くすりのしおり

Internal
Published: 2/2019

The information on this sheet is based on approvals granted by the Japanese regulatory authority. Approval details may vary by country. Medicines have adverse reactions (risks) as well as efficacies (benefits). It is important to minimize adverse reactions and maximize efficacy. To obtain a better therapeutic response, patients should understand their medication and cooperate with the treatment.
Brand name :
NARUSUS TABLETS 24mg
 Active ingredient:
Hydromorphone hydrochloride
 Dosage form:
white to yellowish white tablet, diameter 9.6 mm, thick 5.3 mm
 Print on wrapping:
ナルサス,24mg,1日1回,24,徐放,DCE24,Narusus24mg,かまずに飲むこと

Effects of this medicine

This medicine act on opioid receptors in the central nervous system to reduce pain.
It is usually used to pain relief in various types of cancer with moderate to severe pain.

Before using this medicine, be sure to tell your doctor and pharmacist

  • If you have previously experienced any allergic reactions (itch, rash, etc.) to any medicines. If you are having respiratory depression, bronchial asthma, heart failure, experience of seizures, paralytic ileus, acute alcoholism, hemorrhagic colitis or bacterial diarrhea.
  • If you are pregnant or breastfeeding.
  • If you are taking any other medicinal products. (Some medicines may interact to enhance or diminish medicinal effects. Beware of over-the-counter medicines and dietary supplements as well as other prescription medicines.)

Dosing schedule (How to take this medicine)

  • Your dosing schedule prescribed by your doctor is ((        to be written by a healthcare professional))
  • In general, for adults, take 4 to 24 mg of hydromorphone once a day, but the dose may be increased or decreased depending on the symptoms. At the start of the administration, a dose of 4mg is given. If you have been treated with other analgesics, the dose and duration of analgesic effect are considered, and the dose is determined with caution against adverse reactions. The dosage may be adjusted to provide adequate analgesia and to minimize adverse reactions. This preparation contains 2mg of hydromorphone in a tablet. Strictly follow the instructions.
  • If you miss a dose, take the missed dose when you feel aware of it. However, if you are near to take the next administration, do not take any missed dose and take one dose at the next time. You should never take two doses at one time.
  • If you accidentally take more than your prescribed dose, consult with your doctor or pharmacist.
  • Do not stop taking this medicine unless your doctor instructs you to do so.

Precautions while taking this medicine

  • This medicine may cause sleepiness or diziness. Avoid operationg dangerous machinery such as driving a car.
  • Pay attention that alcohol (drinking) may intensify medicine or medical effects.

Possible adverse reactions to this medicine

The most commonly reported adverse reactions include sleepiness, nausea, vomiting, and constipation. If any of these symptoms occur, consult with your doctor or pharmacist.
The symptoms described below are rarely seen as initial symptoms of the adverse reactions indicated in brackets. If any of these symptoms occur, stop taking this medicine and see your doctor immediately.
  • desire of taking drugs unless the necessity of administration [dependence]
  • breathing difficulty, shortness of breath [respiratory depression]
  • constipation, bloating, severe abdominal pain [ileus (including paralytic ileus), toxic megacolon]
The above symptoms do not describe all the adverse reactions to this medicine. Consult with your doctor or pharmacist if you notice any symptoms of concern other than those listed above.

Storage conditions and other information

  • Keep out of the reach of children. Store away from direct sunlight, heat and moisture.
  • Return to the hospital or pharmacy if the medicine is no longer available. Concerning the return of the medicine, consult with your pharmacist where you received.

For healthcare professional use only : Day Month Year

For further information, talk to your doctor or pharmacist.

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