Patient Counseling

Baclofen

'- Avoid activities requiring mental alertness or coordination until drug effects are known

- Do not stop abruptly due to risk of rebound effects - Additive effect with alcohol and other CNS depressants

Cyclobenzaprine

'- Additive effect with alcohol and other CNS depressants - Avoid activities requiring mental alertness or coordination until drug effects are known

Methocarbamol

'- Avoid activities requiring mental alertness or coordination until drug effects are known - Additive effect with alcohol and other CNS depressants

Tizanidine

'- Avoid activities requiring mental alertness or coordination until drug effects are known - Additive effect with alcohol and other CNS depressants

- Rise slowly from a lying/sitting position, as this drug may cause hypotension

- May cause xerostomia (dry mouth) and asthenia (weakness)

Celecoxib

'- Take with food or milk to decrease stomach upset

- Counsel heart failure patients on NSAIDs avoidance due to fluid retention (edema) leading to exacerbations

- Pregnant women should consult OBGYN before using

Diclofenac

'- Take with food or milk to decrease stomach upset

- Counsel heart failure patients on NSAIDs avoidance due to fluid retention (edema) leading to exacerbations

- Pregnant women should consult OBGYN before using

Ibuprofen

'- Take with food or milk to decrease stomach upset

- Counsel heart failure patients on NSAIDs avoidance due to fluid retention (edema) leading to exacerbations

- Pregnant women should consult OBGYN before using

Meloxicam

'- Take with food or milk to decrease stomach upset

- Counsel heart failure patients on NSAIDs avoidance due to fluid retention (edema) leading to exacerbations

- Pregnant women should consult OBGYN before using

sumatriptan

Avoid activities requiring mental alertness or coordination until drug effects are realized, as this drug may cause dizziness or somnolence

rizatriptan

Allow disintegrating tablet to dissolve on tongue and then swallow, do not chew; - Caution with driving and other tasks requiring alertness; - Avoid alcohol and other CNS depressants

codeine

Use a laxative for preventing constipation; - May cause drowsiness; avoid driving or other tasks requiring motor coordination; - Avoid alcohol and other CNS depressants

fentanyl (transdermal)

Use a laxative for preventing constipation; - May cause drowsiness; avoid driving or other tasks requiring motor coordination; - Avoid alcohol and other CNS depressants; - Apply to clean, dry skin; - Skin breaks may increase absorption; - Remove old patch before applying new patch to skin; - Febrile patients may have increased absorption

hydrocodone with acetaminophen

Use a laxative for preventing constipation; - May cause drowsiness; avoid driving or other tasks requiring motor coordination; - Avoid alcohol and other CNS depressants

morphine sulfate (extended release)

Use laxative for preventing constipation; - May cause drowsiness; avoid driving or other tasks requiring motor coordination; - Avoid alcohol and other CNS depressants; - ER products must not be crushed or chewed, this will release the total dose of morphine all at once and increase risk of respiratory depression; - ER capsule can be opened and sprinkled on soft food but must be swallowed whole and not chewed

oxycodone; oxycodone plus acetaminophen

Use laxative for preventing constipation; - May cause drowsiness; avoid driving or other tasks requiring motor coordination; - Avoid alcohol and other CNS depressants

tramadol

Use laxative for preventing constipation; - May cause drowsiness; avoid driving or other tasks requiring motor coordination; - Avoid alcohol and other CNS depressants; - ER products must not be crushed or chewed, but may be taken with or without food, and always the same way to avoid variability in absorption

buprenorphine with naloxone

Use laxative for preventing constipation; - May cause drowsiness; avoid driving or other tasks requiring motor coordination; - Avoid alcohol and other CNS depressants; - Do not crush or swallow the SL tablet; - Place the tablet/film under the tongue until it is dissolved, do not chew or swallow; - If using the buccal film, press and hold film to moistened cheek for 5 s with finger. If you need an additional film, place on inside of the other cheek. Do not use > 2 buccal films simultaneously