PATIENT MEDICATION INFORMATION PACKET

 

Dilaudid Tablets

Fentanyl Patch

MS Contin

Morphine Concentrate

Morphine Sulfate Tablets or Capsules

Oxycodone Plus Acetaminophen

Oxycontin

Choline Magnesium Trisalicylate

Ibuprofen

Desipramine

Nortriptyline

 

Fox Chase Cancer Center

Philadelphia, PA

 

Developed by:

Pain Management Center Staff in conjunction with Pain

Resource Nurses and Education Committee

 


PATIENT INFORMATION

 

7701 Burholme Avenue

Philadelphia, Pennsylvania 19111

PATIENT MEDICATION INFORMATION

NARCOTIC

DILAUDID TABLETS

NAME: Dilaudid Tablets (Hydromorphone)  
DESCRIPTION: Dilaudid tablets come in 4 strengths.  
  2 mg - Orange 8 mg - White (triangle shape)
  4 mg - Yellow  
USES: Relieves pain. Sometimes used to control cough.  

DOSAGE & ADMINISTRATION:

Take only as directed.

These directions may change.

There is no maximum dose or number of tablets your doctor can prescribe for you.

Usually taken every 2 - 4 hours.

May be taken alone or as a supplement to other pain medications.

May be taken with or without food.

May be taken with other medications.

POSSIBLE SIDE EFFECTS:

Constipation: Narcotics block pain and block bowels. Constipation can be controlled with daily laxatives.
Nausea & Vomiting: Less common than constipation. Can be controlled with medicines. If this occurs, call your doctor or nurse.
Drowsiness: May occur when starting Dilaudid or increasing dose. This usually goes away in 72 hours. Rest as needed.
Confusion: This is less common than drowsiness. If this happens, call your doctor or nurse.

 

PRECAUTIONS:

KEEP OUT OF REACH OF CHILDREN.

Be careful driving or using machinery such as lawn mowers, power tools or saws.

Be careful when drinking alcohol. Alcohol will increase drowsiness.

STOPPING MEDICATIONS:

DO NOT SUDDENLY STOP TAKING YOUR MEDICINE.

Dilaudid must be stopped gradually.

Call your doctor/nurse for directions.

REMEMBER!

Dilaudid prescriptions cannot be refilled or phoned into your pharmacy.

Don't run out of pills.

Keep count of your pills.

Get a new prescription filled a few days before you run out of pills.

Adopted: 12/90

Rev: 4/96

8 FCCC, 1993


PATIENT MEDICATION INFORMATION

NARCOTIC

FENTANYL PATCH

NAME: Duragesic (Fentanyl Transdermal System)
DESCRIPTION: A thin adhesive (sticky) patch that comes in four sizes:

25 ug/hr (micrograms/hour)

50 ug/hr

75 ug/hr

100 ug/hr

USES: Relieves pain.
DOSAGE AND ADMINISTRATION: TAKE ONLY AS DIRECTED

These directions may change. There is no maximum dose or number of patches that your doctor can prescribe for you. Doses are prescribed in micrograms/hour (ug/hr). The medicine is released slowly. It takes 12-18 hours to feel relief when starting the patch or increasing the dose.

Short acting narcotic medications will be ordered to use in between patch changes if needed to control pain. Usually patches are changed every 72 hours.

HOW TO APPLY DURAGESIC

Patch is placed on skin above the waist. Front or back of body can be used. If skin has body hair, clip hair close to skin. DO NOT SHAVE SKIN. Do not place patch on cut or irritated skin. Do not use soap, oils, lotions, or alcohol on skin where patch will be placed. Make sure skin is dry.

STEPS:

1. Take patch out of protective pouch.

2. Pull protective backing off sticky side of patch by using tab that sticks out. Discard backing.

3. Apply patch immediately to dry, non-hairy area of skin.

4. Press patch firmly on skin with the palm of your hand for 10 to 20 seconds.

5. Wash hands.

6. After 72 hours, remove all patches and apply new ones on different place on the skin.

7. If patch should fall off of skin replace with a new patch.

DISPOSAL:

Fold used patch so sticky side sticks to itself. Flush used patches down the toilet immediately.

