Fenugreek and Oramorph SR

• Generic Name: fenugreek
• Dosage Forms: n.a.
• Other Brand Names:

Fenugreek is a plant also known as Alholva, Bird's Foot, Bockshornklee, Bockshornsame, Chandrika, Fenogreco, Foenugraeci Semen, Greek Clover, Greek Hay, Greek Hay Seed, Hu Lu Ba, Medhika, Methi, Sénégrain, Trigonella, Woo Lu Bar, and other names.

Fenugreek has been used in alternative medicine as a possibly effective aid in lowering blood sugar levels after a meal in people with type 1 or type 2 diabetes.

Fenugreek has been used in alternative medicine to treat heartburn, high cholesterol, weight loss, upset stomach, constipation, "hardening of the arteries (atherosclerosis), gout, sexual problems, fever, baldness, to increase the production of breast milk, and other conditions. However, these uses have not been proven with research.

It is not certain whether fenugreek is effective in treating any medical condition. Medicinal use of this product has not been approved by the FDA. Fenugreek should not be used in place of medication prescribed for you by your doctor.

Fenugreek is often sold as an herbal supplement. There are no regulated manufacturing standards in place for many herbal compounds and some marketed supplements have been found to be contaminated with toxic metals or other drugs. Herbal/health supplements should be purchased from a reliable source to minimize the risk of contamination.

Fenugreek may also be used for purposes not listed in this product guide.

• Generic Name: morphine
• Dosage Forms: sustained release tablets
• Other Brand Names: Arymo ER, Kadian, MorphaBond ER, Avinza, MS Contin, Duramorph PF, Infumorph, Mitigo, RMS, Roxanol

Morphine tablet is used to relieve short-term (acute) or long-term (chronic) moderate to severe pain. The extended-release capsule and extended-release tablet are used to treat pain severe enough to require daily, around-the-clock, long-term opioid treatment and when other pain medicines did not work well enough or cannot be tolerated. Morphine belongs to the group of medicines called narcotic analgesics (pain medicines). It acts on the central nervous system (CNS) to relieve pain.

Morphine extended-release capsules and extended-release tablets should not be used if you need pain medicine for just a short time, such as when recovering from surgery. Do not use this medicine to relieve mild pain, or in situations when non-narcotic medication is effective. This medicine should not be used to treat pain that you only have once in a while or "as needed".

When morphine is used for a long time, it may become habit-forming, causing mental or physical dependence. However, people who have continuing pain should not let the fear of dependence keep them from using narcotics to relieve their pain. Mental dependence (addiction) is not likely to occur when narcotics are used for this purpose. Physical dependence may lead to withdrawal side effects if treatment is stopped suddenly. However, severe withdrawal side effects can usually be prevented by gradually reducing the dose over a period of time before treatment is stopped completely.

This medicine is available only under a restricted distribution program called the Opioid Analgesic REMS (Risk Evaluation and Mitigation Strategy) program.