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Drug Information SheetBrand Name:RelafenGeneric Name: NabumetoneDrug Class:Anti-InflammatoryDrug Resource Used: Drug Uses and Indications: Relafen belongs to a group of drugs called nonsteroidal anti-inflammatory drugs (NSAIDs). It works by reducing hormones that cause inflammation and pain in the body. Relafen is used to treat pain or inflammation caused by arthritis.Dosage and Administration: The recommended starting dose is 1,000?mg taken as a single dose with or without food. Some patients may obtain more symptomatic relief from 1,500?mg to 2,000?mg per day. RELAFEN can be given in either a single or twice-daily dose. Dosages greater than 2,000?mg per day have not been studied. The lowest effective dose should be used for chronic treatment. Patients weighing under 50?kg may be less likely to require dosages beyond 1,000?mg; therefore, after observing the response to initial therapy, the dose should be adjusted to meet individual patients’ requirements. Side Effects: Possible constipation; diarrhea; dizziness; drowsiness; gas; headache; heartburn; nausea; stomach upset.Contraindications: Do not use this medication if you are allergic to Relafen, or if you have a history of allergic reaction to aspirin or other NSAIDs.Warnings/Precautions: 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.Adverse Reactions: Stop taking Relafen and seek medical attention or call your doctor at once if you have any of these serious side effects: chest pain, weakness, shortness of breath, slurred speech, problems with vision or balance;black, bloody, or tarry stools;coughing up blood or vomit that looks like coffee grounds;swelling or rapid weight gain;urinating less than usual or not at all;nausea, stomach pain, low fever, loss of appetite, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes);Special Instructions/Other Comments: NoneDrug Information SheetBrand Name:ToradolGeneric Name: KetorolacDrug Class:Anti-InflammatoryDrug Resource Used: Drug Uses and Indications: Toradol is in a group of drugs called nonsteroidal anti-inflammatory drugs (NSAIDs). Toradol is used short-term (5 days or less) to treat moderate to severe pain, usually after surgery. It is used alone or in combination with other medicines.Dosage and Administration: Take Toradol exactly as it was prescribed for you. Do not take the medication in larger amounts, or take it for longer than recommended by your doctor. Follow the directions on your prescription label. This medication is not for treating minor aches and pains. Toradol is usually given first as an injection, and then as an oral medicine. Toradol injection is given through a needle into a muscle or a vein. Toradol is normally given for 5 days or less, including both the injection and oral forms combined. Long-term use of Toradol can damage your kidneys or cause bleeding. Side Effects: Less serious side effects may include:upset stomach, mild nausea or vomiting, diarrhea, constipation;mild heartburn, stomach pain, bloating, gas;dizziness, headache, drowsiness;sweating; orringing in your ears.Contraindications: Do not use Toradol if you are allergic to ketorolac, aspirin, or other NSAIDs, or if you have: severe kidney disease;a bleeding or blood clotting disorder;a closed head injury or bleeding in your brain;a stomach ulcer or a history of stomach or intestinal bleeding; orif you are breast-feeding a baby.Warnings/Precautions: Taking an NSAID can increase your risk of life-threatening heart or circulation problems, including heart attack or stroke. This risk will increase the longer you use an NSAID. Do not use Toradol just before or after having heart bypass surgery (also called coronary artery bypass graft, or CABG).Adverse Reactions: Stop taking Toradol and seek medical attention or call your doctor at once if you have any of these serious side effects: chest pain, weakness, shortness of breath, slurred speech, problems with vision or balance;black, bloody, or tarry stools;coughing up blood or vomit that looks like coffee grounds;swelling or rapid weight gain;urinating less than usual or not at all;nausea, stomach pain, low fever, loss of appetite, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes);fever, sore throat, and headache with a severe blistering, peeling, and red skin rash;the first sign of any mouth sores or skin rash, no matter how mild;pale skin, easy bruising, severe tingling, numbness, pain, muscle weakness; orfever, headache, neck stiffness, chills, increased sensitivity to light, purple spots on the skin, and/or seizure (convulsions).Special Instructions/Other Comments: NoneDrug Information SheetBrand Name:VoltarenGeneric Name: DiclofenacDrug Class:Anti-InflammatoryDrug Resource Used: American Pharmacist AssociationDrug Uses and Indications: Voltaren is used to treat pain or inflammation caused by rheumatoid arthritis, osteoarthritis or ankylosing spondylitis.Dosage and Administration: Do not crush, chew, or break a Voltaren extended-release tablet. Swallow it whole. Breaking the pill may cause too much of the drug to be released at one time. If you switch brands of diclofenac, your dose needs may change. Follow your doctor's instructions about how much medicine to take.Side Effects: Less serious Voltaren side effects may include:upset stomach, mild heartburn or stomach pain, diarrhea, constipation bloating, gas;dizziness, headache, nervousness;skin itching or rash;blurred vision; orringing in your ears.Contraindications: To make sure you can safely take Voltaren, tell your doctor if you have any of these other conditions:a history of heart attack, stroke, or blood clot;heart disease, congestive heart failure, high blood pressure;a history of stomach ulcers or bleeding;liver or kidney disease,asthma;polyps in your nose;a bleeding or blood