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This medicine is a combination of a narcotic analgesic and acetaminophen used to relieve mild to moderate pain.

Propoxyphene comes as a tablet, capsule, and liquid to take by mouth. It usually is taken every 4 hours as needed. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Take propoxyphene exactly as directed.

Propoxyphene can be habit-forming.

Shake the liquid well before each use.

Although side effects from propoxyphene are not common, they can occur. Tell your doctor if any of these symptoms are severe or do not go away:

dizziness
lightheadedness
drowsiness
upset stomach
vomiting
constipation
stomach pain
skin rash
mood changes
headache
If you experience the following symptom, call your doctor immediately:

difficulty breathing

If overdose is suspected, contact your local poison control center or emergency room immediately. Symptoms of overdose may include unusual sleepiness; slow, shallow breathing; cold, clammy skin; seizures; nausea; vomiting; excessive sweating; dark urine; stomach pain; extreme fatigue; and loss of consciousness.

Keep this medication in the container it came in, tightly closed, and out of reach of children. Store it at room temperature and away from excess heat and moisture (not in the bathroom). Throw away any medication that is outdated or no longer needed. Talk to your pharmacist about the proper disposal of your medication.

Propoxyphene usually is taken as needed. If your doctor has told you to take propoxyphene regularly, take the missed dose as soon as you remember it. However, if it is almost time for the next dose, skip the missed dose and continue your regular dosing schedule. Do not take a double dose to make up for a missed one.

While taking propoxyphene,

tell your doctor and pharmacist if you are allergic to propoxyphene or any other drugs.
tell your doctor and pharmacist what prescription and nonprescription medications you are taking, especially other pain relievers; anticoagulants (blood-thinners) such as warfarin (Coumadin); antidepressants; antihistamines; medications for cough, cold, or allergies; muscle relaxants; sedatives; seizure medications; sleeping pills; tranquilizers; and vitamins.
tell your doctor if you have or have ever had liver or kidney disease, or a history of alcoholism.
tell your doctor if you are pregnant, plan to become pregnant, or are breast-feeding. If you become pregnant while taking propoxyphene, call your doctor.
if you are having surgery, including dental surgery, tell the doctor or dentist that you are taking propoxyphene.
you should know that this drug may make you drowsy. Do not drive a car or operate machinery until you know how this drug affects you.
remember that alcohol can add to the drowsiness caused by this drug.

DO NOT SHARE THIS MEDICINE with others for whom it was not prescribed. DO NOT USE THIS MEDICINE for other health conditions. KEEP THIS MEDICINE out of the reach of children and pets. If using this medicine for an extended period of time, obtain refills before your supply runs out.

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