PENTAZOCINE AND NALOXONE- pentazocine and naloxone tablet 
Sun Pharmaceutical Industries, Inc.

----------

Medication Guide

Pentazocine and Naloxone (pen tazʹ oh seen and nal oxʹ one)

Tablets, CIV

Rx only

Pentazocine and Naloxone Tablets are:

A strong prescription pain medicine that contains an opioid (narcotic) that is used to manage moderate to severe pain, when other pain treatments such as non-opioid pain medicines do not treat your pain well enough or you cannot tolerate them.
An opioid pain medicine that can put you at risk for overdose and death. Even if you take your dose correctly as prescribed you are at risk for opioid addiction, abuse, and misuse that can lead to death.

Important information about Pentazocine and Naloxone Tablets:

Get emergency help right away if you take too many Pentazocine and Naloxone Tablets (overdose). When you first start taking Pentazocine and Naloxone Tablets, when your dose is changed, or if you take too much (overdose), serious or life-threatening breathing problems that can lead to death may occur. Taking Pentazocine and Naloxone Tablets with other opioid medicines, benzodiazepines, alcohol, or other central nervous system depressants (including street drugs) can cause severe drowsiness, decreased awareness, breathing problems, coma, and death.
Never give anyone else your Pentazocine and Naloxone Tablets. They could die from taking them. Store Pentazocine and Naloxone Tablets away from children and in a safe place to prevent stealing or abuse. Selling or giving away Pentazocine and Naloxone Tablets are against the law.

Do not take Pentazocine and Naloxone Tablets if you have:

severe asthma, trouble breathing, or other lung problems.
a bowel blockage or have narrowing of the stomach or intestines.
previously had an allergic reaction to pentazocine or naloxone.
known or suspected gastrointestinal obstruction, including paralytic ileus.

Before taking Pentazocine and Naloxone Tablets, tell your healthcare provider if you have a history of:

● head injury, seizures ● liver, kidney, thyroid problems

● problems urinating ● pancreas or gallbladder problems

● abuse of street or prescription drugs, alcohol addiction, or mental health problems.

Tell your healthcare provider if you are:

pregnant or planning to become pregnant. Prolonged use of Pentazocine and Naloxone Tablets during pregnancy can cause withdrawal symptoms in your newborn baby that could be life-threatening if not recognized and treated.
breastfeeding. Pentazocine and naloxone passes into breast milk and may harm your baby.
taking prescription or over-the-counter medicines, vitamins, or herbal supplements. Taking Pentazocine and Naloxone Tablets with certain other medicines can cause serious side effects that could lead to death.

When taking Pentazocine and Naloxone Tablets:

Do not change your dose. Take Pentazocine and Naloxone Tablets exactly as prescribed by your healthcare provider. Use the lowest dose possible for the shortest time needed.
Take your prescribed dose every 3 or 4 hours at the same time every day. Do not take more than your prescribed dose. If you miss a dose, take your next dose at your usual time.
Call your healthcare provider if the dose you are taking does not control your pain.
If you have been taking Pentazocine and Naloxone Tablets regularly, do not stop taking Pentazocine and Naloxone Tablets without talking to your healthcare provider.
Advise patients to properly dispose of unused Pentazocine and NaloxoneTablets. Advise patients to throw the drug in the household trash following these steps. 1) Remove them from their original containers and mix them with an undesirable substance, such as used coffee grounds or kitty litter (this makes the drug less appealing to children and pets, and unrecognizable to people who may intentionally go through the trash seeking drugs). 2) Place the mixture in a sealable bag, empty can, or other container to prevent the drug from leaking or breaking out of a garbage bag, or to dispose of in accordance with local state guidelines and/or regulations.

While taking Pentazocine and Naloxone Tablets DO NOT:

Drive or operate heavy machinery, until you know how Pentazocine and Naloxone Tablets affect you. Pentazocine and Naloxone Tablets can make you sleepy, dizzy, or lightheaded.
Drink alcohol or use prescription or over-the-counter medicines that contain alcohol. Using products containing alcohol during treatment with Pentazocine and Naloxone Tablets may cause you to overdose and die.

The possible side effects of Pentazocine and Naloxone Tablets:

constipation, nausea, sleepiness, vomiting, tiredness, headache, dizziness, abdominal pain. Call your healthcare provider if you have any of these symptoms and they are severe.

Get emergency medical help if you have:

trouble breathing, shortness of breath, fast heartbeat, chest pain, swelling of your face, tongue, or throat, extreme drowsiness, light-headedness when changing positions, feeling faint, agitation, high body temperature, trouble walking, stiff muscles, or mental changes such as confusion.

These are not all the possible side effects of Pentazocine and Naloxone Tablets. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088. For more information go to dailymed.nlm.nih.gov.

For more information call at 1-800-406-7984.

This Medication Guide has been approved by the U.S. Food and Drug Administration.

Distributed by:

Sun Pharmaceutical Industries, Inc.

Cranbury, NJ 08512

December 2016

Revised: 7/2018
Sun Pharmaceutical Industries, Inc.