Nabilone oral capsules

What is this medicine?

NABILONE (NAB i lone) is used to treat nausea and vomiting caused by cancer treatment. It is used by patients who do not respond to other medicines.

How should I use this medicine?

Take this medicine by mouth with a glass of water. Follow the directions on the prescription label. Take your doses at regular intervals. Do not take your medicine more often than directed.

Talk to your pediatrician regarding the use of this medicine in children. Special care may be needed.

Patients over 65 years old may have a stronger reaction and need a smaller dose.

What side effects may I notice from receiving this medicine?

Side effects that you should report to your doctor or health care professional as soon as possible:

• allergic reactions like skin rash, itching or hives, swelling of the face, lips, or tongue

• anxious

• breathing problems

• changes in emotions or moods

• changes in vision

• depressed mood

• fast, irregular heartbeat

• feeling faint or lightheaded, falls

• hallucinations, loss of contact with reality

• unusually weak or tired

Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):

• change in appetite

• confusion

• drowsiness

• dry mouth

• headache

• loss of balance or coordination

• trouble concentrating

• trouble sleeping

What may interact with this medicine?

Do not take this medicine with any of the following medications:

• dronabinol

This medicine may also interact with the following medications:

• alcohol

• amphetamines and other stimulant medicines for attention disorders, weight loss, or to stay awake

• antihistamines for allergy, cough and cold

• atropine

• buspirone

• cannabidiol

• certain medicines for bladder problems like oxybutynin, tolterodine

• certain medicines for Parkinson's disease like benztropine, trihexyphenidyl

• certain medicines for seizures like phenobarbital, primidone

• certain medicines for sleep or anxiety

• certain medicines for travel sickness like scopolamine

• cocaine

• disulfiram

• lithium

• medicines for depression, like amitriptyline, fluoxetine

• muscle relaxants

• naltrexone

• narcotic medicines for pain

• pseudoephedrine

• theophylline

What if I miss a dose?

If you miss a dose, take it as soon as you can. If it is almost time for your next dose, take only that dose. Do not take double or extra doses.

Where should I keep my medicine?

Keep out of the reach of children. This medicine can be abused. Keep this medicine in a safe place to protect it from theft. Do not share this medicine with anyone. Selling or giving away this medicine is dangerous and is against the law.

This medicine may cause accidental overdose and death if taken by other adults, children, or pets. Mix any unused medicine with a substance like cat litter or coffee grounds. Then throw the medicine away in a sealed container like a sealed bag or a coffee can with a lid. Do not use the medicine after the expiration date.

Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F).

What should I tell my health care provider before I take this medicine?

They need to know if you have any of these conditions:

• heart disease

• high or low blood pressure

• history of drug or alcohol abuse problem

• history of irregular heartbeat

• if you often drink alcohol

• kidney disease

• liver disease

• mental illness

• an unusual or allergic reaction to nabilone, dronabinol, marijuana, other medicines, foods, dyes, or preservatives

• pregnant or trying to get pregnant

• breast-feeding

What should I watch for while using this medicine?

Visit your health care professional for regular checks on your progress. Tell your health care professional if your symptoms do not start to get better or if they get worse.

While you are taking this medicine, make sure there is a responsible person nearby. You may experience mood changes, easy laughter, or other changes in behavior. These effects can last for 48 to 72 hours following your last dose of this medicine.

You may get drowsy or dizzy. Do not drive, use machinery, or do anything that needs mental alertness while taking this medicine. Do not stand or sit up quickly, especially if you have low blood pressure or if you are an older patient. This reduces the risk of dizzy or fainting spells. Alcohol may interfere with the effect of this medicine. Avoid alcoholic drinks.

Do not smoke marijuana while you are taking this medicine. This medicine is similar to one of the active substances found in marijuana. You are at increased risk of serious heart and/or nervous system side effects if these drugs are used together.