OxyNorm® 5 mg, 10 mg and 20 mg capsules

1. What OxyNorm capsules are and what they are used for

Buy Oxynorm online UK. This medicine has been prescribed for you for the relief of moderate to severe pain. 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 OxyNorm capsules Do not take OxyNorm capsules if you:

• • are allergic (hypersensitive) to oxycodone, or any of the other ingredients of the capsules (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); Buy Oxynorm online UK
  • 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 capsules if recommended by your doctor;
  • have ongoing problems with constipation;
  • are under 18 years of age.

Buy Oxynorm online UK – Warnings and precautions

Talk to your doctor or pharmacist before taking these capsules 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 capsules 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 puffiness of the skin affecting the face and limbs);
• know you are suffering from a brain injury or tumour, or you have a head injury, severe headache or 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 internal bleeding, 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 cause 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 as sleep 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. Buy Oxynorm online UK.

  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.

  3. How to take OxyNorm capsules

  Always take these capsules exactly as your doctor has told you. Check with your doctor or pharmacist if you are not sure. Buy Oxynorm online UK

  Before starting treatment and regularly during treatment, your doctor will discuss with you what you may expect from using OxyNorm capsules, 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 OxyNorm capsules).

  Your doctor should have discussed with you how long the course of OxyNorm capsules will last. They will arrange a plan for stopping treatment. This will outline how to gradually reduce the dose and stop taking the medicine.

Adults (over 18 years of age)

The usual starting dose is one 5 mg capsule every 4 to 6 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 capsules, discuss this with your doctor. Buy Oxynorm online UK

Children

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

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.

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

Swallow your capsules whole with water. Do not chew or crush them.
You must only take the capsules by mouth. The capsule contents should never be injected as this may

lead to serious side effects, which may be fatal (see section 2 ‘Warnings and precautions’).

If you take more OxyNorm capsules than you should or if someone accidentally swallows your capsules
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 capsules with you to show to the doctor. Buy Oxynorm online UK

Buy Oxynorm online UK – If you forget to take OxyNorm capsules

If you remember within 4 hours of the time your capsule was due, take your capsule straight away. Take your next capsule 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 forgotten capsules.

If you stop taking OxyNorm capsules

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 Oxynorm online UK

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

4. Possible side effects – Buy Oxynorm online UK

Like all medicines, these capsules 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. Buy Oxynorm online UK

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 OxyNorm capsules’). 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.

Drug withdrawal
When you stop taking OxyNorm capsules 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. Buy Oxynorm online UK

Very common side effects

(May affect more than 1 in 10 people)

• Constipation (your doctor can prescribe a laxative to overcome this problem);
• Feeling or being sick (this should normally wear off after a few days, however your doctor canprescribe an anti-sickness medicine if it continues to be a problem);
• Drowsiness (this is most likely when you start taking your capsules or when your dose isincreased, but it should wear off after a few days);
• Dizziness;
• Headache;
• Itchy skin.