The extended-release form of oxymorphone is for around-the-clock treatment of pain and should not be used on an as-needed basis for pain. if you buy opana ER online from a genuine online pharmacy then you get relief of your pains.
How should I use Opana ER?
Before you buy opana ER online from a legit online pharmacy, you should know how to use opana ER. Follow the directions on your prescription label and read all medication guides. Never use Opana ER in larger amounts, or for longer than prescribed. Tell your doctor if you feel an increased urge to take more of this medicine.
Always check your bottle to make sure you have received the correct pills (same brand and type) of medicine prescribed by your doctor. Ask the pharmacist if you have any questions about the medicine you receive at the pharmacy.
Stop taking all other around-the-clock narcotic pain medications when you start taking Opana ER.
Take Opana ER on an empty stomach, at least 1 hour before or 2 hours after a meal.
Swallow the tablet whole to avoid exposure to a potentially fatal overdose. Do not crush, chew, break, or dissolve.
Never crush or break an Opana ER pill to inhale the powder or mix it into a liquid to inject the drug into your vein. This can cause in death.
Do not stop using this medicine suddenly after long-term use, or you could have unpleasant withdrawal symptoms. Ask your doctor how to safely stop using Opana ER.
Store at room temperature away from moisture, heat, and light. Keep track of your medicine. You should be aware if anyone is using it improperly or without a prescription.
Do not keep leftover opioid medication. Just one dose can cause death in someone using this medicine accidentally or improperly. Ask your pharmacist where to locate a drug take-back disposal program. If there is no take-back program, flush the unused medicine down the toilet.
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Opana ER side effects
Its important to know the side effects of Opana ER before you buy opana ER online from a genuine online pharmacy. Get emergency medical help if you have signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat.
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.
Call your doctor at once if you have:
WHAT SHOULD I AVOID WHILE USING OPANA ER?
We recommend that before you buy opana ER online , you should what to avoid. Do not drink alcohol. Dangerous side effects or death could occur.
Avoid driving or hazardous activity until you know how Opana ER will affect you. Dizziness or drowsiness can cause falls, accidents, or severe injuries.
WHAT HAPPENS IF I OVERDOSE?
Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. A Opana ER overdose can be fatal, especially in a child or other person using the medicine without a prescription.
Overdose symptoms may include extreme drowsiness, muscle weakness, confusion, cold and clammy skin, pinpoint pupils, slow heart rate, very slow breathing, or coma.
Indications and Usage for Opana ER
Limitations of Use
- Because of the risks of addiction, abuse, and misuse with opioids, even at recommended doses, and because of the greater risks of overdose and death with extended-release opioid formulations [see Warnings and Precautions, reserve Opana ER for use in patients for whom alternative treatment options (e.g., non-opioid analgesics or immediate-release opioids) are ineffective, not tolerated, or would be otherwise inadequate to provide sufficient management of pain.
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Dosage and Administration
2.1 Important Dosage and Administration Instructions
Opana ER should be prescribed only by healthcare professionals who are knowledgeable in the use of potent opioids for the management of chronic pain.
- Use the lowest effective dosage for the shortest duration consistent with individual patient treatment goals [see Warnings and Precautions.
- Initiate the dosing regimen for each patient individually, taking into account the patient’s severity of pain, patient response, prior analgesic treatment experience, and risk factors for addiction, abuse, and misuse [see Warnings and Precautions.
- Monitor patients closely for respiratory depression, especially within the first 24-72 hours of initiating therapy and following dosage increases with Opana ER and adjust the dosage accordingly [see Warnings and Precautions.
Instruct patients to swallow Opana ER tablets whole, one tablet at a time, with enough water to ensure complete swallowing immediately after placing in the mouth [see Patient Counseling Information. Crushing, chewing, or dissolving Opana ER tablets will result in uncontrolled delivery of oxymorphone and can lead to overdose or death [see Warnings and Precautions. Where to Buy Opana ER 40mg (Oxymorphone) Online For Sale
Administer on an empty stomach, at least 1 hour prior to or 2 hours after eating.
Opana ER is administered orally every 12 hours.
2.2 Initial Dosing
Use of Opana ER as the First Opioid Analgesic
Initiate treatment with Opana ER with the 5 mg tablet orally every 12-hours.
Use of Opana ER in Patients who are not Opioid Tolerant
The starting dose for patients who are not opioid tolerant is Opana ER 5 mg orally every 12 hours.
Patients considered opioid tolerant are those taking, for one week or longer, at least 60 mg oral morphine per day, 25 mcg transdermal fentanyl per hour, 30 mg oral oxycodone per day, 8 mg oral hydromorphone per day, 25 mg oral oxymorphone per day, 60 mg oral hydrocodone per day, or an equianalgesic dose of another opioid.
Use of higher starting doses in patients who are not opioid tolerant may cause fatal respiratory depression.
Conversion from OPANA to Opana ER
Conversion from Parenteral Oxymorphone to Opana ER
In conclusion, the absolute oral bioavailability of Opana ER is approximately 10%. So, convert patients receiving parenteral oxymorphone to Opana ER by administering 10 times the patient’s total daily parental oxymorphone dose as Opana ER in two equally divided doses (e.g., [IV dose x 10] divided by 2). Due to patient variability with regards to opioid analgesic response, upon conversion monitor patients closely to evaluate for adequate analgesia and side effects.
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