Buprenorphine (Butrans)

Alternate Name: Butrans

Dosage Form: Box

Administration Route: Absorbed through the skin

Drug Class: Analgesic

Generic Available: Yes

Strength: 10 MCG/HR

Warnings: Tell your doctor if you are pregnant or breastfeeding, or if you have kidney disease, liver disease, lung disease or breathing problems (including COPD, sleep apnea), heart disease, heart rhythm problems, adrenal problems, gallbladder problems, low blood pressure, pancreas problems, or stomach or bowel problems. Tell your doctor if you have heart disease, congestive heart failure, a slow heartbeat, or a history of heart rhythm problems (including long QT syndrome). Tell your doctor if you have a history of head injury, brain tumor, seizures, depression, or alcohol or drug abuse. This medicine may cause the following problems:High risk of overdose, which can lead to deathRespiratory depression (serious breathing problem that can be life-threatening)Sleep-related breathing problems (including sleep apnea, sleep-related hypoxemia)Worsening of painAdrenal gland problemsLow blood pressureHeart rhythm problems, including QT prolongationLiver problemsSerotonin syndrome, when used with certain medicines Do not let the patch get too hot. Avoid direct sunlight, and do not use a heating pad, electric blanket, heated waterbed, sauna, sun lamp, or hot tub. Call your doctor if you have a fever higher than 102 degrees F. Be careful about letting other people come in contact with your patch. If any medicine gets on another person, wash it off right away with water. This medicine may make you lightheaded, dizzy, or drowsy. Do not drive or do anything else that could be dangerous until you know how this medicine affects you. Sit or lie down if you feel dizzy. Stand up carefully. This medicine can be habit-forming. Do not use more than your prescribed dose. Call your doctor if you think your medicine is not working. Do not stop using this medicine suddenly. Your doctor will need to slowly decrease your dose before you stop it completely. This medicine may cause constipation, especially with long-term use. Ask your doctor if you should use a laxative to prevent and treat constipation. This medicine could cause infertility. Talk with your doctor before using this medicine if you plan to have children. Keep all medicine out of the reach of children. Never share your medicine with anyone.

Food Warnings: Some medicines can affect how buprenorphine works. Tell your doctor if you are using any of the following: Carbamazepine, erythromycin, ketoconazole, mirtazapine, phenytoin, rifampin, ritonavir, tramadol, trazodoneDiuretic (water pill)Medicine to treat anxiety, depression, or mental health problems (including SNRIs, SSRIs, TCAs)Medicine to treat heart rhythm problem (including amiodarone, disopyramide, dofetilide, procainamide, quinidine, sotalol)Phenothiazine medicineTriptan or medicine to treat migraine headaches, Do not drink alcohol while you are using this medicine., Do not use this medicine if you are using or have used an MAO inhibitor within the past 14 days., Tell your doctor if you use anything else that makes you sleepy. Some examples are allergy medicine, narcotic pain medicine, and alcohol. Tell your doctor if you are also using butorphanol, nalbuphine, pentazocine, a benzodiazepine, or a muscle relaxer (including cyclobenzaprine, metaxalone)., This medicine can be habit-forming. Do not use more than your prescribed dose. Call your doctor if you think your medicine is not working., This medicine may make you lightheaded, dizzy, or drowsy. Do not drive or do anything that could be dangerous until you know how this medicine affects you. Sit or lie down if you feel dizzy. Stand up carefully., This medicine may cause constipation, especially with long-term use. Ask your doctor if you should use a laxative to prevent and treat constipation., Do not stop using this medicine suddenly. Your doctor will need to slowly decrease your dose before you stop it completely., Keep all medicine out of the reach of children. Never share your medicine with anyone.