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Talwin NX
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- Rx, abortive, narcotic analgesic, opioid
- pentazocine 50 mg/maloxone 05. mg
- tablets
- possible side effects include: nausea,
vomiting, constipation, depression of respiration
- sedating
- potentially addictive
- strong potential for rebound headaches
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Thorazine (Chlorpromazine)
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- Rx, antiemetic, neuroleptic
- relieves pain, nausea, and vomiting
- oral, injectable, and suppositories
- very sedating and long-lasting
- possible side effects include: sedation,
anticholinergic effects, hypotension, extrapyramidal effects,
confusion
- contraindications: narrow-angle
glaucoma, some prostate conditions, severe hypotension, cardiac
arrhythmia
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Tigan (Trimethobenzamide)
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- Rx, antiemetic, neuroleptic
- relieves pain, nausea, and vomiting
- oral, injectable, and suppositories
- although somewhat less effective than
some drugs of this type, it is usually well tolerated, and is useful
for children
- possible side effects include: sedation,
anticholinergic effects, hypotension, extrapyrimidal effects,
confusion
- contraindications: narrow-angle
glaucoma, some prostate conditions, severe hypotension, cardiac
arrhythmia
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Topamax (Topiramate)
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- Brand
Names (U.S.): Topamax
- Brand
Names (Canada): Not yet
commercially available in Canada.
- Pregnancy & Breast
Feeding: Although studies have not been done on use during pregnancy,
animal studies have shown birth defects in offspring. Before taking
this medicine, be sure to notify your doctor if you are pregnant or
may become pregnant. It is not known if topiramate passes into breast
milk.
- Children: There have
been no studies comparing use of this drug to use in other age groups,
but results and side effects are not expected to differ.
- Possible side effects: tingling
sensations, clumsiness or unsteadiness, confusion, uncontrolled back-and-forth or rolling eye
movements, dizziness, double vision or other vision problems,
drowsiness, memory problems, menstrual pain, nervousness, speech or language
problems, unusual tiredness
or weakness, weight loss
- Special note
on potential side effects:
On
September 26, 2001, Joseph Hulihan, M.D., Director of CNS Research at
Ortho-McNeil Pharmaceutical, Inc. issued a warning statement to health care
professionals warning of some startling potential side effects of Topamax.
Postmarketing reports of these potential side effects indicate:
"Symptoms have typically occurred within the
first month of therapy, with patients reporting an acute onset of decreased
visual acuity and/or ocular pain. Eye examination revealed myopia, redness,
shallowing of the anterior chamber and elevated ocular pressure, with or
without pupil dilatation. Supraciliary effusion may displace the lens and iris
anteriorly, secondarily causing angle closure glaucoma."
For more information, see Topamax:
Take With Caution
- Other medications: Using
any drugs in combination with other drugs may cause serious and
potentially dangerous side effects. Discuss your other medications
with your physician. Be especially certain to discuss it with your
doctor if you take: Acetazolamide (Diamox), Dichlorphenamide (Daranide),
Carbamazepine (Tegretol), Oral contraceptives, Phenytoin (Dilantin), Valproic acid
(Depakene, Depakote)
- Other medical
conditions: Make sure you tell your doctor if you have any other
medical problems, especially: kidney or liver problems.
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Toradol (Ketorolac)
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- Rx, abortive,
NSAID
- not as effective as some medications,
but is useful when oral meds cannot be used.
- non-sedative, non-addictive
- oral or injectable
- used for mild to moderate migraine,
tension, menstrual headache and intractable migraine
- should be taken at first indication of
headache
- major potential for rebound headache,
should generally not be used for more than three days consecutively
- significant risk of GI and kidney side
effects
- contraindicated in those with GI or
kidney disorders or risks
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Ultram (Tramadol)
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- Rx, analgesic
- not available in Canada
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used to relieve pain, including pain after surgery.
The effects of tramadol are similar to those of narcotic analgesics. Although
tramadol is not a narcotic, it may become habit-forming, causing mental or
physical dependence.
- available as tablets
- possible side effects:
abdominal or stomach pain, agitation, anxiety,
constipation, diarrhea, dizziness, drowsiness, dry mouth, headache, heartburn, itching of the
skin,
loss of appetite, loss of strength or weakness, nausea, nervousness, skin
rash, sweating, unusual feeling of excitement, vomiting. Less common: Blisters under the skin; blurred vision; change in walking and balance;
convulsions (seizures); difficult urination; dizziness or lightheadedness
when getting up from a lying or sitting position; fainting; fast
heartbeat; frequent urge to urinate; loss of memory; numbness, tingling,
pain, or weakness in hands or feet; seeing, hearing, or feeling things
that are not there; severe redness, swelling, and itching of the skin;
shortness of breath; trembling and shaking of hands or feet; trouble
performing routine tasks
- other medications: It is especially
important that your physician know if you are taking Tegretol (Carbamazepine);
central nervous system depressants; MAO Inhibitors such as Furoxone,
Marplan, Nardil, etc.
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Other medical problems: It is especially important that your physician know if
you have abdominal or stomach conditions (severe). history of drug or alcohol abuse,
head injury, kidney disease, liver disease, seizure disorders
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