Medication Guide. Table of Contents

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1 Medication Guide Table of Contents Medications That Can Interfere With Blood Clotting... 2 Aspirin Containing Medications... 2 Combination medications... 2 Acetaminophen-Containing Medicines... 3 Prescription Medicines That Contain Acetaminophen or Aspirin... 3 Anti-Inflammatory/NSAID-Containing Medicines... 4 Herbal Supplements and Vitamins... 4 Biologic Response Modifiers... 4 DMARDS for Rheumatoid Arthritis... 4 Pain Medications:... 5 Narcotic (Opioid) Safety... 5 Safety tips when using acetaminophen (Tylenol) in children Safety tips when using acetaminophen (Tylenol) in adults This material has been provided as an educational tool and is not meant to take place of 1

2 Medications That Can Interfere With Blood Clotting Aspirin Containing Medications Acuprin Buffex Halfprin Anacin Easprin Magnaprin Ascriptin Ecotrin Miniprin Aspergum Empirin Minitabs Aspidrox Entaprin Sloprin Aspir-Mox Entercote Uni-Buff Aspirtab Fasprin Uni-Tren Aspir-trin Genacote Valomag Bayer Aspirin Gennin-FC Zorprin Bufferin Genprin Sloprin Combination medications Alka-Seltzer Endodan Panasal Alor Equagesic Percodan Anacin Excedrin Robaxisal Aspircaf Goody's Body Roxiprin Axotal Levacet Saleto Azdone Lortab ASA Soma Bayer Aspirin Micrainin Supac BC Headache Momentum Synalgos-DC Damason-P Norgesic Talwin Emagrin Orphengesic Vanquish This material has been provided as an educational tool and is not meant to take place of professional care. Please consult your doctor for any questions, concerns or changes in your condition. Please consult your doctor if you have questions about any medications, supplements, or herbs you are taking, or that are 2

3 Acetaminophen-Containing Medicines Alka-Seltzer Plus Liquid Feverall Sinutab Gels Anacin Goody s Powders Sudafed Pressure + Pain + Mucus Cepacol Liquiprin Theraflu Contac Midol Extended Relief TYLENOL Brand Products Coricidin HBP Nyquil Vanquish Dayquil Panadol Vanquish Dimetapp Robitussin And store brands Dristan Cold Multisymptom Saint Joseph Aspirin-Free Excedrin Singlet Prescription Medicines That Contain Acetaminophen or Aspirin Butalbital Oxycodone Tylenol with Codeine Endocet Percocet Tylox Fioricet Phenaphen Ultracet Hycotab Sedapap Vicodin Hydrocet Tapanol Zydone Lortab Tramadol This material has been provided as an educational tool and is not meant to take place of 3

4 Anti-Inflammatory/NSAID Containing Medicines Celebrex Volatren Lodine Advil Motrin Indocin Orudis Oruvail Toradol Mobic Relafen Aleve Anaprox Naprosyn Daypro Feldene Clinoril Diclofenac Etodelac Ibuprofen Ketoprofen Ketorolac Meloxicam Nabumetone Naproxen Oxaprozin Piroxicam Sulindac Biologic Response Modifiers DMARDS for Rheumatoid Arthritis (Disease-Modifying Antirheumatic Drugs) Orencia Enbrel Rheumatrex Trexall Humira Remicade Xeljanz Kineret Rituxan Abatacept Etanercept Methotrexate Adalimumab Infliximab Tofacitinib Anakinra Rituximab This material has been provided as an educational tool and is not meant to take place of professional care. Please consult your doctor for any questions, concerns or changes in your condition. Please consult your doctor if you have questions about any medications, supplements, or herbs you are taking, or that are 4

