What does it do?

Nefopam is used to relieve pain.

Before you start

• Tell your doctor if you have liver or kidney problems, narrow angle glaucoma, or if you have ever had a seizure.
• Tell your doctor if you are pregnant, planning to become pregnant, or breastfeeding.

How should you take it?

Take nefopam as directed with a glass of water.

What if you forget a dose?

If nefopam is taken regularly, take the missed dose as soon as possible. If it is close to the time for your next dose, skip the missed dose and carry on as normal. Do not take two doses at the same time.

Can you take other medicines?

Some medicines available without a prescription may react with nefopam including:

• sedating antihistamines (e.g. Phenergan®)
• cough suppressants (e.g. Duro-Tuss®, Benadryl Dry Forte®)

Tell your pharmacist or doctor about all medicines or treatments that you may be taking, including vitamins, herbal products (e.g. St John's wort) or recreational drugs.

What side effects might you notice?

Side Effects	Recommended action
Change in heartbeat, chest pain Swollen lips, tongue, throat or face Seizures	Tell your doctor immediately
Constipation Fainting, confusion, agitation, hallucinations	Tell your doctor
Drowsiness, tiredness or weakness Nausea, stomach upset, dry mouth Changes in vision Trouble peeing, change in urine colour Sweating	Tell your doctor if troublesome

If you notice any other effects, discuss them with your doctor or pharmacist.

Other information:

• If nefopam is not relieving your pain contact your doctor.
• Nefopam can impair your ability to do tasks such as driving or using machines. Alcohol makes this worse. Discuss your risk with your health professional. (search NZTA - Are you safe to drive?)