Jurnista

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Available Form:  

24H-TABLET

Manufacturer name:  

Janssen

Generic name:  

HYDROMORPHONE

Strength:  

4MG

What is Jurnista?

Jurnista (Hydromorphone) controlled-release belongs to the family of medications known as opioid analgesics (narcotic pain relievers). It is used to treat chronic, severe pain.

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Jurnista frequently asked questions

Can I Get Same-Day Delivery?

Yes! We do provide same-day delivery in select areas. We do next business day delivery and can also ship overnight as well.

How Much is Shipping Cost for Jurnista in Canada?

Shipping cost for Jurnista to you in Canada is zero. Pocketpills offers FREE shipping anywhere in Canada to help you get access to treatment.

How to get Jurnista delivered to my home?

You could get Jurnista delivered at your doorstep from us in Canada if you ordered prescription medications with a valid prescription. If you are not sure if we deliver to your area, contact us.

How to get Jurnista in Canada for free?

You can get Jurnista for free in Canada if your health insurance provider covers it fully. Contact your provider or us to help you find out if you qualify to get Jurnista for free.

Jurnista How to Take

Jurnista (Hydromorphone) controlled-release belongs to the family of medications known as opioid analgesics (narcotic pain relievers). It is used to treat chronic, severe pain. Jurnista (Hydromorphone) works on the brain to increase the ability to tolerate pain. Jurnista (Hydromorphone) controlled-release works by gradually releasing the medication into the body to help control pain that requires the prolonged or continuous use of an opioid pain killer.

Jurnista (Hydromorphone) is a strong pain reliever that can be fatal if it is taken by someone for whom it has not been prescribed.

Jurnista (Hydromorphone) may be available under multiple brand names and/or in several different forms. Any specific brand name of Jurnista (Hydromorphone) may not be available in all of the forms or approved for all of the conditions discussed here. As well, some forms of Jurnista (Hydromorphone) may not be used for all of the conditions discussed here.

Your doctor may have suggested Jurnista (Hydromorphone) for conditions other than those listed in these drug information articles. If you have not discussed this with your doctor or are not sure why you are taking Jurnista (Hydromorphone), speak to your doctor. Do not stop taking Jurnista (Hydromorphone) without consulting your doctor.

Do not give Jurnista (Hydromorphone) to anyone else, even if they have the same symptoms as you do. It can be harmful for people to take Jurnista (Hydromorphone) if their doctor has not prescribed it.

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Jurnista Dosage

For people who are not currently taking other opioid pain medications or are taking low doses of weak opioid medications, the usual adult dose of Jurnista (Hydromorphone) controlled-release tablets is 4 mg every 24 hours.

For people who are receiving other formulations of Jurnista (Hydromorphone) or other opioid medications, the dose depends on the dose of these medications that you are currently taking. Your doctor will determine the dose that is appropriate for you.

Your doctor can adjust your dose every 48 hours until a dose that controls your pain with tolerable side effects is reached.

Your daily dose should be taken once every 24 hours. Swallow Jurnista (Hydromorphone) controlled-release tablets whole. Do not chew, crush, dissolve, or break the contents of the tablet, as this could result in too much Jurnista (Hydromorphone) being released rapidly and could be fatal.

You may notice what appears to be a tablet in your stool. This is normal and occurs because the tablet does not completely dissolve after all the medication has been released in the body.

It is important that Jurnista (Hydromorphone) be taken exactly as prescribed by your doctor. If you miss a dose, take it as soon as possible and continue with your regular schedule. If it is almost time for your next dose, skip the missed dose and continue with your regular dosing schedule. Do not take a double dose to make up for a missed one. If you are not sure what to do after missing a dose, contact your doctor or pharmacist for advice.

Store Jurnista (Hydromorphone) at room temperature and keep it out of the reach of children.

Do not dispose of medications in wastewater (e.g. down the sink or in the toilet) or in household garbage. Ask your pharmacist how to dispose of medications that are no longer needed or have expired.

Jurnista Side Effects

Many medications can cause side effects. A side effect is an unwanted response to a medication when it is taken in normal doses. Side effects can be mild or severe, temporary or permanent.

