pentazocine/naloxone (Rx)

Brand and Other Names:Talwin NX
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Dosing & Uses

AdultPediatricGeriatric

Dosage Forms & Strengths

pentazocine/naloxone

tablet: Schedule IV

  • 50mg/0.5mg
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Moderate-to-Severe Pain

1 tablet PO q3-4hr, may increase to 2 tablets q3-4hr PRN; not to exceed 12 tablets/day

Renal Impairment

CrCl 10-50 mL/min: 75% regular adult dose

CrCl <10 mL/min: 50% regular adult dose

Hepatic Impairment

Use caution

Dosage Forms & Strengths

pentazocine/naloxone

tablet: Schedule IV

  • 50mg/0.5mg
more...

Moderate-to-Severe Pain

<12 years: Safety and efficacy not established

>12 years: As adults; tablet PO q3-4hr, may increase to 2 tablets q3-4hr PRN; not to exceed 12 tablets/day

Use caution; monitor closely

Moderate-to-Severe Pain

1 tablet PO q3-4hr, may increase to 2 tablets q3-4hr PRN; not to exceed 12 tablets/day

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Interactions

Interaction Checker

and pentazocine/naloxone

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     activity indicator 
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    Interactions Found

    Contraindicated

      Serious - Use Alternative

        Significant - Monitor Closely

          Minor

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            Warnings

            Black Box Warnings

            Talwin Nx is intended for oral administration only. Severe vascular reactions have resulted from misuse by injection

            Contraindications

            Hypersensitivity

            Do not inject dissolved tablets

            If prescribed for long-term use, take precautions to avoid increases in dose by the patient

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            Pregnancy & Lactation

            Pregnancy Category: C

            Lactation: use caution

            Pregnancy Categories

            A:Generally acceptable. Controlled studies in pregnant women show no evidence of fetal risk.

            B:May be acceptable. Either animal studies show no risk but human studies not available or animal studies showed minor risks and human studies done and showed no risk.

            C:Use with caution if benefits outweigh risks. Animal studies show risk and human studies not available or neither animal nor human studies done.

            D:Use in LIFE-THREATENING emergencies when no safer drug available. Positive evidence of human fetal risk.

            X:Do not use in pregnancy. Risks involved outweigh potential benefits. Safer alternatives exist.

            NA:Information not available.

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            Formulary

            FormularyPatient Discounts

            Adding plans allows you to compare formulary status to other drugs in the same class.

            To view formulary information first create a list of plans. Your list will be saved and can be edited at any time.

            Adding plans allows you to:

            • View the formulary and any restrictions for each plan.
            • Manage and view all your plans together – even plans in different states.
            • Compare formulary status to other drugs in the same class.
            • Access your plan list on any device – mobile or desktop.

            The above information is provided for general informational and educational purposes only. Individual plans may vary and formulary information changes. Contact the applicable plan provider for the most current information.

            Tier Description
            1 This drug is available at the lowest co-pay. Most commonly, these are generic drugs.
            2 This drug is available at a middle level co-pay. Most commonly, these are "preferred" (on formulary) brand drugs.
            3 This drug is available at a higher level co-pay. Most commonly, these are "non-preferred" brand drugs.
            4 This drug is available at a higher level co-pay. Most commonly, these are "non-preferred" brand drugs or specialty prescription products.
            5 This drug is available at a higher level co-pay. Most commonly, these are "non-preferred" brand drugs or specialty prescription products.
            6 This drug is available at a higher level co-pay. Most commonly, these are "non-preferred" brand drugs or specialty prescription products.
            NC NOT COVERED – Drugs that are not covered by the plan.
            Code Definition
            PA Prior Authorization
            Drugs that require prior authorization. This restriction requires that specific clinical criteria be met prior to the approval of the prescription.
            QL Quantity Limits
            Drugs that have quantity limits associated with each prescription. This restriction typically limits the quantity of the drug that will be covered.
            ST Step Therapy
            Drugs that have step therapy associated with each prescription. This restriction typically requires that certain criteria be met prior to approval for the prescription.
            OR Other Restrictions
            Drugs that have restrictions other than prior authorization, quantity limits, and step therapy associated with each prescription.
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