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It shares its characteristics with many other drugs in chemistry and form; such drugs are also pain killers and may be marketed as Anexsia, Anolor DH5, Bancap HC, Dolacet, Lorcet 10/650, Lorcet HD, Lorcet Plus, Lortab, Lortab 10, Lortab 5/500, Lortab 7.5/500, Lortab Elixir, Norco, T-Gesic, Vicodin, Vicodin ES, Vicodin HP, and Zydone. [1] [edit] Manufacturers Manufacturers of Vicodin (generic or otherwise) include: Abbott Laboratories, Allscripts Healthcare Solutions LLC, Amerisource Health Services Corp, Cardinal Health, Drx Pharmaceutical Consultants Inc, Eckerd Corp, Hospira Inc, Knoll Laboratories Div Knoll Pharmaceutical Co, Pdrx Pharmaceuticals Inc, Physicians Total Care Inc, Rx Pak Div of Mckesson Corp, Sandhills Packaging Inc and Watson Labs. [2] At any rate, Vicodin production reportedly approaches 20 tons annually. [3] In the United States, Vicodin production is regulated in part by the Controlled Substances Act of 1970. This guarantees that all manufacturing, importing, possession, and distribution of drugs is to be looked over and regulated by the federal government who are also responsible (along with the Department of Justice and state governments) for the conviction and sentencing of anyone who breaks drug laws. [4] [edit] Scheduling Vicodin was put into Schedule III along with anabolic steroids, ketamine, paregoric, xyrem, marinol, and hydrocodone/codeine (when “compounded with an NSAID” or with paracetamol); these drugs have high psychological dependence and low to medium physical addiction. [5] [edit] Surgery Vicodin is most commonly prescribed for persons experiencing pain after surgery or intense pain. It helps calm a person down and increases their ability to relax and forget about painful ailments (which speeds up recovery). ]Interactions and contraindications Drugs that should be avoided in order to decrease the chance of side effects are isocarboxazid (Marplan), phenelzine (Nardil), tranylcypromine (Parnate), or other monoamine oxidase inhibitors (MAOI’s) 14 days prior to use. Acetaminophen should also be avoided so as to decrease chances of destroying the liver. In addition, alcohol increases the drowsiness already caused by Vicodin and may result in a person to become unconscious or much worse, dead. Aside from alcohol, other drugs that induce drowsiness should also be avoided (i.e. antidepressants, antihistamines, pain killers, muscle relaxants, etc.) so as to decrease chances of contacting Vicodin’s severe side effects. Furthermore, if a person experiences Addison’s Disease, kidney disease, gallbladder disease, liver disease, complications with the thyroid, severe head injuries, asthma or alcohol abuse Vicodin should not be taken for fear of worsening the condition. Vicodin is also not recommended for people under 18 or over 60 years of age. Use during pregnancy The Food and Drug Administration (FDA) has put Vicodin in category C. This category includes any and all drugs which have not been put to the test in pregnancies therefore the effects of the drug on newborns have not been determined. But the FDA does ensure a warning to breastfeeding mothers telling them that Vicodin does pass into breast milk, which can have adverse effects on nursing babies. [6] Side effects Side effects for Vicodin include an allergic reaction, weak breathing, seizures, clammy skin, severe weakness, dizziness, unconsciousness, yellowing of eyes or skin, unusual fatigue, bleeding, or bruising, constipation, dry mouth, nausea, vomiting, decreased appetite, muscle twitches, sweating, itching, hearing loss, decreased urination, and decreased sex drive. [7] Vicodin (in terms of hydrocodone) also has depressant effects on the central nervous system. [8] However, some of the less mundane effects can be desirable effects that are sought after by many drug addict victims. Those effects include a great euphoria and drowsiness, as well as slowing the pulse.[9] Vicodin has also been linked to causing stomach ulcers Overdose symptoms Symptoms of a Vicodin overdose may include slow breathing, cold and clammy skin, dizziness, weakness, loss of consciousness, confusion, small pupils, tiredness, coma, nausea, seizures, vomiting, and sweating as well as death. [10] Addiction People using Vicodin after the cause for its use has abated will most likely become dependent. Addiction for Vicodin is similar to other powerful addictions; cravings for the drug take hold of a person and may even supersede a person’s need for food or water.[11] The hydrocodone component of Vicodin is the reason for its abuse. Hydrocodone is derived from an opiate, the chemical effects of which are similar to those of heroin and are highly addictive. It increases the activity of the neurotransmitter dopamine, which causes a strong euphoria that many find pleasurable. [12] This pleasurable feeling is so addictive that some believe a person may become dependent within the first week of taking the drug. [13] Withdrawal symptoms Withdrawal symptoms are mostly physical, and can range from simple diarrhea and vomiting to cold flashes, muscle pain, bone pain, and restlessness. [14] Alcohol and abuse Vicodin's effects of disorientation, relaxation, and euphoria have been tampered with by mixing them with other drugs, but the most common method has been by mixing them with alcohol. Combined, the drunken effects of alcohol are heightened and brought upon faster. The Do It Now Foundation states that, "Vicodin and other prescription narcotics constitute the most-abused group of prescription drugs, according to the National Household Survey, released in 2001. Of the four million Americans who reported misusing prescription drugs the previous year, nearly 65 percent misused prescription pain relievers. Vicodin use has soared in recent years, partly fueled by the fame of its star user base." The number of 12-17 year-old users jumped 127 percent between 1996 and 2000, according to one national survey. [15] [edit] Vicodin and popular culture Like Quaalude and Valium in the 1970's, Vicodin has become not just a drug but a symbol, and its presence in a lyric or a screenplay can be seen as a comment on the obsessions of the early twenty-first century. Some of the places where the brand name has appeared in popular culture include: In the television series House, Gregory House (played by Hugh Laurie) is a brilliant but difficult doctor who takes massive amounts of Vicodin to manage chronic pain. The relevance of particular information in (or previously in) this article or section is disputed. The information may have been removed or included by an editor as a result. Please see discussion on the talk page considering whether its inclusion is warranted. In the short-lived, controversial television series The Book of Daniel, Aidan Quinn plays an Episcopal priest who is hooked on Vicodin. The song "Company" by Third Eye Blind features the lyric "Mix it up with Vicodin/ 'Cause anything's better