Longtec® prolonged release tablets

1. What Longtec tablets are and what they are used for

Buy Longtec oxycodone online in UK. This medicine has been prescribed for you for the relief of moderate to severe pain over a period of 12 hours. It contains oxycodone which belongs to a class of medicines called opioids, which are ‘pain relievers’. This medicine has been prescribed for you and should not be given to anyone else. Opioids can cause addiction and you may get withdrawal symptoms if you stop taking it suddenly. Your prescriber should have explained how long you will be taking it for and when it is appropriate to stop, how to do this safely.

2. What you need to know before you take Longtec tablets

Buy Longtec oxycodone online in UK.Do not take Longtec tablets if you:

• • are allergic (hypersensitive) to oxycodone, or any of the other ingredients of the tablets (listed insection 6 of this leaflet);
  • have breathing problems, such as severe chronic obstructive lung disease, severe bronchial asthmaor severe respiratory depression. Your doctor will have told you if you have any of these conditions. Symptoms may include breathlessness, coughing or breathing more slowly or weakly than expected;
  • have a condition where the small bowel does not work properly (paralytic ileus), your stomach empties more slowly than it should (delayed gastric emptying) or you have severe pain in your abdomen;
  • have a heart problem after long-term lung disease (cor pulmonale);
  • have increased carbon dioxide levels in the blood. Symptoms may include dizziness, drowsiness,fatigue, shortness of breath and headache;
  • have moderate to severe liver problems. If you have other long-term liver problems you shouldonly take these tablets if recommended by your doctor;
  • have ongoing problems with constipation;
  • have a rare hereditary problem of galactose intolerance, total lactase deficiency or glucose-galactose malabsorption;

• are under 18 years of age.

Buy Longtec oxycodone online in UK – Warnings and precautions

Buy Longtec oxycodone online in UK. Talk to your doctor or pharmacist before taking these tablets if you:

• or anyone in your family are or have ever been addicted to opioids, alcohol, prescriptionmedicines or illegal drugs;
• have previously suffered from withdrawal symptoms such as agitation, anxiety, shaking orsweating, when you have stopped taking alcohol or drugs;
• feel you need to take more tablets to get the same level of pain relief, this may mean you arebecoming tolerant to the effects of this medicine or are becoming addicted to it. Speak to your prescriber who will discuss your treatment and may change your dose or switch you to an alternative pain reliever;
• are elderly or weakened;
• have an under-active thyroid gland (hypothyroidism), as you may need a lower dose;
• have myxoedema (a thyroid disorder associated with dryness, coldness and swelling or puffinessof the skin affecting the face and limbs);
• know you are suffering from a brain injury or tumour, or you have a head injury, severe headacheor feel sick, as this may indicate that the pressure in your skull is increased;
• have low blood pressure (hypotension);
• have low blood volume (hypovolaemia). This can occur due to severe external or internalbleeding, severe burns, excessive sweating, severe diarrhoea or vomiting;
• feel very lightheaded or faint;
• have a mental disorder following use of certain medicines (toxic psychosis);
• have inflammation of the pancreas (which causes severe pain in the abdomen and back);
• have problems with your gall bladder or bile duct;
• have inflammatory bowel disease;
• have an enlarged prostate gland, which causes difficulty in passing urine (in men);
• have poor adrenal gland function (your adrenal gland is not working properly which may causeBuy Longtec oxycodone online in UK. symptoms including weakness, weight loss, dizziness, feeling or being sick), for example due to Addison’s disease;
• have severely impaired lung function. Symptoms may include breathlessness and coughing;
• have long term pain unrelated to cancer;
• have a condition where your breathing stops for short periods whilst you are asleep, known assleep apnoea;
• have kidney or liver problems.If you are going to have an operation, or have just had an operation, please tell the doctor at the hospital that you are taking these tablets. Your doctor may adjust your dose.

  You may experience hormonal changes while taking these tablets. Your doctor may want to monitor these changes.

  Contact your doctor if you experience severe upper abdominal pain possibly radiating to the back, nausea, vomiting or fever as this could be symptoms associated with inflammation of the pancreas (pancreatitis) and the biliary tract system.

  Sleep-related breathing disorders
  Longtec tablets can cause sleep-related breathing disorders such as sleep apnoea (breathing pauses during sleep) and sleep related hypoxemia (low oxygen level in the blood). The symptoms can include breathing pauses during sleep, night awakening due to shortness of breath, difficulties to maintain sleep or excessive drowsiness during the day. If you or another person observe these symptoms, contact your doctor. A dose reduction may be considered by your doctor.