POSSIBLE SIDE EFFECTS:

Constipation: Narcotics block pain and block bowels. Constipation can be controlled with daily laxatives.
Nausea and Vomiting: Less common than constipation. Can be controlled with medicines. If this occurs, call your doctor or nurse.
Drowsiness: May occur when starting narcotics or increasing dose. This usually goes away in 48-72 hours. Rest as needed.
Confusion: This is less common than drowsiness. If this happens, call your doctor or nurse.

PRECAUTIONS:

Be careful driving or using machinery such as lawn mowers, power tools or saws. Be careful when drinking alcohol. Alcohol will increase drowsiness.

KEEP OUT OF REACH OF CHILDREN.

STOPPING MEDICATIONS: DO NOT SUDDENLY STOP USING YOUR PATCH.

Narcotics must be stopped gradually. Call your doctor/nurse for directions.

REMEMBER!

Narcotic prescriptions cannot be refilled or phoned into your pharmacy.

Don't run out of patches.

Keep count of your patches.

Get a new prescription filled a few days before you run out of patches.

It will take 12-18 hours before you feel the effects of starting Duragesic.

It will take 12-18 hours before you feel the effects of increasing the Duragesic dose.

Call your doctor or nurse if pain is unrelieved.

Adopted: 2/92

Revised: 3/93

8 FCCC, 1993


PATIENT MEDICATION INFORMATION

NARCOTIC

MS CONTIN

NAME: MS Contin - (morphine controlled release tablets)    
DESCRIPTION: MS Contin tablet comes in 5 strengths.    
  15 mg - blue 60 mg - orange 200 mg - green
  30 mg - purple 100 mg - gray  
USES: Relieves pain. Sometimes used to control cough and shortness of breath.    

DOSAGE & ADMINISTRATION:

Take only as directed.

These directions may change.

There is no maximum dose or number of tablets your doctor can prescribe for you.

The morphine in MS Contin is slowly released. Pain relief usually lasts 12 hours.

Take at the same time every day.

May be taken with or without food.

May be taken with other medications.

POSSIBLE SIDE EFFECTS:

Constipation:

Narcotics block pain and block bowels. Constipation can be controlled with daily laxatives.

Nausea and Vomiting: Less common than constipation. Can be controlled with medicines. If this occurs, call your doctor or nurse.
Drowsiness: May occur when starting morphine or increasing dose. This usually goes away in 48-72 hours. Rest as needed.
Confusion: This is less common than drowsiness. If this happens, call your doctor or nurse.

PRECAUTIONS:

DO NOT BREAK, CRUSH, OR CHEW TABLETS.

Be careful driving or using machinery such as lawn mowers, power tools or saws.

Be careful when drinking alcohol. Alcohol will increase drowsiness.

KEEP OUT OF REACH OF CHILDREN.

STOPPING MEDICATIONS:

DO NOT SUDDENLY STOP TAKING YOUR MEDICINE.

Morphine must be stopped gradually.

Call your doctor/nurse or directions.

REMEMBER!

Morphine prescriptions cannot be refilled or phoned into your pharmacy.

Don't run out of pills.

Keep count of your pills.

Get a new prescription filled a few days before you run out of pills.

Adopted: 9/90

8 FCCC, 1993

rev. 10/95


PATIENT INFORMATION

7701 Burholme Avenue

Philadelphia, Pennsylvania 19111

PATIENT MEDICATION INFORMATION

NARCOTIC

MORPHINE CONCENTRATE

NAMES: Roxanol (Morphine Sulfate Immediate Release, Concentrated Oral Solution)
  MSIR Oral Solution Concentrate
DESCRIPTION: A colorless liquid - (20 mg Morphine per ml)
USES: Relieves pain. Sometimes used to control cough and shortness of breath.

DOSAGE & ADMINISTRATION:

Take only as directed.

These directions may change.

There is no maximum dose or amount your doctor can prescribe for you.

Doses are prescribed in ml's, cc's or mg's.

Usually taken every 3 to 4 hours.

May be taken alone or as a supplement to other pain medications.