than this". The metalcore band Atreyu have a song called "Five Vicodin Chased with a Shot of Clarity". Terra Naomi, the singer-songwriter, recorded a "Vicodin Song" which includes the lyric "I've got Vicodin, do you want to come over?" The CD art of Eminem's album The Slim Shady LP features a Vicodin tablet. Several songs by Eminem mention Vicodin. In the song "Feel Good Hit of the Summer" by Queens of the Stone Age, the phrase "Nicotine, Valium, Vicodin, marijuana, ecstasy and alcohol. Cocaine" is repeated over the song. The song "Diary Of A San Fernando Sexx Star" by Butch Walker has the lyric "So you popped a Vicodin and ran away from everyone, and everything you thought you knew." Bill Engvall has a joke called 'Vicodinland', an amusing account of his time on Vicodin after his hernia. In the television series Six Feet Under, Ruth's sister, Sarah, experiences withdrawal symptoms while trying to break her Vicodin addiction. During Season 2 of the television series Rescue Me, Franco gets hooked on Vicodin. ECW wrestlers Rob Van Dam and Sabu were arrested in possession of the drug. Vicodin is mentioned throughout Chuck Palahniuk's novel Invisible Monsters with multiple characters addicted to the drug. In Episode 220 of the television series Alias, Marcus Dixon admits to taking Vicodin. In the electro-pop song "Champagne" by Amanda Lepore, the lyrics include "I drink Champagne like Marilyn and use it to wash down my Vicodin" The song "Emma" by punk band Alkaline Trio includes the lyric "We washed it down the drain, with one silver bullet and two Vicodin." It is also the theme of their song "Take Lots With Alcohol" Both NFL star Brett Favre and radio personality Rush Limbaugh gained additional notoriety for admitting addiction to the drug. The song "Painkillers" by Everlast includes the lines "And every night I think I might never rock the mic again /'Cause my brain's fucked up on Percocet and Vicodin / Might as well be heroin pulsin' through my veins." [edit] External links http://www.drugs.com/vicodin.html http://www.usdoj.gov/dea/agency/csa.htm http://www.usdoj.gov/dea/pubs/scheduling.html http://www.deadiversion.usdoj.gov/21cfr/cfr/1300/1300_01.htm Retrieved from "http://en.wikipedia.org/wiki/Vicodin" Categories: Articles to be merged | Accuracy disputes | Analgesics | Schedule III controlled substances | Pharmacologic agents This page was last modified 11:18, 9 August 2006. All text is available under the terms of the GNU Free Documentation License. (See Copyrights for details.) Wikipedia® is a registered trademark of the Wikimedia Foundation, Inc. Privacy policy About Wikipedia Disclaimers Buy Vicodin And Save Now Guaranteed Low prices & fast shipping. 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Important Note All prescription requests will require additional medical information such as an existing prescription or copy of medical records, history and proof of current physical examination, government-issued identification or driver license and proof of age. The following information is intended to supplement, not substitute for, the expertise and judgment of your physician, pharmacist or other healthcare professional. It should not be construed to indicate that use of the drug is safe, appropriate, or effective for you. Consult your healthcare professional before using this drug. Uses Hydrocodone relieves pain. Acetaminophen is a less potent pain reliever that increases the effects of hydrocodone. Together, acetaminophen and hydrocodone are most commonly used to relieve moderate-to-severe pain. Acetaminophen and hydrocodone may also be used for purposes other than those listed here. How to Use Take acetaminophen and hydrocodone exactly as directed by your doctor. Take each dose with a full glass of water. Take acetaminophen and hydrocodone with food or milk if it upsets your stomach. Never take more of this medication than is prescribed for you. Too much acetaminophen and hydrocodone could be very harmful. Do not stop taking acetaminophen and hydrocodone suddenly if you have been taking it continuously for more than 5 to 7 days. Stopping suddenly could cause withdrawal symptoms and make you feel uncomfortable. Your doctor may want to gradually reduce your dose. Possible Side Effects Stop taking acetaminophen and hydrocodone and seek emergency medical attention if you experience any of the following: an allergic reaction (difficulty breathing; closing of your throat; swelling of your lips, tongue, or face; or hives); slow, weak breathing; seizures; cold, clammy skin; severe weakness or dizziness; unconsciousness; yellowing of the skin or eyes; or unusual fatigue, bleeding, or bruising. Less serious side effects may be more likely to occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome. Precautions Hydrocodone is habit forming and should only be used under close supervision if you have an alcohol or drug addiction. Before taking this medication, tell your doctor if you have kidney disease; liver disease; asthma; urinary retention; an enlarged prostate; hypothyroidism; seizures epilepsy; gallbladder disease; a head injury; or Addison's disease. Do not take this medication without first talking to your doctor if you are pregnant or breast-feeding a baby. If you are younger than 18 years of age or older than 60 years of age, you may be more likely to experience side effects from acetaminophen and hydrocodone therapy. Use extra caution. Drug Interactions Do not take acetaminophen and hydrocodone if you have taken a monoamine oxidase inhibitor (MAOI) such as isocarboxazid (Marplan), phenelzine (Nardil), or tranylcypromine (Parnate) in the last 14 days. Dangerous side effects could result. The most serious interactions affecting acetaminophen and hydrocodone are with those drugs that also cause sedation. Numerous drugs may lead to dangerous sedation if taken with acetaminophen and hydrocodone: Talk to your doctor and pharmacist before taking any prescription or over the counter medicines. Many other drugs contain acetaminophen, especially over-the-counter pain, fever, cold, and allergy medications. Notes Avoid alcohol while taking acetaminophen and hydrocodone. Alcohol will greatly increase the drowsiness and dizziness caused by acetaminophen and hydrocodone and could be dangerous. Also, acetaminophen can damage your liver if you drink three or more alcoholic beverages a day. Avoid sleeping pills, tranquilizers, sedatives, and antihistamines except under the supervision of your doctor. These medications also may cause dangerous sedation. Do not share acetaminophen and hydrocodone with others for whom it was not prescribed, since they may have a problem that is not effectively treated by this drug. Missed Dose Take the missed dose as soon as you remember. Do not take a double dose of this medication. Wait the prescribed amount of time before taking your next dose. Storage Store at room temperature away from moisture and heat. Keep this and all medications out of the reach