Nubain is an opioid pain medication, sometimes called a narcotic.
Nubain is used to treat moderate to severe pain. It is also used for treating pain just after surgery or childbirth.
Nubain may also be used for purposes not listed in this medication guide.
MISUSE OF Nubain CAN CAUSE ADDICTION, OVERDOSE, OR DEATH.
Nubain can slow or stop your breathing, especially when you also use other medicines that can make you sleepy or slow your breathing.
Fatal side effects can occur if you use this medicine with alcohol, or with other drugs that cause drowsiness or slow your breathing.
Before you receive Nubain, tell your doctor about all other medicines you have recently used, especially a sedative or tranquilizer, sleep medicine, narcotic pain medicine, prescription cough medicine, a muscle relaxer, or medicine for depression or seizures.
Before taking this medicine
You should not be treated with Nubain if you are allergic to it, or if you have:
Your dose needs may be different if you are already using a similar opioid medicine and are tolerant to it. Before you receive Nubain, tell your doctor about all other pain medicines you have recently used.
Tell your doctor if you have ever had:
- breathing problems, sleep apnea;
- problems with your pancreas or adrenal gland;
- a head injury, brain tumor, or seizures;
- alcoholism, drug addiction, mental illness;
- liver or kidney disease; or
- a slow heart rate, or a heart attack.
Be sure your doctor knows if you also take stimulant medicine, opioid medicine, herbal products, or medicine for depression, mental illness, Parkinson’s disease, migraine headaches, serious infections, or prevention of nausea and vomiting. These medicines may interact with Nubain and cause a serious condition called serotonin syndrome.
Although Nubain is sometimes used during labor and delivery, if you use opioid medicine while you are pregnant, your baby could become dependent on the drug. This can cause life-threatening withdrawal symptoms in the baby after it is born. Babies born dependent on opioids may need medical treatment for several weeks.
Unless you are given Nubain during labor or delivery, tell your doctor if you are pregnant before you are treated with this medicine.
Side effects requiring immediate medical attention
Along with its needed effects, nalbuphine (the active ingredient contained in Nubain) may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.
Check with your doctor or nurse immediately if any of the following side effects occur while taking nalbuphine:
- Chest pain or discomfort
- difficult or labored breathing
- difficulty with swallowing
- false beliefs that cannot be changed by facts
- fast, pounding, or irregular heartbeat or pulse
- puffiness or swelling of the eyelids or around the eyes, face, lips or tongue
- redness of the face, neck, arms, and occasionally, upper chest
- seeing, hearing, or feeling things that are not there
- sense of detachment from self or body
- slow or irregular heartbeat
Incidence not known
- Blue lips and fingernails
- coughing that sometimes produces a pink frothy sputum
- decrease in consciousness
- difficult, fast, or noisy breathing, sometimes with wheezing
- fear or nervousness
- increased sweating
- loss of bladder control
- muscle spasm or jerking of all extremities
- pale skin
- shakiness in the legs, arms, hands, or feet
- sleepiness or unusual drowsiness
- stomach pain
- sudden loss of consciousness
- swelling in the legs and ankles
- trembling or shaking of the hands or feet