NARCOTIC ANALGESICS

Brand & Generic Names

642	LEVORPHANOL
Actagen-C Cough	Mallergan-VC w/Codeine
Actifed w/Codeine	MEPERIDINE
Actifed w/Codeine Cough	METHADONE
Adatuss D.C.	Methadose
Adatuss D.C. Expectorant	Midahist DH
Alamine-C Liquid	MORPHINE
Alamine Expectorant	Morphitec
Allerfrin w/Codeine	M.O.S.
Ambay Cough	M.O.S.-SR
Ambenyl Cough	MS Contin
Ambophen Expectorant	MSIR
Anamine HD	MST Continus
Anatuss with Codeine	Mycotussin
Aspirin Compound w/Codeine	Myhistine DH
Astramorph	Myhistine Expectorant
Astramorph-PF	Myhydromine
Baycodan	Myhydromine Pediatric
Baycomine	Myphetane DC Cough
Baycomine Pediatric	Mytussin AC
BayCotussend Liquid	Mytussin DAC
Bayhistine DH	NALBUPHINE
Bayhistine Expectorant	Naldecon-CX
Baytussin AC	Normatane DC
Benylin with Codeine	Nortussin w/Codeine
Biphetane DC Cough	Novahistex C
Bromanate DC Cough	Novahistex DH
Bromphen DC w/Codeine Cough	Novahistex DH Expectorant
Buprenex	Novahistine DH
BUPRENORPHINE	Novahistine DH Expectorant
BUTORPHANOL	Novahistine DH Liquid
Calcidrine	Novahistine Expectorant
Caldomine-DH Forte	Novopropoxyn
Caldomine-DH Pediatric	Nubain
Calmylin with Codeine	Nucochem
Cheracol	Nucochem Expectorant
Chlorgest-HD	Nucochem Pediatric
Citra Forte	Expectorant
CoActifed	Nucofed
CoActifed Expectorant	Nucofed Expectorant
Codamine	Nucofed Pediatric
Codamine Pediatric	Expectorant
Codan	Numorphan
Codegest Expectorant	Omni-Tuss
Codehist DH	OPIUM
CODEINE	Oramorph
CODEINE AND TERPIN HYDRATE	Oramorph-SR
Codeine Sulfate	OXYCODONE
Codiclear DH	OXYMORPHONE
Codimal DH	P-V-Tussin
Codimal PH	Pantapon
Colrex Compound	Par Glycerol C
Conex w/Codeine Liquid	Paveral
Cophene-S	Pediacof Cough
Coricidin w/Codeine	Penntuss
Coristex-DH	PENTAZOCINE
Coristine-DH	Pethidine
C-Tussin Expectorant	Phenameth VC w/Codeine
Darvon	Phenergan w/Codeine
Darvon-N	Phenergan VC with Codeine
De-Tuss	Phenhist Expectorant
Demerol	Pherazine VC w/Codeine
Deproist Expectorant	Physeptone
w/Codeine	Poly-Histine w/Codeine
Detussin Expectorant	Poly-Histine-CS
Detussin Liquid	Profene
Dihistine DH	Prometh VC w/Codeine
DIHYDROCODEINE	PROMETHAZINE AND CODEINE
Dihydromorphinone	Promist HD Liquid
Dilaudid	Pro Pox
Dilaudid Cough	Propoxycon
Dilaudid-HP	PROPOXYPHENE
Dimetane Expectorant-C	Prunicodeine
Dimetane Expectorant-DC	Pseudo-Hist Expectorant
Dimetane-DC Cough	Pseudodine C Cough
Dimetapp with Codeine	RMS Uniserts
Dolene	Robidone
Dolophine	Robitussin with Codeine
Doloxene	Robitussin A-C
Donatussin DC	Robitussin-DAC
Doraphen	Roxanol
Doxaphene	Roxanol SR
Dromoran	Roxicodone
Duragesic	Roxiprin
Duramorph	Ru-Tuss w/Hydrocodone
Duratuss HD	Liquid
Efricon Expectorant Liquid	Ryna-C Liquid
Endal-HD	Ryna-CX Liquid
Endal-HD Plus	Soma Compound w/Codeine
Entuss-D	SRC Expectorant
Entuss Expectorant	Stadol
Entuss Pediatric	Stadol NS
Expectorant	Statex
Epimorph	Statuss Expectorant
FENTANYL	Statuss Green
Fortral	Supeudol
Glydeine Cough	Talwin
Guiatuss A.C.	Talwin-NX
Guiatussin w/Codeine Liquid	Temgesic
Histafed C	Terpin Hydrate w/Codeine
Histussin HC	T-Koff
Hycodan	Tolu-Sed Cough
Hycomine	Triacin C Cough
Hycomine Compound	Triaminic w/Codeine
Hycomine Pediatric	Triaminic Expectorant
Hycomine-S Pediatric	w/Codeine
Hycotuss Expectorant	Triaminic Expectorant DH
HYDROCODONE	Triaminicin w/Codeine
HYDROCODONE AND HOMATROPINE	Tricodene #1
Hydromine	Trifed-C Cough
Hydromine Pediatric	Tussaminic DH Forte
HYDROMORPHONE	Tussaminic DH Pediatric
Hydropane	Tussanil DH
Hydrophen	Tussar-2
Hystadyl E.C.	Tussar SF
Iophen-C Liquid	Tussi-Organidin
Iotuss	Tussi-Organidin Liquid
Isoclor Expectorant	Tussigon
Kwelcof Liquid	Tussionex
Laudanum	Tussirex w/Codeine Liquid
Levo-Dromoran	Vanex-HD
Levorphan	Vicodin-Tuss

