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Generic Name:
propoxyphene (proe-POX-ih-feen)
Brand Names:
Darvon®, Darvon-N®
Classification:
Narcotic Analgesics
Issue Date:
1995
Darvon is used for relieving mild to moderate pain. Darvon is a narcotic analgesic.
It works in the brain to decrease pain.
Do not use Darvon if you are allergic to any ingredient in Darvon, if you have
severe diarrhea caused by antibiotic use (pseudomembranous colitis) or poisoning, or if
you are taking sodium oxybate (GHB). Contact your doctor or health care provider
right away if any of these apply to you.
UPDATE: July 7, 2009 be sure to read the article
FDA Takes
Actions on Darvon & Darvocet That Contain Propoxyphene.
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How To Use This Medicine
Use Darvon as directed by your doctor. Check the label on the medicine for exact
dosing instructions.
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Darvon may be taken with or without food. If stomach upset occurs, take with food
to reduce stomach irritation.
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Darvon comes with an additional patient leaflet. Read it carefully and reread it
each time you get Darvon refilled.
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Do not take more than your prescribed dose or take Darvon for longer than prescribed
by your health care provider.
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If you miss a dose of Darvon and you are taking it regularly, take it as soon
as possible. If it is almost time for your next dose, skip the missed dose and go back
to your regular dosing schedule. Do not take 2 doses at once.
Ask your health care provider any questions you may have about how to use Darvon.
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Discuss With Your Doctor
Some medical conditions may interact with Darvon. Tell your health care provider if
you have any medical conditions, especially if any of the following apply to you:
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if you are pregnant, planning to become pregnant, or are breast-feeding
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if you are taking any prescription or nonprescription medicine, herbal preparation,
or dietary supplement
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if you have allergies to medicines, foods, or other substances
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if you have prostate problems, liver problems (eg, hepatitis), or kidney problems
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if you have a history of drug abuse or dependence or depression or have ever
seriously considered suicide
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if you have had a head injury, increased pressure in your brain, growths in
your brain, or seizures
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if you have inflammatory bowel problems or ulcers, urinary problems, or you have
had abdominal surgery
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if you have lung or breathing problems (eg, asthma), thyroid problems, heart
problems, or certain blood problems (porphyria)
Some MEDICINES MAY INTERACT with Darvon. Tell your health care provider if you are
taking any other medicines, especially any of the following:
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Anticoagulants (eg, warfarin) because side effects, including an increased risk
of bleeding, may be increased by Darvon
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Carbamazepine because the risk of severe side effects and toxicity, including nausea,
vomiting, loss of coordination, and involuntary eye movements, may occur
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Antidepressant medicines (eg, amitriptyline, phenelzine), anticonvulsants
(eg, phenobarbital, phenytoin), barbiturate anesthetics (eg, thiopental), cimetidine,
HIV protease inhibitors (eg, ritonavir), and terfenadine because side effects may
be increased by Darvon
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Naltrexone because the effectiveness of Darvon may be decreased
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Sodium oxybate (GHB) because side effects, including increased risk of sleep duration
and drowsiness leading to unresponsiveness and coma, may be increased by Darvon
This may not be a complete list of all interactions that may occur. Ask your health care
provider if Darvon may interact with other medicines that you take. Check with your health
care provider before you start, stop, or change the dose of any medicine.
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In Case of Overdose
Contact 1-800-222-1222 (the American Association of Poison Control Centers), your
local poison control center (http://www.aapcc.org), or emergency room immediately. Symptoms
may include:
- anxiety
- confusion
- dilated pupils
- irregular heartbeat
- muscle pain
- severe drowsiness or dizziness
- slow or difficult breathing
- weakness
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What To Avoid
Darvon may cause drowsiness or dizziness. Do not drive, operate machinery, or do
anything else that could be dangerous until you know how you react to Darvon. Using
Darvon alone, with certain other medicines, or with alcohol may lessen your ability
to drive or perform other potentially dangerous tasks.
Use of alcohol with Darvon may cause serious side effects. Limit your intake of
alcohol while taking Darvon. If you drink alcohol every day, do not take Darvon
without talking to your health care provider first. The combination of Darvon and
alcohol may cause liver damage.
