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Mitigo (injection)

Brand names: Duramorph, Infumorph, and Mitigo
Drug class: opioids (narcotic analgesics)

What is Mitigo?

The opioid medication Mitigo can be used for treating severe chronic pain, both in children and adults.

This medication guide does not list all possible uses of Mitigo.

Side effects of Mitigo

If you experience any of the following signs and symptoms of an allergy reaction: difficulty breathing, hives, swelling in lips, face, throat or tongue and difficulty swallowing or speaking. Seek medical attention immediately!

If you take opioid medicine, it can cause your breathing to slow down or even stop. Death may result. If you experience slow, paused breathing, have blue lips, or are otherwise hard to awaken, someone caring for you may want to administer naloxone.

Mitigo may cause serious side effects. If you experience:

  • Slow pulse. Sighing, shallow breath, and stopping breathing.

  • Extreme fatigue, and feeling as if they could pass out;

  • Flushing (intense warmth or redness);

  • A seizure;

  • High levels of serotonin—agitation and hallucinations; rapid heartbeat. Muscle stiffness, twitching or jerking, lack of coordination, nausea.

  • Low cortisol—nausea, vomiting, nausea, loss of appetite, and dizziness.

People with chronic respiratory disorders, such as wasting syndrome, and older adults are more susceptible to serious breathing difficulties.

Mitigo side effects may include:

  • Breathing problems

  • Drowsiness, dizziness;

  • Constipation, nausea, and vomiting;

  • Sweating;

  • You may experience tingling or numbness in the hands or feet.

There may be other side effects. For medical advice on side effects, call your doctor. Report side effects by calling the FDA at 1-800-FDA-1088.

Similar/related drugs

Acetaminophen, tramadol, cyclobenzaprine, naproxen, Tylenol, and Oxycodone

Warnings

Misuse of opioids can lead to addiction, overdose and death; therefore it is wise to store Mitigo somewhere where other people cannot gain access.

Opioids used during gestation may lead to withdrawal symptoms that pose an immediate danger for both mother and baby.

Side effects that are fatal can occur when you drink alcohol or take other drugs, which cause sleepiness and slow breathing.

Before you take this drug

If you've ever experienced an allergic reaction, you should avoid using this medication.

  • Asthma or severe breathing problems

  • A stomach or obstruction in the bowel (including paralytic ileus);

  • If you've taken a MAO inhibitor in the last 14 days, Examples include isocarboxazid linezolid, methylene blue injectable, phenelzine, or tranylcypromine.

If you've ever:

  • Sleep Apnea (SA) is a condition in which breathing becomes impaired while sleeping.

  • A head injury, brain tumor, or seizures;

  • Drug or alcohol abuse, or a mental disorder;

  • Urination issues;

  • Liver or kidney disease

  • Pancreatitis.

Your baby may suffer from life-threatening withdrawal syndrome if you take opioids during pregnancy. You will need to seek medical attention for several weeks.

If you see your baby drowsy or breathing slowly, tell the doctor.

How to take Mitigo?

Read all instructions or medication guides and follow the instructions on your prescription. Use Mitigo only in the prescribed amount and for no longer. If you find yourself wanting to take more Mitigo, tell your doctor.

Do not share your opioid medication with anyone, particularly someone who has a drug abuse history. The medicine should be kept out of reach of others. It is illegal to sell or give away the medicine.

The injection of Mitigo takes place into either a vein or muscle. Sometimes, this medicine is injected with an infusion device that regulates your dosage.

If you suddenly stop taking Mitigo, withdrawal symptoms may occur. Before stopping Mitigo, consult your doctor.

Keep away from heat and moisture. Store the auto-injector inside its original container.

Store your medication in an area where it cannot be misused.

Keep leftover medication out of sight. One dose of medicine can be fatal if it is used incorrectly or accidentally.

What happens if I miss the dose?

You are unlikely to miss any doses because you receive Mitigo at a hospital or via a controlled pump.

What happens if I overdose?

Call the Poison Help Line at 1-800-222-1222 or seek emergency medical care. A fatal opioid overdose is possible, particularly in children or others who use the drug without a prescription.

You may be advised by your doctor to carry naloxone with you (a medication that reverses an overdose). If you don't awaken or stop breathing, someone caring for you may administer naloxone. You must get medical attention, and your caregiver may have to give you CPR while they wait for help.

Naloxone can be found at almost any local pharmacy or health department. Be sure to inform anyone who cares for you of where and how you store the medication.

What should be avoided?

Don't drink alcohol. Side effects and death can occur.

You should avoid driving and other hazardous activities until you understand how Mitigo affects you. Drowsiness or dizziness can lead to accidents or serious injuries.

Interaction with other drug

Inform your physician of any other medications you are taking.Inform your doctor of any other medications you are taking.

  • Other opioid medications

  • A benzodiazepine sedative such as valium, Klonopin, or Xanax.

  • Sleep medicine, muscle relaxants, or any other drug that makes you sleepy.

  • Drugs that act on serotonin, such as antidepressants, stimulants, or medicines for migraines or Parkinson’s disease,.

The list below is not exhaustive. Mitigo may interact with many drugs, including vitamins, prescription and non-prescription medicines, herbal products, and herbal preparations. This list does not include all interactions.