Norgesic Forte

If you are taking this medication on a regular schedule and miss a dose, take it as soon as you remember. If it is near the time of the next dose, skip the missed dose and resume your usual dosing schedule. Do not double the dose to catch up.

Take this medication by mouth, usually 3-4 times a day or as directed by your doctor. Take with food or milk if stomach upset occurs. Take this medication with a full glass of water (8 ounces or 240 milliliters) unless your doctor directs you otherwise. Do not lie down for at least 10 minutes after taking this drug. The dosage is based on your medical condition and response to therapy. Take this medication exactly as prescribed. Do not increase your dose, take it more often, or take it for longer than prescribed. Your condition will not improve any faster, but the risk of side effects may be increased. Tell your doctor if your condition persists or worsens.

Your doctor or pharmacist may already be aware of any possible drug interactions and may be monitoring you for them. Do not start, stop, or change the dosage of any medicine before checking with your doctor or pharmacist first. This drug should not be used with the following medications because very serious interactions may occur: mifepristone, flu vaccine inhaled through the nose, pramlintide. If you are currently using any of the medications listed above, tell your doctor or pharmacist before using this product. Before using this medication, tell your doctor or pharmacist of all prescription and nonprescription/herbal products you may use, especially of: ACE inhibitors (e.g., lisinopril, enalapril), acetazolamide, anticholinergic drugs (e.g., atropine, belladonna alkaloids, scopolamine), blood thinners (e.g., warfarin, enoxaparin), certain anti-Parkinson's drugs (e.g., benztropine, trihexyphenidyl), bisphosphonate drugs (e.g., alendronate, etidronate, risedronate), cimetidine, certain drugs to treat gout (e.g., uricosurics such as probenecid, sulfinpyrazone), corticosteroids (e.g., prednisone), diabetes drugs (e.g., sulfonylureas such as glyburide), ginkgo biloba, lithium, methotrexate, pemetrexed, potassium tablets/capsules, propoxyphene. Tell your doctor or pharmacist if you also take drugs that cause drowsiness such as: certain antihistamines (e.g., diphenhydramine), anti-seizure drugs (e.g., carbamazepine), medicine for sleep or anxiety (e.g., alprazolam, diazepam, zolpidem), muscle relaxants, narcotic pain relievers (e.g., codeine), psychiatric medicines (e.g., chlorpromazine, risperidone, amitriptyline, trazodone). Check the labels on all your medicines (e.g., cough-and-cold products, diet aids, pain/fever reducers) because they may contain aspirin, caffeine, or ingredients that cause drowsiness. Also remember that certain beverages (e.g., coffee, colas, tea) contain caffeine. Ask your pharmacist about using those products safely. This document does not contain all possible interactions. Therefore, before using this product, tell your doctor or pharmacist of all the products you use. Keep a list of all your medications with you, and share the list with your doctor and pharmacist.

Do not share this medication with others. This medication has been prescribed for your current condition only. Do not use it later for another condition unless told to do so by your doctor. A different medication may be necessary in that case.

If overdose is suspected, contact your local poison control center or emergency room immediately. US residents can call the US National Poison Hotline at 1-800-222-1222. Canada residents can call a provincial poison control center. Symptoms of overdose may include: unusual excitement, fast/irregular heartbeat, seizures.

Before taking this product, tell your doctor or pharmacist if you are allergic to orphenadrine, aspirin, or caffeine or other NSAIDs (e.g., ibuprofen, naproxen, celecoxib); or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details. This medication should not be used if you have certain medical conditions. Before using this medicine, consult your doctor or pharmacist if you have: a certain eye problem (glaucoma), aspirin-sensitive asthma (a history of worsening breathing with runny/stuffy nose after taking aspirin or other NSAIDs), stomach/intestinal ulcers or blockage, enlarged prostate, bladder blockage, a certain esophagus problem (mega-esophagus/cardio-spasm), a certain type of muscle disease (myasthenia gravis). Before using this medication, tell your doctor or pharmacist your medical history, especially of: asthma, growths in the nose (nasal polyps), bleeding problems, gout, stomach problems (e.g., acid-reflux disease, heartburn), heart problems (e.g., fast heartbeat, irregular heartbeat, heart failure), high blood pressure, kidney disease, liver disease, urinary problems (e.g., trouble starting the flow of urine). This drug may make you dizzy or drowsy. Do not drive, use machinery, or do any activity that requires alertness until you are sure you can perform such activities safely. Limit alcoholic beverages. To reduce dizziness and lightheadedness, get up slowly when rising from a sitting or lying position. Before having surgery, tell your doctor or dentist that you are taking this medication. This medicine may cause stomach bleeding. Daily use of alcohol and tobacco, especially when combined with this medicine, may increase your risk for stomach bleeding. Limit alcohol and stop smoking. Consult your doctor or pharmacist for more information. This medication contains aspirin. Children and teenagers should not take aspirin if they have chickenpox, flu, or any undiagnosed illness without first consulting a doctor about Reye's syndrome, a rare but serious illness. The elderly may be more sensitive to the side effects of this drug, especially confusion. Aspirin is not recommended for use during pregnancy. During pregnancy, this medication should be used only when clearly needed. Discuss the risks and benefits with your doctor. This medication passes into breast milk and may harm a nursing infant. Breast-feeding while using this drug is not recommended. Consult your doctor before breast-feeding.

Store below 86 degrees F (30 degrees C) away from heat and light. Do not store in the bathroom. Keep all medicines away from children and pets. Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Properly discard this product when it is expired or no longer needed. Consult your pharmacist or local waste disposal company for more details about how to safely discard your product.

Dizziness, drowsiness, blurred vision, weakness, headache, stomach upset, heartburn, nausea, constipation, and dry mouth may occur. If any of these effects persist or worsen, tell your doctor or pharmacist promptly. To relieve dry mouth, suck on (sugarless) hard candy or ice chips, chew (sugarless) gum, drink water, or use a saliva substitute. To prevent constipation, maintain a diet adequate in fiber, drink plenty of water, and exercise. If you become constipated while using this drug, consult your pharmacist for help in selecting a laxative (e.g., stimulant-type with stool softener). Remember that your doctor has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects. Tell your doctor immediately if any of these unlikely but serious side effects occur: mental/mood changes (e.g., confusion, anxiety, hallucinations), fast/pounding heartbeat, hearing changes (e.g., ringing in the ears), difficult urination. Tell your doctor immediately if any of these rare but very serious side effects occur: easy bleeding/bruising, black/bloody/tarry stools, fainting, fast heartbeat, eye pain, stomach/intestinal blockage (e.g., persistent nausea/vomiting, prolonged constipation), difficult/painful swallowing, unusual tiredness, change in the amount of urine, vomit that looks like coffee grounds. A very serious allergic reaction to this drug is rare. However, seek immediate medical attention if you notice any symptoms of a serious allergic reaction, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, breathing trouble. This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist. In the US - Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088. In Canada - Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345.