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Butorphanol tartrate injection is an opioid analgesic that carries a risk of addiction, abuse, and misuse, even when used as prescribed. Although the exact risk of addiction varies by individual, it can occur in patients receiving appropriate therapy at recommended dosages, as well as in cases of misuse.
Before prescribing butorphanol tartrate injection, assess each patient's risk for opioid addiction, abuse, or misuse. All patients should be closely monitored for the development of these behaviors or conditions throughout treatment.
These risks are increased in patients with a personal or family history of substance use disorders (including drug or alcohol abuse or addiction) or mental health conditions such as major depression. However, the presence of such risks should not preclude the proper management of pain.
In higher-risk patients, butorphanol tartrate injection may still be appropriate. However, its use requires comprehensive counseling on the associated risks, strict adherence to prescribed usage, and enhanced monitoring for signs of misuse, abuse, or addiction.
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