Temgesic
Temgesic is a strong medicine that relieves moderate to severe pain, such as pain from cancer or after surgery.
Form
resoribletti
Strength
0.4 mg
Active Ingredient
Buprenorphine hydrochloride
Manufacturer
EUMEDICA Pharmaceuticals GmbH
How to Use
Dosage
The usual dose for adults and children over 12 years is 0.2–0.4 mg every 6–8 hours.
Method
Place the Temgesic tablet under your tongue and let it dissolve in your mouth. This usually takes 5–10 minutes. Do not chew or swallow the tablet, as this will reduce its effectiveness.
Important
The maximum daily dose is 1.6 mg.
Possible Side Effects
COMMON
- •Drowsiness
- •Dizziness
- •Nausea
- •Headache
- •Small pupils
- •Shallow or slow breathing
- •Vomiting
- •Excessive sweating
RARE
- •Confusion
- •Extreme happiness
- •Nervousness
- •Depression
- •Psychotic disorder (mental disorder causing abnormal thoughts and perceptions)
- •Hallucinations
- •Feeling detached from oneself
- •Speech disorder
- •Tingling or numbness of the skin
- •Coma
- •Tremor
- •Blurred vision
- •Double vision
- •Vision disturbance
- •Eye inflammation
- •Ringing in the ears
- •Fast heart rate
- •Slow heart rate
- •Bluish or purplish skin discoloration
- •Second-degree atrioventricular block (heart condition)
- •High blood pressure
- •Paleness
- •Shortness of breath
- •Breathing pauses
- •Dry mouth
- •Constipation
- •Indigestion
- •Flatulence
- •Itching
- •Rash
- •Difficulty urinating
- •Weakness
- •Fatigue
- •Malaise
- •Decreased appetite
- •Feeling of unease or dissatisfaction
- •Agitation
- •Seizures
- •Coordination problems
- •Diarrhea
- •Hives
- •Drug dependence
- •Sleepiness
- •Ineffectiveness of the medicine
- •Drug interactions
- •Tooth decay
Important Warnings
- This medicine can worsen breathing problems.
- This medicine can cause addiction and should never be shared, as it can be life-threatening.
- Use with caution if you have liver problems.
- Use with caution if you have kidney problems.
- Use with caution if you have low blood pressure.
Show 8 more warnings
- Use with caution if you have recently had a head injury or have a brain disease.
- Use with caution if you have thyroid problems.
- Use with caution if you have adrenal gland problems (like Addison's disease).
- Use with caution if you have urinary tract problems, such as an enlarged prostate.
- Combining this medicine with antidepressants can lead to a serious, life-threatening condition called serotonin syndrome.
- Do not use alcohol or medicines containing alcohol with this medicine, as it increases the risk of dangerous breathing problems.
- This medicine can cause withdrawal symptoms or breathing problems in a baby if used during pregnancy, and it passes into breast milk.
- This medicine can make you sleepy and affect your reactions; do not drive or operate machinery until you know how it affects you.
Use in Elderly Patients
Category C
Suitable for older adults, with specific precautions. Sedative. Low transdermal efficacy in cachectic patients. Increases the risk of confusion and falling. Need for laxative is often necessary. (updated 24.3.2025)