Patient Medication Information: uses, side effects, how to take - Teva-Nabilone (Teva Canada, 0.25 mg)
ABOUT THIS MEDICATION
What the medication is used for:
TEVA-NABILONE (nabilone) is indicated for the management of severe nausea and vomiting associated with cancer therapy.
What it does:
TEVA-NABILONE decreases nausea (sensation of feeling sick) and vomiting.
When it should not be used:
You should not take TEVA-NABILONE if:
- you have known sensitivity to marijuana or other cannabinoid agents
- you have a history of psychotic reactions
- you are under the age of 18 years
you are breastfeeding
- you are pregnant
What the medicinal ingredient is:
The medicinal ingredient in TEVA-NABILO NE is nabilone, a synthetic cannabinoid agent.
What the non-medicinal ingredients are:
TEVA-NABILONE contains the following non-medicinal ingredients: povidone, pregelatinized starch and talc, gelatin, titanium dioxide, D&C Yellow No. 10, FD&C Blue No. 1 and FD&C Red No. 40.
What dosage forms it comes in:
TEVA-NABILONE (nabilone) is formulated into capsules of 0.25 mg strength for oral administration.
WARNINGS AND PRECAUTIONS
Serious Warnings and Precautions
|
BEFORE you use TEVA-NABILONE talk to your doctor or pharmacist if:
- you are taking any other prescription or non-prescription medicine, or natural/herbal remedies
- you are pregnant or breastfeeding
- you are allergic to nabilone, the main ingredient in TEVA-NABILONE or any other ingredient in TEVA-NABILONE (see “What the non-medicinal ingredients are”)
- you have hypertension or heart problems
INTERACTIONS WITH THIS MEDICATION
While you are taking TEVA-NABILONE, do not start any new medicines, including natural or herbal medicines, without speaking to your doctor first. Tell your doctor about all the medicines that you are taking including those that you have bought yourself.
TEVA-NABILONE can interact with:
- Diazepam
- Sodium secobarbital
Alcohol
- Codeine
- Any medicine that affects your mental and psychomotor function (e.g., causes hallucinations, weird thoughts, etc).
PROPER USE OF THIS MEDICATION
The label on the container of your medicine should tell you how often to take your medicine and how many doses you should take each time. If not, or if you are not sure, ask your doctor or pharmacist.
Do not take more doses, or take them more often than your doctor prescribes.
Your doctor prescribed TEVA-NABILONE for your use only. You should not let anyone else use it.
Usual adult dose:
You will receive TEVA-NABILONE prior to chemotherapy and, if necessary, after cancer treatment. Based on how likely you are to experience nausea and/or vomiting, caused by your cancer treatment, your doctor will tell you the amount you need to take and how frequently. Follow the directions provided by your doctor for using this medicine. Your doctor may also have to adjust your dose depending on how you react to TEVA-NABILONE.
Do not open, do not crush, do not chew the capsules. Take it as a whole.
Overdose:
Some of the signs of overdose are psychotic episodes including hallucinations, anxiety reactions, respiratory depression, and coma.
Overdose may even occur at prescribed doses. If psychiatric symptoms (e.g., weird thoughts, hallucinations, etc.) are present, contact poison control centre immediately or go to the nearest emergency room.
| In case of drug overdose, contact a health care practitioner, hospital emergency department or regional Poison Control Centre immediately, even if there are no symptoms. |
Missed Dose:
If you forget a dose of TEVA-NABILONE, you should take it as soon as you remember. However, if it is almost time for the next dose, skip the missed dose and go back to the regular dosing schedule. Do not double your dose.
SIDE EFFECTS AND WHAT TO DO ABOUT THEM
Some patients may experience drowsiness, psychological high, vertigo, dry mouth, depression, ataxia, asthenia, blurred vision, sensation disturbance, anorexia, headache, orthostatic hypotension, euphoria, and hallucinations. You should tell your doctor or pharmacist about these symptoms.
If your nausea (feeling of sickness) or vomiting do not improve while taking TEVA-NABILONE, consult your doctor for further advice.
If you feel unwell or have any symptoms that you do not understand, you should contact your doctor immediately.
SERIOUS SIDE EFFECTS, HOW OFTEN THEY HAPPEN AND WHAT TO DO ABOUT THEM | |||
| Symptom / effect | Talk with your doctor or pharmacist | Stop taking drug and seek emergency medical assistance | |
| Only if severe | In all cases | ||
| Common | |||
| Drowsiness | √ | ||
| Dry mouth | √ | ||
| Euphoria | √ | ||
| Hallucinations | √ | ||
| Somnolence | √ | ||
| Vertigo | √ | ||
| Uncommon | |||
| Confusion | √ | ||
| Depression | √ | ||
| Dissociation | √ | ||
| Headache | √ | ||
| Orthostatic hypotension | √ | ||
| Nightmares | √ | ||
| Seizure | √ | ||
| Tachycardia | √ | ||
| Tremors | √ | ||
This is not a complete list of side effects. For any unexpected effects while taking TEVA-NABILONE, contact your doctor or pharmacist immediately.
HOW TO STORE IT
Keep TEVA-NABILONE out of reach of children. Store it at room temperature (15 to 30°C) in the package it came in.
REPORTING SUSPECTED SIDE EFFECTS
You can report any suspected adverse reactions associated with the use of health products to the Canada Vigilance Program by one of the following 3 ways: $ Report online at www.healthcanada.gc.ca/medeffect $ Call toll-free at 1-866-234-2345 $ Complete a Canada Vigilance Reporting Form and:
Health Canada Postal Locator 0701E Ottawa, ON K1A 0K9 Postage paid labels, Canada Vigilance Reporting Form and the adverse reaction reporting guidelines are available on the MedEffect™ Canada Web site at www.healthcanada.gc.ca/medeffect. NOTE: Should you require information related to the management of the side effect, contact your health professional. The Canada Vigilance Program does not provide medical advice. |
MORE INFORMATION
This document plus the full product monograph, prepared for health professionals can be found by contacting Teva Canada Limited at:
1-800-268-4127 ext. 5005 (English);
1-877-777-9117 (French)
or druginfo@tevacanada.com
Teva Canada Limited
30 Novopharm Court
Toronto, Ontario
M1B 2K9
Canada
www.tevacanada.com