Basic Information

• Habit forming? Yes
• Prescription needed? Yes
• Available as generic? Yes
• Drug class: Narcotic

Uses

Relieves pain and diarrhea; suppresses cough.

Dosage & Usage Information

How to take:
Tablet, capsule or extended-release tablet--Swallow with liquid. If you can't swallow whole, crumble tablet or open capsule and take with liquid or food.
Drops or liquid--Dilute dose in beverage before swallowing.
Transdermal--Follow instructions on prescription.

When to take:
When needed. No more often than every 4 hours.

If you forget a dose:
Take as soon as you remember. Wait 4 hours for next dose.

What drug does:
Blocks pain messages to brain and spinal cord.
Reduces sensitivity of brain's cough-control center.

Time lapse before drug works:
30 minutes.

Don't take with:
Any other medicine without consulting your doctor or pharmacist.

Overdose

SYMPTOMS:
Deep sleep, slow breathing; slow pulse; respiratory arrest; flushed, warm skin; seizures; constricted pupils.

WHAT TO DO:

• Dial 911 (emergency) or O (operator) for an ambulance or medical help. Then give first aid immediately.
• If patient is unconscious and not breathing, give mouth-to- mouth breathing. If there is no heartbeat, use cardiac massage and mouth-to-mouth breathing (CPR). Don't try to make patient vomit. If you can't get help quickly, take patient to nearest emergency facility.
• See EMERGENCY Information.

Possible Adverse Reactions or Side Effects

Life-threatening:

Hives, rash, intense Seek emergency itching, faintness treatment immediately. soon after a dose (anaphylaxis); seizures; restlessness (severe); slow heartbeat; breathing difficulty.

Common:

Dizziness, flushed face, difficult urination, unusual tiredness.

Infrequent:

• Severe constipation, abdominal pain, vomiting, nausea.
• Dry mouth, headache, appetite loss, nightmares, decreased sex drive.

Rare:

• Hives, rash, itchy skin, face swelling, slow heartbeat, irregular breathing, hallucinations, jaundice, disorientation, fainting.
• Depression, blurred vision, decreased mental performance, anxiety, insomnia, weakness and faintness when arising from bed or chair, euphoria, ears ringing.

Warnings & Precautions

Don't take if:

• You are allergic to any narcotic.
• Diarrhea is due to toxic effect of drugs or poisons.

