{"id":24614,"date":"2022-08-26T10:46:14","date_gmt":"2022-08-26T10:46:14","guid":{"rendered":"https:\/\/zeepedia.com\/?p=24614"},"modified":"2022-08-29T11:45:44","modified_gmt":"2022-08-29T11:45:44","slug":"temgesic","status":"publish","type":"post","link":"https:\/\/zeepedia.com\/medical\/medicines\/temgesic\/","title":{"rendered":"Temgesic &#8211; buprenorphine uses, dose and side effects"},"content":{"rendered":"\n<p>0.3 mg\/ml\u00a0solution\u00a0for injection<br>buprenorphine<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What Temgesic solution for injection is and what it is used for<\/h2>\n\n\n\n<p>Temgesic&nbsp;injection solution&nbsp;is an&nbsp;injection solution&nbsp;that contains buprenorphine and belongs to the group of opioid analgesics.<\/p>\n\n\n\n<p>Temgesic\u00a0injection\u00a0is a medicine that reduces the pain that occurs after surgery.<\/p>\n\n\n\n<p>The buprenorphine contained in Temgesic\u00a0solution for injection\u00a0may also be approved to treat other conditions not mentioned in this product information.\u00a0Ask your doctor, pharmacist, or another healthcare professional if you have further questions, and always follow their instructions.<br><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What you need to know before you use Temgesic solution for injection<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Do not use Temgesic solution for injection<\/h2>\n\n\n\n<p>If you are allergic to buprenorphine or any of the other ingredients of this medicine (listed in section 6).<a><\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Warnings and precautions<\/h2>\n\n\n\n<p>Talk to your doctor or pharmacist before using Temgesic&nbsp;solution for injection&nbsp;if you have:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Problems with breathing or decreased lung function as can worsen your difficulty breathing or if you are taking medicines that can slow or weaken your breathing.<\/li><li>If you are or have been dependent on morphine-like painkillers or if you have previously received long-term treatment with this type of medicine because withdrawal symptoms may occur.<\/li><li>Problems with the liver.<\/li><li>Any kidney disease.<\/li><li>Low\u00a0blood pressure.<\/li><li>Injured your head recently, or if you have a brain disease.<\/li><li>Thyroid disorders.<\/li><li>Adrenocortical disorders (eg\u00a0Addison&#8217;s disease\u00a0).<\/li><li>Problems in the urinary tract such as enlarged\u00a0prostate\u00a0or narrowing of the urethra.<\/li><li>Depression or other conditions are treated with antidepressants. If these medicines are used together with a Temgesic\u00a0solution for injection, this can lead to serotonin syndrome, a condition that can be life-threatening (see &#8220;Other medicines and Temgesic solution for injection&#8221;).<\/li><\/ul>\n\n\n\n<p>Important things to consider:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li><strong>Misuse and abuse<\/strong><br>This drug may be desirable for patients who abuse prescription medications and should be kept in a safe place to protect it from theft.\u00a0Never give the medicine to anyone else, it can lead to death or injury.<\/li><li>Respiratory problems<br>Patients have died from respiratory failure (inability to breathe) due to using this medicine incorrectly or taking it in combination with other\u00a0CNS\u00a0depressants such as alcohol,\u00a0benzodiazepines\u00a0(sedatives), or other\u00a0opioids.<\/li><li>Sleep-related breathing problems<br>Temgesic\u00a0solution for injection\u00a0can cause sleep-related breathing problems such as\u00a0sleep apnea\u00a0(pauses in breathing during sleep) and sleep-related\u00a0hypoxemia\u00a0(low oxygen levels in the blood).\u00a0The symptoms can be breathing pauses during sleep, waking up at night due to shortness of breath, difficulty staying asleep, or pronounced fatigue during the day.\u00a0Contact the doctor if you or anyone else observes these symptoms.\u00a0The doctor may consider reducing the\u00a0dose.<\/li><li>Addiction<br>This medicine can be addictive.<\/li><li>Withdrawal<br>symptoms This medicine can cause withdrawal symptoms if you also take other\u00a0opioids\u00a0such as heroin or\u00a0methadone.