May be mixed with juice or water.

May be taken with or without food.

May be taken with other medications.

One drop of blue food coloring may be added to the bottle if you have trouble measuring the liquid.

POSSIBLE SIDE EFFECTS:

Constipation: Narcotics block pain and block bowels. Constipation can be controlled with daily laxatives.
Nausea and Vomiting: Less common than constipation. Can be controlled with medicines. If this occurs, call your doctor or nurse.
Drowsiness:

May occur when starting morphine or increasing dose. This usually goes away in 72 hours. Rest as needed.

Confusion: This is less common than drowsiness. If this happens, call your doctor or nurse.

PRECAUTIONS:

 

ml.

2.0 = 40 mg.

1.75

1.5 = 30 mg.

1.25

1.0 = 20 mg.

0.75

0.5 = 10 mg.

KEEP OUT OF REACH OF CHILDREN.

Measure your dose with a dropper, medicine cup or syringe. Do not use a teaspoon or tablespoon. Remember mg's do not equal ml's. (1 cc = 1 ml - 20 mg).

Be careful driving or using machinery such as lawn mowers, power tools, or saws. Be careful when drinking alcohol. Alcohol will increase drowsiness.

STOPPING MEDICATIONS:

DO NOT SUDDENLY STOP TAKING YOUR MEDICINE.

Narcotics must be stopped slowly.

Call your doctor/nurse for directions.

REMEMBER!

Narcotic prescriptions cannot be refilled or phoned into your pharmacy.

Don't run out of medicine.

Keep count of your medicine.

Get a new prescription filled a few days before you run out of medicine.

CALL your doctor or nurse if pain changes or does not go away. Your medicine may need to be adjusted.

Adopted: 12/90

Revised: 4/92


PATIENT INFORMATION

7701 Burholme Avenue

Philadelphia, Pennsylvania 19111

PATIENT MEDICATION INFORMATION

NARCOTIC

MORPHINE SULFATE

TABLETS OR CAPSULES

NAMES:

Morphine Sulfate Tablets

MSIR (Morphine Sulfate Immediate Release)

DESCRIPTION:

MSIR comes in 2 strengths

  MSIR is available as a tablet or a capsule
  15 mg tablet - White Round
  30 mg tablet - White Oblong
  15 mg capsule - White and Blue
  30 mg capsule - Gray and Purple
  Generics may look different
USES:

Relieves pain.

Sometimes used to control cough and/or shortness of breath

DOSAGE & ADMINISTRATION:

Take only as directed.

These directions may change.

There is no maximum dose or amount your doctor can prescribe for you.

Usually taken every 3 to 4 hours.

May be taken alone or as a supplement to other pain medications.

May be taken with or without food.

May be taken with other medications.

If you miss a scheduled dose, take it as soon as possible! Do not take 2 doses at once.

You may need to adjust your schedule.

Inform your doctor before you begin taking any new medicine, either prescribed or over- the-counter.

Capsule contents can be sprinkled over soft food, added to liquids, or given in gastric or NG tubes.

POSSIBLE SIDE EFFECTS:

Constipation: Narcotics block pain and block bowels. Constipation can be controlled with daily laxatives.
Nausea and Vomiting: Less common than constipation. Can be controlled with medicines. If this occurs, call your doctor or nurse.
Drowsiness: May occur when starting morphine or increasing dose. This usually goes away in 72 hours. Rest as needed.
Confusion: This is less common than drowsiness. If this happens, call your doctor or nurse.

PRECAUTIONS:

KEEP OUT OF REACH OF CHILDREN.

Be careful when drinking alcohol.

Alcohol will increase drowsiness.

Be careful when driving or using machinery such as lawn mowers, power tools, or saws.

STOPPING MEDICATIONS:

DO NOT SUDDENLY STOP TAKING YOUR MEDICINE.

Narcotics must be stopped slowly.

Call your doctor or nurse for directions.

REMEMBER!

Narcotic prescriptions cannot be refilled or phoned into your pharmacy.

Don't run out of medicine.

Keep count of your medicine.

Get a new prescription filled a few days before you will run out of medicine.

