Scroll down for Important Safety Information including BOXED WARNING

Save up to $60 with the EXALGO co-pay program.

  • You pay the first $15 of your co-pay for eligible prescriptions. Then up to $60 of any remaining
    out-of-pocket costs will be covered.
  • If you did not receive a Co-pay Card, you can print one.


Disclaimer:

This card is not valid for prescriptions reimbursed under Medicare, Medicaid, or any other federal or state program or where prohibited by law. Where third-party reimbursement covers a portion of your prescription, this coupon is valid only for the amount of your actual out-of-pocket expenses up to a maximum of $60. Offer valid only for prescriptions filled in the United States. Mallinckrodt reserves the right to discontinue this offer at any time. It is a violation of federal law to buy, sell, copy, or counterfeit this certificate. Further, if you are a resident of Massachusetts using a private, third-party payer for any portion of your prescription cost, this offer will not be eligible if there are any substitutable, generic equivalents for EXALGO available.

You are encouraged to report negative side effects of prescription drugs to the FDA.
Visit http://www.fda.gov/medwatch, or call 1-800-FDA-1088.

 

EXALGO® (hydromorphone HCI) Extended-Release Tablets (CII)

USE

EXALGO® (hydromorphone HCl) extended-release tablets are used to treat pain that is painful enough to need this type of medicine throughout the entire day in people who have been regularly taking similar pain medicines. EXALGO is an opioid (narcotic). It has risks of addiction, abuse, misuse, overdose, and death, even when taken at the dose your doctor prescribed. Because of this, EXALGO should be used only when other medicines don't work. EXALGO is not used as an as-needed pain reliever.

 

IMPORTANT SAFETY INFORMATION

WARNING: ADDICTION, ABUSE, AND MISUSE; LIFE-THREATENING
BREATHING PROBLEMS; ACCIDENTAL USE; WITHDRAWAL SYNDROME IN NEWBORNS; and RISKS FROM EXALGO USE WHILE TAKING OTHER MEDICATIONS AND ALCOHOL

Addiction, Abuse, and Misuse

Addiction, abuse, and misuse of EXALGO can lead to overdose and death.

Life-threatening Breathing Problems

EXALGO can cause severe breathing problems that can kill you. Crushing, chewing, or dissolving EXALGO can cause you to get too much medicine, which can kill you.

Accidental Use

Taking EXALGO by mistake can cause overdose and death, especially in children.

Withdrawal Syndrome in Newborns

Taking EXALGO while pregnant can cause withdrawal in your newborn baby.

Risks From EXALGO Use While Taking Other Medications and Alcohol

Taking certain medications during your treatment with EXALGO or consuming alcohol may increase the risk that you will develop serious or life-threatening breathing problems, sedation, or coma. Tell your doctor if you are taking or plan to take any of the following medications: benzodiazepines; medications for mental illness or nausea; muscle relaxants; other narcotic pain medications; sedatives; sleeping pills; or tranquilizers.

DO NOT USE EXALGO IF:

  • You were not previously taking another opioid (narcotic) pain medicine.
  • You have severe asthma or other breathing problems.
  • You have a bowel blockage.
  • You have had previous surgeries or disease that caused your stomach or bowels to become narrower.
  • You are allergic to hydromorphone, sulfites, or any other ingredient.

WARNINGS:

  • EXALGO is a controlled substance. It has risks of abuse, misuse, and addiction like other opioid medicines used for pain. Addiction can occur at recommended doses or if the drug is misused or abused. Crushing, chewing, snorting, or injecting EXALGO can cause overdose and death. Injecting the inactive ingredients in EXALGO can damage your heart, which can kill you. Drug abuse by injection can also cause the spread of diseases such as hepatitis and HIV (AIDS).
  • EXALGO can cause severe breathing problems that can kill you, even when it is used as your doctor prescribed. The risk of severe breathing problems is highest when you first start taking EXALGO or when your dose is increased. People who are elderly or who already have severe breathing problems have a higher chance of having severe breathing problems when they take EXALGO.
  • Taking EXALGO while pregnant may harm an unborn baby. EXALGO can cause withdrawal in your newborn baby.
  • Accidental ingestion of even one dose of EXALGO, especially by children, can result in respiratory depression and death.
  • Low blood pressure, excessive sedation, severe breathing problems, coma, and death can occur if you take EXALGO with certain other medicines. These include drugs to treat anxiety or help you sleep, similar pain medicines, or alcohol.
  • The use of EXALGO could result in low blood pressure.
  • EXALGO may complicate head injuries.
  • EXALGO may cause spasm of the muscular valve (sphincter of Oddi) which controls flow of digestive fluids into the small intestine.
  • EXALGO may aggravate seizures in people who experience seizures.
  • Do not abruptly stop taking EXALGO.
  • EXALGO contains a sulfite that may cause allergic-type reactions including skin rashes, severe breathing problems, and death.
  • EXALGO could affect your ability to drive a car, use machinery, or do other dangerous tasks.

ADVERSE REACTIONS:

  • Serious side effects include withdrawal syndrome, overdose, mental changes such as confusion, and constipation.
  • The most common side effects are constipation, nausea, vomiting, drowsiness, headache, fatigue/lack of strength, and dizziness.

 

Please see Medication Guide for Important Safety Information and Full Prescribing Information.

IMPORTANT SAFETY INFORMATION

WARNING: ADDICTION, ABUSE, AND MISUSE; LIFE-THREATENING
BREATHING PROBLEMS; ACCIDENTAL USE; WITHDRAWAL SYNDROME IN NEWBORNS

Addiction, Abuse, and Misuse

Addiction, abuse, and misuse of EXALGO can lead to overdose and death. Click here for more Important Safety Information, including full boxed warning