<\/li><li>Diagnosis of unrelated medical conditions<br>This medicine may mask the pain which is a sign of certain diseases.\u00a0Remember to inform the doctor that you are using this medicine.<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Other medicines and Temgesic solutions for injection<\/h2>\n\n\n\n<p>Some medicines can increase the\u00a0side effects\u00a0of Temgesic\u00a0solution for injection\u00a0and in some cases can cause very serious reactions.\u00a0Tell your doctor if you are taking, have recently taken, or might take any other medicines.\u00a0Do not take any other medicines while using Temgesic\u00a0solution for injection\u00a0without first talking to your doctor, especially:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Antidepressants such as moclobemide, tranylcypromine,\u00a0citalopram, escitalopram,\u00a0fluoxetine, fluvoxamine,\u00a0paroxetine,\u00a0sertraline, duloxetine,\u00a0venlafaxine, amitriptyline, doxepin or trimipramine.\u00a0These medicines can affect or be affected by Temgesic\u00a0solution for injection\u00a0and you may have symptoms such as involuntary rhythmic muscle twitching, including in the muscles that control eye movements, agitation, hallucinations,\u00a0coma, profuse sweating, tremors, increased reflexes, tense muscles and body temperature above 38\u00b0C.\u00a0Contact the doctor if you experience such symptoms.<\/li><li>Benzodiazepines (used to treat anxiety and sleep disorders), eg\u00a0diazepam, temazepam, or alprazolam.\u00a0If you use Temgesic\u00a0solution for injection\u00a0at the same time as sedatives such as\u00a0benzodiazepines\u00a0or similar medicines, it can increase the risk of drowsiness, breathing difficulties, and\u00a0coma, and it can be life-threatening.\u00a0Concurrent treatment should therefore only be considered if there are no other treatment options.\u00a0However, if the doctor prescribes Temgesic together with sedative drugs, the doctor must limit the\u00a0dose\u00a0and the duration of treatment.\u00a0Inform the doctor about all sedatives you are taking and follow the doctor&#8217;s\u00a0prescription very carefully.\u00a0It may be helpful to inform family and friends that they should be aware of the signs and symptoms described above.\u00a0Contact the doctor if you experience any such symptoms.<\/li><li>Other medicines that can make you feel sleepy\u00a0are used to treat conditions such as anxiety, insomnia, convulsions\/seizures, or pain.\u00a0These types of drugs reduce your level of alertness, which can make it difficult to drive and use machines.\u00a0They can also cause\u00a0central nervous system depression, which is very serious.\u00a0Below is a list of examples of these types of drugs:<ul><li>Other\u00a0opioid-containing medications, e.g.\u00a0methadone, certain pain relievers, and <a href=\"https:\/\/zeepedia.com\/medical\/diseases\/cough-in-children\/\">cough<\/a> suppressants.<\/li><li>Antidepressants (used to treat depression), e.g.\u00a0isocarboxazid, phenelzine,\u00a0selegiline, tranylcypromine, and\u00a0valproate, may enhance the effects of this drug.<\/li><li>Sedative\u00a0H\u00a01\u00a0-receptor antagonists (used to treat allergic reactions), eg\u00a0diphenhydramine and chlorphenamine.<\/li><li>Barbiturates\u00a0(used to induce sleep or\u00a0sedation\u00a0), e.g.\u00a0phenobarbital and secobarbital.<\/li><li>Sedatives (used to induce sleep or\u00a0sedation\u00a0), e.g.\u00a0chloral hydrate.<\/li><\/ul><\/li><li>Clonidine\u00a0(used to treat high\u00a0blood pressure\u00a0) may prolong the effects of this medicine.<\/li><li>Naltrexone can counteract the therapeutic effects of Temgesic\u00a0solution for injection.\u00a0If you take this medicine and then take naltrexone at the same time, you may experience a sudden onset of prolonged and intense withdrawal symptoms.<\/li><li>Antiretroviral drugs (used against\u00a0HIV\u00a0infection\u00a0), e.g.\u00a0ritonavir, nelfinavir, and indinavir, may increase the effects of this medicine.<\/li><li>Some\u00a0antifungals\u00a0(used to treat fungal infections), e.g.\u00a0ketoconazole, itraconazole, and certain\u00a0antibiotics\u00a0(\u00a0macrolides\u00a0), may prolong the effects of this medicine.