Hydromorphone Extended-Release Tablets

Name: Hydromorphone Extended-Release Tablets

Uses of Hydromorphone Extended-Release Tablets

  • It is used to ease pain.
  • This medicine is only for use by people who have been taking pain drugs (opioids) and are used to their effects. Talk with the doctor.

What do I need to tell my doctor BEFORE I take Hydromorphone Extended-Release Tablets?

  • If you have an allergy to this medicine (hydromorphone extended-release tablets) or any part of this medicine.
  • If you are allergic to any drugs like this one, any other drugs, foods, or other substances. Tell your doctor about the allergy and what signs you had, like rash; hives; itching; shortness of breath; wheezing; cough; swelling of face, lips, tongue, or throat; or any other signs.
  • If you have any of these health problems: Lung or breathing problems like asthma, trouble breathing, or sleep apnea; high levels of carbon dioxide in the blood; or stomach or bowel block or narrowing.
  • If you are taking any of these drugs: Buprenorphine, butorphanol, nalbuphine, or pentazocine.
  • If you have taken certain drugs used for low mood (depression) like isocarboxazid, phenelzine, or tranylcypromine or drugs used for Parkinson's disease like selegiline or rasagiline in the last 14 days. Taking this medicine (hydromorphone extended-release tablets) within 14 days of those drugs can cause very bad high blood pressure.
  • If you are taking any of these drugs: Linezolid or methylene blue.
  • If you are breast-feeding or plan to breast-feed.
  • If you have any of these health problems: Narrowing of the GI (gastrointestinal) tract or other GI problems like small bowel disease, short gut syndrome, or slow-moving swallowing tube (esophagus) or bowel tract.
  • If you have ever had any of these health problems: Cystic fibrosis, long-term bowel pseudo-block, Meckel's diverticulum, or peritonitis.

This is not a list of all drugs or health problems that interact with this medicine.

Tell your doctor and pharmacist about all of your drugs (prescription or OTC, natural products, vitamins) and health problems. You must check to make sure that it is safe for you to take this medicine (hydromorphone extended-release tablets) with all of your drugs and health problems. Do not start, stop, or change the dose of any drug without checking with your doctor.

What are some things I need to know or do while I take Hydromorphone Extended-Release Tablets?

  • Tell all of your health care providers that you take this medicine. This includes your doctors, nurses, pharmacists, and dentists.
  • Avoid driving and doing other tasks or actions that call for you to be alert until you see how this medicine (hydromorphone extended-release tablets) affects you.
  • To lower the chance of feeling dizzy or passing out, rise slowly if you have been sitting or lying down. Be careful going up and down stairs.
  • Do not take more than what your doctor told you to take. Taking more than you are told may raise your chance of very bad side effects.
  • Do not take this medicine with other strong pain drugs or if you are using a pain patch without talking to your doctor first.
  • Have your blood work checked if you are on this medicine (hydromorphone extended-release tablets) for a long time. Talk with your doctor.
  • If you are allergic to sulfites, talk with your doctor. Some products have sulfites.
  • This medicine may raise the chance of seizures in some people, including people who have had seizures in the past. Talk to your doctor to see if you have a greater chance of seizures while taking this medicine.
  • Long-term use of an opioid drug like this medicine (hydromorphone extended-release tablets) may lead to lower sex hormone levels. This may lead to signs like change in sex ability in men, no menstrual period in women, lowered interest in sex, or fertility problems. Call your doctor if you have any of these signs.
  • Do not stop taking this medicine all of a sudden without calling your doctor. You may have a greater risk of signs of withdrawal. If you need to stop this medicine (hydromorphone extended-release tablets), you will want to slowly stop it as ordered by your doctor.
  • If you have been taking this medicine for a long time or at high doses, it may not work as well and you may need higher doses to get the same effect. This is known as tolerance. Call your doctor if this medicine (hydromorphone extended-release tablets) stops working well. Do not take more than ordered.
  • If you are 65 or older, use this medicine with care. You could have more side effects.
  • This medicine may cause harm to the unborn baby if you take it while you are pregnant. If you are pregnant or you get pregnant while taking this medicine (hydromorphone extended-release tablets), call your doctor right away.

If OVERDOSE is suspected

If you think there has been an overdose, call your poison control center or get medical care right away. Be ready to tell or show what was taken, how much, and when it happened.

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