of children. Vicodin acetaminophen and hydrocodone (ah see ta MIH no fen and hye dreo KOE done) Anexsia, Anolor DH5, Bancap HC, Dolacet, Lorcet 10/650, Lorcet HD, Lorcet Plus, Lortab, Lortab 10, Lortab 5/500, Lortab 7.5/500, Lortab Elixir, Norco, T-Gesic, Vicodin, Vicodin ES, Vicodin HP, Zydone What is the most important information I should know about Vicodin? • Hydrocodone is habit forming. It is possible become physically and/or psychologically dependent on the medication. Do not take more than the prescribed amount of medication or take it for longer than is directed by your doctor. Withdrawal effects may occur if Vicodin is stopped suddenly after several weeks of continuous use. Your doctor may recommend a gradual reduction in dose. • Avoid alcohol while taking Vicodin. Alcohol can increase drowsiness and dizziness caused by the medication, possibly resulting in unconsciousness and death. Also, acetaminophen can be damaging to the liver when taken with alcohol. • Vicodin may increase the effects of other drugs that cause drowsiness, including antidepressants, alcohol, antihistamines, pain relievers, anxiety medicines, seizure medicines, and muscle relaxants. Dangerous sedation, dizziness, or drowsiness may occur if Vicodin is taken with any of these medications. Tell your doctor about all medicines that you are taking, and do not take any medicine without first talking to your doctor. • Vicodin may cause constipation. Drink plenty of water (six to eight full glasses a day) to lessen this side effect. Increased fiber in the diet may also help to alleviate constipation. What is Vicodin? • Hydrocodone (related to codeine) is in a class of drugs called narcotic analgesics. It relieves pain. • Acetaminophen is a less potent pain reliever that increases the effects of hydrocodone. • Together, Vicodin is used to relieve moderate-to-severe pain. • Vicodin may also be used for purposes other than those listed in this medication guide. What should I discuss with my healthcare provider before taking Vicodin? • Before taking this medication, tell your doctor if you have · a history of alcohol or drug abuse; · kidney disease; · liver disease; · asthma; · urinary retention; · an enlarged prostate; · hypothyroidism; · seizures or epilepsy; · gallbladder disease; · a head injury; or · Addison's disease. • You may not be able to take Vicodin, or you may require a dosage adjustment or special monitoring during treatment if you have any of the conditions listed above. • Vicodin is in the FDA pregnancy category C. This means that it is not known whether it will be harmful to an unborn baby. Do not take this medication without first talking to your doctor if you are pregnant or could become pregnant during treatment. • Vicodin passes into breast milk and may affect a nursing infant. Do not take this medication without first talking to your doctor if you are breast-feeding a baby. • If you are younger than 18 years of age or older than 60 years of age, you may be more likely to experience side effects from Vicodin. Your doctor may prescribe a lower dose. How should I take Vicodin? • Take Vicodin exactly as directed by your doctor. If you do not understand these directions, ask your pharmacist, nurse, or doctor to explain them to you. • Take each dose with a full glass of water. • Take Vicodin with food or milk if it causes stomach upset. • To ensure that you get a correct dose, measure the liquid form of Vicodin with a special dose-measuring spoon or cup, not with a regular table spoon. If you do not have a dose-measuring device, ask your pharmacist where you can get one. • Hydrocodone is habit forming. It is possible become physically and/or psychologically dependent on the medication. Do not take more than the prescribed amount of medication or take it for longer than is directed by your doctor. Withdrawal effects may occur if Vicodin is stopped suddenly after several weeks of continuous use. Your doctor may recommend a gradual reduction in dose. • Vicodin may cause constipation. Drink plenty of water (six to eight full glasses a day) to lessen this side effect. Increased fiber in the diet may also help to alleviate constipation. • Store Vicodin at room temperature away from moisture and heat. What happens if I miss a dose? • Take the missed dose as soon as you remember. Do not take a double dose of this medication. Wait the prescribed amount of time before taking the next dose. What happens if I overdose? • Seek emergency medical attention if an overdose is suspected. • Symptoms of an Vicodin overdose may include slow breathing, seizures, dizziness, weakness, loss of consciousness, coma, confusion, tiredness, cold and clammy skin, small pupils, nausea, vomiting, and sweating. What should I avoid while taking Vicodin? • Avoid alcohol while taking Vicodin. Alcohol can increase drowsiness and dizziness caused by the medication, possibly resulting in unconsciousness and death. Also, acetaminophen can be damaging to the liver when taken with alcohol. • Vicodin may increase the effects of other drugs that cause drowsiness, including antidepressants, alcohol, antihistamines, pain relievers, anxiety medicines, seizure medicines, and muscle relaxants. Dangerous sedation, dizziness, or drowsiness may occur if Vicodin is taken with any of these medications. Tell your doctor about all medicines that you are taking, and do not take any medicine without first talking to your doctor. • Use caution when driving, operating machinery, or performing other hazardous activities. Hydrocodone may cause drowsiness or dizziness. If you experience drowsiness or dizziness, avoid these activities. • Other products may also contain acetaminophen, especially over-the-counter pain, fever, cold, and allergy medications. Do not take any other products that contain acetaminophen without first talking to your doctor. Too much acetaminophen can be dangerous. What are the possible side effects of Vicodin? • If you experience any of the following serious side effects, stop taking Vicodin and seek emergency medical attention or contact your doctor immediately: · an allergic reaction (difficulty breathing; closing of the throat; swelling of the lips, tongue, or face; or hives); · slow, weak breathing; · seizures; · cold, clammy skin; · severe weakness or dizziness; · unconsciousness; · yellowing of the skin or eyes; or · unusual fatigue, bleeding, or bruising. • Other, less serious side effects may be more likely to occur. Continue to take Vicodin and talk to your doctor if you experience · constipation; · dry mouth, nausea, vomiting, or decreased appetite; · dizziness, tiredness, or lightheadedness; · muscle twitches; · sweating; · itching; · decreased urination; or · decreased sex drive. • Hydrocodone is habit forming. It is possible become physically and/or psychologically dependent on the medication. Do not take more than the prescribed amount of medication or take it for longer than is directed by your doctor. Withdrawal effects