Make sure your health care provider knows if you are taking tranquilizers, sleep
aids, antidepressant medicines, antihistamines, or any other medicines that may make
you sleepy. The combination of these products with Darvon may lead to serious side
effects, including death.
If you experience dizziness, drowsiness, nausea, or vomiting, it may help to lie down.
Before you have any medical or dental treatments, emergency care, or surgery, tell the
doctor or dentist that you are using Darvon.
Darvon may be habit-forming. Do not take more than the dose prescribed by your doctor or
take Darvon for a longer period of time than prescribed by your doctor.
Use Darvon with caution in the ELDERLY because they may be more sensitive to its effects.
Use Darvon with extreme caution in CHILDREN. Use of Darvon is not recommended in
CHILDREN younger than 12 years of age. Safety and effectiveness in this age group have
not been confirmed.
PREGNANCY and BREAST-FEEDING: If you become pregnant, discuss with your doctor the
benefits and risks of using Darvon during pregnancy. Darvon is excreted in breast milk.
If you are or will be breast-feeding while you are using Darvon , check with your doctor
or pharmacist to discuss the risks to your baby.
When used for long periods of time or at high doses, Darvon may not work as well and
may require higher doses to obtain the same effect as when originally taken. This is
known as TOLERANCE. Talk with your doctor if Darvon stops working well. Do not take
more than prescribed.
Darvon can cause DEPENDENCE if taken in higher doses than recommended by your health
care provider or over a long period of time. Take Darvon exactly as prescribed by
your health care provider. If you suddenly stop taking Darvon, you may experience
WITHDRAWAL symptoms including:
- anxiety
- diarrhea
- fever, runny nose, or sneezing
- goosebumps and abnormal skin sensations
- nausea
- pain
- rapid heartbeat
- rigid muscles
- seeing, hearing, or feeling things that are not there
- shivering or tremors
- sweating
- trouble sleeping
- vomiting
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Side Effects
If you experience any of the following SERIOUS side effects, stop taking Darvon and
seek emergency medical attention:
- An allergic reaction:
- difficulty breathing
- closing of the throat
- swelling of the lips, tongue, or face
- hives
- anxiety
- cold or clammy skin
- confusion
- excessive sweating
- hallucinations
- loss of appetite
- loss of consciousness
- mental or mood changes
- seizures
- severe drowsiness or dizziness
- severe or persistent stomach pain
- vision changes
- weakness
- yellowing of the skin or eyes
Other, less serious side effects may be more likely to occur. Continue to take Darvon
and talk to your doctor if you experience:
- constipation
- dizziness
- drowsiness
- lightheadedness
- nausea
- vomiting
This is not a complete list of all side effects that may occur. If you have questions
about side effects, contact your health care provider. Call your doctor for medical
advice about side effects. You may report side effects to FDA at 1-800-FDA-1088. You
may also report side effects at http://www.fda.gov/medwatch.
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Drug Interactions
Some medicines may interact with Darvon. Tell your health care provider if you are
taking any other medicines, especially any of the following:
-
Anticoagulants (eg, warfarin) because side effects, including an increased risk
of bleeding, may be increased by Darvon
-
Carbamazepine because the risk of severe side effects and toxicity, including nausea,
vomiting, loss of coordination, and involuntary eye movements, may occur
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Antidepressant medicines such as:
- Anticonvulsants such as:
- Barbiturate anesthetics such as:
- HIV protease inhibitors (eg, ritonavir), and terfenadine because side effects may
be increased by Darvon
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Naltrexone because the effectiveness of Darvon may be decreased
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Sodium oxybate (GHB) because side effects, including increased risk of sleep duration
and drowsiness leading to unresponsiveness and coma, may be increased by Darvon
This may not be a complete list of all interactions that may occur. Ask your health
care provider if Darvon may interact with other medicines that you take. Check with
your health care provider before you start, stop, or change the dose of any medicine.
Drugs other than those listed here may also interact with Darvon. Talk to your
doctor and pharmacist before taking any prescription or over-the-counter medicines,
including vitamins, minerals, and herbal products.
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