5 Pain medications We may provide you with a prescription for pain medications for use at home. The goal of the pain medication is to manage your pain. However, it will not make the pain resolve completely. The pain medication will make you more comfortable during activities and sleeping. You may not drive while taking narcotic pain medications. Narcotic (Opioid) Safety Always follow these important safety tips: Never take an opioid pain reliever unless it is prescribed for you. Take opioids only as directed. Do not take more opioid or take it more often than is prescribed by your healthcare provider. Do not use opioids with alcohol or any other drugs unless approved by the opioid prescriber. Protect and lock up your opioids in a safe place at all times. Properly dispose of any leftover medicine. Never share opioids with another person. It is illegal and dangerous. Be prepared for opioid emergencies. Know the signs of trouble and what to do for hopefully avoid overmedication or overdose. Read the instructions that come with your opioid prescription. Contact your opioid prescriber or pharmacist with any questions. Allergy and addiction to opioids occur rarely taken as prescribed for pain. Opioid medicines can have side effects. The most common are: Constipation. You should ask your opioid/narcotic medication prescriber how to treat this. Nausea. This may last several days. There is medicine that can help with this. Sedation, a feeling of being mildly tired or groggy, that lasts a few days after starting opioids or occurs when the dose is increased. Less common side effects: Itching, dry skin, confusion, muscle twitching, dry mouth, sweating, fatigue, weakness, mild headaches. These are usually temporary. This material has been provided as an educational tool and is not meant to take place of 5

6 Take opioid pain relievers safely. Never chew, cut, crush, or dissolve open tablets. Never open opioid capsules unless you are specifically instructed to do so. Opioid patches must never be cut or folded. They should stick to the skin completely. Follow directions for use carefully. Do not drive or operate machinery until you know how opioids will affect you. Your judgment and/or ability to make important decisions may be impaired. BE ON THE ALERT FOR OPIOID OR MEDICATION OVERDOSE (share this with your family and caregivers) The following are signs and symptoms of overmedication and possible overdose: Intoxicated behavior, confusion, slurred speech, and/or stumbling. Feeling dizzy or faint. Feeling or acting very drowsy or groggy. Nodding off to sleep. Unusual snoring, gasping, or snorting during sleep. Difficulty waking up from sleep and becoming alert or staying awake. A PERSON WHO AT FIRST ONLY SEEMS TO BE OVERMEDICATED CAN QUICKLY BECOME MUCH WORSE. THEY SHOULD BE KEPT AWAKE AND WATCHED CLOSELY. Please call your physician if you are concerned about overmedication and possible overdose. US residents can also call the national poison hotline at at any time of day or night. Safety tips when using acetaminophen (Tylenol) in children If you give your child acetaminophen please use extra caution to be sure you are giving the correct dose. Double-check to see which concentration of medication you have. Concentrated infant drops (80 mg/0.8ml) are no longer sold, but you may still have some at home. Also check to be sure that the medicine is not out of date and therefore expired. If expired, be sure to discard. Do not give your child more than 5 doses in 24 hours. Other important safety tips Carefully read and follow all labels on the medicine bottle and box. Know how much your child weighs. The correct dose for your child is based on weight (not age). Use only the measuring device (syringe or cup) that came with the medication not a kitchen spoon. This material has been provided as an educational tool and is not meant to take place of 6 professional care. Please consult your doctor for any questions, concerns or changes in your condition. Please consult your doctor if you have questions about any medications, supplements, or herbs you are taking, or that are

7 Give, but do not exceed, the maximum recommended doses. Always dispense medication in a well-lit area where you can clearly see the measurements. Safety tips when using acetaminophen (Tylenol) in adults When purchasing a nonprescription medicine, carefully read the label, including the list of ingredients. Check for "acetaminophen" in this list. If you need help, ask your pharmacist. Avoid taking more than one product that contains acetaminophen at the same time, unless you have been advised to do so by your prescriber or pharmacist. Be aware that acetaminophen may also be an ingredient in prescription medicines such as Tylenol #3, Percocet and others. Acetaminophen is also known as "paracetamol" or "APAP". Check the strength of acetaminophen in the product that you are taking. This will usually be labeled in milligrams (mg) for tablets and as milligrams per millilitre (mg/ml) or milligrams per 5 millilitres (mg/5 ml) for liquids. Keep track of the amount of acetaminophen you take each day. Check the time when you take each dose. If you use any form of acetaminophen, make sure to include this on your list of medicines and to share this list with your physician/care team. If you drink alcohol, ask your physician/care team for assistance in choosing a dose of acetaminophen that is safe for you. The maximum daily dose recommended on the label of nonprescription acetaminophen products may cause liver damage in people who consume alcohol regularly. This material has been provided as an educational tool and is not meant to take place of 7

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