The side effects listed below are not experienced by everyone who takes Jurnista (Hydromorphone). If you are concerned about side effects, discuss the risks and benefits of Jurnista (Hydromorphone) with your doctor.

The following side effects have been reported by at least 1% of people taking Jurnista (Hydromorphone). Many of these side effects can be managed, and some may go away on their own over time.

Contact your doctor if you experience these side effects and they are severe or bothersome. Your pharmacist may be able to advise you on managing side effects.

  • confusion
  • Constipation
  • dizziness, lightheadedness, or feeling faint
  • drowsiness
  • increased sweating
  • Dry Mouth
  • nausea
  • vomiting
  • weakness

Although most of the side effects listed below don't happen very often, they could lead to serious problems if you do not seek medical attention.

Check with your doctor as soon as possible if any of the following side effects occur:

  • fast, slow, or pounding heartbeat
  • symptoms of withdrawal
    • anxiety
    • body aches
    • cold and clammy skin
    • diarrhea
    • loss of appetite
    • nausea
    • sweating
    • vomiting
  • skin rash
  • symptoms of a bowel blockage (e.g., abdominal pain, severe constipation, nausea)

Stop taking the medication and seek immediate medical attention if any of the following occur:

  • seizures
  • symptoms of too much medication:
    • cold, clammy skin
    • confusion
    • difficulty walking normally
    • hallucinations (seeing, hearing or feeling things that are not there)
    • "pinpoint" pupils of eyes
    • seizure
    • severe drowsiness      
    • slow or troubled breathing
    • slow heartbeat
    • signs of a Anaphylaxis (severe allergic reaction) (Hives, difficulty breathing, swelling of the face, throat, or tongue)
Some people may experience side effects other than those listed.Check with your doctor if you notice any symptom that worries you while you are taking Jurnista (Hydromorphone).
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Discreet Packaging

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Jurnista Available Form

4 mg
Each pale beige, round, biconvex, prolonged-release tablet, with "HM 4" printed in black ink on one side, contains 4.36 mg and delivers 4 mg Jurnista (Hydromorphone) HCl, equivalent to 3.56 mg Jurnista (Hydromorphone) base. Nonmedicinal ingredients: butyl hydroxytoluene, cellulose acetate, ferric oxide red, ferric oxide yellow, hypromellose, iron oxide black, lactose anhydrous, macrogol, magnesium stearate, polyethylene oxide, povidone, propylene glycol, sodium chloride, and titanium dioxide. May contain traces of sodium metabisulfite.

8 mg
Each red, round, biconvex, prolonged-release tablet, with "HM 8" printed in black ink on one side, contains 8.72 mg and delivers 8 mg Jurnista (Hydromorphone) HCl, equivalent to 7.12 mg Jurnista (Hydromorphone) base. Nonmedicinal ingredients: butyl hydroxytoluene, cellulose acetate, ferric oxide red, glycerol triacetate, hypromellose, iron oxide black, lactose anhydrous, lactose monohydrate, macrogol, magnesium stearate, polyethylene oxide, povidone, propylene glycol, sodium chloride, and titanium dioxide. May contain traces of sodium metabisulfite.

16 mg
Each yellow, round, biconvex, prolonged-release tablet, with "HM 16" printed in black ink on one side, contains 16.35 mg and delivers 16 mg Jurnista (Hydromorphone) HCl, equivalent to 14.24 mg of Jurnista (Hydromorphone) base. Nonmedicinal ingredients: butyl hydroxytoluene, cellulose acetate, ferric oxide yellow, glycerol triacetate, hypromellose, iron oxide black, lactose anhydrous, lactose monohydrate, macrogol, magnesium stearate, polyethylene oxide, povidone, propylene glycol, sodium chloride, and titanium dioxide. May contain traces of sodium metabisulfite.