may occur if Vicodin is stopped suddenly after several weeks of continuous use. Your doctor may recommend a gradual reduction in dose. • Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome. What other drugs will affect Vicodin? • Do not take Vicodin if you have taken a monoamine oxidase inhibitor (MAOI) such as isocarboxazid (Marplan), phenelzine (Nardil), or tranylcypromine (Parnate) in the last 14 days. Dangerous side effects could result. • Vicodin may increase the effects of other drugs that cause drowsiness, including antidepressants, alcohol, antihistamines, pain relievers, anxiety medicines, seizure medicines, and muscle relaxants. Dangerous sedation, dizziness, or drowsiness may occur if Vicodin is taken with any of these medications. Tell your doctor about all medicines that you are taking, and do not take any medicine without first talking to your doctor. • Other products may also contain acetaminophen, especially over-the-counter pain, fever, cold, and allergy medications. Do not take any other products that contain acetaminophen without first talking to your doctor. Too much acetaminophen can be dangerous. • Drugs other than those listed here may also interact with Vicodin. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines, including vitamins, minerals, and herbal products. Where can I get more information? • Your pharmacist has additional information about Vicodin written for health professionals that you may read. -------------------------------------------------------------------------------- • 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. • Every effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist. Vicodin Addiction: Vicodin Junkies ...Vicodin Junkies by Gina Silva Vicodin, it's the hot new drug for pain and pleasure and, now, more Southern Californians than ever are popping handfuls of these pills becoming Vicodin junkies. Some say it's harder to kick... http://www.opiates.com/media/vicodin-addiction-upn13.html Vicodin Addiction ...Vicodin Zydone Vicodin Vicodin® is the brand name for the combination of acetaminophen (Tylenol) and hydrocodone. Vicodin® is prescribed for moderate to moderately severe pain. Hydrocodone binds to the pain receptors in the... http://www.opiates.com/opiates/vicodin-addiction-detox.html Addicted to Vicodin ...Addicted to Vicodin Extra TV Broadcast Vicodin is the trendy pain pill that is getting Hollywood high. People are popping the drug at parties like candy. David Spade joked about the painkiller at the recent star- studded... http://www.opiates.com/media/vicodin-addiction-extra.html 'Friends' Star's Addiction to Vicodin is Latest Painful Hollywood Vice ...Addiction to Vicodin is Latest Painful Hollywood Vice by Ann Oldenburg The new celebrity drug of choice: Vicodin. Matthew Perry, who entered rehab almost two weeks ago, can't seem to kick it. Eminem has a Vicodin tattoo... http://www.opiates.com/media/vicodin-addiction-usatoday.html Lortab Addiction: Accidental Addict Recounts Ordeal ...But she couldn't bring herself to stop popping Lortab, an opiate similar to Vicodin. When she tried, she vomited and ached all over and had an unbearable craving for the drug, the 36-year-old teacher's aide recalled. One week after... http://www.opiates.com/media/accidental-addict-latimes.html 2004 Opiate Dependency Report - Waismann Institute ...on a survey conducted of patients receiving treatment for dependency to opiates such as painkillers OxyContin, Vicodin and Lortab, and the illegal narcotic heroin. "The results of our 2004 Opiate Dependency Report indicate that... http://www.opiates.com/media/drug-dependency-report-cbsmw.html Vicodin Detox Patient Testimonial ...Vicodin Detox Patient Testimonial This letter comes to you with my deepest gratitude and appreciation. You gave my my life back and words cannot express this. Dr. Bernstein, you are a very kind and caring man who... http://www.opiates.com/success/vicodin2.html Vicodin Detox Patient Testimonial ...Vicodin Detox Patient Testimonial How can I ever thank all of you enough for saving my life? From Clare and Deborah, who recognized the condition I was in and immediately set up my detox date, to Dr. Bernstein,... http://www.opiates.com/success/vicodin1.html Vicodin Detox Patient Testimonial ...Vicodin Detox Patient Testimonial How can I thank you ALL for your great care, amazing attention and kindness? I feel great and everybody notices how much better I look, after only 10 days! Please give my thanks to... http://www.opiates.com/success/vicodin3.html Vicodin Detox Patient Testimonial ...Vicodin Detox Patient Testimonial To all the staff at the Waismann Institute and the Tustin Hospital that made my procedure as comfortable as possible I would like to thank all of you. It's been almost a month... http://www.opiates.com/success/vicodin4.html How can I ever thank all of you enough for saving my life? From Clare and Deborah, who recognized the condition I was in and immediately set up my detox date, to Dr. Bernstein, Tony, and the staff at Tustin Hospital, especially Annette and Maravic. The "wild man" is no longer wild, but more importantly, I am no longer dependent upon the drugs that were killing me. On 9/10/02, the day after my detox, I walked into the bright sunshine and felt its warmth on my face. I knew then that I had a new life and a new beginning. There is much to be done to educate physicians about the pitfalls and dangers of Oxycodone and Vicodin. I have started the educational process with my own doctor and will do all I can to help those who are going where I have been. Sometimes the journey can be long and frustrating, but, thanks to you, the journey is one you never have to be afraid of or be alone. God bless all of you. Vicodin Vicodin® is the brand name for the combination of acetaminophen (Tylenol) and hydrocodone. Vicodin® is prescribed for moderate to moderately severe pain. Hydrocodone binds to the pain receptors in the brain so that the sensation of pain is reduced. Acetaminophen halts the production of prostaglandins which otherwise cause pain. Vicodin® is available in tablet, capsule, and liquid form and is taken every 4-6 hours by mouth. Since hydrocodone can be habit forming, care must be taken to follow the doctor's instructions when taking Vicodin®. Do not take a larger dose, or take it more frequently, or take it for longer than the doctor has prescribed. For more information, please call (310) 205-0808 or (888) 987-HOPE or send us a confidential email. Vicodin Junkies by Gina Silva Vicodin, it's the hot new drug for pain and pleasure and, now, more Southern Californians than ever are popping handfuls of these pills becoming Vicodin junkies. Some say it's harder to kick Vicodin than heroin. So, why are they doing it? And how are they getting it? Unit 13's going undercover to find out. For a migraine, there's Vicodin. For back pain, Vicodin. And for the hottest parties, more Vicodin. Doctors are prescribing these little white pills for