Oxycodone Naloxone

Oxycodone Naloxone Brand Name– TARGINIQ

What is Oxycodone Naloxone

Oxycodone naloxone is a semisynthetic opioid agonist (oxycodone) combined with a semisynthetic opioid-receptor antagonist (naloxone) for severe pain requiring daily, around-the-clock, long term opioid treatment for which alternative treatment options are inadequate.

Oxycodone naloxone is designed to deter abuse of oxycodone by snorting or injecting. When crushed and snorted or dissolved and injected, the naloxone in oxycodone; naloxone blocks the euphoric effects of oxycodone.

Oxycodone naloxone was FDA-approved in July 2014.

Indications

  • severe pain

Side Effects

  1. abdominal pain
  2. adrenocortical insufficiency
  3. agitation
  4. amenorrhea
  5. amnesia
  6. anaphylactoid reactions
  7. anxiety
  8. apnea
  9. arthralgia
  10. asthenia
  11. ataxia
  12. back pain
  13. bleeding
  14. blurred vision
  15. bradycardia
  16. cardiac arrest
  17. chest pain (unspecified)
  18. chills
  19. confusion
  20. constipation
  21. depression
  22. diaphoresis
  23. diarrhea
  24. dizziness
  25. drowsiness
  26. dysgeusia
  27. dyspepsia
  28. dysphonia
  29. dysphoria
  30. dyspnea
  31. edema
  32. emotional lability
  33. euphoria
  34. exfoliative dermatitis
  35. fatigue
  36. fever
  37. flushing
  38. gastritis
  39. gonadal suppression
  40. hallucinations
  41. headache
  42. heart failure
  43. hyperalgesia
  44. hyperesthesia
  45. hyperhidrosis
  46. hyperkinesis
  47. hypertension
  48. hypoesthesia
  49. hypotension
  50. hypotonia
  51. impotence (erectile dysfunction)
  52. infertility
  53. influenza
  54. insomnia
  55. lacrimation
  56. libido decrease
  57. malaise
  58. migraine
  59. miosis
  60. mydriasis
  61. nausea
  62. neonatal opioid withdrawal syndrome
  63. orthostatic hypotension
  64. palpitations
  65. paresthesias
  66. peripheral edema
  67. peripheral vasodilation
  68. physiological dependence
  69. pruritus
  70. psychological dependence
  71. rash
  72. respiratory arrest
  73. respiratory depression
  74. restlessness
  75. seizures
  76. serotonin syndrome
  77. sinus tachycardia
  78. syncope
  79. thrombosis
  80. tremor
  81. urinary retention
  82. vertigo
  83. vomiting
  84. withdrawal
  85. xerostomia

Monitoring Parameters

  • laboratory monitoring not necessary

Contraindications

  • abrupt discontinuation
  • accidental exposure
  • adrenal insufficiency
  • alcoholism
  • angina
  • asthma
  • biliary tract disease
  • bladder obstruction
  • breast-feeding
  • cardiac arrhythmias
  • cardiac disease
  • chronic obstructive pulmonary disease (COPD)
  • CNS depression
  • coadministration with other CNS depressants
  • coma
  • cor pulmonale
  • dehydration
  • depression
  • driving or operating machinery
  • ethanol ingestion
  • ethanol intoxication
  • geriatric
  • GI obstruction
  • head trauma
  • heart failure
  • hepatic disease
  • hypotension
  • hypothyroidism
  • hypovolemia
  • hypoxemia
  • ileus
  • increased intracranial pressure
  • infertility
  • intracranial mass
  • labor
  • myxedema
  • neonatal opioid withdrawal syndrome
  • obesity
  • obstetric delivery
  • oliguria
  • opioid overdose
  • opioid use disorder
  • opioid-naive patients
  • orthostatic hypotension
  • pancreatitis
  • parenteral administration
  • potential for overdose or poisoning
  • pregnancy
  • prostatic hypertrophy
  • psychosis
  • pulmonary disease
  • renal disease
  • renal impairment
  • reproductive risk
  • requires an experienced clinician
  • respiratory depression
  • respiratory insufficiency
  • scoliosis
  • seizure disorder
  • seizures
  • shock
  • sleep apnea
  • status asthmaticus
  • substance abuse
  • urethral stricture
  • urinary retention

Interactions

No information is available regarding drug interactions associated with Oxycodone Naloxone

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