CALL your doctor or nurse if pain changes or does not go away. Your medicine may need to be adjusted.


PATIENT INFORMATION

7701 Burholme Avenue

Philadelphia, Pennsylvania 19111

PATIENT MEDICATION INFORMATION

NARCOTIC

OXYCODONE PLUS ACETAMINOPHEN

 

NAME: Percocet, Tylox, Roxicet
DESCRIPTION:

Percocet - round scored white tablet

Tylox - red capsule

Generics (non-brand names) - may look different

Roxicet - white scored tablet

Roxicet oral solution - 5 ml = 1 tsp. = 1 tablet

USES: Relieves pain.
DOSAGE & ADMINISTRATION:

Take only as directed.

These directions may change.

Usually 1-3 tablets or capsules may be taken every 3 to 4 hours.

No more than 16 Tylox or 24 Percocet per day.

May be taken alone or as a supplement to other pain medications.

May be taken with or without food.

May be taken with other medications.

POSSIBLE SIDE EFFECTS:

Constipation: Narcotics block pain and block bowels. Constipation can be controlled with daily laxatives.
Nausea and Vomiting:

Less common than constipation. Can be controlled with medicines. If this occurs, call your doctor or nurse.

Drowsiness:

May occur when starting narcotic or increasing dose. This usually goes away in 48-72 hours. Rest as needed.

Confusion: This is less common than drowsiness. If this happens, call your doctor or nurse.
   
   

PRECAUTIONS:

Be careful when driving or using machinery such as lawn mowers, power tools, or saws. Be careful when drinking alcohol. Alcohol will increase drowsiness.

KEEP OUT OF REACH OF CHILDREN.

STOPPING MEDICATIONS:

DO NOT SUDDENLY STOP TAKING YOUR MEDICINE.

Narcotics must be stopped gradually.

Call your doctor/nurse for directions.

REMEMBER!

Narcotic prescriptions cannot be refilled or phoned into your pharmacy.

Don't run out of medicine.

Keep count of your medicine.

Get a new prescription filled a few days before you run out of medication.

CALL your doctor or nurse if pain changes or does not go away. Your medicine may need to be adjusted.


PATIENT INFORMATION

7701 Burholme Avenue

Philadelphia, Pennsylvania 19111

PATIENT MEDICATION INFORMATION

NARCOTIC

OXYCONTIN

NAME: OxyContin (Oxycodone HCL Controlled Release Tablets)
DESCRIPTION:

OxyContin tablets come in 3 strengths

10 mg - White #10 on pill

20 mg - Pink #20 on pill

40 mg - Yellow #40 on pill

USES: Relieves pain.
   
   

DOSAGE AND ADMINISTRATION:

Take only as directed.

These directions may change.

There is no maximum dose or number of tablets your doctor can prescribe for you.

The oxycodone on OxyContin is slowly released. Pain relief usually lasts 12 hours.

Take at the same time every day.

May be taken with or without food.

May be taken with other medications.

POSSIBLE SIDE EFFECTS:

Constipation: Narcotics block pain and block bowels. Constipation can be controlled with daily laxatives.
Nausea and Vomiting: Less common than constipation. Can be controlled with medicines. If this occurs, call your doctor or nurse.
Drowsiness: May occur when starting OxyContin or increasing dose. This usually goes away in 48-72 hours. Rest as needed.
Confusion: This is less common than drowsiness. If this happens, call your doctor or nurse.

PRECAUTIONS:

DO NOT BREAK, CRUSH OR CHEW TABLETS.

Be careful driving or using machinery such as lawn mowers, power tools or saws.

Be careful when drinking alcohol. Alcohol will increase drowsiness.

KEEP OUT OF REACH OF CHILDREN.

STOPPING MEDICATIONS:

DO NOT SUDDENLY STOP TAKING YOUR MEDICINE.

OxyContin must be stopped gradually.

Call your doctor/nurse for directions.

REMEMBER!

OxyContin prescriptions cannot be refilled or phoned into your pharmacy.

Don't run out of pills.

Keep count of your pills.

