Butrans Transdermal Film ER

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Description

Butrans Skin Patch

Butrans skin patches contain buprenorphine, an opioid pain medication. An opioid is sometimes called a narcotic.The Butrans skin patch is for around-the-clock treatment of moderate to severe chronic pain that is not controlled by other medicines. This medicine is not for use on an as-needed basis for pain.Butrans may also be used for purposes not listed in this medication guide

TYPES OF Butrans Transdermal Film ER

We have two types of brutans skin pactche which include

Butrans Transdermal Film ER 10mcg/hr  and Butrans Transdermal Film ER 20mcg/hr

Important information OF Butrans Transdermal

Butrans can cause death in a child who gets a hold of a skin patch and places it in the mouth or on the skin.

You should not use Butrans if you have severe asthma or breathing problems, or a blockage in your stomach or intestines called paralytic ileus.

Buprenorphine can slow or stop your breathing, and may be habit-forming. Use only your prescribed dose. Never share Butrans patches with another person.

MISUSE OF NARCOTIC MEDICINE CAN CAUSE ADDICTION, OVERDOSE, OR DEATH, especially in a child or other person using the medicine without a prescription.

Do not drink alcohol when using Butrans skin patches. Dangerous side effects or death can occur when alcohol is combined with buprenorphine.

Buprenorphine may cause life-threatening withdrawal symptoms in a newborn if the mother has used this medicine during pregnancy.

Avoid sources of heat while you are wearing a Butrans skin patch. Heat can increase the amount of drug your skin absorbs.

Before using Butrans

You should not use Butrans if you are allergic to buprenorphine, or if you have a severe breathing problem or a bowel obstruction.

To make sure Butrans is safe for you, tell your doctor if you have:

  • a severe breathing problem; or
  • a blockage in your stomach or intestines.

To make sure Butrans is safe for you, tell your doctor if you have ever had:

  • any type of breathing problem or lung disease;
  • head injury, brain tumor, or seizures;
  • drug or alcohol addiction, or mental illness;
  • urination problems;
  • liver or kidney disease;
  • heart rhythm problems, long QT syndrome;
  • problems with your gallbladder, pancreas, or thyroid; or
  • if you use a sedative like Valium (diazepam, alprazolam, lorazepam, Ativan, Klonopin, Restoril, Tranxene, Versed, Xanax, and others).

Some medicines can interact with buprenorphine and cause a serious condition called serotonin syndrome. Be sure your doctor knows if you also take medicine for depression, mental illness, Parkinson’s disease, migraine headaches, serious infections, or prevention of nausea and vomiting. Ask your doctor before making any changes in how or when you take your medications.

If you use Butrans while you are pregnant, your baby could become dependent on the drug. This can cause life-threatening withdrawal symptoms in the baby after it is born. Babies born dependent on habit-forming medicine may need medical treatment for several weeks. Tell your doctor if you are pregnant or plan to become pregnant.

Buprenorphine can pass into breast milk and may harm a nursing baby. You should not breast-feed while you are using Butrans.

How should I use Butrans?

Use Butrans exactly as prescribed. Follow all directions on your prescription label. Buprenorphine can slow or stop your breathing, especially when you start using this medicine or whenever your dose is changed. Never use Butrans in larger amounts, or for longer than prescribed. Tell your doctor if the medicine seems to stop working as well in relieving your pain.

Buprenorphine may be habit-forming, even at regular doses. Never share this medicine with another person, especially someone with a history of drug abuse or addiction. MISUSE OF NARCOTIC MEDICINE CAN CAUSE ADDICTION, OVERDOSE, OR DEATH, especially in a child or other person using the medicine without a prescription. Selling or giving away Butrans is against the law.

The Butrans skin patch contains a high concentration of buprenorphine. Your dose needs may be different if you have recently used a similar opioid (narcotic) pain medicine and your body is tolerant to it.

The Butrans skin patch is for use only on the skin. Do not allow the medicine to come into contact with your eyes, nose, mouth, or lips.

Avoid touching the sticky side of the patch. Wash your hands after applying a skin patch. Do not use a skin patch if it has been cut or damaged.

What happens if I miss a dose?

If you forget to change a patch on your scheduled day, remove the patch and apply a new one as soon as you remember. Do not wear extra patches to make up a missed dose.

What happens if I overdose?

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. A buprenorphine overdose can be fatal, especially in a child or other person using the medicine without a prescription. Overdose symptoms may include severe drowsiness, muscle weakness, cold and clammy skin, pinpoint pupils, a weak pulse, very slow breathing, or coma.

Buprenorphine can cause death in a child who gets a hold of a skin patch and places it in the mouth or on the skin.

What should I avoid while using Butrans?

Avoid sources of heat while wearing the patch. Tell your doctor if you have a fever. Do not use a heating pad or electric blanket, tanning bed or sauna. Do not sit in hot water, sunbathe, or raise your body temperature with vigorous activity. Heat can increase the amount of drug you absorb through your skin and may cause an overdose or death.

Do not drink alcohol. Dangerous side effects or death could occur.

This medication may impair your thinking or reactions. Avoid driving or operating machinery until you know how buprenorphine will affect you. Dizziness or severe drowsiness can cause falls or other accidents.

Butrans side effects

Get emergency medical help if you have signs of an allergic reaction to Butrans: hives; difficult breathing; swelling of your face, lips, tongue, or throat.

Like other narcotic medicines, buprenorphine can slow your breathing. Death may occur if breathing becomes too weak.

Stop using Butrans and call your doctor at once if you have:

  • weak or shallow breathing, deep sighs, snoring that is new or unusual;
  • chest pain, fast heart rate, seizure (convulsions);
  • a light-headed feeling, like you might pass out;
  • blisters, swelling, or severe irritation where the patch was worn;
  • adrenal gland problems – nausea, vomiting, loss of appetite, dizziness, feeling weak or tired; or
  • liver problems – upper stomach pain, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes).

Seek medical attention right away if you have symptoms of serotonin syndrome, such as: agitation, hallucinations, fever, sweating, shivering, fast heart rate, muscle stiffness, twitching, loss of coordination, nausea, vomiting, or diarrhea.

Serious side effects may be more likely in older adults and those who are overweight, malnourished, or debilitated.

Long-term use of opioid medication may affect fertility (ability to have children) in men or women. It is not known whether opioid effects on fertility are permanent.

Common Butrans side effects may include:

  • constipation, nausea, vomiting;
  • headache, dizziness, drowsiness, tiredness; or
  • redness, itching, or rash where the patch was worn.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

Additional information

Strength

10mcg/hr, 20mcg/hr

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