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Exalgo Warnings and Precautions

Specific Precautions and Warnings With Exalgo

Some warnings and precautions to be aware of prior to taking Exalgo include the following:
  • People who are unaccustomed to taking opioids ("opioid-naïve" individuals) should not take Exalgo. This pain medication contains a high dose of hydromorphone, which could be fatal to people unaccustomed to opioids.
  • Exalgo is a narcotic medication with significant potential for abuse. It is not a good choice for people who have a history of alcohol or drug abuse (see Exalgo Abuse). Do not take the drug more frequently, longer, or at a higher dose than prescribed. If you feel you may be developing a problem with this narcotic, please seek help from your healthcare provider.
  • The tablets are designed to release hydromorphone slowly over time. Do not dissolve, chew, or crush the tablets, as this could cause an Exalgo overdose.
  • The medication can cause problems in people with head injuries or high intercranial pressure. It should only be used with extreme caution in such circumstances.
  • Exalgo can cause slow and irregular breathing, especially at high doses. In severe situations, this may lead to life-threatening complications. This may be especially dangerous in people with lung problems.
  • This medicine can cause a decrease in blood pressure, which can be especially dangerous if you already have low blood pressure or are prone to low blood pressure. Let your healthcare provider know if you experience signs of hypotension, such as lightheadedness, dizziness, or fainting.
  • Narcotics such as Exalgo are likely to cause constipation. This side effect does not go away as you continue to take the drug. Usually, laxatives are necessary to treat and prevent this problem (see Exalgo and Constipation). Let your healthcare provider know if you develop severe constipation, as this could be a sign of an intestinal blockage.
  • Exalgo can interfere with the diagnosis of many conditions that cause severe abdominal (stomach) pain.
  • Like any other narcotic, Exalgo can cause dizziness and drowsiness, and may increase the risk of falls in elderly people.
  • The outer coating of the tablets does not dissolve or change shape. It could lead to an intestinal blockage in people with a narrowing of the digestive tract.
  • Do not drive or operate heavy machinery until you know how Exalgo affects you. Your reflexes and reaction times may be significantly affected, even if you feel fine.
  • Exalgo contains sodium metabisulfite, an ingredient that may cause adverse reactions in people with allergies to sulfites. It's important to note that an allergy to sulfites is different from an allergy to sulfa drugs.
  • Check with your healthcare provider before taking this product if you have hypothyroidism, Addison's disease, an enlarged prostate, epilepsy, gallbladder problems, pancreatic disease, liver disease, or kidney disease, as it may not be the best choice for you.
  • Exalgo can potentially interact with several other medications (see Exalgo Drug Interactions).
  • Exalgo is considered a pregnancy Category C medication. This means that it may not be safe for use during pregnancy, although the full risks are not known (see Exalgo and Pregnancy).
  • This medicine passes through breast milk. Therefore, if you are breastfeeding or plan to start, discuss this with your healthcare provider prior to taking the drug (see Exalgo and Breastfeeding).
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Exalgo Medication Information

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