Nalbuphine Hydrochloride and Vivacaine

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

Relief of pain that is severe enough to require an opiate analgesic and for which alternative treatment options (e.g., nonopiate analgesics) have not been, or are not expected to be, adequate or tolerated.

Preoperative and postoperative sedation and analgesia.

Supplement to balanced surgical anesthesia.

Obstetric analgesia during labor and delivery.

In symptomatic treatment of acute pain, reserve opiate analgesics for pain resulting from severe injuries, severe medical conditions, or surgical procedures, or when nonopiate alternatives for relieving pain and restoring function are expected to be ineffective or are contraindicated. Use smallest effective dosage for shortest possible duration since long-term opiate use often begins with treatment of acute pain. Optimize concomitant use of other appropriate therapies. (See Managing Opiate Therapy for Acute Pain under Dosage and Administration.)

• Generic Name: bupivacaine / epinephrine
• Dosage Forms: injection, solution
• Other Brand Names: Marcaine/Epinephrine, Marcaine/Epinephrine PF, Sensorcaine-MPF/EPINEPHrine, Sensorcaine/EPINEPHrine

• The use of hydrocodone in children younger than 6 years has led to deadly breathing problems. Talk with the doctor.
• This medicine is not for use in children younger than 18 years of age. The benefits of taking Vituz (hydrocodone and chlorpheniramine oral solution) for a cough due to allergies, a cold, or other infection do not outweigh the risks in children. If your child has been given Vituz (hydrocodone and chlorpheniramine oral solution) or if you have any questions, talk with your child's doctor.