32 mg
Each white, round, biconvex, prolonged-release tablet, with "HM 32" printed in black ink on one side, contains and delivers 32.00 mg Jurnista (Hydromorphone) HCl, equivalent to 28.48 mg of Jurnista (Hydromorphone) base. Nonmedicinal ingredients: butyl hydroxytoluene, cellulose acetate, ferric oxide yellow, glycerol triacetate, hypromellose, iron oxide black, lactose anhydrous, lactose monohydrate, macrogol, magnesium stearate, polyethylene oxide, povidone, propylene glycol, sodium chloride, and titanium dioxide. May contain traces of sodium metabisulfite.

Jurnista Contraindications

Do not take Jurnista (Hydromorphone) if you:

  • are allergic to Jurnista (Hydromorphone), or any ingredients of the medication
  • are allergic to other opioid (narcotic) pain medications (e.g., Morphine, Codeine, Oxycodone)
  • are taking or have taken (within the last 14 days) MAO inhibitors (e.g., Phenelzine, Tranylcypromine)
  • have had surgery or have an underlying condition that may cause narrowing or obstruction of the intestines
  • have acute Alcoholism
  • have acute Asthma or other obstructive lung disease
  • have acute pain, or pain following surgery
  • have acute respiratory Depression (slowed breathing)
  • have convulsions or seizure disorders
  • have cor pulmonale (heart failure caused by chronic high blood pressure in the arteries of the lungs)
  • have delirium tremens (e.g., confusion, Diarrhea, shaking, Fever, hallucinations, disorientation) associated with alcohol withdrawal
  • have increased carbon dioxide levels in the blood
  • have increased intracranial pressure (increased pressure inside the head), cerebrospinal pressure (increased pressure inside the head and spine), or head injury
  • have mild or intermittent pain that can otherwise be managed
  • have pulmonary edema (fluid build-up in the lungs)
  • have severe central nervous system (CNS) depression (slowed nervous system)
  • have or may have surgical abdomen (e.g., acute Appendicitis)
  • are pregnant, in labour or delivering, or breastfeeding
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Jurnista Precautions

There may be an interaction between Jurnista (Hydromorphone) controlled-release and any of the following:

If you are taking any of these medications, speak with your doctor or pharmacist. Depending on your specific circumstances, your doctor may want you to:

  • stop taking one of the medications,
  • change one of the medications to another,
  • change how you are taking one or both of the medications, or
  • leave everything as is.

An interaction between two medications does not always mean that you must stop taking one of them. Speak to your doctor about how any drug interactions are being managed or should be managed.

Medications other than those listed above may interact with Jurnista (Hydromorphone). Tell your doctor or prescriber about all prescription, over-the-counter (non-prescription), and herbal medications you are taking. Also tell them about any supplements you take. Since caffeine, alcohol, the Nicotine from cigarettes, or street drugs can affect the action of many medications, you should let your prescriber know if you use them.

Jurnista Warnings

Before you begin taking a medication, be sure to inform your doctor of any medical conditions or Allergies you may have, any medications you are taking, whether you are pregnant or breast-feeding, and any other significant facts about your health. These factors may affect how you should take Jurnista (Hydromorphone).

Dependence: As with other opioid medications (narcotics), Jurnista (Hydromorphone) may become habit-forming if taken for long periods of time. Misuse of Jurnista (Hydromorphone) is usually not a problem when it is used appropriately for pain relief. Withdrawal symptoms (e.g., body aches, diarrhea, nausea, nervousness, restlessness, runny nose, sneezing, goose bumps, shaking, shivering, nausea, stomach cramps, fast heart rate, fever, sweating) may occur if Jurnista (Hydromorphone) is stopped suddenly. People who are taking Jurnista (Hydromorphone) for a long time and no longer require it for pain control should stop the medication gradually as directed by their doctor.

Difficulty breathing: Jurnista (Hydromorphone) can cause serious, possibly life-threatening breathing problems. Do not drink alcohol while taking Jurnista (Hydromorphone) as this will make breathing problems caused by Jurnista (Hydromorphone) worse. If you experience slowed breathing or difficulty breathing, seek immediate medical attention. People with lung problems or head injury and those who are taking other medications that can slow breathing are more at risk for experiencing this. Make sure you follow the instructions on how to properly use Jurnista (Hydromorphone). If you have any questions, contact your doctor or pharmacist.

