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Acetaminophen 325 mg/Oxycodone HCl 5 mg Rectal Suppository

FDA-approved generic
Dose form
Suppository
Active ingredients
Acetaminophen
Oxycodone Hydrochloride

The Acetaminophen 325 mg/Oxycodone HCl 5 mg Rectal Suppository is a solid dosage form designed for insertion into the rectum. Upon insertion, the suppository dissolves or melts, releasing the combined analgesic effects of Acetaminophen and Oxycodone HCl. This formulation is typically used for the management of moderate to severe pain, especially in patients who cannot take oral medication. The medication is absorbed locally or systemically to provide pain relief.

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For prescribers
Prescription details
RxThis formula
Dose formSee below
Quantity____
SigAs directed by prescriber
Refills____
PharmacyBayview Pharmacy, Warwick RI, NCPDP 4106882
Copy prescription detailsOrder form
Controlled substance: e-prescribe (EPCS) from your EHR. Faxed and phoned prescriptions cannot be accepted for this preparation.
Send it from your EHR, or fax to (401) 284-4506. How to e-prescribe this formula
Licensed to fill prescriptions for patients in RI, MA, CT, NJ, NH, FL, ME and PA. New York patients are served on a limited basis while nonresident registration is pending.
To prescribe, you must be a verified prescriber.
To prescribe, you must be in a state where we hold an active out-of-state pharmacy license.
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This medication requires a prescription from your doctor

Licensed to fill prescriptions for patients in RI, MA, CT, NJ, NH, FL, ME and PA. New York patients are served on a limited basis while nonresident registration is pending.

For prescribersSign in for prescription details and order forms.
Compounded preparations are prepared by Bayview pursuant to a prescription for an individual patient. They are not FDA-approved and have not been evaluated by FDA for safety or effectiveness.
Acetaminophen
Oxycodone Hydrochloride
Suppository
652f1efdd9c82bcef43f0107

Formula Information

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The Acetaminophen 325 mg/Oxycodone HCl 5 mg Rectal Suppository is a solid dosage form designed for insertion into the rectum. This formulation is specifically designed to dissolve or melt once inserted, allowing for the release and absorption of the medication both locally and systemically. This unique delivery method allows for direct absorption into the bloodstream, bypassing the digestive system and providing a more immediate and potent effect.

Acetaminophen is a well-known analgesic (pain reliever) and antipyretic (fever reducer). It works by changing the way the body senses pain and by cooling the body. Oxycodone, on the other hand, is a powerful opioid medication used to treat severe pain. It alters the perception and emotional response to pain by acting on the central nervous system. The combination of these two medications provides significant pain relief for patients suffering from various disease states.

This formulation is particularly useful in managing moderate to severe pain conditions, such as those associated with cancer, surgery, injury, or chronic diseases like arthritis. It can also be used in palliative care or end-of-life scenarios where oral administration may not be possible or effective. However, it's important to note that this medication should be used under the strict supervision of a healthcare provider due to the potential for addiction and misuse associated with opioid medications.

Patients using this formulation should be aware of potential side effects, which may include constipation, nausea, drowsiness, and dizziness. Serious side effects such as shallow breathing, slow heartbeat, and a feeling of faintness should be reported to a healthcare provider immediately. It's also crucial to avoid alcohol and other CNS depressants while using this medication, as they can increase the risk of dangerous side effects.

Prescribers should consider the patient's overall health status, other medications, and personal history of substance use when deciding to use this formulation. Regular monitoring is necessary to ensure the medication is being used safely and effectively. Dosage adjustments may be necessary based on the patient's response to treatment and their level of pain.

If you have any questions about the Acetaminophen 325 mg/Oxycodone HCl 5 mg Rectal Suppository, please don't hesitate to reach out to us at Bayview Pharmacy. Our team of knowledgeable compounding pharmacists is here to provide the information and support you need.

Drug Interactions

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This formulation combines Acetaminophen, a pain reliever and fever reducer, with Oxycodone HCl, a potent opioid analgesic, in a rectal suppository form. It is designed to provide relief from moderate to severe pain. The rectal administration route allows for the medication to be absorbed directly into the bloodstream, bypassing the digestive system, which can be beneficial for patients who have difficulty swallowing or are unable to take oral medications.

However, it's important to be aware of potential drug interactions. Acetaminophen can interact with certain medications such as warfarin, a blood thinner, potentially increasing the risk of bleeding. It can also interact with certain seizure medications, potentially reducing their effectiveness. Alcohol should be avoided while taking this medication as it can increase the risk of liver damage from acetaminophen.

Oxycodone HCl can interact with a variety of medications. These include, but are not limited to, other opioids, benzodiazepines, alcohol, antihistamines, and certain antidepressants. These interactions can increase the risk of serious side effects such as respiratory distress, sedation, coma, and even death. It's also important to note that grapefruit and grapefruit juice should be avoided while taking this medication as they can increase the levels of oxycodone in the blood, potentially leading to an overdose.

