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Brand Names:

Contraindications:

Uses:

• Your doctor will tell you how much of this medicine to use and how often. Do not use more medicine or use it more often than your doctor tells you to.
• Your medicine may be given directly into a vein, usually in your arm or chest. This is called intravenous (in-tra-VEEN-us), or IV infusion.
• This medicine can also be given just under the skin in your arm, stomach, or thigh. This is called subcutaneous (sub-cue-TANE-ee-us), or SC injection.
• You can also get a shot of this medicine in a large muscle in your buttocks, thigh, or upper arm. This is called intramuscular (in-tra-MUSS-cue-lar), or IM injection.
• This medicine should be given by a person trained to give injections, such as a nurse. Sometimes you, a family member, or friend can be taught to give your medicine at home.
• Look at the medicine before injecting it. If it has changed color, or has particles in it, do not use it. Call your doctor or pharmacist.
• It may take as long as 15 minutes after injection for you to feel any pain relief. Do not use more medicine than your doctor has ordered.

• Use your medicine as soon as possible unless it is almost time for your next dose.
• Skip the missed dose if it is almost time for your next regular dose.
• Do not take two doses at the same time.

Storage:

• Store at room temperature in a closed container, away from heat, moisture, and direct light. Store any unused medicine in the carton.
• Keep this and all medicine out of the reach of children.

Special precautions:

• Make sure your doctor knows if you are also using alcohol, other pain killers, or other medicines that make you sleepy such as sleeping pills, cold and allergy medicine, or medicines for depression or nervousness.

Warnings:

• If you are pregnant or breastfeeding, talk to your doctor before taking this medicine.
• Make sure your doctor knows if you have asthma, bronchitis, COPD (chronic obstructive pulmonary disease), kidney disease, or liver disease.
• Tell your doctor if you have a history of depression, mental disorder, or addiction to drugs or alcohol.
• This medicine may make you drowsy or dizzy. Avoid driving a car or using machinery after using a dose of this medicine.
• This medicine is a very strong pain killer, and may be habit-forming. Do not use more than your doctor ordered, or use it for longer periods of time than prescribed.
• Talk to your doctor before you stop using this medicine. You may need to use smaller and smaller doses before stopping completely.

Side Effects:

• Fainting
• Slow, fast, or irregular heartbeat
• Slowed breathing or shortness of breath
• Feeling sweaty or clammy
• Dizziness or lightheadedness
• Nausea or vomiting
• Sleepiness