Drug

Valoron® N retard

Explanation / definition

Valoron ® N retard is a common pain reliever from the opioid group and is used for severe and very severe chronic pain of various causes. The term "retard" describes the longer-lasting effect when ingested (longer than 12 hours) in contrast to non-retarded preparations.

To protect against abuse, Valoron consists on the one hand of the pain-relieving component tilidine and on the other hand of the opioid counterpart naloxone. When given intravenously, naloxone neutralizes the effect of tilidine, which is why abuse (substitute drug) of the drug by drug addicts is prevented.

Trade names

Valoron ® N prolonged-release tablets 50 / 4mg (tilidine / naloxon)
Valoron ® N prolonged-release tablets 100 / 8mg (Tilidin / Naloxon)
Valoron ® N prolonged-release tablets 150 / 12mg (Tilidin / Naloxon)
Valoron ® N prolonged-release tablets 200 / 16mg (tilidine / naloxon)

von Goedecke GmbH, a Pfizer Group company.

Chemical name

Tilidine phosphate and naloxone hydrochloride

application areas

Use for severe and very severe chronic pain of various causes.

In the orthopedic field, these include:

Osteoarthritis pain (osteoarthritis).
- Hip osteoarthritis
- Knee osteoarthritis
Post-operative pain.
- Hip prosthesis
- Knee prosthesis
- Cruciate ligament tear
- hallux valgus
Rheumatism pain (rheumatism).
- Rheumatoid arthritis
- Psoriatic arthritis
- ankylosing spondylitis
Spine pain
- Back pain
- disc prolapse
- Degenerative spinal disease
- Cervical spine syndrome
- Lumbar spine syndrome
Fracture pain / hernia pain
- Vertebral fracture
- Broken spoke
- Outer ankle fracture
- Femoral neck fracture
- Broken rib
u.a.m.

effect

Tilidine binds to central (brain) and peripheral (body) opiate receptors and leads to reduced pain perception by inhibiting the transmission of excitation (pain transmission via nerves).

application

The taking of Valoron ® N retard can be done independently of meals.

The prolonged-release tablets are swallowed whole with plenty of liquid. The tablets should not be broken up, otherwise the delayed release of the active ingredient can be impaired.

The daily dose should be divided into two individual doses, morning and evening.

When taking tablets, fixed times should ideally be adhered to. The intake takes place every 12 hours (e.g. 8 a.m. and 8 p.m.).

dosage

Valoron ® N retard is particularly suitable for the treatment of chronic pain.

A common starting dose is 2x50mg or 2x 100 mg Valoron ® N retard.

The maximum daily dose should not exceed 600 mg daily.

The required dose level is determined by the attending physician according to the pain therapeutic effect.

Ending drug therapy with Valoron ® N retard should be done gradually.

At Poor kidney function (renal failure) a dose adjustment is not necessary, but in the case of hepatic impairment (liver insufficiency).

A special dose adjustment for the elderly is not necessary, taking into account the general side effects.

Side effects

Valoron ® can cause side effects in various organ systems.

The most common side effect of Valoron ® retard are the occurrence of Nausea and vomiting (>10%). This effect occurs particularly at the start of therapy and can improve over the course of treatment.

Furthermore, the following can often occur:

dizziness
fatigue
stomach pain
diarrhea
sweat
a headache
Drowsiness
nervousness

Occasionally (<1% d. F.) the tiredness can become so severe that a Addiction to sleep occurs.
The intake of Valoron ® can Ability to concentrate and the Responsiveness affect because it has a dampening effect on the central nervous system Has. Especially if you have Valoron ® taking for the first time, after a long period of time or if the dose is increased, attention may be disturbed.
Also the simultaneous use from Valoron ® with Sedatives or alcohol intensifies the dampening effect on the central nervous system and reduces the ability to concentrate and react. An active one Participation in road traffic or the use of machines should only take place after a detailed discussion with the doctor, in which the requirements for the above-mentioned activities are discussed.

Other possible side effects of Valoron ®, the frequency of which cannot be precisely stated, are:

confusion
Hallucinations
Tremble
Muscle twitching
euphoria

Up to 10% of patients experience one while taking Valoron ® increased production of sweat. This side effect can be avoided by avoiding excessive physical activity. Affected patients should refer to the Her body's warning signals and if you sweat profusely, are physically exhausted or dizzy Rest insert. In many patients it occurs at the start of treatment nausea and Vomit, these side effects do not occur as often as at the beginning with a longer treatment period. Less than 10% of patients complain about taking Valoron ® diarrhea and or stomach pain.

If you experience any of the side effects mentioned while taking Valoron ®, you should consult your doctor hold. You should also inform your doctor if you notice a symptom during therapy that is not listed as a side effect, but which you suspect to be related to the use of Valoron ®. Step on you very much strong side effects do not continue to take Valoron ® without consulting your doctor.

Caution

Valoron ® N retard can cause withdrawal symptoms in drug addicts!

Attention and the ability to react in traffic can be severely impaired!

Interactions

Valoron ® N retard can increase the effects on the central nervous system if sedatives or alcohol are taken at the same time.

Simultaneous use with other opioids (e.g. Tramal ®) should not be used. The resulting effect cannot be assessed.

When taking other respiratory depressant (reducing the respiratory drive) medication, respiratory arrest cannot be ruled out.

When taking Marcumar ® (Phenprocoumon) blood coagulation can be further reduced (decrease in the Quick value).

Contraindications

Who may / should not take Valoron ® N retard:

Patients with an allergy to the active ingredient tilidine or naloxone or other drug components.
Patients with addiction to opiates
Patients with glucose - galactose malabsorption, lactase deficiency, hereditary galactose intolerance.
Patients in pregnancy and lactation.
Patients with other addiction disorders.
Patients with severe liver dysfunction.

Prices

Since there is always talk of cost pressure in the healthcare sector, we believe it is important to also find out prices for drugs (prices are exemplary and not recommended):

Valoron® N prolonged-release tablets 50 / 4mg 20 pieces € 26.27

Valoron® N prolonged-release tablets 100 / 8mg 20 pieces € 32.21

Valoron® N prolonged-release tablets 200 / 16mg 20 pieces € 47.99