all kinds of pain but somehow they're popping up on the party circuit. They're so addictive, many will do anything to get them. "At the height of my addiction I was taking up to 30 to 35 Vicodin, or lord tap, a day," said Jackie Stein. "My entire life became about pills. How to get them. How to make sure that I would have enough for the next day so I wouldn't get sick." Jackie Stein is just one of thousands who started taking Vicodin for pain and became addicted to it. It's fast become the drug of choice in Southern California. Everyone's doing it, from teenagers to soccer moms to high profile celebrities.. Friends star Matthew Perry and Melanie Griffith both battled an addiction to Vics. But many others aren't fighting the urge to pop a pill, they're partying hard! Rapper Emimen proudly displays his love for the drug with a Vicodin tattoo. Comedian David Spade recently joked on national television about those little white pills. "I'm fine I found ten Vicodin in my gift basket!" He said at the Golden Globes ceremonies. So why are Vicodin suddenly becoming the drug of choice? Well, unlike other drugs, Vicodin doesn't smell, they leave no residue and as you can see they are tiny they're also very easy to explain away if you're caught and they're easy to get. "Patients will try to work the system by seeing different physicians. They'll complain about pain to get the pain medication." Pharmacist Kimberly Ockrim says people often forge prescriptions and change the number of refills. Sometimes they get away with it, sometimes they don't and that's when their addiction brings them here to Tijuana. Unit 13 went undercover to find out how easy it is to score Vics. Right away, without a prescription, we were sold these blue pills for eight dollars a pop. Even though they look different, the pharmacist assures us the pills are Vicodin. But are they really? We sent them to a lab to get tested. The results? "This was the highest potency!" Pharmaceutical chemist Robert Vessiny says the pills are definitely Vicodin but at a dosage level so strong, it's scary. If someone takes three at once, like many people do, they could end up dead. "You can get what we call circulatory failure, cardiac arrest and it could be fatality." Vessiny says people need to stay away from Mexican Vicodin. But even the pills sold here in the U.S. can kill. "If a person takes too much Vicodin, they can have extreme liver damage." And kicking the habit isn't easy. Some say it's tougher to detox Vicodin than heroine. For Jackie Stein her recovery was a long and painful one. She hopes her story will stop others from suffering. "It can happen to anybody at anytime. Before you know it, it's out of your hands. For more information, please call (310) 205-0808 or (888) 987-HOPE or send us a confidential email. 'Friends' Star's Addiction to Vicodin is Latest Painful Hollywood Vice by Ann Oldenburg The new celebrity drug of choice: Vicodin. Matthew Perry, who entered rehab almost two weeks ago, can't seem to kick it. Eminem has a Vicodin tattoo on his arm and a picture of a Vicodin tablet on his Slim Shady LP. David Spade cracked a joke about it on the Golden Globes telecast. And Darryl Strawberry has had problems with the pills. "Who isn't doing them? Everyone who makes it starts popping them," says rocker Courtney Love in the new Us Weekly, which features a special report on the drug. "I did it. I loved it. I also ended up in rehab." Vicodin, which is part narcotic, part acetaminophen, is one of the country's most popular painkillers. But it's become such an abused drug that places like the Waismann Institute in Beverly Hills advertise special Vicodin detox programs. "We treat a lot of people from entertainment," CEO Clare W. Kavin tells USA TODAY. "What happens is patients start taking it and your body adapts to it very, very fast. It's a numbing device, and the more you take, the more you need. You stop producing endorphins because the body receives opiates instead." Waismann adds: "It does feel good. I have a lot of patients, like women who have gone through breast enlargement, and they're supposed to take one a day for five days and then they need two just to get to sleep. Then the two is not doing the job, and they're seeking more." The 31-year-old Perry was in Dallas filming "Servicing Sara" with Elizabeth Hurley, reports Us, when he had such severe stomach pains that he called a local doctor, who advised rehab. Perry, who did a 28- day program three years ago for a Vicodin addiction, flew to L.A. and checked into Marina del Rey's Daniel Freeman Hospital. Us says he was taking Vicodin, methadone and speed, and drinking. On Wednesday, Perry publicist Lisa Kasteler said only that her client "is in rehab." She was unable to say how long he would be there. For more information, please call (310) 205-0808 or (888) 987-HOPE or send us a confidential email.

Vicodin (Hydrocodone or dihydrocodeinone, not to be confused with dihydrocodeine) is most commonly seen as a white tablet with the name “Vicodin,” “Vicodin ES,” or “Vicodin HP” imprinted on one side. It shares its characteristics with many other drugs in chemistry and form; such drugs are also pain killers and may be marketed as Anexsia, Anolor DH5, Bancap HC, Dolacet, Lorcet 10/650, Lorcet HD, Lorcet Plus, Lortab, Lortab 10, Lortab 5/500, Lortab 7.5/500, Lortab Elixir, Norco, T-Gesic, Vicodin, Vicodin ES, Vicodin HP, and Zydone. [1] Contents [hide] 1 Manufacturers 2 Scheduling 3 Surgery 4 Interactions and contraindications 5 Use during pregnancy 6 Side effects 7 Overdose symptoms 8 Addiction 9 Withdrawal symptoms 10 Alcohol and abuse 11 Vicodin and popular culture 12 External links [edit] Manufacturers Manufacturers of Vicodin (generic or otherwise) include: Abbott Laboratories, Allscripts Healthcare Solutions LLC, Amerisource Health Services Corp, Cardinal Health, Drx Pharmaceutical Consultants Inc, Eckerd Corp, Hospira Inc, Knoll Laboratories Div Knoll Pharmaceutical Co, Pdrx Pharmaceuticals Inc, Physicians Total Care Inc, Rx Pak Div of Mckesson Corp, Sandhills Packaging Inc and Watson Labs. [2] At any rate, Vicodin production reportedly approaches 20 tons annually. [3] In the United States, Vicodin production is regulated in part by the Controlled Substances Act of 1970. This guarantees that all manufacturing, importing, possession, and distribution of drugs is to be looked over and regulated by the federal government who are also responsible (along with the Department of Justice and state governments) for the conviction and sentencing of anyone who breaks drug laws. [4] [edit] Scheduling Vicodin was put into Schedule III along with anabolic steroids, ketamine, paregoric, xyrem, marinol, and hydrocodone/codeine (when “compounded with an NSAID” or with paracetamol); these drugs have high psychological dependence and low to medium physical addiction. [5] [edit] Surgery Vicodin is most commonly prescribed for persons experiencing pain after surgery or intense pain. It helps