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Dvorah

Generic names: acetaminophen, caffeine, and dihydrocodeine [a-SEET-a-MIN-oh-fen, KAF-een, dye-HYE-droe-KOE-deen]
Brand names:
Trezix, Dvorah, Panlor Tablet
Drug class: narcotic analgesic combinations

What is Dvorah?

Dvorah, a combination of medicines used to relieve pain ranging from moderate to severe, is available in a variety of strengths. Dvorah can be used in other ways not mentioned in this guide.

Side effects of Dvorah

When experiencing symptoms of an allergic reaction, seek medical assistance immediately: difficulty breathing, hives or swelling to your lips or throat. Acetaminophen can cause severe skin reactions that are fatal. This may happen even if you've taken it and had no reaction. If you experience skin redness, blistering, or peeling after taking Dvorah, stop using it immediately and contact your doctor.If you take opioid medicine, it can cause your breathing to slow down or stop. Death may result. If you have long pauses in your breathing, blue lips, or are hard to awaken, someone caring for you needs to seek immediate medical attention.

Dvorah can cause serious side effects. If you experience:

  • Sighing, noisy breathing, shallow breathing, or breathing that stops while sleeping
  • Feeling light-headed or fainting; chest pains; fast heartbeats;
  • Unusual thoughts or behaviors, confusion, and extreme sleepiness
  • Urination that is painful or difficult
  • Constipation is severe.
  • Liver problems: nausea, upper stomach discomfort, itching, and loss of appetite. Dark urine, clay-colored stools, and jaundice
  • Low cortisol levels may result in symptoms including nausea, vomiting, loss of appetite and dizziness as well as worsening fatigue or weakness.

If you experience symptoms of serotonin disorder, including agitation, hallucinations, fever, sweating, or shivering, rapid heart rate, muscle stiffness, and twitching, You may also have nausea, vomiting, or diarrhea. Elderly adults, and in particular obese or malnourished ones, face higher risks for serious side effects than younger individuals. Long-term opioid usage may affect both men and women alike. The effects of opioids on fertility may not be permanent.

Side effects that are common include:

  • Dizziness, drowsiness, tiredness, headache;
  • Nausea, vomiting, stomach pain, constipation;
  • Sweating, itching;
  • Skin rash.

There may be other side effects.Call your physician if experiencing side effects. Additionally, the FDA can be reached at 1-800-FDA-1088 in order to report adverse reactions.

Similar/related drugs

Aspirin, Acetaminophen, Tramadol, Naproxen, Oxycodone, and Tylenol

Warnings

Misusing opioid medications may result in addiction, overdose and possibly death. Be mindful when storing them so no unauthorized individuals have access to it. Do not administer this medicine to anyone under 12 or who has recently undergone surgery on their tonsils or adenoids. Combine opioid medication with alcohol or drugs which cause you to feel sleepy or slow your breathing and you could risk fatal side effects. If you notice skin redness, a rash, blistering, or peeling, stop taking the medicine immediately and contact your doctor.

Before you take this drug

Dvorah should not be used if:

  • Asthma or severe breathing problems
  • A blockage of the intestines or stomach

The use of this medicine by children under 12 years old is not approved. Do not give this medicine to anyone under 18 who has recently had surgery for the removal of tonsils or adenoids.

Tell your doctor about any of the following:

  • Sleep apnea is a breathing problem.
  • Liver or kidney disease
  • Alcoholism, or drug abuse.
  • Mental illness, or psychosis
  • A seizure or head injury;
  • Urination problems
  • You may have problems with your thyroid, adrenal gland, or pancreas.

Your baby may develop withdrawal symptoms after birth if you take opioids while pregnant. A baby who's born addicted to opioids will need medical care for several weeks. Do not breastfeed. Dihydrocodeine may pass into the breast milk, causing drowsiness or breathing problems in nursing babies.

How to take Dvorah?

Read all the instructions on the label of your medication and follow them. Do not use more than the prescribed amount or for longer. An overdose can damage your liver or cause death. If you find yourself wanting to take more medicine, tell your doctor. Do not share opioid medication with anyone, especially if they have a history of drug abuse. MEDICATION MISUSE CAN CAUSE ADDICTION OR DEATH. Store the medicine in a safe place that others can't reach. It is illegal to sell or give away opioid medication. Tell your doctor if you plan to undergo surgery or a medical test. If you suddenly stop taking this medication, you may experience unpleasant withdrawal symptoms. You should ask your doctor about how to stop the medication safely. Store away from moisture or heat at room temperature. Track your medication. Be aware of anyone who is misusing your medicine or using it without a valid prescription. Keep leftover opioid medications out of the reach of children. One dose of this medication can be fatal for someone who uses it incorrectly or accidentally. You should ask your pharmacist about a drug disposal program. If there isn't a take-back program available, flush any unused medication down the toilet.

What happens if I miss the dose?

Dvorah treats pain, so you won't miss a dosage. If it's almost time to take your next dose, skip any missed doses. Never take two doses in one go.

What happens if I overdose?

Call the Poison Help Line at 1-800-222-1222 or seek emergency medical care. This medicine is toxic in overdose, especially if it's taken by a child without a prescription.

What should be avoided?

Do not drive or operate machinery until you are sure how Dvorah affects you. Dizziness and drowsiness may cause accidents or serious injuries. Don't drink alcohol. Side effects and death can occur. Before using any other medication that contains acetaminophen (sometimes abbreviated APAP), consult your doctor or pharmacist. An overdose of acetaminophen may be fatal.

Interaction with other drug

If you stop or start taking certain medicines, you may experience breathing problems or withdrawal. You should tell your doctor if other medications are being used, such as an antifungal, blood pressure or heart medication, seizure medicine, HIV/hepatitis C, or a medication to treat HIV.

Opioids can interact with other medications and cause serious side effects, or even death. Tell your doctor if you use:

  • Other narcotics—opioid prescription cough medicine or pain medication;
  • Sedatives such as Valium, Alprazolam, Lorazepam, Xanax, Klonopin Versed, and others
  • Sleeping pills, muscle relaxants, medicines to treat mental disorders, mood disorders, etc.
  • Drugs that increase serotonin in the body, such as stimulants, medicines for depressive disorders, Parkinson’s disease, or migraine headaches

This list is incomplete. Dvorah may interact with other drugs, including prescription and non-prescription medicines, vitamins, and herbal products. This list does not include all possible interactions.