clotting disorder; orif you smoke.Warnings/Precautions: Do not take Voltaren during pregnancy unless your doctor has told you to. It is not known whether diclofenac passes into breast milk or if it could harm a nursing baby. You should not breast-feed while you are using Voltaren. Do not give this medicine to a child younger than 18 years old without medical advice.Adverse Reactions: Stop using Voltaren and call your doctor at once if you have a serious side effect such as:chest pain, weakness, shortness of breath, slurred speech, problems with vision or balance;black, bloody, or tarry stools;coughing up blood or vomit that looks like coffee grounds;swelling or rapid weight gain, urinating less than usual or not at all;nausea, upper stomach pain, itching, loss of appetite, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes);bruising, severe tingling, numbness, pain, muscle weakness;neck stiffness, chills, increased sensitivity to light, purple spots on the skin, and/or seizure (convulsions); orsevere skin reaction -- fever, sore throat, swelling in your face or tongue, burning in your eyes, skin pain, followed by a red or purple skin rash that spreads (especially in the face or upper body) and causes blistering and peeling.Special Instructions/Other Comments: Avoid exposure to sunlight or tanning beds. Voltaren can make you sunburn more easily.Drug Information SheetBrand Name:NaropinGeneric Name: RopivacaineDrug Class:Analgesic: Non-NarcoticDrug Resource Used: U.S. PharmacopeiaDrug Uses and Indications: Ropivacaine is used as a local (in only one area) anesthesia for a spinal block, also called an epidural. The medication is used to provide anesthesia during a surgery or C-section, or to ease labor pains.Dosage and Administration: Ropivacaine is given as an injection through a needle placed into an area of your middle or lower back near your spine. You will receive this injection in a clinic or hospital setting.Side Effects: Less serious side effects include:nausea, vomiting;headache, back pain;fever;itching;numbness or tingly feeling; orproblems with urination or sexual function.Contraindications: You should not receive ropivacaine if you have ever had an allergic reaction to any type of numbing medicine. Before receiving ropivacaine, tell your doctor if you are allergic to any drugs, or if you have:liver disease;heart disease; orkidney disease.Warnings/Precautions: This medication can cause numbness over a large portion of your body. Take care to avoid injury before the feeling has returned completely.Adverse Reactions: Tell your caregivers at once if you have any of these serious side effects: feeling anxious, restless, confused, or like you might pass out;problems with speech or vision;ringing in the ears, metallic taste, vision problems, numbness or tingling around your mouth, or tremors;seizure (convulsions);weak or shallow breathing;slow heart rate, weak pulse; orfast heart rate, gasping, feeling unusually hot.Special Instructions/Other Comments: Spinal numbing medications can have long-lasting or permanent effects on certain body processes such as sexual function, bowel or bladder control, and movement or feeling in your legs or feet.Drug Information SheetBrand Name:UltracetGeneric Name: acetaminophen and tramadolDrug Class:Analgesic: Non-NarcoticDrug Resource Used: Health CentralDrug Uses and Indications: Ultracet contains a combination of tramadol and acetaminophen. Tramadol is a narcotic-like pain reliever. Acetaminophen is a less potent pain reliever that increases the effects of tramadol. Ultracet is used to treat moderate to severe pain.Dosage and Administration: The maximum amount of Ultracet is 2 tablets per dose, or 8 tablets per day. Tramadol and acetaminophe should not be used for longer than 5 days in a row. Ultracet can be taken with or without food, but take it the same way each time.Side Effects: Less serious Ultracet side effects may include:dizziness, drowsiness, weakness, tired feeling;stomach pain, constipation, loss of appetite;dry mouth, blurred vision;feeling nervous or anxious;sweating, itching; orsleep problems (insomnia).Contraindications: You should not take Ultracet if you are allergic to acetaminophen or tramadol, if you are intoxicated (drunk), or if you have recently used any of the following drugs:alcohol;tramadol (Ultram) or narcotic pain medicine;sedatives or tranquilizers (such as Valium);medicine for depression or anxiety;medicine for mental illness (such as bipolar disorder, schizophrenia); orstreet drugs.Warnings/Precautions: Seizures have occurred in some people taking Ultracet. Your risk of a seizure may be higher if you have any of these conditions:a history of drug or alcohol addiction;a history of epilepsy or other seizure disorder;a history of head injury;a metabolic disorder;an infection of your brain or spinal cord, such as meningitis or encephalitis;if you are also taking an antidepressant, mood stabilizer, or another narcotic pain medicine; orif you have taken an MAO inhibitor such as isocarboxazid (Marplan), linezolid (Zyvox), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl, Emsam), or tranylcypromine (Parnate) within the past 14 days.Adverse Reactions: Stop using Ultracet and call your doctor at once if you have any of these serious side effects:seizure (convulsions);agitation, hallucinations, fever, fast heart rate, overactive reflexes, nausea, vomiting, diarrhea, loss of coordination, fainting;a red, blistering, peeling skin rash; orshallow breathing, weak pulse.Special Instructions/Other Comments: Ultracet may be habit-forming and should be used only by the person it was prescribed for. Never share this medication with another person, especially someone with a history of drug abuse or addiction. ................
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