Get a new prescription filled a few days before you run out of pills.


PATIENT INFORMATION

7701 Burholme Avenue

Philadelphia, Pennsylvania 19111

PATIENT MEDICATION INFORMATION

NON-STEROIDAL

ANTI-INFLAMMATORY

CHOLINE MAGNESIUM TRISALICYLATE

NAME: Trilisate
DESCRIPTION:

Trilisate comes as a tablet and a liquid.

Tablets are scored and come in 3 strengths:

500 mg - pale pink

750 mg - white

1000 mg - red

Liquid - cherry flavored - 500 mg per teaspoon (5 ml)

Generics (non-brand names) - may look different

USES: Decreases inflammation. Helps relieve pain.

DOSAGE & ADMINISTRATION:

Take only as directed.

Usually taken twice a day, sometimes taken three times a day.

Take with food.

May be taken with other medications.

Trilisate is best used on a regular basis for chronic pain.

POSSIBLE SIDE EFFECTS:

Stomach Irritation: Can be controlled by taking with meals or antacids.
Nausea and Vomiting: Can be controlled with medicines. If this occurs, call your doctor or nurse.
Ringing in the Ears:

If this happens, call your doctor or nurse. Your dose may have to be lowered or stopped.

PRECAUTIONS:

Be careful when drinking alcohol. Alcohol may increase risk of stomach irritation.

KEEP OUT OF REACH OF CHILDREN.

REMEMBER!

Don't run out of medicine.

Keep count of your medicine.

Trilisate prescription can be refilled or phoned into your pharmacy.

Get your prescription refilled or phoned into your pharmacy a few days before you run out of medicine.

Adopted: 2/92

8 FCCC, 1993


PATIENT INFORMATION

7701 Burholme Avenue

Philadelphia, Pennsylvania 19111

PATIENT MEDICATION INFORMATION

NON-STEROIDAL

ANTI-INFLAMMATORY

IBUPROFEN

NAMES: Advil, Motrin, Nuprin, Rufen, Ibu-Tab, Ibuprofen
DESCRIPTION:

Ibuprofen comes in regular tablets, film coated tablets and liquids.

Non-prescription strength - 200 mg

Prescription strength tablets - 300 mg, 400 mg, 600 mg, 800 mg

Non-prescription strength liquid - 100 mg per teaspoonful (5ml)

USES: Relieves mild to moderate pain.

Decreases inflammation.

Reduces fevers.

Treats symptoms of arthritis and bone pain.

DOSAGE & ADMINISTRATION:

Take only as directed.

Take this medicine with food, milk or antacids.

May be taken alone or with other types of pain medicines.

Be sure to tell your doctor if you are taking Aspirin, steroids or other anti-inflammatory medicines.

If you miss a dose of this medicine, take it as soon as possible. If it is almost time for the next dose, skip the missed dose. DO NOT TAKE 2 DOSES AT ONE TIME.

 

POSSIBLE SIDE EFFECTS: Call your doctor or nurse if these happen to you:

Stomach Irritation: (Indigestion) This can usually be prevented by taking ibuprofen with food, milk, or antacids.
Nausea and Vomiting: Can be controlled with medicines.
Change in color of bowel movement  
Ringing in the Ears  

PRECAUTIONS:

Discuss the use of this medicine with your doctor or nurse. This medicine can possibly interact with other medicines you are taking.

Do not start Aspirin, steroids or other anti-inflammatory medicines unless you discuss with your doctor.

This medicine can increase your risk of bleeding.

Avoid ibuprofen 7 days before surgery.

Avoid alcohol while taking ibuprofen.

Alcohol can increase your risk of stomach irritation.

Notify your doctor or nurse if side effects occur.

Notify your doctor or nurse if pain increases or if you do not get pain relief.

Keep all medicines out of the reach of children.

STOPPING MEDICATIONS:

DO NOT SUDDENLY STOP TAKING YOUR MEDICINE.

Call your doctor/nurse before you stop your medicine.

REMEMBER!

Don't run out of medicine.

Keep count of your medicine.

Get your prescription refilled or phoned into your pharmacy a few days before you run out of medicine.


