Mansoor Javeed, MD, FACP   

Christian Kim, MD

Jaclyn Victoria, MSN, APRN, FNP

Najma Javeed, PhD

Folsom Medical Office: 1631 Creekside Drive, #102 Folsom, CA 95630

T: 916-250-0377 F: 916-250-0378

Elk Grove Medical Office: 9390 Big Horn Blvd, #145 Elk Grove, CA 95758

T: 916-573-1549 F: 916-573-1587

Admin Office: 740 Oak Avenue Pkwy, #110 Folsom, CA 95630

T: 916-250-0377 F: 916-250-0378

Your provider has prescribed a controlled substance or opioid medication to treat your pain. Prescription opioid medications can be used to help relieve moderate-to-severe pain and are often prescribed following a surgery or injury, or for certain health conditions. These medications can be an important part of treatment but also can pose serious risks. It is important to work with your health care provider to make sure you are getting the most effective and safest care

These medications carry serious risks of addiction and overdose, especially with prolonged use.The use of prescription opioids can cause a number of side effects as well, even when taken as directed:

Toleranceyou might need to take more of a medication for the same pain relief.

hysical dependencesymptoms of withdrawal when medication is stopped.

Constipationfollow guidelines provided and report symptom if no bowel movement for 3 days despite interventions.

Nausea and vomitingfollow guidelines provided and report uncontrolled symptoms.

Sleepiness and dizzinesscaution with use ofdriving or operating large machinery

Low levels of testosterone that can result in lower energy, sex drive and strength

Risks are greater with: history of drug misuse, substance use disorder, or overdose; mental health conditions such as anxiety or depression; sleep apnea; older age (65 years or older); and pregnancy. Avoid alcohol consumption while taking controlled substances/opioids.Also, unless your health care provider specifically advises, medications to avoid include:muscle relaxants (e.g. Flexeril); hypnotics (e.g. Lunesta or Ambien); Benzodiazepines (e.g. Valium or Xanax) or other prescription opioids.Taking more controlled substances and opioids than prescribed, or combining multiple substances as described abovecan lead to respiratory depression and can be fatal (cause death

Talk with your health care provider about ways to manage your pain that don't involve prescription opioids. Some of these options may actually work better and have fewer risks and side effects. These options may include: non-opioid medications such as pain relievers (Ibuprofen, Acetaminophen and Naproxen) and some anti-depressives or anti-seizure medications; light exercise/physical therapy; complementary therapies (e.g. biofeedback, massage, medications, counseling

Never take controlled substances/opioids in greater amounts or more often than prescribed

Never sell or share these medications with others.Never take other peoples controlled substance/opioid medications.

Store these medications in a safe and secure place and out of reach of others (children, family, visitors

Safely dispose of unused medications: find your community drug takeback program (follow guidance from dispensing pharmacy or food and drug administration atwww.fda.gov/Drugs/ResourcesForYou

More information about the risks of opioid abuse and overdose can be found atwww.cdc.gov/drugoverdose

I, the undersigned, hereby acknowledge that my provider has discussed with me the above information.I also certify that I have read and understand the above information. Finally, I acknowledge that I have been given the opportunity to have my questions or concerns addressed to my satisfaction.