calm a person down and increases their ability to relax and forget about painful ailments (which speeds up recovery). [edit] Interactions and contraindications Drugs that should be avoided in order to decrease the chance of side effects are isocarboxazid (Marplan), phenelzine (Nardil), tranylcypromine (Parnate), or other monoamine oxidase inhibitors (MAOI’s) 14 days prior to use. Acetaminophen should also be avoided so as to decrease chances of destroying the liver. In addition, alcohol increases the drowsiness already caused by Vicodin and may result in a person to become unconscious or much worse, dead. Aside from alcohol, other drugs that induce drowsiness should also be avoided (i.e. antidepressants, antihistamines, pain killers, muscle relaxants, etc.) so as to decrease chances of contacting Vicodin’s severe side effects. Furthermore, if a person experiences Addison’s Disease, kidney disease, gallbladder disease, liver disease, complications with the thyroid, severe head injuries, asthma or alcohol abuse Vicodin should not be taken for fear of worsening the condition. Vicodin is also not recommended for people under 18 or over 60 years of age. [edit] Use during pregnancy The Food and Drug Administration (FDA) has put Vicodin in category C. This category includes any and all drugs which have not been put to the test in pregnancies therefore the effects of the drug on newborns have not been determined. But the FDA does ensure a warning to breastfeeding mothers telling them that Vicodin does pass into breast milk, which can have adverse effects on nursing babies. [6] [edit] Side effects Side effects for Vicodin include an allergic reaction, weak breathing, seizures, clammy skin, severe weakness, dizziness, unconsciousness, yellowing of eyes or skin, unusual fatigue, bleeding, or bruising, constipation, dry mouth, nausea, vomiting, decreased appetite, muscle twitches, sweating, itching, hearing loss, decreased urination, and decreased sex drive. [7] Vicodin (in terms of hydrocodone) also has depressant effects on the central nervous system. [8] However, some of the less mundane effects can be desirable effects that are sought after by many drug addict victims. Those effects include a great euphoria and drowsiness, as well as slowing the pulse.[9] Vicodin has also been linked to causing stomach ulcers [edit] Overdose symptoms Symptoms of a Vicodin overdose may include slow breathing, cold and clammy skin, dizziness, weakness, loss of consciousness, confusion, small pupils, tiredness, coma, nausea, seizures, vomiting, and sweating as well as death. [10] [edit] Addiction People using Vicodin after the cause for its use has abated will most likely become dependent. Addiction for Vicodin is similar to other powerful addictions; cravings for the drug take hold of a person and may even supersede a person’s need for food or water.[11] The hydrocodone component of Vicodin is the reason for its abuse. Hydrocodone is derived from an opiate, the chemical effects of which are similar to those of heroin and are highly addictive. It increases the activity of the neurotransmitter dopamine, which causes a strong euphoria that many find pleasurable. [12] This pleasurable feeling is so addictive that some believe a person may become dependent within the first week of taking the drug. [13] [edit] Withdrawal symptoms Withdrawal symptoms are mostly physical, and can range from simple diarrhea and vomiting to cold flashes, muscle pain, bone pain, and restlessness. [14] [edit] Alcohol and abuse Vicodin's effects of disorientation, relaxation, and euphoria have been tampered with by mixing them with other drugs, but the most common method has been by mixing them with alcohol. Combined, the drunken effects of alcohol are heightened and brought upon faster. The Do It Now Foundation states that, "Vicodin and other prescription narcotics constitute the most-abused group of prescription drugs, according to the National Household Survey, released in 2001. Of the four million Americans who reported misusing prescription drugs the previous year, nearly 65 percent misused prescription pain relievers. Vicodin use has soared in recent years, partly fueled by the fame of its star user base." The number of 12-17 year-old users jumped 127 percent between 1996 and 2000, according to one national survey. [15] [edit] Vicodin and popular culture Like Quaalude and Valium in the 1970's, Vicodin has become not just a drug but a symbol, and its presence in a lyric or a screenplay can be seen as a comment on the obsessions of the early twenty-first century. Some of the places where the brand name has appeared in popular culture include: In the television series House, Gregory House (played by Hugh Laurie) is a brilliant but difficult doctor who takes massive amounts of Vicodin to manage chronic pain. The relevance of particular information in (or previously in) this article or section is disputed. The information may have been removed or included by an editor as a result. Please see discussion on the talk page considering whether its inclusion is warranted. In the short-lived, controversial television series The Book of Daniel, Aidan Quinn plays an Episcopal priest who is hooked on Vicodin. The song "Company" by Third Eye Blind features the lyric "Mix it up with Vicodin/ 'Cause anything's better than this". The metalcore band Atreyu have a song called "Five Vicodin Chased with a Shot of Clarity". Terra Naomi, the singer-songwriter, recorded a "Vicodin Song" which includes the lyric "I've got Vicodin, do you want to come over?" The CD art of Eminem's album The Slim Shady LP features a Vicodin tablet. Several songs by Eminem mention Vicodin. In the song "Feel Good Hit of the Summer" by Queens of the Stone Age, the phrase "Nicotine, Valium, Vicodin, marijuana, ecstasy and alcohol. Cocaine" is repeated over the song. The song "Diary Of A San Fernando Sexx Star" by Butch Walker has the lyric "So you popped a Vicodin and ran away from everyone, and everything you thought you knew." Bill Engvall has a joke called 'Vicodinland', an amusing account of his time on Vicodin after his hernia. In the television series Six Feet Under, Ruth's sister, Sarah, experiences withdrawal symptoms while trying to break her Vicodin addiction. During Season 2 of the television series Rescue Me, Franco gets hooked on Vicodin. ECW wrestlers Rob Van Dam and Sabu were arrested in possession of the drug. Vicodin is mentioned throughout Chuck Palahniuk's novel Invisible Monsters with multiple characters addicted to the drug. In Episode 220 of the television series Alias, Marcus Dixon admits to taking Vicodin. In the electro-pop song "Champagne" by Amanda Lepore, the lyrics include "I drink Champagne like Marilyn and use it to wash down my Vicodin" The song "Emma" by punk band Alkaline Trio includes the lyric "We washed it down the drain, with one silver bullet and two Vicodin." It is also the theme of their song "Take Lots With Alcohol" Both NFL star Brett Favre