Before you start, consult your doctor:

• If you have impaired liver or kidney function.
• If you will have surgery within 2 months, including dental surgery, requiring general or spinal anesthesia.
• If you have asthma.

Over age 60:
More likely to be drowsy, dizzy, unsteady or constipated. Use only if absolutely necessary.

Pregnancy:
Decide with your doctor whether drug benefits justify risk to unborn child. Abuse by pregnant woman will result in addicted newborn. Withdrawal of newborn can be life-threatening.

Breast-feeding:
Drug filters into milk. May harm child. Avoid.

Infants & children:
Not recommended.

Prolonged use:
Causes psychological and physical dependence (addiction).

Skin & sunlight:
May cause rash or intensify sunburn in areas exposed to sun or sunlamp.

Driving, piloting or hazardous work:
Don't drive or pilot aircraft until you learn how medicine affects you. Don't work around dangerous machinery. Don't climb ladders or work in high places. Danger increases if you drink alcohol or take medicine affecting alertness and reflexes, such as antihistamines, tranquilizers, sedatives, pain medicine, narcotics and mind-altering drugs.

Discontinuing:
May be unnecessary to finish medicine. Follow doctor's instructions. Notify doctor of any withdrawal symptoms such as gooseflesh, irritability, insomnia, yawning, weakness, large eye pupils.

Others:
Some products contain tartrazine dye. Avoid, especially if you are allergic to aspirin.

Possible Interaction with Other Drugs

GENERIC NAME	COMBINED EFFECT
------------------------	-----------------------
Analgesics,	Increased analgesic
other*	effect.
Anticoagulants*,	Possible increased
oral	anticoagulant effect.
Anticholinergics*	Increased anticholinergic effect.
Antidepressants*	Increased sedative effect.
Antihistamines*	Increased sedative effect.
Butorphanol	Possibly precipitates withdrawal
	with chronic narcotic use.
Carbamazepine	Increased carbamazepine effect possible
	with propoxyphene.
Carteolol	Increased narcotic effect.
	Dangerous sedation.
Cimetidine	Possible increased narcotic effect
	and toxicity.
Clozapine	Toxic effect on the central nervous
	system.
Ethinamate	Dangerous increased effects of
	ethinamate. Avoid combining.
Fluoxetine	Increased depressant effects of
	both drugs.
Guanfacine	May increase depressant effects of
	either drug.
Leucovorin	High alcohol content of leucovorin
	may cause adverse effects.
MAO inhibitors*	Serious toxicity (including death).
Methyprylon	Increased sedative effect, perhaps
	to dangerous level. Avoid.
Mind-altering drugs*	Increased sedative effect.
Molindone	Increased narcotic effect.
Nabilone	Greater depression of central
	nervous system.
Nalbuphine	Possibly precipitates withdrawal
	with chronic narcotic use.
Naltrexone	Precipitates withdrawal symptoms.
	May lead to respiratory arrest,
	coma and death.
Narcotics, other*	Increased narcotic effect.
Nicotine	Increased narcotic effect.
Nitrates*	Excessive blood pressure drop.
Non-steroidal	Increased narcotic
anti-inflammatory	effect.
Pentazocine	Possibly precipitates withdrawal
	with chronic narcotic use.
Phenothiazines*	Increased sedative effect.
Phenytoin	Possible decreased narcotic effect.
Rifampin	Possible decreased narcotic effect.
Sedatives*	Increased sedative effect.
Selegiline	Severe toxicity characterized by
	breathing difficulties, seizures,
	coma.
Sertraline	Increased depressive effects of
	both drugs.
Sleep inducers*	Increased sedative effect.
Sotalol	Increased narcotic effect.
	Dangerous sedation.
Tranquilizers*	Increased sedative effect.

Possible Interaction with Other Substances

INTERACTS WITH	COMBINED EFFECT
---------------	---------------
Alcohol:	Increases alcohol's intoxicating
	effect. Avoid.
Beverages:	None expected.
Cocaine:	Increased toxic effects of cocaine.
	Avoid.
Foods:	None expected.
Marijuana:	Impairs physical and mental
	performance. Avoid.
Tobacco:	None expected.