  3. How to take Longtec tablets – Buy Longtec oxycodone online in UK

  Always take these tablets exactly as your doctor has told you. Check with your doctor or pharmacist if you are not sure.

  Before starting treatment and regularly during treatment, your doctor will discuss with you what you may expect from using Longtec tablets, when and how long you need to take it, when to contact your doctor, and when you need to stop it (see also if you stop taking Longtec tablets).

  Your doctor should have discussed with you how long the course of Longtec tablets will last. They will arrange a plan for stopping treatment. This will outline how to gradually reduce the dose and stop taking the medicine. Buy Longtec oxycodone online in UK

  Adults (over 18 years of age)

  The usual starting dose is one 10 mg tablet every 12 hours. However, your doctor will prescribe the dose required to treat your pain. If you find that you are still in pain whilst taking these tablets, discuss this with your doctor.

  Do not exceed the dose recommended by your doctor. You should check with your doctor or pharmacist if you are not sure.

  Swallow your tablets whole with water. Do not crush, dissolve, or chew them.

Longtec tablets are designed to work properly over 12 hours when swallowed whole. If a tablet is broken, crushed, dissolved or chewed, the entire 12-hour dose may be absorbed rapidly into your body. This can be dangerous, causing serious problems such as an overdose, which may be fatal.

You should take your tablets every 12 hours. For instance, if you take a tablet at 8 o’clock in the morning, you should take your next tablet at 8 o’clock in the evening. Buy Longtec oxycodone online in UK

You must only take the tablets by mouth. The tablets should never be crushed or injected as this may lead to serious side effects, which may be fatal (see section 2 ‘Warnings and precautions’).

Children

Children and adolescents under 18 years of age should not take the tablets.

Patients with kidney or liver problems

Please tell your doctor if you suffer from kidney or liver problems as they may prescribe a lower dose depending on your condition.

If you take more Longtec tablets than you should or if someone accidentally swallows your tablets
Call your doctor or hospital immediately. People who have taken an overdose may feel very sleepy, sick or dizzy, or have hallucinations. They may also have breathing difficulties leading to unconsciousness or even death and may need emergency treatment in hospital. An overdose may result in a brain disorder (known as toxic leukoencephalopathy). When seeking medical attention make sure that you take this leaflet and any remaining tablets with you to show to the doctor. Buy Longtec oxycodone online in UK

If you forget to take your Longtec tablets
If you remember within 4 hours of the time your tablet was due, take your tablet straight away. Take your next tablet at your normal time. If you are more than 4 hours late, please call your doctor or pharmacist for advice. Do not take a double dose to make up for a forgotten tablet.

If you stop taking Longtec tablets
Do not suddenly stop taking this medicine. If you want to stop taking this medicine discuss this with your doctor first. They will tell you how to do this, usually by reducing the dose gradually so that any unpleasant withdrawal effects are kept to a minimum. Withdrawal symptoms such as restlessness, difficulty sleeping, irritability, agitation, anxiety, feeling your heartbeat (palpitations), increased blood pressure, feeling or being sick, diarrhoea, shaking, shivering or sweating may occur if you suddenly stop taking this medicine. Buy Longtec oxycodone online in UK

If you have any further questions on the use of this medicine, ask your doctor or pharmacist.

4. Possible side effects

Like all medicines, these tablets can cause side effects, although not everybody gets them.

All medicines can cause allergic reactions, although serious allergic reactions are rare. Tell your doctor immediately if you get any sudden wheeziness, difficulties in breathing, swelling of the eyelids, face or lips, rash or itching especially those covering your whole body. These may be signs of a serious allergic reaction.

The most serious side effect is a condition where you breathe more slowly or weakly than usual (respiratory depression) and can lead to severe sleepiness and loss of consciousness. This side effect may affect up to 1 in 100 people and is more likely to occur when taking certain other medicines (see section 2 ‘Other medicines and Longtec tablets’). Tell your doctor immediately if this happens to you. You may wish to ask your friends, family or caregivers to monitor you for these signs and symptoms. Buy Longtec oxycodone online in UK

Drug withdrawal
When you stop taking Longtec tablets you may experience drug withdrawal symptoms, which include restlessness, difficulty sleeping, irritability, agitation, anxiety, feeling your heartbeat (palpitations), increased blood pressure, feeling or being sick, diarrhoea, shaking, shivering or sweating.