and radio personality Rush Limbaugh gained additional notoriety for admitting addiction to the drug. The song "Painkillers" by Everlast includes the lines "And every night I think I might never rock the mic again /'Cause my brain's fucked up on Percocet and Vicodin / Might as well be heroin pulsin' through my veins." [edit] External links Vicodin This page contains drug information on Vicodin. The information provided includes the following: what is Vicodin the possible side effects of Vicodin what happens if you miss a dose of Vicodin what happens if you overdose with Vicodin the most important information about Vicodin how to use Vicodin other drugs that may affect Vicodin what to avoid while using Vicodin Generic Name: acetaminophen and hydrocodone (ah see ta MIH no fen and hye dro KOE done) Brand Names: Anexsia, Anolor DH5, Bancap HC, Dolacet, Lorcet 10/ 650, Lorcet HD, Lorcet Plus, Lortab, Lortab 10, Lortab 5/ 500, Lortab 7.5/ 500, Lortab Elixir, Norco, T-Gesic, Vicodin, Vicodin ES, Vicodin HP, Zydone What is the most important information I should know about acetaminophen and hydrocodone? • Hydrocodone is habit forming. It is possible become physically and/ or psychologically dependent on the medication. Do not take more than the prescribed amount of medication or take it for longer than is directed by your doctor. Withdrawal effects may occur if acetaminophen and hydrocodone is stopped suddenly after several weeks of continuous use. Your doctor may recommend a gradual reduction in dose. • Avoid alcohol while taking acetaminophen and hydrocodone. Alcohol can increase drowsiness and dizziness caused by the medication, possibly resulting in unconsciousness and death. Also, acetaminophen can be damaging to the liver when taken with alcohol. • Acetaminophen and hydrocodone may increase the effects of other drugs that cause drowsiness, including antidepressants, alcohol, antihistamines, pain relievers, anxiety medicines, seizure medicines, and muscle relaxants. Dangerous sedation, dizziness, or drowsiness may occur if acetaminophen and hydrocodone is taken with any of these medications. Tell your doctor about all medicines that you are taking, and do not take any medicine without first talking to your doctor. • Acetaminophen and hydrocodone may cause constipation. Drink plenty of water (six to eight full glasses a day) to lessen this side effect. Increased fiber in the diet may also help to alleviate constipation. What is acetaminophen and hydrocodone? • Hydrocodone (related to codeine) is in a class of drugs called narcotic analgesics. It relieves pain. • Acetaminophen is a less potent pain reliever that increases the effects of hydrocodone. • Together, acetaminophen and hydrocodone are used to relieve moderate-to-severe pain. • Acetaminophen and hydrocodone may also be used for purposes other than those listed in this medication guide. What should I discuss with my healthcare provider before taking acetaminophen and hydrocodone? • Before taking this medication, tell your doctor if you have · a history of alcohol or drug abuse; · kidney disease; · liver disease; · asthma; · urinary retention; · an enlarged prostate; · hypothyroidism; · seizures or epilepsy; · gallbladder disease; · a head injury; or · Addison's disease. • You may not be able to take acetaminophen and hydrocodone, or you may require a dosage adjustment or special monitoring during treatment if you have any of the conditions listed above. • Acetaminophen and hydrocodone is in the FDA pregnancy category C. This means that it is not known whether it will be harmful to an unborn baby. Do not take this medication without first talking to your doctor if you are pregnant or could become pregnant during treatment. • Acetaminophen and hydrocodone passes into breast milk and may affect a nursing infant. Do not take this medication without first talking to your doctor if you are breast-feeding a baby. • If you are younger than 18 years of age or older than 60 years of age, you may be more likely to experience side effects from acetaminophen and hydrocodone. Your doctor may prescribe a lower dose. How should I take acetaminophen and hydrocodone? • Take acetaminophen and hydrocodone exactly as directed by your doctor. If you do not understand these directions, ask your pharmacist, nurse, or doctor to explain them to you. • Take each dose with a full glass of water. • Take acetaminophen and hydrocodone with food or milk if it causes stomach upset. • To ensure that you get a correct dose, measure the liquid form of acetaminophen and hydrocodone with a special dose-measuring spoon or cup, not with a regular table spoon. If you do not have a dose-measuring device, ask your pharmacist where you can get one. • Hydrocodone is habit forming. It is possible become physically and/ or psychologically dependent on the medication. Do not take more than the prescribed amount of medication or take it for longer than is directed by your doctor. Withdrawal effects may occur if acetaminophen and hydrocodone is stopped suddenly after several weeks of continuous use. Your doctor may recommend a gradual reduction in dose. • Acetaminophen and hydrocodone may cause constipation. Drink plenty of water (six to eight full glasses a day) to lessen this side effect. Increased fiber in the diet may also help to alleviate constipation. • Store acetaminophen and hydrocodone at room temperature away from moisture and heat. What happens if I miss a dose? • Take the missed dose as soon as you remember. Do not take a double dose of this medication. Wait the prescribed amount of time before taking the next dose. What happens if I overdose? • Seek emergency medical attention if an overdose is suspected. • Symptoms of an acetaminophen and hydrocodone overdose may include slow breathing, seizures, dizziness, weakness, loss of consciousness, coma, confusion, tiredness, cold and clammy skin, small pupils, nausea, vomiting, and sweating. What should I avoid while taking acetaminophen and hydrocodone? • Avoid alcohol while taking acetaminophen and hydrocodone. Alcohol can increase drowsiness and dizziness caused by the medication, possibly resulting in unconsciousness and death. Also, acetaminophen can be damaging to the liver when taken with alcohol. • Acetaminophen and hydrocodone may increase the effects of other drugs that cause drowsiness, including antidepressants, alcohol, antihistamines, pain relievers, anxiety medicines, seizure medicines, and muscle relaxants. Dangerous sedation, dizziness, or drowsiness may occur if acetaminophen and hydrocodone is taken with any of these medications. Tell your doctor about all medicines that you are taking, and do not take any medicine without first talking to your doctor. • Use caution when driving, operating machinery, or performing other hazardous activities. Hydrocodone may cause drowsiness or dizziness. If you experience drowsiness or dizziness, avoid these activities. • Other products may also contain acetaminophen, especially