It's crucial to inform your healthcare provider of all medications, supplements, and herbal products you are currently taking before starting this medication. This includes over-the-counter medications and recreational drugs. Your healthcare provider can help you understand the potential risks and benefits of this medication and can monitor you for potential drug interactions.

Patients should also be aware of the risk of dependence and addiction associated with oxycodone. This risk can be increased if the medication is used inappropriately or for longer periods than prescribed. Regular follow-ups with your healthcare provider can help monitor for signs of dependence or addiction.

If you have any questions or concerns about this medication, its potential interactions, or how it may affect you, please don't hesitate to reach out to us at Bayview Pharmacy. Our team of knowledgeable compounding pharmacists is here to help you understand your medications and use them safely and effectively.

How Does it Work

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The Acetaminophen 325 mg/Oxycodone HCl 5 mg Rectal Suppository is a combination medication that is used to help relieve moderate to severe pain. It contains two ingredients: Acetaminophen and Oxycodone. Acetaminophen is a non-opioid pain reliever, while Oxycodone is an opioid pain reliever. This formulation is designed to be inserted into the rectum, where it dissolves or melts to release the medication.

Acetaminophen works by elevating the body's overall pain threshold, so you feel less pain, and it reduces fever by helping the body eliminate excess heat. It achieves this by inhibiting the synthesis of prostaglandins in the central nervous system. Prostaglandins are substances in the body that cause pain and inflammation.

Oxycodone, on the other hand, is a potent opioid analgesic that works by binding to opioid receptors in the brain and spinal cord. This binding blocks the transmission of pain signals to the brain, effectively reducing the perception of pain. Oxycodone also affects the areas of the brain that control emotional responses, further decreasing the overall sensation of discomfort.

The rectal suppository form of this medication allows for direct absorption into the bloodstream through the rectal tissue. This can provide faster relief than oral medications, which must first pass through the digestive system. This route of administration can also be beneficial for patients who have difficulty swallowing pills or for those who cannot take medication orally due to nausea or vomiting.

This formulation is typically used to treat conditions that involve moderate to severe pain, such as after surgery or for chronic conditions like cancer. It's important to note that this medication should be used at the lowest effective dose for the shortest possible duration in order to reduce the risk of addiction and overdose.

As with any medication, it's crucial to use Acetaminophen/Oxycodone Rectal Suppositories under the guidance of a healthcare professional. Always follow the prescribed dosage and never use this medication for longer than prescribed. If you have any questions about this formulation, please don't hesitate to reach out to us at Bayview Pharmacy. We're here to help.

Other Uses

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The Acetaminophen 325 mg/Oxycodone HCl 5 mg Rectal Suppository is primarily indicated for the management of moderate to severe pain, especially pain that doesn't respond to non-opioid analgesics. However, there could be other potential uses for this formulation.

This could make it beneficial in palliative care settings, post-surgery periods, acute illness or traumatic injuries. It allows for a localized analgesic effect in the rectal or anal area, which could make it a potential option for discomfort or inflammation associated with diseases such as hemorrhoids, anal fissures, postoperative anal or rectal procedures, or radiation proctitis.

The acetaminophen component is a non-prescription drug which works systemically, reducing fever and providing additional pain relief synergistically with oxycodone. Therefore, this suppository could also be used for the symptomatic relief of fever or conditions accompanied by fever, especially when oral administration isn't preferable or possible.

The oxycodone component is a powerful opioid analgesic. Added to acetaminophen, it works centrally to alter the perception and emotional response to pain. However, opioid analgesics like oxycodone can cause physical dependence and addiction, so healthcare providers are encouraged to consider this issue when considering the long-term use of this product.

Despite these potential uses, it's important to remember that the primary use of this drug combination is for pain relief. The benefits of using this formulation for indications other than pain should be carefully weighed against the potential for abuse, addiction, and serious side effects that can occur with opioid use.

If you have any questions about this drug formulation or its possible uses, we invite you to reach out to us at Bayview Pharmacy.

Frequently Asked Questions

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What is Acetaminophen 325 mg/Oxycodone HCl 5 mg Rectal Suppository?

This formulated compound is a combination of Acetaminophen and Oxycodone. It is a solid dosage form that is designed to be inserted into a body cavity, typically the rectum, where it dissolves or melts to provide medication for local or systemic absorption.

What is the purpose of using this compound medication?

Acetaminophen and Oxycodone are both pain relievers; Acetaminophen is less potent and helps reduce fever, while Oxycodone is an opioid medication used for severe pain relief.

How is the suppository form of this medication administered?

A suppository is usually inserted into the rectum. Before use, you may wish to chill the suppository in the refrigerator for 30 minutes or run cold water over it to make it easier to insert.

Should I use this medication if I am pregnant or breastfeeding?

