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    Pain & Sleep

    precautions

    What should I know regarding pregnancy, nursing and administering Pain & Sleep to children or the elderly?

    If you are:

    Pregnant:

    Possibly Safe:

    Nursing:

    No Known Risk: LOW LEVELS EXCRETED WITH LOW RISK FOR ADVERSE EFFECTS IN INFANT

    Precaution: LIMITED DATA SUGGEST INCREASED DROWSINESS, AND IRRITABILITY

    An adult over 60:

    management or monitoring precaution: Neuro/Psych-Anticholinergic effects may cause sedation, worsen cognitive impairment and increase fall risk. Maximum of 25mg/day. Cardiovascular-May cause orthostatic hypotension at higher doses. Gastrointestinal-May cause or worsen pre-existing constipation. Genitourinary-Best avoided in patients with urinary retention from any cause.

    management or monitoring precaution: Hepatic-Elderly are more susceptible to hepatotoxicity. Strict adherence to a maximum daily dose of 3000mg is advised.

    Giving Pain & Sleep to a child under 12:

    management or monitoring precaution: Use weight based dosing in children less than 12 years.

    Severe Precaution: Use with caution and with clinician consultation. Risk of adverse CNS effects includes sedation or paradoxical excitation.

    management or monitoring precaution: Use with caution and with clinician consultation. Risk of adverse CNS effects include sedation or paradoxical excitation.

    Contraindication: Possible risk of CNS excitation, convulsions in newborns.

    Selected from data included with permission and copyrighted by First Databank, Inc. This copyrighted material has been downloaded from a licensed data provider and is not for distribution, expect as may be authorized by the applicable terms of use.

    CONDITIONS OF USE: The information in this database is intended to supplement, not substitute for, the expertise and judgment of healthcare professionals. The information is not intended to cover all possible uses, directions, precautions, drug interactions or adverse effects, nor should it be construed to indicate that use of a particular drug is safe, appropriate or effective for you or anyone else. A healthcare professional should be consulted before taking any drug, changing any diet or commencing or discontinuing any course of treatment.

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