PATIENT INFORMATION

7701 Burholme Avenue

Philadelphia, Pennsylvania 19111

PATIENT MEDICATION INFORMATION

ANTI-DEPRESSANT

DESIPRAMINE

NAME:

GENERIC: Desipramine

BRAND: Norpramine

DESCRIPTION:

Norpramine Tablets come in 6 strengths

10 mg - blue 75 mg - orange

25 mg - yellow 100 mg - peach

50 mg - green 150 mg - white

Generics may look different

USES:

Relieves pain caused by nerve damage

Relieves depression

Improves sleep

DOSAGE AND ADMINISTRATION:

TAKE ONLY AS DIRECTED:

These directions may change. Norpramine is usually started at a low dose and then increased slowly every 3-4 days to find the best dose.

Starting dose is usually 10 mg or 25 mg.

Usually taken at bedtime.

May be taken with or without food.

POSSIBLE SIDE EFFECTS:

DRY MOUTH: May be relieved by chewing sugarless gum, sucking sugarless gum or sour hard candy or drinking fluids frequently.

DROWSINESS: May occur as your dose is increased. If this happens your dose may need to be lowered.

CONSTIPATION: Constipation can be controlled with daily laxatives.

DIZZINESS: May occur when moving from lying to sitting or sitting to standing. Change position slowly. If this does not help call your doctor or nurse.

DIFFICULTY IN STARTING YOUR URINE: If this happens call your doctor or nurse.

PRECAUTIONS:

• Keep out of reach of children

• Be careful driving or using machinery such as lawn mowers, power tools or saws.

• Be careful when drinking alcohol. Drinking alcohol could increase drowsiness and dizziness.

STOPPING MEDICATION:

• Do not suddenly stop taking your medicine.

• Norpramine should be lowered gradually.

• Call your doctor or nurse for directions.

REMEMBER:

• Don't run out of pills.

• Keep count of your pills.

• Get your prescription refilled a few days before you run out of pills.

ADOPTED: March 1993


PATIENT INFORMATION

7701 Burholme Avenue

Philadelphia, Pennsylvania 19111

PATIENT MEDICATION INFORMATION

ANTI-DEPRESSANT

NORTRIPTYLINE

NAME:

GENERIC: Nortriptyline

BRAND: Pamelor

DESCRIPTION:

Pamelor capsules come in four (4) strengths

10 mg, 25 mg, - half orange, half white

50 mg - solid white

75 mg - solid orange

Pamelor solution: 10 mg per teaspoon (5 ml)

A colorless liquid

Generics may look different

USES:

Relieves pain caused by nerve damage

Relieves depression

Improves sleep

DOSAGE AND ADMINISTRATION:

TAKE ONLY AS DIRECTED:

These directions may change. Pamelor is usually started at a low dose and then increased slowly every 3-4 days to find the best dose.

Starting dose is usually 10 mg or 25 mg.

Usually taken at bedtime.

May be taken with or without food.

POSSIBLE SIDE EFFECTS:

DRY MOUTH: May be relieved by chewing sugarless gum, sucking sugarless gum or sour hard candy or drinking fluids frequently.

DROWSINESS: May occur as your dose is increased. If this happens your dose may need to be lowered.

CONSTIPATION: Constipation can be controlled with daily laxatives.

DIZZINESS: May occur when moving from lying to sitting or sitting to standing. Change position slowly. If this does not help call your doctor or nurse.

DIFFICULTY IN STARTING YOUR URINE: If this happens call your doctor or nurse.

PRECAUTIONS:

• Keep out of reach of children.

• Be careful driving or using machinery such as lawn mowers, power tools or saws.

• Be careful when drinking alcohol. Drinking alcohol could increase drowsiness and dizziness.

STOPPING MEDICATION:

• Do not suddenly stop taking your medicine.

•Pamelor should be lowered gradually.

•Call your doctor or nurse for directions.

REMEMBER:

•Don't run out of pills.

•Keep count of your pills.

•Get your prescription refilled a few days before you run out of pills.

Note: The format of this form has been changed to fit the MPRC Web Site page. The data is the same.