When This Medicine Should Not Be Used:
You should not use this medicine if you have had an allergic reaction to opium. You should not use this medicine to treat diarrhea caused by poisoning. This medicine should not be used in children.

How to Use This Medicine:
Liquid

• Your doctor will tell you how much medicine to use. Do not use more than directed.
• Measure the oral liquid medicine with a marked measuring spoon, oral syringe, or medicine cup.
• This medicine is not for long-term use.
• Drink plenty of liquids to help avoid constipation.

Drugs and Foods to Avoid:
Ask your doctor or pharmacist before using any other medicine, including over-the-counter medicines, vitamins, and herbal products.

• Tell your doctor if you use anything else that makes you sleepy. Some examples are allergy medicine, narcotic pain medicine, and alcohol.

Warnings While Using This Medicine:

• Make sure your doctor knows if you are pregnant or breast feeding.
• Make sure your doctor knows if you have asthma, brain disease, liver disease, or a lung disease such as emphysema.
• Make sure your doctor knows if you have myxedema (thyroid problem) or bleeding in your stomach or intestines.
• This medicine can be habit-forming. Do not use more than your prescribed dose. Call your doctor if you think your medicine is not working.
• This medicine may cause constipation, especially with long-term use. Ask your doctor if you should use a laxative to prevent and treat constipation.

Possible Side Effects While Using This Medicine:
Call your doctor right away if you notice any of these side effects:

• Allergic reaction: Itching or hives, swelling in your face or hands, swelling or tingling in your mouth or throat, chest tightness, trouble breathing
• Confusion, sever tiredness, trouble thinking clearly.
• Slow or shallow breathing
• Weakness or fainting.

If you notice these less serious side effects, talk with your doctor:

• Mild skin rash or itching.
• Nausea, vomiting, or constipation.

If you notice other side effects that you think are caused by this medicine, tell your doctor.
Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088