Patient/caregiver was educated on precautions to be exercised while taking remular as follows:
- Remular use can result in episodes of confusion, dizziness, and light-headedness. Starting the medication at a low dose and gradually increasing the dose, to help optimum control of your symptoms, can contribute to reducing the risk for drowsiness and dizziness due to the medication. Do not change the prescribed dose on this medication without consulting your physician. The dizziness should progressively decrease and ease out in due course of time. If the dizziness continues/worsens and becomes bothersome, report it to your physician and other health care personnel, for any change in plan of care to be considered. Stay away from activities, such as, driving and operating heavy machinery, until you are used to the side effects caused by remular intake. Observing compliance with use of recommended assistive devices, such as, cane and walker can further safety during confused states. Avoiding quick changes in position can also contribute towards fall and accident prevention.
- Do not take remular along with alcohol, opioid pain medications, such as, hydrocodone and codeine, antipsychotic medications, antidepressant medications, anti-seizure medications, muscle relaxants, antihistamines, OTC cough syrups, and any other medications that carry a risk for depression of the central nervous system and the respiratory center, resulting in episodes of dizziness, confusion, difficulty breathing, and respiratory arrest. The individual influence of these medications on respirations and central nervous system can get added up, thus leading to severe respiratory depression, confusion, coma, and can even be fatal.
- Remular, especially when taken in high doses, can lead to depression of respiratory center in the brain, exacerbation of SOB, and difficulty breathing. Low oxygen levels in the body with elevated carbon-di-oxide levels can contribute to altered levels of consciousness, sedation, slow & shallow breathing, severely compromised endurance and exercise tolerance, extreme fatigue, and development of seizures. Severe cases might also lead to emergency situations, such as, respiratory arrest and can result in serious debility and death. This risk with remular can be even high when it is taken along with any other products and medications causing central nervous and respiratory depression, such as, alcohol, opioid pain medications, antidepressants, antianxiety medications, and sedatives. Remular could either be avoided for a safer alternative or used with extra caution with close watch for symptoms of respiratory failure in individuals with history of breathing issues, such as, asthma and COPD, to prevent development of any episodes of severe SOB and respiratory arrest.
