What should I Know Regarding Pregnancy, Nursing and Administering Oxycontin to Children or the Elderly?
If you are PREGNANT
- Requires a Risk/Benefit Assessment:
If you are NURSING
- Precaution: MONITOR FOR CHANGES IN RESPIRATION, GI EFFECTS, SEDATION, FEEDING PATTERN
If you are an adult over 60
- management or monitoring precaution: General-Consider adding naloxone Rx. Pulmonary-Life threatening respiratory depression risk with high doses, cachexia, or debilitation due to altered pharmacokinetics (poor fat stores, muscle wasting, or altered clearance). Monitor closely at initiation and dose titration. Neuro/Psych-Risk for increased confusion and delirium. May increase fall risk. Avoid treatment with 3 or more CNS active drugs. Gastrointestinal-Constipation risk. Urogenital-Urinary retention risk.
Giving Oxycontin to a child under 12
- Contraindication: Risk for fatal respiratory depression. Increased sensitivity to effects and adverse effects. Controlled release form only in opioid tolerant patient age 11 years and older. With any opioid, access to naloxone for emergency reversal can mitigate risk from accidental ingestion/overdose.
- Severe Precaution: Consider risk for fatal respiratory depression in opioid naive patients. Restricted use for opioid tolerant patient. Increased sensitivity to effects and adverse effects. With any opioid, access to naloxone for emergency reversal can mitigate risk from accidental ingestion/overdose.
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.