Narcotic Analgesics and Aspirin : Before Using

Narcotic Analgesics and Aspirin - Systemic

Narcotic Analgesics and Aspirin *** Before Using *** How to Use *** Fore Safe Use *** Side Effects

Before Using

In deciding to using a medication, the chance of taking the drug must be weighed against the good it will do. This is a decision you will make. For narcotic analgesic and aspirin combinations, the following must be considered

Allergic reaction

Tell your family doctor if you have any unusual or allergy to a narcotic analgesic, aspirin or other salicylates, including methyl salicylate - oil of wintergreen, or any of the following medication:

Diclofenac - Voltaren
Diflunisal - Dolobid
Etodolac - Lodine
Fenoprofen - Nalfon
Floctafenine - Idarac
Flurbiprofen, oral - Ansaid
Ibuprofen - Motrin
Indomethacin - Indocin
Ketoprofen - Orudis
Ketorolac - Toradol
Meclofenamate - Meclomen
Mefenamic acid - Ponstel
Nabumetone - Relafen
Naproxen - Naprosyn
Oxaprozin - Daypro
Oxyphenbutazone - Tandearil
Phenylbutazone - Butazolidin
Piroxicam - Feldene
Sulindac - Clinoril
Suprofen - Suprol
Tenoxicam - Mobiflex
Tiaprofenic acid - Surgam
Tolmetin - Tolectin
Zomepirac - Zomax

Also tell your health care professional if you are allergic to any other substances, such as foods, preservatives, or dyes.

Pregnancy care

For aspirin : Studies have not shown that aspirin causes birth defects. However, studies in pets have shown that aspirin causes birth defects.
Some reports have suggested that too much use of aspirin late in pregnancy may cause a decrease in the newborn's weight and possible death of the fetus or newborn baby. However, the mothers in these reports had been taking much larger amounts of aspirin than are usually recommended. Studies of mothers taking aspirin in the doses that are usually recommended did not show these effects. However, regular use of aspirin late in pregnancy may cause unwanted effects on the heart or blood flow in the fetus or in the newborn baby. Always use of aspirin during the last 2 weeks of pregnancy may cause bleeding problems in the fetus before or during delivery or in the newborn baby.
Too much use of aspirin during the last 3 months of pregnancy may increase the length of pregnancy, prolong labor, cause other problems during delivery, or cause severe bleeding in the mother before, during, or after delivery. Do not take aspirin during the last 3 months of pregnancy unless it has been ordered by your family doctor .
For narcotic analgesics : Although studies on birth defects with narcotic analgesics have not been done in pregnant women, they have not been reported to cause birth defects. However, hydrocodone causing birth defects in animal studies when given in very large doses. Codeine did not cause birth defects in pets, but it causing slower development of bones and other toxic or harmful effects on the fetus. Pentazocine and propoxyphene did not cause birth defects in pets. There is no information about whether dihydrocodeine or oxycodone causes birth defects in pets.
Too much use of a narcotic during pregnancy may cause the fetus to become dependent on the drug. This may lead to withdrawal side effects in the newborn baby. Always some of these medication may cause breathing problems in the newborn baby if taken just before or during delivery.
For caffeine : Studies have not shown that caffeine - contained in some of these combination medication causes birth defects. However, studies in pets have shown that caffeine causes birth defects when given in very large doses - amounts equal to those present in 12 to 24 cups of coffee a day.

Breast-feeding problem

These combination medication have not been reported to cause problems in nursing babies. However, aspirin, caffeine, codeine, and propoxyphene pass into the breast milk. It is not known whether dihydrocodeine, hydrocodone, oxycodone, or pentazocine passes into the breast milk.

Use for Children

Do not give a drug containing aspirin to a child or a teenager with a fever or other symptoms of a virus infection, especially flu or chickenpox, without first discussing its use with your child's family doctor . This is very important because aspirin may cause a serious illness called Reye's syndrome in child with fever causing by a virus infection, especially flu or chickenpox. Children who do not have a virus infection may also be more sensitive to the effects of aspirin, especially if they have a fever or have lost large amounts of body fluid because of vomiting, diarrhea, or sweating. This may increase the risk of side effects during treat.

