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FDA black box

Boxed warnings

The FDA’s strongest warnings: breathing can stop, addiction is a real risk, and mixing with sedatives can be fatal.

What the label emphasizes

  • Life-threatening respiratory depression, especially when starting or increasing a dose
  • Addiction, abuse, and misuse that can lead to overdose and death
  • Dangerous interaction with benzodiazepines, alcohol, and other sedatives — profound sedation, coma, death
  • Neonatal opioid withdrawal if used throughout pregnancy
  • Accidental ingestion, especially by a child, can be fatal