<\/li><li>Some medicines can reduce the effect of Temgesic\u00a0solution for injection.\u00a0These include drugs for the treatment of\u00a0epilepsy\u00a0(e.g. carbamazepine and\u00a0phenytoin\u00a0), as well as drugs for the treatment of\u00a0tuberculosis\u00a0(rifampicin).<\/li><li>Anesthetics\u00a0(used in surgery such as halothane).<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Temgesic solution for injection with food, drink, and alcohol<\/h2>\n\n\n\n<p>Alcohol can cause increased drowsiness and can increase the risk of respiratory failure if taken with a Temgesic\u00a0solution for injection.\u00a0Do not take Temgesic\u00a0solution for injection\u00a0with alcohol or with medicines that contain alcohol.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Pregnancy and breastfeeding<\/h2>\n\n\n\n<p>The risks for pregnant women of using Temgesic&nbsp;solution for injection&nbsp;are not known.&nbsp;Tell your doctor if you are pregnant or planning to have a baby.&nbsp;The doctor will decide whether the treatment should be continued with another medicine.<\/p>\n\n\n\n<p>Medicines such as Temgesic\u00a0solution for injection, if taken during, especially advanced, pregnancy can cause withdrawal symptoms and breathing problems in the newborn baby.\u00a0These problems can occur several days after birth.<\/p>\n\n\n\n<p>Do not breastfeed while taking this medicine because the Temgesic\u00a0solution for injection\u00a0passes into breast milk.<\/p>\n\n\n\n<p>Ask your doctor or pharmacist for advice before taking any medicine.<a><\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Driving ability and use of machinery<\/h2>\n\n\n\n<p>You are responsible for assessing whether you are fit to drive a motor vehicle or perform work that requires increased attention.\u00a0One of the factors that can affect your ability in these respects is the use of drugs due to their effects and\/or\u00a0side effects.\u00a0A description of these effects and\u00a0side effects\u00a0can be found in other sections.\u00a0Read all the information in this leaflet for guidance.\u00a0Discuss with your doctor or pharmacist if you are unsure.<\/p>\n\n\n\n<p>During treatment with a Temgesic\u00a0solution for injection, the ability to react may be prolonged because a Temgesic\u00a0solution for injection\u00a0can cause drowsiness.\u00a0Do not drive or operate machinery, or perform any hazardous activity until you know how this medicine affects you.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Temgesic solution for injection contains glucose.<\/h2>\n\n\n\n<p>If your doctor has told you that you have an intolerance to some sugars, consult your doctor before using this medicine.<br><a><\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">How to use Temgesic solution for injection<\/h2>\n\n\n\n<p>Always use Temgesic&nbsp;solution for injection&nbsp;as directed by your doctor or pharmacist.&nbsp;Ask your doctor or pharmacist if you are unsure.&nbsp;<strong>Do not inject more than the&nbsp;dose&nbsp;your doctor has prescribed for you.<\/strong><\/p>\n\n\n\n<p>The recommended\u00a0dose\u00a0is 0.3-0.6 mg (1-2 ml) given\u00a0intramuscularly\u00a0or slowly\u00a0intravenously.\u00a0Dose\u00a0one can be given every 6-8 hours or as needed according to the doctor&#8217;s\u00a0prescription.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If you have used too much Temgesic solution for injection<\/h2>\n\n\n\n<p>If you have ingested too much medicine or if, for example,\u00a0a child has ingested the medicine by mistake, contact a doctor or hospital for an assessment of the risk and advice.<\/p>\n\n\n\n<p>If you or someone else accidentally injects too much Temgesic\u00a0solution for injection, you must seek medical attention immediately for treatment as an overdose of Temgesic\u00a0solution for injection\u00a0can cause serious and life-threatening breathing problems.<\/p>\n\n\n\n<p>Symptoms of overdose may include feeling tired, sleepy, dizzy, sweating, dilated\u00a0pupils\u00a0(characterized by blurred vision and difficulty focusing),\u00a0dry mouth,\u00a0euphoria, hallucinations, shallow breathing, possibly slower heart rate, low\u00a0blood pressure\u00a0(\u00a0hypotension\u00a0), nausea, vomiting or constipation.