This means they release a little bit of the medication over a longer period. Opioids that are called extended release (ER), long-acting (LA), controlled release (CR), and sustained release (SR) are all long-acting forms. Opioids come in long-acting and short-acting forms. Fentanyl (Actiq, Duragesic, Fentora, Lazanda, Subsys, and others).Oxycodone (Ox圜ontin, OxyIR, Roxicodone).Morphine (Apokyn, Avinza, Kadian, MS-Contin, and others).Some of the more common brand names are in parentheses. Here are some of the opioids used in cancer care. Your doctor, nurse, or pharmacist can show you. If you decide to keep Narcan on hand in case of an emergency, make sure whoever you live with knows where it is and how to use it. All 50 states allow Narcan to be sold over the counter without a prescription. Your doctor might prescribe Narcan to have on hand or direct you to where you can get it. Are over the age of 65 and have a non-opioid substance use disorder such as alcohol, or have a mental health disorder.Taking medication for opioid use disorder (such as Methadone or Suboxone).Taking benzodiazepines (such as Ativan, Xanax, or Valium) with opioids.Certain medical conditions that affect breathing, like sleep apnea or chronic obstructive pulmonary disease (COPD).Some things that can increase a person’s risk of opioid overdose include: Your cancer care team might suggest having naloxone (Narcan) available while you are taking opioids, especially if you are taking a high dose of opioids or are at a higher risk of overdose. Naloxone (Narcan) is a medicine that blocks the effects of opioids in case of an overdose. Taking too many opioids can slow a person’s breathing or even stop their breathing altogether. While taking opioids, you might need to have urine or blood tests to check opioid levels. A low dose of opioids might be prescribed first and then changes can be made based on how you’re feeling. They might ask who you live with, if anyone has a history of addiction, if children are in the home, or how your medications are stored. Your cancer care team might ask you questions before prescribing opioids. You might also be able to return them to your local pharmacy. The FDA Safe Disposal site has more information and lists locations near you where you can safely return your unused medications. If you have leftover or expired opioid medication, you should dispose of them safely.Combining opioids with these substances can lead to overdoses and symptoms like weakness, trouble breathing, confusion, and anxiety. Taking opioids (even small doses) while drinking alcohol or taking tranquilizers can cause serious problems. If you drink alcohol or take tranquilizers, sleeping pills, antidepressants, antihistamines, or any other medicines that make you sleepy, talk to your doctor before starting opioids.Don’t share your medication with anyone.Opioids can interact with other medications, so it’s important for each doctor to know everything you’re taking. If you see more than one doctor, make sure they know all the medications you are taking.Only take opioids as instructed by the provider who prescribed them.Store your medications securely, such as in a locked box.If you are taking opioids, here are some important tips: Your cancer care team will discuss safety precautions and answer questions or concerns you may have. Opioids can be safely taken when used responsibly and as prescribed. However, it's important to know that not everyone who uses opioids will become addicted or misuse them. While opioids are good at managing pain, they can be misused or abused.Because of this, some cannot be given to older adults, young children, or certain people being treated for other medical conditions. Pain medicines may affect people differently.Some pain medicines may interfere with other medications.Opioids should be prescribed and used with great care for several reasons: Cancer-related pain can be caused by the cancer itself or by cancer treatments. Your cancer care team may prescribe opioids for increasing or severe pain. Some people with cancer need opioids for cancer-related pain. Opioids work in the brain and other parts of the body by attaching to pain receptors to block the feeling of pain. They may also be called opiates or narcotics, and are a type of analgesic (painkilling) drug. Opioids are a type of medicine used to relieve moderate to severe pain.
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