Pronunciation:

KAF-een, SOE-dee-um BEN-zoe-ate

Dosage Forms:

• Solution

Classifications:

Therapeutic—

Stimulant, Respiratory

Chemical—

Methylxanthine

Uses of This Medicine:

Caffeine and sodium benzoate injection is used with other supportive therapies to treat respiratory depression (very slow breathing) caused by taking too much narcotic pain medicines or alcohol.

This medicine is to be given only by or under the direct supervision of a doctor.

Before Using This Medicine:

In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For this medicine, the following should be considered:

Allergies—

Tell your doctor if you have ever had any unusual or allergic reaction to this medicine or any other medicines. Also tell your health care professional if you have any other types of allergies, such as to foods, dyes, preservatives, or animals. For non-prescription products, read the label or package ingredients carefully.

Children—

No information is available on the relationship of age to the effects of caffeine and sodium benzoate injection in the pediatric population. Safety and efficacy have not been established.

Older adults—

No information is available on the relationship of age to the effects of caffeine and sodium benzoate injection in geriatric patients.

Breast-feeding—

There are no adequate studies in women for determining infant risk when using this medication during breastfeeding. Weigh the potential benefits against the potential risks before taking this medication while breastfeeding.

Other medicines—

Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. When you are receiving this medicine, it is especially important that your healthcare professional know if you are taking any of the medicines listed below. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive.

Using this medicine with any of the following medicines is not recommended. Your doctor may decide not to treat you with this medication or change some of the other medicines you take.

• Riociguat
• Viloxazine

Using this medicine with any of the following medicines is usually not recommended, but may be required in some cases. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.

• Capmatinib
• Givosiran
• Iobenguane I 131
• Peginterferon Alfa-2b
• Pixantrone
• Ritlecitinib
• Tocilizumab

Other interactions—

Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive.

Using this medicine with any of the following is usually not recommended, but may be unavoidable in some cases. If used together, your doctor may change the dose or how often you use this medicine, or give you special instructions about the use of food, alcohol, or tobacco.

• Tobacco

Other medical problems—

The presence of other medical problems may affect the use of this medicine. Make sure you tell your doctor if you have any other medical problems, especially:

• Heart disease or
• Heart rhythm problems—Use with caution. May make these conditions worse.

Proper Use of This Medicine:

A nurse or other trained health professional will give you this medicine in a hospital. This medicine is given as a shot into a muscle or into a vein.

Precautions While Using This Medicine:

It is very important that your doctor check your progress closely while you are receiving this medicine and to see if it is working properly.

Using large doses of this medicine may cause unwanted effects. Tell your doctor right away if you have a headache, anxiety, fast, pounding, or uneven heartbeat, ringing in the ears, or tingling in the hands and feet.

Before you have any medical tests, tell the medical doctor in charge that you are taking this medicine. The results of some tests may be affected by this medicine.

Do not take other medicines unless they have been discussed with your doctor. This includes prescription or nonprescription (over-the-counter [OTC]) medicines and herbal or vitamin supplements.

Side Effects of This Medicine:

Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Check with your doctor or nurse immediately if any of the following side effects occur:

Incidence not known

Extra heartbeats

fast, pounding, or irregular heartbeat or pulse

trembling or shaking of the hands or feet

Get emergency help immediately if any of the following symptoms of overdose occur:

Symptoms of overdose

Chest pain or discomfort

confusion

confusion as to time, place, or person

decreased urination

dizziness

dry mouth

fainting

fever

hallucinations

holding false beliefs that cannot be changed by fact

increase in heart rate

lightheadedness

pounding or rapid pulse

rapid breathing

sleeplessness

slow heartbeat

sunken eyes

thirst

trouble sleeping

unable to sleep

unusual excitement, nervousness, or restlessness

unusual tiredness or weakness

wrinkled skin

Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:

Incidence not known

Anxiety

continuing ringing or buzzing or other unexplained noise in the ears

headache

hearing loss

hyperventilation

increased sensitivity to pain

increased sensitivity to touch

irritability

restlessness

shortness of breath

tingling in the hands and feet

trouble sleeping

Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.

Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.