What is Kadian?Kadian is a narcotic pain medicine that contains morphine. Kadian is used to relieve moderate to severe pain when a narcotic painkiller is needed continuously around-the-clock for an extended period of time. Kadian is available in capsules that should be taken by mouth only.
Kadian is a federally controlled substance because it has abuse potential.
What is the most important information I should know about Kadian?Kadian has abuse potential. Mental and physical dependence can occur with the use of Kadian when it is used improperly.
Kadian can cause serious breathing problems that can become life-threatening, especially when it is used in the wrong way. Tell your doctor if you have any lung or breathing problems (such as asthma). Also, tell your doctor or get immediate medical help if your breathing slows down; you have shallow breathing; you feel faint, dizzy, or confused; or if you have any unusual symptoms. These symptoms can indicate that the dose is too high for you or that you have overdosed. Your doctor will monitor you for breathing problems.
Kadian can decrease your blood pressure. This can make you feel dizzy and faint if you get up too fast from sitting or lying down. This is more likely to happen if you are taking other blood pressure lowering medicines. Since Kadian can impair your mental or physical abilities, do not drive, operate machinery, or perform other dangerous activities until you know how Kadian affects you. Speak to your doctor about when you can start performing these activities.
Do not take Kadian 100-mg and 200-mg capsules if you have never taken a narcotic painkiller before.
Who should not take Kadian?Do not take Kadian if you are allergic to it, any of its ingredients, are having an asthma attack, or have severe asthma, trouble breathing, or lung problems.
Do not take Kadian for the relief of mild pain, short-term pain, or pain immediately following surgery.
Do not take Kadian if you have paralytic ileus (impairment of the small intestines).
What should I tell my doctor before I take the first dose of Kadian?Tell your doctor about all prescription, over-the-counter, and herbal medications you are taking before beginning treatment with Kadian. Also, talk to your doctor about your complete medical history, especially if you have breathing problems, brain problems or head injury, severe liver or kidney problems, hypothyroidism (an underactive thyroid gland), adrenal gland problems, urinary blockage, alcoholism, paralytic ileus, seizures, history of or a present drug abuse or addiction problem, or a family history of drug abuse or addiction problem.
What is the usual dosage?The information below is based on the dosage guidelines your doctor uses. Depending on your condition and medical history, your doctor may prescribe a different regimen. Do not change the dosage or stop taking your medication without your doctor's approval.
Adults: Your doctor will prescribe the appropriate dose for you based on your condition, your previous pain medication, or type and severity of your pain.
How should I take Kadian?Take Kadian exactly as prescribed by your doctor. Take Kadian regularly.
Swallow Kadian capsules whole; do not chew, crush, or dissolve the contents of the capsule. Alternatively, you can open the capsules and sprinkle the contents of the capsules on applesauce immediately prior to taking them. Consume the entire portion of applesauce and do not divide it into separate doses. Rinse your mouth to make sure all pellets have been swallowed.
If you no longer need to take Kadian capsules, flush the remaining capsules down the toilet. Do not abruptly stop taking this medication without first talking to your doctor.
What should I avoid while taking Kadian?Do not drive, operate machinery, or perform other dangerous activities until you know how Kadian affects you.
Do not drink alcohol while you are taking Kadian. Alcohol can increase your chance of having dangerous side effects.
What are possible food and drug interactions associated with Kadian?If Kadian is taken with certain other drugs, the effects of either could be increased, decreased, or altered. It is especially important to check with your doctor before combining Kadian with the following: alcohol, antihistamines (such as cimetidine or diphenhydramine), certain antipsychotic medications (such as clozapine or fluphenazine), certain painkillers (such as butorphanol, nalbuphine, or pentazocine), diuretics (water pills) (such as hydrochlorothiazide), monoamine oxidase inhibitors (MAOIs), a class of drugs used to treat depression and other psychiatric conditions (such as phenelzine), or other medications that slow down your brain function (such as alprazolam, diazepam, or phenobarbital).
What are the possible side effects of Kadian?Side effects cannot be anticipated. If any develop or change in intensity, tell your doctor as soon as possible. Only your doctor can determine if it is safe for you to continue taking this drug.
Side effects may include: anxiety, breathing problems, constipation, dizziness, drowsiness, low blood pressure, nausea
Kadian can cause severe constipation. Speak to your doctor about available prevention and treatment options.
Can I receive Kadian if I am pregnant or breastfeeding?The effects of Kadian during pregnancy are unknown. Kadian can be found in your breast milk if you take it during breastfeeding. Do not take Kadian while you are breastfeeding. Tell your doctor immediately if you are pregnant, plan to become pregnant, or are breastfeeding.
What should I do if I miss a dose of Kadian?If you miss a dose of Kadian, take it as soon as you remember. However, if it is almost time for your next dose, skip the one you missed and return to your regular dosing schedule. Do not take two doses at once.
How should I store Kadian?Store at room temperature. Protect from light and moisture.