Contraindicated in:
Use Cautiously in:
CV: orthostatic hypotension.
Derm: flushing, sweating.
EENT: blurred vision, diplopia, miosis.
Endo: adrenal insufficiency.
GI: constipation, choking, dry mouth, GI obstruction, nausea, vomiting.
GU: urinary retention.
Neuro: confusion, sedation, dizziness, dysphoria, euphoria, floating feeling, hallucinations, headache, unusual dreams.
Resp: RESPIRATORY DEPRESSION (INCLUDING CENTRAL SLEEP APNEA AND SLEEP-RELATED HYPOXEMIA).
Misc: allodynia, opioid-induced hyperalgesia, physical dependence, psychological dependence, tolerance.
Drug-Drug:
(Generic available)
Hepatic Impairment
Therapeutic Classification: opioid analgesics
Pharmacologic Classification: opioid agonists, opioid agonists nonopioid analgesic combinations
Absorption: Well absorbed from the GI tract.
Distribution: Widely distributed to tissues.
Protein Binding: 3845%.
Metabolism/Excretion: Mostly metabolized by the liver by the CYP3A4 isoenzyme and to a lesser extent by the CYP2D6 isoenzyme.
Half-life: 23 hr.
NDC Code*