Hydrocodone (Tussigon) Butorphanol (Torbugesic, Torbutrol)

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Hydrocodone (Tussigon) Butorphanol (Torbugesic, Torbutrol)

Gary L. Wood, DVM, Diplomate ACVIM (Cardiology) www.heartvet.com; [email protected] 3996 Douglas Way Lake Oswego, OR 97035 Phone: 503-246-9689 Fax: 503-636-2549 “Collaboration for Compassionate Care through World-Class Medicine” HYDROCODONE (TUSSIGON) BUTORPHANOL (TORBUGESIC, TORBUTROL) Why has the doctor prescribed this medication? Hydrocodone is used to as a cough suppressant. It also can be a pain reliever and sedative. It is a controlled substance. How do I give this medication? . Give this medication to your pet as directed by the doctor. READ THE LABEL CAREFULLY. This medication at can be given when coughing is most likely often, bedtime is a good time to give it. DO NOT give your pet more medication than directed. DO NOT give the medication more often than directed. DO NOT stop giving this medication without first consulting with the doctor. What do I do if I miss giving a dose? Give the dose as soon as possible. If it is almost time for the next dose, skip the missed dose and continue with the regular schedule. Do not give your pet two doses at once. Potential side effects Notify your regular veterinarian if your pet has symptoms of lethargy or weakness. Mild sedation is normal and often becomes better tolerated after several days. Other side effects may occur so if you notice anything unusual please contact us or you regular veterinarian. Possible drug interactions . Make sure to tell us what other medication you are giving to your pet. The doctor may prescribe two different medications, and a drug interaction may be anticipated. In this case, he may vary the dose and/or monitor your pet more closely. The following drugs can potentially interact with other cough suppressants, tranquilizers, pain medicines, or controlled substances. Contact us if your pet experiences any unusual reactions when different medications are given together. .

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Opioid Powders Page: 1 of 9
Federal Employee Program® 1310 G Street, N.W. Washington, D.C. 20005 202.942.1000 Fax 202.942.1125 5.70.64 Section: Prescription Drugs Effective Date: April 1, 2020 Subsection: Analgesics and Anesthetics Original Policy Date: October 20, 2017 Subject: Opioid Powders Page: 1 of 9 Last Review Date: March 13, 2020 Opioid Powders Description Buprenorphine Powder, Butorphanol Powder, Codeine Powder, Hydrocodone Powder, Hydromorphone Powder, Levorphanol Powder, Meperidine Powder, Methadone Powder, Morphine Powder, Oxycodone Powder, Oxymorphone Powder Background Pharmacy compounding is an ancient practice in which pharmacists combine, mix or alter ingredients to create unique medications that meet specific needs of individual patients. Some examples of the need for compounding products would be: the dosage formulation must be changed to allow a person with dysphagia (trouble swallowing) to have a liquid formulation of a commercially available tablet only product, or to obtain the exact strength needed of the active ingredient, to avoid ingredients that a particular patient has an allergy to, or simply to add flavoring to medication to make it more palatable. Buprenorphine, butorphanol, codeine, hydrocodone, hydromorphone, levorphanol, meperidine, methadone, morphine, oxycodone, and oxymorphone powders are opioid drugs that are used for pain control. The intent of the criteria is to provide coverage consistent with product labeling, FDA guidance, standards of medical practice, evidence-based drug information, and/or published guidelines. Because of the risks of addiction, abuse, and misuse with opioids, even at recommended doses, and because of the greater risks of overdose and death (1-15). Regulatory Status 5.70.64 Section: Prescription Drugs Effective Date: April 1, 2020 Subsection: Analgesics and Anesthetics Original Policy Date: October 20, 2017 Subject: Opioid Powders Page: 2 of 9 FDA-approved indications: 1.
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