Do not use this medication if you are allergic to oxymorphone, if you have severe liver disease, if you are having an asthma attack, or if you have a bowel obstruction called paralytic ileus. You should also not take oxymorphone if you have ever had an allergic reaction to a narcotic medicine (examples include codeine, methadone, morphine, Oxycontin, Darvocet, Percocet, Vicodin, Lortab, and many others).
Oxymorphone may be habit-forming and should be used only by the person it was prescribed for. Oxymorphone should never be given to another person, especially someone who has a history of drug abuse or addiction. Keep the medication in a secure place where others cannot get to it.
Before using oxymorphone, tell your doctor if you are allergic to any drugs, or if you have:
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asthma, COPD, sleep apnea, or other breathing disorders;
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liver or kidney disease;
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underactive thyroid;
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curvature of the spine;
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a history of head injury or brain tumor;
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epilepsy or other seizure disorder;
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a pancreas disorder;
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Addison’s disease or other adrenal gland disorders;
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enlarged prostate, urination problems;
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mental illness; or
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a history of drug or alcohol addiction.
FDA pregnancy category C. This medication may be harmful to an unborn baby, and could cause addiction or withdrawal symptoms in a newborn. Tell your doctor if you are pregnant or plan to become pregnant during treatment.
Oxymorphone can pass into breast milk and may harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.
Older adults may be more sensitive to the effects of this medicine.
Take this medication exactly as it was prescribed for you.
Take this medicine with a full glass of water.
Do not crush, chew, or break an extended-release tablet. Swallow the pill whole. It will release medicine slowly in the body. Breaking the pill would cause too much of the drug to be released at one time.
The Opana ER tablet should be taken on an empty stomach, at least 1 hour before or 2 hours after a meal. Tell your doctor if you feel sick after taking the medicine on an empty stomach.
Do not stop using oxymorphone suddenly, or you could have unpleasant withdrawal symptoms. Talk to your doctor about how to avoid withdrawal symptoms when stopping the medication.
Store this medication at room temperature, away from heat, moisture, and light.
Keep track of how many tablets have been used from each new bottle of this medicine. Oxymorphone is a drug of abuse and you should be aware if any person in the household is using this medicine improperly or without a prescription.
After you have stopped using this medication, flush any unused pills down the toilet.
Since oxymorphone is sometimes used as needed, you may not be on a dosing schedule.
If you are using the medication regularly, take the missed dose as soon as you remember. If it is
almost time for the next dose, skip the missed dose and wait until your next regularly scheduled
dose.
Extended-release oxymorphone is not for use on an as-needed basis for pain.
Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.
Call your doctor at once if you have any of these serious side effects:
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shallow breathing, slow heartbeat;
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seizure (convulsions);
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cold, clammy skin;
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confusion;
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severe weakness or dizziness; or
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feeling light-headed, fainting.
Less serious side effects are more likely to occur, such as:
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nausea, vomiting, constipation;
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dizziness, headache;
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dry mouth;
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sweating; or
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itching.
This list is not complete and other side effects may occur. Tell your doctor about any unusual or bothersome side effect.
Oxymorphone may be habit-forming and should be used only by the person it was prescribed for. Oxymorphone should never be given to another person, especially someone who has a history of drug abuse or addiction. Keep the medication in a secure place where others cannot get to it.
Do not drink alcohol while you are taking oxymorphone. Dangerous side effects or death can occur when alcohol is combined with a narcotic pain medicine. Check your food and medicine labels to be sure these products do not contain alcohol.
Never take more than your prescribed dose of oxymorphone. Tell your doctor if the medicine seems to stop working as well in relieving your pain.
Oxymorphone can cause side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert.
Do not drink alcohol while you are using oxymorphone. Dangerous side effects or death can occur when alcohol is combined with oxymorphone. Check your food and medicine labels to be sure these products do not contain alcohol.
Oxymorphone can cause side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert.
Do not take oxymorphone with other narcotic pain medications, sedatives, tranquilizers, muscle relaxers, or other medicines that can make you sleepy or slow your breathing. Dangerous side effects may result.
Before taking oxymorphone, tell your doctor if you are using pentazocine (Talwin), nalbuphine (Nubain), butorphanol (Stadol), or buprenorphine (Buprenex, Subutex). If you are using any of these drugs, you may not be able to use oxymorphone, or you may need dosage adjustments or special tests during treatment.
This list is not complete and there may be other drugs that can interact with oxymorphone. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.
Seek emergency medical attention if you think you have used too much of this medicine. An overdose of oxymorphone can be fatal.
Overdose symptoms may include extreme drowsiness, pinpoint pupils, confusion, cold and clammy skin, weak pulse, shallow breathing, fainting, or breathing that stops.