Patient was educated on precautions to be exercised while taking Nucynta as follows:
- Nucynta slows down the bowel movements heavily and leads to constipation. Increase intake of daily fiber can help the situation and promote regular bowel movements. Any signs and symptoms of intestinal obstruction and ileus, such as, intense bloating, constipation, abdominal pain, nausea, and vomiting must be immediately reported. Any lack of bowel movement in 3 days must be reported to the physician.
- Nucynta is mainly excreted in the urine. Individuals with compromised renal functions tend to retain the drug in the circulation longer, thus resulting in toxicity. Nucynta should be avoided or used with extreme caution in such individuals. Observe compliance with any labs ordered for evaluation of renal function.
- Do not abuse Nucynta by continuing to take the medication, even after the pain resolved.
- Watch out for any continuing or worsening pain, to report to your doctor immediately, so that, a change in plan could be considered.
- If you miss a dose, try taking it at the earliest notice of noncompliance. If it is time for the next dose, skip the missed dose and take the dose scheduled. Do not take an extra dose to try making up for the missed dose. Notify your doctor and other health care personnel regarding your dose noncompliance.