Always consult with your healthcare provider before using any medication during pregnancy or while breastfeeding. The use of this compound should only be if absolutely needed and under a healthcare provider's guidance.

What should I do if I miss a dose of the compound?

If you miss a dose of this medication, take it as soon as possible. However, if it is near the time for your next dose, simply skip the missed dose. Do not double the dosage.

Can children use this medication?

This medication is generally not recommended for children, unless specifically prescribed by a doctor. Always consult a healthcare provider before giving any medication to children.

What should I do if I come into contact with someone who has recently used this suppository?

This medication is designed for rectal use and should not pose a risk to others by casual contact. However, proper hygiene should always be practiced.

What should I do in case of an overdose?

If an overdose is suspected, it should be treated as a medical emergency. Get emergency help immediately or contact a poison control center right away.

Can I use this medication for long periods of time?

Chronic use of this medication should be under the supervision of a healthcare provider as it contains Oxycodone, an opioid, which can lead to addiction.

What are the potential side effects of this medication?

Common side effects include dizziness, nausea, and constipation. More serious side effects include mood changes, hallucinations, severe abdominal pain, difficulty urinating and symptoms of an allergic reaction.

About this compounded preparation

This formulation is compounded by Bayview Pharmacy on a prescriber's order for an individual patient. It is not an FDA-approved drug product, and the FDA has not evaluated it for safety, effectiveness, or manufacturing quality.

The conditions listed on this page are indications prescribers have ordered this preparation for. They are not FDA-approved indications, and listing them is not a statement that this preparation is effective for them.

A valid prescription is required. Availability depends on Bayview's licensure in your state. This page is general information, not medical advice — discuss your situation with a licensed healthcare provider.

This preparation is a controlled substance. Additional prescribing, refill, and shipping restrictions apply, and the states Bayview can dispense it to are narrower than for non-controlled preparations.

Formulas and/or material listed are not to be interpreted as a promise, guarantee or claim of therapeutic efficacy or safety. The information contained herein is not intended to replace or substitute for conventional medical care, or encourage its abandonment. Every patient is unique, and formulas should be adjusted to meet their individual needs.

No compounded medications are reviewed by the FDA for safety or efficacy.
For prescribers

How to e-prescribe this formula

Controlled substance: e-prescribe only (EPCS). Faxed, phoned, and handwritten prescriptions cannot be filled. Rhode Island law (R.I. Gen. Laws § 21-28-3.18) requires Schedule II to V prescriptions to be transmitted electronically.
1

Find Bayview in your EHR's pharmacy directory

Search by NCPDP 4106882, or by name and ZIP: Bayview Pharmacy, Warwick, RI 02886. Select it as the destination pharmacy and save it as a favorite. Click any value to copy it.

NCPDP4106882NPI1750455143Address3844 Post Rd, Warwick, RI 02886Phone(401) 284-4505Fax(401) 284-4506
2

Enter the formula as a compound

Compounded preparations have no NDC, so this formula will not appear in your EHR's drug search. Use your system's compound, non-formulary, or free-text prescription entry and name the preparation exactly as written in step 3. If your EHR forces you to pick a listed drug, pick the closest entry for the active ingredient and put the full formula in the prescription body (the Sig or directions field), not in Notes to Pharmacy.

Compounded preparations have no NDC and will not appear in your drug search. For EPCS to validate, select a drug entry your EHR recognizes as controlled, usually the bulk powder entry for the active ingredient (for example Ketamine (bulk) powder, not a branded product), then put the full formula from step 3 in the prescription body. A free-text entry that does not validate as controlled will be rejected by your EPCS module.

3

Copy the prescription details

RxFormula name
Dose formDose form
Quantity________
SigAs directed by prescriber
Refills____
PharmacyBayview Pharmacy, Warwick RI, NCPDP 4106882
Copy prescription details

Quantity and directions are starting points for this dose form, not treatment recommendations. Dosing remains the prescriber's responsibility.

4

Send it

Transmit from your EHR. For this non-controlled preparation we also accept fax to (401) 284-4506 and phoned orders at (401) 284-4505. Order forms are on the formulation pages and in the prescriber portal.

Transmit with two-factor authentication through your EPCS-enabled EHR. No order form is offered for this preparation; e-prescribing guides for our controlled preparations are on the formulation pages.

Do not use Notes to Pharmacy for the formula. Some EHRs keep that field internal and never transmit it. A prescription that arrives without the formula is delayed while we call your office.

Licensed to dispense in RI, MA, CT, NJ, NH, FL, ME, and PA; New York is served on a limited basis while nonresident registration is pending. Compounded preparations are not FDA-approved. A valid prescription is required. Full guide, including steps by EHR: How to e-prescribe to Bayview. Questions about this formula: call (401) 284-4505.

Acetaminophen 325 mg/Oxycodone HCl 5 mg Rectal Suppository
Suppository
30 suppositories
controlled

Insert 1 unwrapped suppository