Before you begin using a medication, be sure to inform your doctor of any medical conditions or allergies you may have, any medications you are taking, whether you are pregnant or breast-feeding, and any other significant facts about your health. These factors may affect how you should use this medication.
Alcohol: People taking this medication should not consume alcohol since doing so can increase the risk of serious side effects, or a potentially fatal overdose. It is not recommended for people with alcohol abuse problems.
Breathing: Normethadone - hydroxyephedrine can suppress breathing. This effect on breathing may be more pronounced for people who have breathing problems or brain damage, or who are taking other medications that suppress breathing. If you have breathing problems, such as COPD, asthma or respiratory depression, discuss with your doctor how this medication may affect your medical condition, how your medical condition may affect the dosing and effectiveness of this medication, and whether any special monitoring is needed.
Constipation: Normethadone - hydroxyephedrine can be very constipating. If you develop constipation easily, discuss with your doctor how this medication may affect your medical condition, how your medical condition may affect the dosing and effectiveness of this medication, and whether any special monitoring is needed. People with chronic constipation should take this medication only if the benefit outweighs the risks.
Dependence and withdrawal: Physical dependence, psychological dependence, and abuse have occurred with the use of normethadone. People with a history of past or current substance use problems may be at greater risk of developing abuse or addiction while taking this medication. Abuse is not a problem with people who require this medication for pain relief. If this medication is stopped suddenly, you may experience withdrawal symptoms such as anxiety, sweating, trouble sleeping, shaking, pain, nausea, tremors, diarrhea, and hallucinations. If you have been taking this medication for a while, it should be stopped gradually as directed by your doctor.
Drowsiness/reduced alertness: Normethadone - hydroxyephedrine may cause drowsiness. Do not drive, operate machinery, or perform any potentially hazardous tasks until you have made sure that this medication does not make you drowsy.
Head injury: Normethadone - hydroxyephedrine can cause increased pressure inside the head. If you have acute head injuries or other conditions which increase intracranial pressure (pressure inside the head), discuss with your doctor how this medication may affect your medical condition, how your medical condition may affect the dosing and effectiveness of this medication, and whether any special monitoring is needed.
Low blood pressure: This medication can cause low blood pressure or make low blood pressure worse. If you experience severe dizziness, especially when standing from a lying or sitting position, contact your doctor.
Pregnancy: This medication can cross the placenta and reach the developing baby during pregnancy. It should not be used during pregnancy unless the benefits outweigh the risks. Babies born to mothers who have taken this medication during pregnancy can experience life-threatening withdrawal symptoms. If you become pregnant while taking this medication, contact your doctor immediately.
Breast-feeding: This medication may pass into breast milk. If you are a breast-feeding mother and are taking normethadone - hydroxyephedrine, it may affect your baby. Talk to your doctor about whether you should continue breast-feeding.
Children: Children are at greater risk of experiencing breathing difficulty with the use of this medication. This medication should not be used in children under the age of 6.
Seniors: Seniors may be more at risk of side effects from this medication.