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If you forget to take Temgesic solution for injection<\/h2>\n\n\n\n<p>Your doctor or nurse will tell you what to do if you miss a\u00a0dose.<br>Do not take a double\u00a0dose\u00a0to make up for a missed\u00a0dose.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If you stop taking Temgesic solution for injection<\/h2>\n\n\n\n<p>If you have previously received long-term treatment with this type of medicine and if you stop taking Temgesic\u00a0injection, withdrawal symptoms may occur.\u00a0Tell your doctor if you think this is happening to you.\u00a0Do not change the\u00a0dosage\u00a0or stop taking Temgesic\u00a0solution for injection\u00a0without the consent of your attending physician.<\/p>\n\n\n\n<p>If you have any further questions about this medicine, ask your doctor or pharmacist.<a><\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Possible side effects<\/h2>\n\n\n\n<p>Like all medicines, this medicine can cause\u00a0side effects, although not everybody gets them.<\/p>\n\n\n\n<p><strong>Tell your doctor<\/strong>&nbsp;or seek medical attention immediately if you experience any of the following symptoms after taking this medicine.&nbsp;These symptoms can be serious and Temgesic&nbsp;solution for injection&nbsp;can cause serious and life-threatening breathing problems:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>If you start to breathe more slowly or more weakly than usual.\u00a0This may occur with\u00a0respiratory depression\u00a0caused by Temgesic\u00a0solution for injection\u00a0(occurs in an unknown number of patients).<\/li><li>If you suddenly experience wheezing, difficulty breathing, swelling of the eyelids, face, or lips, rash or\u00a0itching\u00a0especially if it covers the whole body.\u00a0It may be a sign of an\u00a0allergic reaction\u00a0(a rare side effect that may occur in up to 1 in 1000 patients).<\/li><li>If you feel dizzy, this may be a sign of low\u00a0blood pressure\u00a0(a very common side effect that may affect more than 1 in 10 patients).<\/li><li>If you experience sudden constriction of the airways (\u00a0bronchospasm\u00a0) (which occurs in an unknown number of patients).<\/li><li>If you have a\u00a0hypersensitivity reaction\u00a0with <a href=\"https:\/\/zeepedia.com\/medical\/diseases\/cold\/\">fever<\/a>, rash, swelling, and sometimes a drop in blood pressure (anaphylactic\u00a0shock\u00a0) (occurs in an unknown number of patients).<\/li><li>If you experience swelling of the face, tongue, or throat or difficulty swallowing,\u00a0hives,\u00a0and difficulty breathing (\u00a0angioedema\u00a0) (occurs in an unknown number of patients).<\/li><\/ul>\n\n\n\n<p><strong>Other side effects:<\/strong><\/p>\n\n\n\n<p><em>Very common&nbsp;side effects&nbsp;(may affect more than 1 in 10 patients)<\/em><\/p>\n\n\n\n<p>Sedation, dizziness, nausea<\/p>\n\n\n\n<p><em>Common&nbsp;side effects&nbsp;(may affect up to 1 in 10 patients):<\/em><\/p>\n\n\n\n<p>Headache,&nbsp;miosis&nbsp;(reduced&nbsp;pupils&nbsp;), hypoventilation (shallow or slow breathing), vomiting,&nbsp;hyperhidrosis&nbsp;(increased sweating).<\/p>\n\n\n\n<p><em>Uncommon&nbsp;side effects&nbsp;(may affect up to 1 in 100 patients):<\/em><\/p>\n\n\n\n<p>Confusion,\u00a0euphoria\u00a0(exaggerated feeling of well-being), nervousness, depression, psychotic illness (mental illness causing abnormal thinking and perception), hallucinations, personality change (not feeling like yourself), dysarthria (difficulty speaking),\u00a0paresthesia\u00a0(numbness and tingling),\u00a0coma, tremors, blurred vision,\u00a0diplopia\u00a0(<a href=\"https:\/\/zeepedia.com\/medical\/diseases\/distinction-and-double-vision-in-adults\/\">double vision<\/a>), <a href=\"https:\/\/zeepedia.com\/medical\/diseases\/visual-impairment\/\">visual impairment<\/a>,\u00a0conjunctivitis\u00a0(<a href=\"https:\/\/zeepedia.com\/medical\/diseases\/eye-inflammation-in-children\/\">eye inflammation<\/a> or infection),\u00a0tinnitus\u00a0(ringing in the ears),\u00a0tachycardia\u00a0(fast heartbeat),\u00a0bradycardia\u00a0(slow heartbeat), cyanosis (blue discoloration of the skin), another degree atrioventricular block (heart rhythm disturbances),\u00a0hypertension(high\u00a0blood pressure\u00a0), pallor (pallor),\u00a0dyspnea\u00a0(shortness of breath),\u00a0apnea\u00a0(stopping breathing),\u00a0dry mouth, constipation,\u00a0dyspepsia\u00a0(indigestion), flatulence,\u00a0pruritus\u00a0(\u00a0itching\u00a0), rash, difficulty urinating,\u00a0asthenia\u00a0(fatigue), fatigue, malaise.