spacer spacer spacer
Home Services Locations Meet our Team News and Events Links Register Articles Therapies



Opana ER (Oxymorphone)

What is Oxymorphone?

Oxymorphone is a pain medication that is similar to Morphine in composition. Oxycodone (Percocet/Oxycodone) breaks down into Oxymorphone as it is metabolized in the body. Opana is one brand name for Oxymorphone. Oxymorphone is indicated for moderate to severe pain only. The Opana ER is an extended release form of Oxymorphone and stays in the body longer. This medication requires fewer doses during a day and a more consistent blood stream level of medication over time. Opana ER is recommended for chronic pain only.


DO NOT DRINK ALCOHOL while taking Opana in any form—especially the Opana ER. DO NOT TAKE ANY medication or cough preparation containing alcohol. The alcohol can break down the pill too fast and cause all of the day’s worth of medication to release at once. This could cause respiratory depression, trouble breathing, or even death. Be sure to take this medication exactly as directed by your physician.

Have questions about Opana or Opana ER? Please ask the physician or pharmacist on your next visit or call KPMS and ask to speak to a nurse.

Xanax (Alprazolam)

Xanax is a medication that is used to treat anxiety and panic disorders. It is in the benzodiazepine drug category. This medication is intended for short term use in most cases. Anxiety or tension associated with the stresses of everyday life does NOT require treatment with an anti-anxiety medication. The therapeutic effect of alprazolam for long term use (longer than 4 months) has not been evaluated. There are many treatment options for anxiety or nervousness that do not include addictive medications. Talk to your care provider today about your options.

Side Effects

Most Common

  • Potential dependence,
  • Dizziness,
  • Drowsiness,
  • Slurred Speech

Less Frequent

  • Joint Pain,
  • Decreased Sexual Function,
  • Depression,
  • Neurologic Speech Disorder,
  • Involuntary movements,
  • Painful Menstrual Periods,
  • Fatigue,
  • Impaired Cognition,
  • Limb Pain,
  • Paresthesia (a sensation of tingling, pricking, or numbness of a person’s skin)

Other side effects can happen while taking alprazolam—contact your doctor or pharmacist for more information.

Acetaminophen (Tylenol)

How much is too much?

Most Americans have taken acetaminophen at one time or another and most of us would never dream it could be harmful. This medication is considered a safe medication and is available over the counter for anyone to purchase. Most Americans are not aware, however, that too much of this medication can cause serious liver damage. Many liver transplants occur every year in the United States because someone took too much acetaminophen and their liver failed.

How do I protect myself?

Always read the label on medication bottles carefully—even with over the counter medications. If you are unsure of how to take the medication or if you don’t know if the medication is safe to take with the prescription medications you are on, ALWAYS ask your physician, nurse or pharmacist. This is especially important if you are taking a combination pain medication such as Lorcet, Lortab, Percocet, etc. These medications contain acetaminophen (Tylenol) in addition to the narcotic pain medication. Do not take over the counter pain relievers in addition to your prescribed pain medication unless your pain doctor has given you instruction in how to safely do so. Taking combination cold or headache preparations is another way that acetaminophen overdose can happen. People might take a cold medication that contains acetaminophen and then take additional acetaminophen in a pain reliever tablet.


If you are not sure that an over the counter medicine is safe for you, don’t take it until a health care professional tells you it is ok. Another way to prevent accidental overdose of acetaminophen is to tell your friends and family about the dangers of not taking medications correctly. ALWAYS follow the instructions on the bottle of medication and your doctor’s instructions.



Lyrica, also known by its generic name pregabalin, is a medication that is used to treat neuropathic pain. It has also been approved to treat certain types of seizures and the pain of Fibromyalgia. Neuropathic pain means that the pain is coming from a nerve instead of from other types of body tissues or muscles. Examples of neuropathic pain include diabetic neuropathy and post-herpetic neuralgia (pain after shingles). This can happen when a diabetic person’s blood sugar is too high over a period of time and the nerves going into the hands and feet become damaged. Another example is when a nerve is damaged by an accident or a nerve root can be compressed from a spinal injury and become permanently damaged and cause pain. Nerve pain can be described as burning, shooting, or sharp. Lyrica helps neuropathic pain and decreases the tingling and numbness. Lyrica, like all prescription medications, does have side effects, but they are usually mild and vary from patient to patient. Swelling of the hands and feet, and dizziness or drowsiness are the most common side effects. Do you take Lyrica? Ask your pharmacist or any staff member at KPMS for a handout on this medication.


green bar

London, KY

Contact Us at

Hazard, KY