Exalgo (Oral)
Hydromorphone is an opioid medication used to treat moderate to severe pain.
The of this medicine is for around-the-clock treatment of moderate to severe pain, for use on an as-needed basis for pain. extended-release formnot
Hydromorphone may also be used for purposes not listed in this medication guide.
warnings
What is the most important information I should know about Exalgo (Oral)?
You should not take this medicine if you have ever had an allergic reaction to hydromorphone or other narcotic medicines, or if you have:
May harm an unborn baby.If you use hydromorphone for an extended period of time during pregnancy, your baby could be born with life-threatening withdrawal symptoms, and may need medical treatment for several weeks. Tell your doctor if you are pregnant or plan to become pregnant.
Ask a doctor if it is safe to breastfeed while using this medicine. Hydromorphone in breast milk can cause life-threatening side effects in a nursing baby.
- severe asthma or breathing problems;
- a blockage in your stomach or intestines; or
- a bowel obstruction called paralytic ileus.
- a head injury, brain tumor, or seizures;
- breathing problems, sleep apnea;
- alcoholism, drug addiction, or mental illness;
- urination problems;
- problems with your gallbladder, pancreas, or thyroid;
- a sulfite allergy; or
- liver or kidney disease.
Do not use hydromorphone if you have used an MAO inhibitor in the past 14 days.Wait at least 14 days after stopping an MAO inhibitor before you take hydromorphone. A dangerous drug interaction could occur. MAO inhibitors include isocarboxazid, linezolid, methylene blue injection, phenelzine, and tranylcypromine.
Tell your doctor if you have ever had:
Hydromorphone may affect fertility in men or women if you use this medicine for an extended period. Pregnancy could be harder to achieve while either parent is using this medicine.
Side Effects
What are the side effects of Exalgo (Oral)?
Get emergency medical help if you have : hives, difficult breathing, swelling of your face, lips, tongue, or throat. signs of an allergic reaction
Call your doctor at once if you have:
Seek medical attention right away if you have symptoms of serotonin syndrome, such as: agitation, hallucinations, fever, sweating, shivering, fast heart rate, muscle stiffness, twitching, loss of coordination, nausea, vomiting, or diarrhea.
Serious side effects may be more likely in older adults and those who are malnourished or debilitated.
Opioid medicine can slow or stop your breathing, and death may occur. A person caring for you should seek emergency medical attention if you have slow breathing with long pauses, blue colored lips, or if you are hard to wake up.
Common side effects may include:
This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
- breathing that stops during sleep;
- slow heart rate, weak pulse, fainting, slow breathing (breathing may stop);
- confusion, feelings of extreme happiness or sadness;
- severe weakness or drowsiness;
- worsening pain, more sensitivity towards pain;
- a light-headed feeling, like you might pass out; or
- low cortisol levels--nausea, vomiting, loss of appetite, dizziness, worsening tiredness or weakness.
- drowsiness, tiredness;
- dizziness;
- dry mouth; itching;
- flushing (sudden warmth, redness, or tingly feeling), sweating;
- headache; or
- constipation, nausea, vomiting, stomach pain.
Pregnancy & Breastfeeding
Can I take Exalgo (Oral) if I’m pregnant or breastfeeding?
May harm an unborn baby.If you use hydromorphone for an extended period of time during pregnancy, your baby could be born with life-threatening withdrawal symptoms, and may need medical treatment for several weeks. Tell your doctor if you are pregnant or plan to become pregnant.
Ask a doctor if it is safe to breastfeed while using this medicine. Hydromorphone in breast milk can cause life-threatening side effects in a nursing baby.
Interactions
What drugs and food should I avoid while taking Exalgo (Oral)?
Do not drink alcohol. Dangerous side effects or death could occur.
Avoid driving or hazardous activity until you know how this medicine will affect you. Dizziness or drowsiness can cause falls, accidents, or severe injuries.
Dosage Guidelines & Tips
How to take Exalgo (Oral)?
Use Exalgo (Oral) exactly as directed on the label, or as prescribed by your doctor. Do not use in larger or smaller amounts or for longer than recommended.
Follow the directions on your prescription label and read all medication guides or instruction sheets. Tell your doctor if you feel an increased urge to use more of this medicine. Never use hydromorphone in larger amounts, or for longer than prescribed.
Measure with the supplied measuring device (not a kitchen spoon). liquid medicine
Do not stop using hydromorphone suddenly, or you could have unpleasant symptoms (such as agitation, confusion, tingling or electric shock feelings). Ask your doctor before stopping the medicine.
Never crush a pill to inhale the powder or inject it into your vein. This could result in death.
Keep your medicine in a place where no one can use it improperly.
Never share opioid medicine with another person, especially someone with a history of drug addiction. MISUSE CAN CAUSE ADDICTION, OVERDOSE, OR DEATH. Keep the medicine where others cannot get to it. Selling or giving away this medicine is against the law.
Swallow the capsule or tablet whole to avoid exposure to a potentially fatal overdose. Do not crush, chew, break, open, or dissolve.
Store at room temperature away from moisture, heat, and light.
Do not keep leftover medicine. Ask your pharmacist about a drug take-back program, or flush the unused medicine down the toilet. Just one dose can cause death in someone using it accidentally or improperly.
Since hydromorphone is used for pain, you are not likely to miss a dose. Skip any missed dose if it is almost time for your next dose. use two doses at one time. Do not
Overdose Signs
What happens if I overdose on Exalgo (Oral)?
Your doctor may recommend you get naloxone (a medicine to reverse an opioid overdose) and keep it with you at all times. A person caring for you can give the naloxone if you stop breathing or don't wake up. Your caregiver must still get emergency medical help and may need to perform CPR (cardiopulmonary resuscitation) on you while waiting for help to arrive.
Anyone can buy naloxone from a pharmacy or local health department. Make sure any person caring for you knows where you keep naloxone and how to use it.
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