<\/p>\n\n\n\n<p><em>Rare&nbsp;side effects&nbsp;(may affect up to 1 in 1,000 patients):<\/em><\/p>\n\n\n\n<p>Decreased appetite,\u00a0dysphoria\u00a0(depressed mood), aggressiveness, convulsions, coordination difficulties, diarrhea,\u00a0urticaria\u00a0(\u00a0hives\u00a0).<\/p>\n\n\n\n<p><em>Frequency not known (cannot be estimated from available data):<\/em><\/p>\n\n\n\n<p>Drug dependence, drowsiness, lack of effect, drug interactions.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">How to store Temgesic solution for injection<\/h2>\n\n\n\n<p>Keep this medicine out of the sight and reach of children.<\/p>\n\n\n\n<p>Store at a maximum of 30\u00b0C.&nbsp;Store in the original packaging.&nbsp;Light sensitive.<\/p>\n\n\n\n<p>Use before the expiry date stated on the carton after &#8220;EXP&#8221;.&nbsp;The expiration date is the last day of the specified month.<\/p>\n\n\n\n<p>Medicines must not be thrown into the drain or among the household waste.\u00a0Ask the pharmacist how to deal with medicines that are no longer used.\u00a0These measures will help to protect the environment.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Contents of the packaging and other information<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Contents declaration<\/h2>\n\n\n\n<p>The active substance is buprenorphine (as buprenorphine hydrochloride).&nbsp;Each&nbsp;ampoule&nbsp;contains 300 micrograms of buprenorphine.<\/p>\n\n\n\n<p>Other ingredients are glucose monohydrate,\u00a0hydrochloric acid,\u00a0and water for\u00a0injection.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Appearance and package sizes of the medicine<\/h2>\n\n\n\n<p>Temgesic\u00a0solution for injection\u00a0is a clear solution packaged in 1 ml\u00a0glass ampoules\u00a0and cartons containing a plastic tray of 5\u00a0ampoules.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Marketing authorization holder and manufacturer<\/h2>\n\n\n\n<p>Indivior Europe Limited,<\/p>\n\n\n\n<p>27 Windsor Place,<\/p>\n\n\n\n<p>Dublin 2,<\/p>\n\n\n\n<p>D02 DK44,<\/p>\n\n\n\n<p>Ireland<\/p>\n\n\n\n<p>For further information on this medicine, please contact the marketing authorization holder<\/p>\n\n\n\n<p>Telephone: 020791680<\/p>\n\n\n\n<p>Email: PatientSafetyRoW@indivior.com<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Temgesic\u00a0injection solution\u00a0is an\u00a0injection solution\u00a0that contains buprenorphine and belongs to the group of opioid analgesics.<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"cybocfi_hide_featured_image":"","footnotes":""},"categories":[2200,22500],"tags":[19122,25560,3584,3587,25557,25561,8115,8114,25558,25559],"class_list":["post-24614","post","type-post","status-publish","format-standard","hentry","category-medicines","category-t","tag-benefits-of-buprenorphine","tag-benefits-of-temgesic","tag-buprenorphine","tag-buprenorphine-side-effects","tag-temgesic","tag-temgesic-side-effects","tag-what-buprenorphine-is-used-for","tag-what-is-buprenorphine","tag-what-is-temgesic","tag-what-temgesic-is-used-for"],"_links":{"self":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/24614","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/comments?post=24614"}],"version-history":[{"count":4,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/24614\/revisions"}],"predecessor-version":[{"id":24661,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/24614\/revisions\/24661"}],"wp:attachment":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/media?parent=24614"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/categories?post=24614"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/tags?post=24614"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}