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| Generic Name: | butorphanol nasal |
| Pronounced: | byoo TORE fa nole |
| Brand Name: | Stadol NS |
What is the most important information I should know about butorphanol
nasal? |
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 | Avoid alcohol while using butorphanol nasal. Alcohol will greatly increase the drowsiness
and dizziness caused by butorphanol and could be dangerous. |
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| Also avoid sleeping pills, tranquilizers, sedatives, and antihistamines except under the
supervision of your doctor. These medications also may cause dangerous sedation when taken with
butorphanol nasal. |
 | Use caution when driving, operating machinery, or performing other hazardous activities.
Butorphanol may cause drowsiness. If you experience drowsiness, avoid these activities. |
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What is butorphanol nasal? |
| Butorphanol is in a class of drugs called narcotic analgesics. It relieves pain. |
| Butorphanol nasal is used to treat moderate-to-severe pain. |
| Butorphanol nasal may also be used for purposes other than those listed in this medication
guide. |
What should I discuss with my healthcare provider before using butorphanol
nasal? |
| Butorphanol can reverse the effects of other narcotic pain relievers. This medication should be
used cautiously if you have been regularly taking other pain relievers. |
| Before taking this medication, tell your doctor if you have |
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kidney disease;
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liver disease;
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asthma or another lung condition;
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heart disease; or
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a history of drug dependence.
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| You may not be able to use butorphanol nasal or you may require a lower
dose or special monitoring during treatment if you have any of the conditions listed above. |
 | Butorphanol is in the FDA pregnancy category C. This means that it is not known whether
butorphanol will harm an unborn baby. Do not use this medication without first talking to your doctor if
you are pregnant. |
|
 | Butorphanol passes into breast milk and may harm a nursing baby. Do not use butorphanol
nasal without first talking to your doctor if you are breast-feeding a baby. |
|
| Butorphanol nasal is not recommended for use by children younger than 18 years of age. |
| Butorphanol nasal is more likely to cause side effects in people over 60 years of age. Your
doctor may prescribe a lower dose of this medication for you. |
|
How should I use butorphanol nasal? |
|
| Use butorphanol nasal exactly as directed by your doctor. If you do not understand these
directions, ask your pharmacist, nurse, or doctor to explain them to you. |
 | Never use more of this medication than is prescribed for you. Too much butorphanol could
be very harmful. |
|
| Blow your nose before using the nasal spray. |
| Remove the cover from the unit. Prime the pump by pumping the sprayer quickly several (seven
to eight) times until a fine spray appears. |
| Insert the spray tip about 1 centimeter (one-third inch) into your nostril and point it towards the
back of your nose. Block your other nostril with your finger and tilt your head slightly forward. Breathe
in through your nose and spray once. Remove the unit from your nose, tilt your head slightly back, and
sniff a few times. |
| Use a second spray in your other nostril if your doctor has prescribed two sprays. |
| Replace the protective clip and clear cover after each use. |
| Store butorphanol nasal at room temperature away from moisture and heat. |
|
What happens if I miss a dose? |
| Since butorphanol nasal is used as needed to relieve pain, missing a dose is not usually a
problem. Use the missed dose as soon as you remember, then wait the prescribed amount of time
before using another dose. Do not use a double dose of this medication, unless
otherwise directed by your doctor. |
What happens if I overdose? |
 | Seek emergency medical attention. |
|
| Symptoms of a butorphanol overdose include slow breathing, seizures, dizziness, weakness,
loss of consciousness, coma, confusion, tiredness, cold and clammy skin, and small pupils. |
|
What should I avoid while using butorphanol nasal? |
| Avoid alcohol while using butorphanol nasal. Alcohol will greatly increase the drowsiness
and dizziness caused by butorphanol and could be dangerous. |
|
| Also avoid sleeping pills, tranquilizers, sedatives, and antihistamines except under the
supervision of your doctor. These medications also may cause dangerous sedation when taken with
butorphanol nasal. |
| Use caution when driving, operating machinery, or performing other hazardous activities.
Butorphanol may cause drowsiness. If you experience drowsiness, avoid these activities. |
|
What are the possible side effects of butorphanol nasal? |
|
| If you experience any of the following serious side effects, stop using butorphanol nasal and
seek emergency medical attention: |
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an allergic reaction (difficulty breathing; closing of your throat;
swelling of your lips, tongue, or face; or hives);
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slow, weak breathing;
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seizures;
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cold, clammy skin;
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severe weakness or dizziness; or
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unconsciousness.
|
| Other, less serious side effects may be more likely to occur. Continue to use
butorphanol nasal and talk to your doctor if you experience |
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constipation;
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dry mouth, nausea, vomiting, or decreased appetite;
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dizziness, tiredness, or lightheadedness;
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ringing in your ears;
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an unpleasant taste;
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nasal congestion or irritation;
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insomnia; or
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headache.
|
 | Butorphanol may be habit forming. |
|
| Side effects other than those listed here may also occur. Talk to your doctor about any side
effect that seems unusual or that is especially bothersome. |
|
What other drugs will affect butorphanol nasal? |
| Butorphanol nasal may increase the effects of other drugs that cause drowsiness, including
antidepressants, alcohol, antihistamines, sedatives (used to treat insomnia), other pain relievers, anxiety
medicines, and muscle relaxants. Tell your doctor about all medicines that you are taking, and do not
take any medicine unless your doctor approves. |
| Drugs other than those listed here may also interact with butorphanol nasal. Talk to your doctor
and pharmacist before taking any prescription or over-the-counter medicines. |
Where can I get more information? |
| Your pharmacist has additional information about butorphanol nasal written for health
professionals that you may read. |
What does my medication look like? |
| Butorphanol nasal is available with a prescription under the brand name Stadol NS Nasal
Spray. Other brand or generic formulations may also be available. Ask your pharmacist any questions
you have about this medication, especially if it is new to you. |
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| Remember, keep this and all other medicines out of the reach of children, never share your
medicines with others, and use this medication only for the indication prescribed |
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Every effort has been made to ensure that the information provided by Cerner
Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee
is made to that effect. Drug information contained herein may be time
sensitive. Multum information has been compiled for use by healthcare
practitioners and consumers in the United States and therefore Multum does
not warrant that uses outside of the United States are appropriate, unless
specifically indicated otherwise.
Multum's drug information does not endorse drugs, diagnose patients or
recommend therapy. Multum's drug information is an informational resource
designed to assist licensed healthcare practitioners in caring for their
patients and/or to serve consumers viewing this service as a supplement to,
and not a substitute for, the expertise, skill, knowledge and judgment of
healthcare practitioners. The absence of a warning for a given drug or drug
combination in no way should be construed to indicate that the drug or drug
combination is safe, effective or appropriate for any given patient. Multum
does not assume any responsibility for any aspect of healthcare administered
with the aid of information Multum provides.
The information contained herein is not intended to cover all possible uses,
directions, precautions, warnings, drug interactions, allergic reactions,
or adverse effects. If you have questions about the drugs you are taking,
check with your doctor, nurse or pharmacist.
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