, upper back, or the side of your chest.. Do not wear two patches at once unless your doctor has told you that you should.. Read the information carefully and ask your doctor or pharmacist if you have any questions.. Talk to your doctor about the risks of using this medication Buprenorphine patches are used to relieve severe pain in people who are expected to need pain medication around the clock for a long time and who cannot be treated with other medications.. After you remove your patch, use the Patch Disposal Unit provided to you by the manufacturer to safely dispose of the used patch in the trash.. fda gov/Safety/MedWatch) or by phone (1-800-332-1088) What should I know about storage and disposal of this medication?Keep this medication out of reach of children.. Your doctor or pharmacist will give you the manufacturer's patient information sheet (Medication Guide) when you begin treatment with buprenorphine patches and each time you refill your prescription.. The drug from the patch is absorbed into your body over a period of time If you’d rather not have a pill or an.. A transdermal patch is a patch that attaches to your skin and contains medication.. Be sure that your caregiver or family members know which symptoms may be serious so they can call the doctor or emergency medical care if you are unable to seek treatment on your own.. Do not use any soaps, lotions, alcohols, or oils Use scissors to cut open the pouch containing the buprenorphine patch along the dotted line.. Do not use a buprenorphine patch that is cut, damaged, or changed in any way If you use cut or damaged patches, you may receive most or all of the medication at once, instead of slowly over 7 days.. If your doctor tells you to use two patches, you should always change and apply them at the same time.. Tell your baby's doctor right away if your baby experiences any of the following symptoms: irritability, hyperactivity, abnormal sleep, high-pitched cry, uncontrollable shaking of a part of the body, vomiting, diarrhea, or failure to gain weight.. Be sure to mention the medications listed in the IMPORTANT WARNING and any of the following medications: anticholinergics (atropine, belladonna, benztropine, dicyclomine, diphenhydramine, isopropamide, procyclidine, and scopolamine); cyclobenzaprine (Amrix); dextromethorphan (found in many cough medications; in Nuedexta); diuretics ('water pills'); certain medications for irregular heartbeat including amiodarone (Cordarone, Nexterone, Pacerone), disopyramide (Norpace), dofetilide (Tikosyn), procainamide (Procanbid), quinidine (in Nuedexta), and sotalol (Betapace, Betapace AF, Sorine, Sotylize, others); lithium (Lithobid); medications for migraine headaches such as almotriptan (Axert), eletriptan (Relpax), frovatriptan (Frova), naratriptan (Amerge), rizatriptan (Maxalt), sumatriptan (Imitrex, in Treximet), and zolmitriptan (Zomig); mirtazapine (Remeron); certain medications for seizures such as carbamazepine (Tegretol, Teril, others), phenobarbital, phenytoin (Dilantin, Phenytek); rifampin (Rifadin, Rimactane, in Rifamate, in Rifater); 5HT3 serotonin blockers such as alosetron (Lotronex), dolasetron (Anzemet), granisetron (Kytril), ondansetron (Zofran, Zuplenz), or palonosetron (Aloxi); selective serotonin-reuptake inhibitors such as citalopram (Celexa), escitalopram (Lexapro), fluoxetine (Prozac, Sarafem, in Symbyax), fluvoxamine (Luvox), paroxetine (Brisdelle, Prozac, Pexeva), and sertraline (Zoloft); serotonin and norepinephrine reuptake inhibitors such as duloxetine (Cymbalta), desvenlafaxine (Khedezla, Pristiq), milnacipran (Savella), and venlafaxine (Effexor); trazodone; or tricyclic antidepressants ('mood elevators') such as amitriptyline, clomipramine (Anafranil), desipramine (Norpramin), doxepin (Silenor), imipramine (Tofranil), nortriptyline (Pamelor), protriptyline (Vivactil), and trimipramine (Surmontil).. Ask your doctor or pharmacist or check the Medication Guide for a list of the ingredients.. Do not place used patches in the trash without first sealing them in the Patch Disposal Unit.. Drinking alcohol or using street drugs during your treatment with buprenorphine transdermal also increases the risk that you will experience these serious, life-threatening side effects.. Try not to touch the sticky side of the patch Immediately press the sticky side of the patch onto the chosen area of skin with the palm of your hand.. Your doctor may need to change the dosages of your medications and will monitor you carefully.. Call your doctor if you have any unusual problems while using this medication If you experience a serious side effect, you or your doctor may send a report to the Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting program online (http://www.. Also tell your doctor or pharmacist if you are taking or receiving the following monoamine oxidase (MAO) inhibitors or if you have stopped taking them within the past two weeks: isocarboxazid (Marplan), linezolid (Zyvox), methylene blue, phenelzine (Nardil), selegiline (Eldepryl, Emsam, Zelapar), or tranylcypromine (Parnate).. tell your doctor and pharmacist what other prescription and nonprescription medications, vitamins, nutritional supplements, and