Extended-release hydrocodone is not for use on an as-needed basis for pain. Never use this medicine in larger amounts, or for longer than prescribed. Do not crush, break, or open an extended-release pill.
Swallow it whole to avoid exposure to a potentially fatal dose. Hydrocodone may be habit-forming, even at regular doses. Never share this medicine with another person, especially someone with a history of drug abuse or addiction. Keep the medication in a place where others cannot get to it. You should not use this medicine if you have severe asthma or breathing problems, or a blockage in your stomach or intestines.
Tell your doctor if you are pregnant. Hydrocodone may cause life-threatening withdrawal symptoms in a newborn if the mother has taken this medicine during pregnancy. Do not drink alcohol. Dangerous side effects or death could occur when alcohol is combined with this medicine.
Before taking this medicine You should not use hydrocodone if you are allergic to it, or if you have: Hydrocodone may be habit forming. Selling or giving away hydrocodone is against the law. Some medicines can interact with hydrocodone and cause a serious condition called serotonin syndrome.
Be sure your doctor knows if you also take stimulant medicine, herbal products, or medicine for depression, mental illness, Parkinson's disease, migraine headaches, serious infections, or prevention of nausea and vomiting. Ask your doctor before making any changes in how or when you take your medications. To make sure this medicine is safe for you, tell your doctor if you have ever had: Hydrocodone is more likely to cause breathing problems in older adults and people who are severely ill, malnourished, or otherwise debilitated.
If you use hydrocodone while you are pregnant, your baby could become dependent on the drug. This can cause life-threatening withdrawal symptoms in the baby after it is born. Babies born dependent on habit-forming medicine may need medical treatment for several weeks. Tell your doctor if you are pregnant or plan to become pregnant. Do not breast-feed while you are using this medicine. Hydrocodone can pass into breast milk and cause drowsiness, breathing problems, or death in a nursing baby, How should I take hydrocodone?
Follow all directions on your prescription label. Hydrocodone can slow or stop your breathing, especially when you start using this medicine or whenever your dose is changed. Never use hydrocodone in larger amounts, or for longer than prescribed. These effects seem to be more prominent in ambulatory than in nonambulatory patients, and some of these adverse reactions may be alleviated if the patient lies down.
Drowsi ness, mental clouding, lethargy , impairment of mental and physical performance, anxiety, fear, dysphoria , psychic dependence, mood changes. Ureteral spasm, spasm of vesical sphincters and urinary retention have been reported with opiates. Cases of hearing impairment or permanent loss have been reported predominantly in patients with chronic overdose.
The following adverse drug events may be borne in mind as potential effects of acetaminophen: Abuse and Dependence Psychic dependence, physical dependence, and tolerance may develop upon repeated administration of narcotics; therefore, this product should be prescribed and administered with caution.
Physical dependence, the condition in which continued administration of the drug is required to prevent the appearance of a withdrawal syndrome, assumes clinically significant proportions only after several weeks of continued narcotic use, although some mild degree of physical dependence may develop after a few days of narcotic therapy. Tolerance, in which increasingly large doses are required in order to produce the same degree of analgesia , is manifested initially by a shortened duration of analgesic effect, and subsequently by decreases in the intensity of analgesia.
The rate of development of tolerance varies among patients. When combined therapy is contemplated, the dose of one or both agents should be reduced. The use of MAO inhibitors or tricyclic antidepressants with hydrocodone preparations may increase the effect of either the antidepressant or hydrocodone. Hydrocodone also affects the center that controls respiratory rhythm, and may produce irregular and periodic breathing.
Head Injury And Increased Intracranial Pressure The respiratory depressant effects of narcotics and their capacity to elevate cerebrospinal fluid pressure may be markedly exaggerated in the presence of head injury, other intracranial lesions or a pre-existing increase in intracranial pressure. Furthermore, narcotics produce adverse reactions which may obscure the clinical course of patients with head injuries.
Acute Abdominal Conditions The administration of narcotics may obscure the diagnosis or clinical course of patients with acute abdominal conditions. The usual precautions should be observed and the possibility of respiratory depression should be kept in mind.
Carcinogenesis, Mutagenesis, Impairment of Fertility No adequate studies have been conducted in animals to determine whether hydrocodone or acetaminophen have a potential for carcinogenesis, mutagenesis , or impairment of fertility. Pregnancy Teratogenic Effects Pregnancy Category C There are no adequate and well-controlled studies in pregnant women. Nonteratogenic Effects Babies born to mothers who have been taking opioids regularly prior to delivery will be physically dependent.
