If you are:
Only When Necessary: NEONATAL WITHDRAWAL/RESP.DEPRESS. W/CHRONIC OR HIGH DOSE; SMALL TERATOGENIC RISK
Precaution: EFFECT ON INFANT UNKNOWN.
An adult over 60:
management or monitoring precaution: Pulmonary-Risk of fatal respiratory depression in the elderly, cachectic, or debilitated with high dose or ext. release products due to poor fat stores, muscle wasting, or altered clearance. Monitor closely at initiation and dose titration and when giving with other drugs that cause respiratory depression. Neuro/Psych-Risk for confusion, delirium and falls. Avoid treatment with 3 or more CNS active agents. Gastrointestinal-Constipation risk. Urogenital-Urinary retention risk.
Giving butorphanol tartrate Spray, Non-Aerosol to a child under 12:
management or monitoring precaution: No safety and efficacy established.