herbal products you are taking or plan to take or use.. Do not shave the area Wait at least 3 weeks before applying a new patch to same site.. Do not stop using buprenorphine patches without talking to your doctor Your doctor will probably decrease your dose gradually.. This is more common when you first start using a buprenorphine patch To avoid this problem, get out of bed slowly, resting your feet on the floor for a few minutes before standing up.. Store it at room temperature and away from excess heat and moisture (not in the bathroom).. Talk to your doctor about the risks of using buprenorphine patches if you are having surgery, including dental surgery, tell the doctor or dentist that you are using a buprenorphine patch.. Close the Patch Disposal Unit by folding the sticky sides together, then press firmly and smoothly over the entire Unit so that the patch is sealed within.. Talk to your doctor about how you are feeling during your treatment with buprenorphine patches.. Call your doctor if you experience any of these symptoms of withdrawal: restlessness, teary eyes, runny nose, yawning, sweating, chills, hair standing on end, muscle aches, large pupils (black circles in the center of the eyes), irritability, diarrhea, nausea, vomiting, anxiety, pain in the joints, weakness, fast heartbeat, or rapid breathing.. The primary objective of this equivalence study is to evaluate the efficacy of Norspan® patches versus Tramadol in subjects with chronic, moderate to severe osteoarthritis pain of the hip, knee and/or lumbar spine.. Apply buprenorphine patches exactly as directed Your doctor may start you on a low dose buprenorphine patch and gradually increase your dose, not more often than once every 3 days.. Used patches may still contain some medication and may be dangerous to children, pets, or adults who have not been prescribed buprenorphine patches.. Talk to your health care provider immediately and ask for guidance if you think that you have an opioid addiction or call the U.. Your doctor may tell you not to use buprenorphine patches tell your doctor if you or an immediate family member have or have ever had prolonged QT syndrome (condition that increases the risk of developing an irregular heartbeat that may cause loss of consciousness, or sudden death); or if you have or ever had atrial fibrillation; heart failure; seizures; a head injury, a brain tumor, a stroke or any other condition that caused high pressure inside your skull; biliary tract disease; slowed heartbeat; low blood pressure; low blood levels of potassium; problems urinating; or pancreas, thyroid, heart, kidney, or liver disease.. If the patch still does not stick well, you may cover it with Bioclusive or Tegaderm brand see-through dressings.. Tell your doctor and pharmacist if you are taking atazanavir (Reyataz); benzodiazepines such as such as alprazolam (Xanax), chlordiazepoxide (Librium), clonazepam (Klonopin), diazepam (Diastat, Valium), estazolam, flurazepam, lorazepam (Ativan), oxazepam, temazepam (Restoril), triazolam (Halcion); medications for mental illness and nausea; other medications for pain; muscle relaxants; sedatives; sleeping pills; and tranquilizers.. While using buprenorphine patches, discuss with your health care provider your pain treatment goals, length of treatment, and other ways to manage your pain.. Store buprenorphine patches in a safe place so that no one else can use them accidentally or on purpose.. Do not cover the patch with any other type of bandages or tape Talk to your doctor or pharmacist if your patch continues to have problems sticking to your skin.. This can cause serious or life-threatening symptoms Do not expose your patch or the skin around it to direct heat such as heating pads, electric blankets, heat lamps, saunas, hot tubs, and heated water beds.. This may cause serious problems, including overdose and death If your buprenorphine patch is exposed to extreme heat, it may release too much medication into your body at once.. Your doctor may need to adjust your dose What special dietary instructions should I follow?Unless your doctor tells you otherwise, continue your normal diet.. Be sure to remove your used patch before applying a new patch Wear the new patch for the period of time prescribed by your doctor (usually 7 days) and then replace it.. Avoid physical activity that might cause you to get very hot Call your doctor right away if you have a fever.. Before using buprenorphine patch,tell your doctor and pharmacist if you are allergic to buprenorphine, any other medications, or any of the ingredients in a buprenorphine patch.. Do not allow anyone else to use your medication Accidental exposure, especially in children, may result in serious harm or death.. tell your doctor if you are breastfeeding you should know that this medication may decrease fertility in men and women.. You can also visit the Food and Drug Administration (FDA) website (http://www fda.. Your doctor may decrease your dose if you experience side effects Contact your doctor if the dose you are taking does not control your pain.. Alternatively, you may also may fold the sticky sides of a used patch together and flush it down the toilet. d70b09c2d4