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Tell all of your health care providers that you take nalbuphine. This includes your doctors, nurses, pharmacists, and dentists.
• Avoid driving and doing other tasks or actions that call for you to be alert until you see how nalbuphine affects you.
• To lower the chance of feeling dizzy or passing out, rise slowly if you have been sitting or lying down. Be careful going up and down stairs.
• If you are addicted to pain drugs and are given nalbuphine, you may have signs of withdrawal. Talk with your doctor.
• This medicine may be habit-forming with long-term use.
• This medicine is a strong pain drug that can put you at risk for addiction, abuse, and misuse. Misuse or abuse of nalbuphine can lead to overdose and death. Talk with your doctor.
• If you have been taking nalbuphine for a long time or at high doses, it may not work as well and you may need higher doses to get the same effect. This is known as tolerance. Call your doctor if nalbuphine stops working well. Do not take more than ordered.
• If you have been taking nalbuphine on a regular basis and you stop it all of a sudden, you may have signs of withdrawal. Do not stop taking nalbuphine all of a sudden without calling your doctor. Tell your doctor if you have any bad effects.
• This medicine may affect certain lab tests. Tell all of your health care providers and lab workers that you take nalbuphine.
• Long-term use of an opioid drug like nalbuphine may lead to lower sex hormone levels. This may lead to signs like change in sex ability in men, no menstrual period in women, lowered interest in sex, or fertility problems. Call your doctor if you have any of these signs.
• This medicine may raise the chance of seizures in some people, including people who have had seizures in the past. Talk to your doctor to see if you have a greater chance of seizures while taking nalbuphine.
• Allergic reactions have happened with nalbuphine. Rarely, some reactions can be very bad or life-threatening. Talk with the doctor.
• If you are 65 or older, use nalbuphine with care. You could have more side effects.
• Tell your doctor if you are pregnant or plan on getting pregnant. You will need to talk about the benefits and risks of using nalbuphine while you are pregnant.
• Using nalbuphine for a long time during pregnancy may lead to withdrawal in the newborn baby. This can be life-threatening. Talk with the doctor.
• Tell your doctor if you are breast-feeding or plan to breast-feed. This medicine passes into breast milk and may harm your baby.