If you have a chronic lung condition (e.g., Bronchitis, emphysema, asthma), discuss with your doctor how Jurnista (Hydromorphone) may affect your medical condition, how your medical condition may affect the dosing and effectiveness of Jurnista (Hydromorphone), and whether any special monitoring is needed.

Drowsiness/reduced alertness: Jurnista (Hydromorphone) may reduce the mental or physical abilities required for the performance of potentially hazardous tasks such as driving a car or operating machinery. Do not drive or operate dangerous machinery while using Jurnista (Hydromorphone) unless you have determined that the medication does not affect your ability to do so.

Kidney function: Kidney Disease or reduced kidney function may cause Jurnista (Hydromorphone) to build up in the body, causing side effects. If you have reduced kidney function, discuss with your doctor how Jurnista (Hydromorphone) may affect your medical condition, how your medical condition may affect the dosing and effectiveness of Jurnista (Hydromorphone), and whether any special monitoring is needed.

Liver function: Liver disease or reduced liver function may cause Jurnista (Hydromorphone) to build up in the body, causing side effects. If you have reduced liver function, discuss with your doctor how Jurnista (Hydromorphone) may affect your medical condition, how your medical condition may affect the dosing and effectiveness of Jurnista (Hydromorphone), and whether any special monitoring is needed.

Low Blood Pressure: Jurnista (Hydromorphone) can cause low blood pressure, which may be severe. If you experience severe dizziness, especially when standing from a lying or sitting position, contact your doctor.

Medical conditions: People with abnormal heart rhythms, reduced adrenal function (e.g., Addison's Disease), low Thyroid, inflammation of the pancreas, enlarged prostate, gallbladder disease, alcoholism, or urethral strictures should discuss with their doctor how Jurnista (Hydromorphone) may affect their medical condition, how their medical condition may affect the dosing and effectiveness of Jurnista (Hydromorphone), and whether any special monitoring is needed.

Stopping the medication: Do not suddenly stop taking Jurnista (Hydromorphone) since withdrawal symptoms may occur. These symptoms include body aches, diarrhea, nausea, nervousness, restlessness, runny nose, sneezing, goose bumps, shaking, shivering, nausea, stomach cramps, fast heart rate, fever, and sweating. Your doctor will advise you on how to safely stop taking Jurnista (Hydromorphone) if you no longer require it for pain control.

Tablet form: The tablet form of Jurnista (Hydromorphone) controlled-release should not be used by people who have narrowing of the intestines (e.g., small bowel inflammatory disease, history of peritonitis, Cystic Fibrosis). Talk to your doctor if you have any questions.

Tolerance: Jurnista (Hydromorphone) may lead to tolerance when used for a long period of time. Tolerance means that your body gets used to the medication so that more medication may be needed to produce the same pain relief. Your doctor will recommend the dose of Jurnista (Hydromorphone) that is most appropriate for you. Do not change your dose or the way you are using the medication on your own. Speak to your doctor if you have any questions.

Pregnancy: Jurnista (Hydromorphone) should not be used during pregnancy. If you become pregnant while taking Jurnista (Hydromorphone), contact your doctor immediately. Infants born to mothers who have been taking Jurnista (Hydromorphone) for long periods of time or who are physically dependent on Jurnista (Hydromorphone) will also be physically dependent on the medication and may experience breathing difficulties as well as withdrawal symptoms.

Breast-feeding: Jurnista (Hydromorphone) passes into breast milk. If you are a breast-feeding mother and are using Jurnista (Hydromorphone), it may affect your baby. Talk to your doctor about whether you should continue breast-feeding.

Children: The safety and effectiveness of using Jurnista (Hydromorphone) have not been established for children less than 18 years of age. Accidental ingestion of Jurnista (Hydromorphone) by children may lead to severe and even fatal consequences. Keep Jurnista (Hydromorphone) out of the reach of children.

Seniors: Seniors may be more sensitive to the effects of Jurnista (Hydromorphone).
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References

All material © 1996-2021 MediResource Inc. Terms and conditions of use. The contents herein are for informational purposes only. Always seek the advice of your physician or other qualified health providers with any questions you may have regarding a medical condition.

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