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Symphonic (Naldemedine) Prior Authorization Request Form Caterpillar Prescription Drug Benefit Phone: 8772287909 Fax: 8004247640 Instructions: Please fill out all applicable sections completely and
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01
Read the patient information leaflet provided by the pharmacist before taking Symproic (naldemedine) tablets.
02
Take Symproic exactly as prescribed by your doctor. Do not take more or less than the recommended dose.
03
Swallow the tablet whole with water. Do not crush, chew, or break it.
04
You may take Symproic with or without food.
05
It is important to take Symproic on a daily basis as directed by your doctor.
06
If you forget to take a dose, take it as soon as you remember. If it is near the time of your next dose, skip the missed dose and resume your regular dosing schedule.
07
Do not stop taking Symproic without consulting your doctor first.
08
Contact your doctor if your symptoms do not improve or if they worsen while taking Symproic.

Who needs symproic naldemedine tablets uses?

01
Symproic (naldemedine) tablets are intended for use in adults who have chronic (long-lasting) non-cancer pain and who regularly use opioid pain medication to manage their pain. Patients who experience opioid-induced constipation (OIC) despite already using a laxative may also benefit from Symproic.
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Symproic (naldemedine) tablets are used to treat opioid-induced constipation in adults with chronic pain.
Healthcare providers and pharmacies that prescribe or dispense Symproic are required to file information regarding its use.
Fill out the form by providing patient information, dosage prescribed, and the duration of treatment along with any side effects noted.
The purpose of Symproic is to relieve symptoms of constipation resulting from opioid use, improving the quality of life in patients.
Information that must be reported includes dosage, duration of use, patient identification, and any adverse effects experienced.
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