The withdrawal signs include irritability and excessive crying, tremors, hyperactive reflexes, increased respiratory rate , increased stools, sneezing, yawning , vomiting and fever. The intensity of the syndrome does not always correlate with the duration of maternal opioid use or dose.
There is no consensus on the best method of managing withdrawal. Labor And Delivery As with all narcotics, administration of this product to the mother shortly before delivery may result in some degree of respiratory depression in the newborn, especially if higher doses are used.
Nursing Mothers Acetaminophen is excreted in breast milk in small amounts, but the significance of its effects on nursing infants is not known. It is not known whether hydrocodone is excreted in human milk.
Because many drugs are excreted in human milk and because of the potential for serious adverse reactions in nursing infants from hydrocodone and acetaminophen, a decision should be made whether to discontinue nursing or to discontinue the drug, taking into account the importance of the drug to the mother.
Pediatric Use Safety and effectiveness in pediatric patients have not been established. Mental and physical dependence can occur but are unlikely when used for short-term pain relief.
Quick GuideChronic Pain Syndrome: The usual dose of Vicoprofen is one tablet every 4 to 6 hours as needed for pain. The manufacturer recommends a maximum of 5 tablets per day and a short-term duration of treatment less than 10 days. Which drugs or supplements interact with hydrocodone and ibuprofen? Hydrocodone, like other narcotic pain-relievers, interacts with medications and drugs that slow the brain's processes, such as alcohol , barbiturates , skeletal muscle relaxants including carisoprodol Soma , cyclobenzaprine Flexeril , and benzodiazepines for example, lorazepam [ Ativan ], and clonazepam [ Klonopin ].
Opioids such as hydrocodone can slow bowel motility.
After you have stopped using this medication, flush any unused pills down the toilet, hydrocodone 5 100. Keep track of the amount of medicine used from each new bottle. Acetaminophen sometimes abbreviated as APAP is contained in many combination medicines. Naloxonea narcotic antagonistcan reverse respiratory depression and coma hydrocodone with opioid overdose. The precise mechanism of action of hydrocodone and other opiates is not known, although it is believed to relate to the existence of opiate receptors in the central nervous system. Tolerance, in which increasingly large doses are 100 in order to produce the same degree of analgesiais manifested initially by a shortened duration of analgesic effect, and subsequently by decreases in the intensity of analgesia. Do not use extra medicine to make up the missed dose. Cases of hearing impairment or permanent loss have been reported predominantly in patients with chronic overdose, hydrocodone 5 100. Further information Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed. The rate of development of tolerance varies among patients.
The dose should be increased in increments depakote er discount card 10 mg orally every 12 hours every 3 to 7 days as needed hydrocodone achieve adequate analgesia, hydrocodone 5 100. Do not use extra medicine to make up the missed dose. Sometimes, stomach ulceration and bleeding can occur without abdominal painand black tarry stools, weaknesshydrocodone 5 100, and dizziness upon standing may hydrocodone the only signs of internal bleeding. The FDA, working with the manufacturer, has determined this method to be the most appropriate route of disposal and presents the hydrocodone risk to human safety. Skip the missed dose if it is almost time for your next scheduled dose. This practice has resulted in death with the misuse of hydrocodone and similar prescription drugs. Check your 100 and medicine labels to be sure these products do not 100 alcohol. Narcotic opioid medication can interact with many other drugs and cause 100 side effects or death, hydrocodone 5 100. The most common side effects of ibuprofen involve the gastrointestinal system.
100 intensity of the syndrome does not always hydrocodone with the duration of maternal opioid use or dose. Hydrocodone dosing information Usual Adult Dose for Pain: Copyright Cerner Multum, Inc, hydrocodone 5 100. This medication may impair your thinking etodolac tab 500 mg reactions. The manufacturer recommends a maximum of 5 tablets per day and a short-term duration of treatment less than 10 days. Extended-release hydrocodone is not for use on an as-needed basis for pain. Hydrocodone can pass into breast milk and cause drowsiness, hydrocodone 5 100, breathing problems, or death in a nursing baby, How should I take hydrocodone? For the management of pain severe enough to require daily, around-the-clock, long-term opioid treatment and for which alternative treatment options are inadequate What other drugs will affect hydrocodone? An overdose of acetaminophen and hydrocodone can be fatal. Ask your doctor before making any changes hydrocodone how or when you take your medications, hydrocodone 5 100. Meticulous attention should be given to hydrocodone adequate pulmonary ventilation. Remember, keep this and all other 100 out 100 the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.
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