The narcotic analgesic in this combination drug can cause breathing problems, especially in child younger than 2 years of age. These children are usually more sensitive than adults to the effects of narcotic analgesics. Always unusual excitement or restlessness may be more likely to occur in child receiving these medication.

Elderly care

Elderly people are especially sensitive to the effects of aspirin and of narcotic analgesics. This may increase the risk of side effects, especially breathing problems causing by narcotic analgesics, during treat.

Drug interactions

Although certain medication must not be using together at all, in other cases two various medication may be using together even if an interaction might occur. In these cases, your family doctor may want to change the dose, or other precautions may be necessary. When you are taking a narcotic analgesic and aspirin combination, it is especially important that your health care professional know if you are taking any of the following:

Anticoagulants - blood thinners
Carbenicillin by injection - Geopen
Cefamandole - Mandol
Cefoperazone - Cefobid
Cefotetan - Cefotan
Dipyridamole - Persantine
Divalproex - Depakote
Heparin
Medicine for inflammation or pain, except narcotics,
Pentoxifylline - Trental
Plicamycin - Mithracin
Ticarcillin - Ticar
Valproic acid - Depakene Taking these medication together with aspirin may increase the risk of bleeding

Antidiabetics, oral - diabetes drug you take by mouth Aspirin may increase the effects of the antidiabetic drug; a change in the dose of the antidiabetic drug may be needed if aspirin is taken regularly

Carbamazepine - Tegretol Propoxyphene can increase the blood levels of carbamazepine, which increases the risk of serious side effects

Central nervous system - CNS depressants
Diarrhea drug
Methotrexate - Mexate
Tricyclic antidepressants - amitriptyline " Elavil ", amoxapine " Asendin ", clomipramine " Anafranil ", desipramine " Pertofrane ", doxepin " Sinequan ", imipramine " Tofranil ", nortriptyline " Aventyl ", protriptyline " Vivactil ", trimipramine " Surmontil "
Vancomycin - Vancocin The risk of side effects may be increased

Naltrexone - Trexan Naltrexone keeps narcotic analgesics from working to relieve pain; people taking naltrexone must use pain relievers that do not contain a narcotic

Probenecid - Benemid
Sulfinpyrazone - Anturane Aspirin can keep these medication from working as well for treating gout; also, use of sulfinpyrazone and aspirin together may increase the risk of bleeding

Urinary alkalizers - drug that makes the urine less acid, such as acetazolamide " Diamox ", calcium- andmagnesium-containing antacids, dichlorphenamide " Daranide ", methazolamide " Neptazane ", potassium or sodium citrate andcitric acid, sodium bicarbonate "baking soda " These medication may make aspirin less effective by causing it to be removed from the body more quickly

Zidovudine - AZT, Retrovir Higher blood levels of zidovudine and an increased risk of serious side effects may occur

Other Information for using

The presence of other medical problems may effect the use of narcotic analgesic and aspirin combinations. Make sure you tell your family doctor if you have any other medical problems, especially:

Alcohol andother drug abuse, or history of,
Asthma, allergies and nasal polyps - history of
Brain disease or head injury
Colitis
Convulsions - seizures, history of,
Emotional problems or mental illness
Emphysema or other chronic lung disease
Kidney disease
Liver disease
Underactive thyroid The risk of serious side effects may be increased

Anemia
Overactive thyroid
Stomach ulcer or other stomach problems Aspirin may make these conditions worse

Enlarged prostate or problems with urination
Gallbladder disease or gallstones Narcotic analgesics have side effects that may be dangerous if these medical problems are present

Gout Aspirin can make this condition worse and can also lessen the effects of some medication using to treat gout

Heart disease Large amounts of aspirin and caffeine - present in some of these combination medication can make some kinds of heart disease worse

Hemophilia or other bleeding problems
Vitamin K deficiency Aspirin increases the risk of serious bleeding