WHAT IS DOLCONTIN?
Dolcontin is an opioid pain medication.
An opioid is sometimes called a narcotic.
Dolcontin is used to treat moderate to severe pain.
Short-acting Dolcontin is taken as needed for pain.
The extended-release form of this medicine is for around-the-clock treatment of pain.
This form of Dolcontin is not for use on an as-needed basis for pain.
Dolcontin is not for treating short-term pain just after surgery unless
you were already taking Dolcontin before the surgery.
Dolcontin may also be used for purposes not listed in this medication guide.
often lifethreatening side effects.
The peak and trough effects produced by intermittent administration cause fluctuations in pain control.
Repeated IM injections are frequently unacceptable due to the lack of muscle mass in the debilitated patient,
the tendency for bruising and bleeding at the injection site,
and the anxiety and pain associated with the injection.
Continuous IV infusion of Dolcontin has been employed as an alternative to traditional modes of administration.
Lower doses of Dolcontin produce uniform pain control because a steady Dolcontin concentration is maintained.
Titration of the dosage to the patient’s needs is easily achieved by adjusting the infusion rate.
The lag time between the patient’s request for pain medication and administration of the dose
and the amount of nursing time necessary for preparation and administration of frequent doses are reduced.
The degree of respiratory depression and sedation may be decreased,
and the anxiety experienced by the patient in anticipation of IM administration is avoided.
Some Investigators feel that tolerance to the analgesic effects may develop more slowly with continuous IV infusion.
In addition to analgesia,
the drug may relieve anxiety and reduce left ventricular work by reducing preload pressure.
Dolcontin is also used in the therapy of dyspnea associated with acute left ventricular and pulmonary edema.
Care must be taken to avoid inducing respiratory depression in such patients.
For open-heart surgery, especially in high risk patients with cardiac disease,
some anesthesiologists use Dolcontin to produce anesthesia.