Hydromorphone Kalceks
Hydromorphone Kalceks is a strong opioid pain medicine used to treat severe pain in adults and adolescents over 12 years old.
How to Use
Dosage
Your doctor or nurse will decide your dose based on your pain, previous pain medicine, age, and weight. For adults and adolescents over 12 years, a typical dose for injection into a vein is 1-1.5 mg, given slowly over 2-3 minutes, repeatable every 3-4 hours. For injection under the skin, it's 1-2 mg, repeatable every 3-4 hours. For continuous infusion, typical starting doses are 0.15-0.45 mg per hour.
Method
This medicine is given as an injection into a vein (intravenous) or under the skin (subcutaneous) by a doctor or nurse. It can be a single injection or a continuous infusion.
Your doctor will gradually increase the dose until your pain is relieved and will determine the maximum daily dose for you.
Possible Side Effects
- •Dizziness
- •Drowsiness
- •Constipation
- •Nausea
- •Vomiting
- •Itching
- •Unusual weakness
- •Confusion
- •Low blood pressure
- •Dry mouth
- •Sweating
- •Rash
- •Difficulty or urgent need to urinate
- •Loss of appetite
- •Anxiety
- •Hallucinations
- •Stomach pain
- •Skin reactions at injection site
- •General discomfort or malaise
- •Extreme happiness (euphoria)
- •Headache
- •Shaking (tremor)
- •Muscle twitching
- •Tingling sensation in hands or feet
- •Small pupils
- •Vision problems
- •Fast or irregular heartbeat
- •Digestive problems
- •Itchy skin rash
- •Decreased sex drive
- •Impotence
- •Developing tolerance to the medicine
- •Withdrawal symptoms (such as agitation, anxiety, nervousness, sleep problems, unusual activity, shaking, or stomach problems)
- •Feeling unwell
- •Tiredness
- •Depression
- •Nightmares
- •Shortness of breath
- •Diarrhea
- •Changes in taste
- •Abnormal liver or pancreas blood test results
- •Drug dependence
- •Seizures
- •Sedation
- •Wheezing
- •Facial flushing
- •Increased pain sensitivity (hyperalgesia)
- •Paralyzed bowel
- •Swelling in hands, ankles, or feet
- •Irritation and hardening of skin at injection site
- •Aggression
- •Hot flashes
- •Withdrawal symptoms in newborns (if mother used during pregnancy)
- •Sleep apnea (pauses in breathing during sleep)
Important Warnings
- Do not use this medicine if you are allergic to hydromorphone or any other ingredients.
- Do not use if you have severe breathing problems or severe lung disease (like COPD).
- Do not use if you have severe stomach pain, bowel problems (like a blocked gut), or if you are unconscious.
- Do not use if you have taken certain MAO inhibitor medicines in the last 2 weeks.
- Tell your doctor if you have a head injury, a history of seizures, or if you have struggled with alcohol or drug dependence.
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- Tell your doctor if you have heart, blood pressure, gallbladder, pancreas, bowel, prostate, adrenal gland, thyroid, kidney, or liver problems.
- Tell your doctor if you have mental health issues (like depression or anxiety) or if you smoke.
- This medicine is not recommended for children under 12 years old.
- Using this medicine repeatedly can lead to addiction and can be life-threatening if you take too much (overdose).
- Do not stop taking this medicine suddenly without talking to your doctor, as it can cause withdrawal symptoms.
- This medicine can cause breathing problems during sleep, like sleep apnea (pauses in breathing) or low oxygen levels.
- Avoid alcohol while using this medicine, as it can make you very drowsy.
- Do not use this medicine if you are pregnant or breastfeeding, unless your doctor specifically tells you to.
- This medicine can make you drowsy and affect your ability to drive or use machines. Be careful, especially when starting treatment or increasing the dose.