over-the-counter pain, fever, cold, and allergy medications. Do not take any other products that contain acetaminophen without first talking to your doctor. Too much acetaminophen can be dangerous. What are the possible side effects of acetaminophen and hydrocodone? • If you experience any of the following serious side effects, stop taking acetaminophen and hydrocodone and seek emergency medical attention or contact your doctor immediately: · an allergic reaction (difficulty breathing; closing of the throat; swelling of the lips, tongue, or face; or hives); · slow, weak breathing; · seizures; · cold, clammy skin; · severe weakness or dizziness; · unconsciousness; · yellowing of the skin or eyes; or · unusual fatigue, bleeding, or bruising. • Other, less serious side effects may be more likely to occur. Continue to take acetaminophen and hydrocodone and talk to your doctor if you experience · constipation; · dry mouth, nausea, vomiting, or decreased appetite; · dizziness, tiredness, or lightheadedness; · muscle twitches; · sweating; · itching; · decreased urination; or · decreased sex drive. • Hydrocodone is habit forming. It is possible become physically and/ or psychologically dependent on the medication. Do not take more than the prescribed amount of medication or take it for longer than is directed by your doctor. Withdrawal effects may occur if acetaminophen and hydrocodone is stopped suddenly after several weeks of continuous use. Your doctor may recommend a gradual reduction in dose. • Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome. What other drugs will affect acetaminophen and hydrocodone? • Do not take acetaminophen and hydrocodone if you have taken a monoamine oxidase inhibitor (MAOI) such as isocarboxazid (Marplan), phenelzine (Nardil), or tranylcypromine (Parnate) in the last 14 days. Dangerous side effects could result. • Acetaminophen and hydrocodone may increase the effects of other drugs that cause drowsiness, including antidepressants, alcohol, antihistamines, pain relievers, anxiety medicines, seizure medicines, and muscle relaxants. Dangerous sedation, dizziness, or drowsiness may occur if acetaminophen and hydrocodone is taken with any of these medications. Tell your doctor about all medicines that you are taking, and do not take any medicine without first talking to your doctor. • Other products may also contain acetaminophen, especially over-the-counter pain, fever, cold, and allergy medications. Do not take any other products that contain acetaminophen without first talking to your doctor. Too much acetaminophen can be dangerous. • Drugs other than those listed here may also interact with acetaminophen and hydrocodone. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines, including vitamins, minerals, and herbal products. Where can I get more information? Hydrocodone is a semisynthetic narcotic analgesic and antitussive with multiple actions qualitatively similar to those of codeine. Most of these involve the central nervous system and smooth muscle. 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. In addition to analgesia, narcotics may produce drowsiness, changes in mood and mental clouding. The analgesic action of acetaminophen involves peripheral influences, but the specific mechanism is as yet undetermined. Antipyretic activity is mediated through hypothalamic heat regulating centers. Acetaminophen inhibits prostaglandin synthetase. Therapeutic doses of acetaminophen have negligible effects on the cardiovascular or respiratory systems; however, toxic doses may cause circulatory failure and rapid, shallow breathing. Pharmacokinetics: The behavior of the individual components is described below. Hydrocodone : Following a 10 mg oral dose of hydrocodone administered to five adult male subjects, the mean peak concentration was 23.6 ± 5.2ng/mL. Maximum serum levels were achieved at 1.3 ± 0.3 hours and the half-life was determined to be 3.8 ± 0.3 hours. Hydrocodone exhibits a complex pattern of metabolism including O-demethylation, N-demethylation and 6-keto reduction to the corresponding 6-(alpha)- and 6-(beta)- hydroxy- metabolites. See OVERDOSAGE for toxicity information. Acetaminophen : Acetaminophen is rapidly absorbed from the gastrointestinal tract and is distributed throughout most body tissues. The plasma half-life is 1.25 to 3 hours, but may be increased by liver damage and following overdosage. Elimination of acetaminophen is principally by liver metabolism (conjugation) and subsequent renal excretion of metabolites. Approximately 85% of an oral dose appears in the urine within 24 hours of administration, most as the glucuronide conjugate, with small amounts of other conjugates and unchanged drug. See OVERDOSAGE for toxicity information. INDICATIONS AND USAGE VICODIN HP Tablets are indicated for the relief of moderate to moderately severe pain. CONTRAINDICATIONS This product should not be administered to patients who have previously exhibited hypersensitivity to hydrocodone or acetaminophen. Patients known to be hypersensitive to other opioids may exhibit cross-sensitivity to hydrocodone. WARNINGS Respiratory Depression: At high doses or in sensitive patients, hydrocodone may produce dose-related respiratory depression by acting directly on the brain stem respiratory center. 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 preexisting 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. PRECAUTIONS General: Special Risk Patients : As with any narcotic analgesic agent, VICODIN HP Tablets should be used with caution in elderly or debilitated patients, and those with severe impairment of hepatic or renal function, hypothyroidism, Addison's disease, prostatic hypertrophy or urethral stricture. The usual precautions should be observed and the possibility of respiratory depression should be kept in mind. Cough Reflex : Hydrocodone suppresses the cough reflex; as with all narcotics, caution should be exercised when VICODIN HP Tablets are used postoperatively and in patients with pulmonary disease. Information for Patients: Hydrocodone, like all narcotics, may impair the mental and/or physical abilities required for the performance of potentially hazardous tasks such as driving a car or operating machinery; patients should be cautioned accordingly. Alcohol and other CNS depressants may produce an additive CNS depression, when taken with this combination product, and should be avoided. Hydrocodone may be habit forming. Patients should take the drug only for as long as it is prescribed, in the amounts prescribed, and no more frequently than prescribed. Laboratory Tests: In patients with severe hepatic or renal disease, effects of therapy should be monitored with serial liver and/or renal function tests. Drug Interactions: Patients receiving narcotics, antihistamines, antipsychotics, antianxiety agents, or other CNS depressants (including alcohol) concomitantly with VICODIN HP Tablets may exhibit an additive CNS depression. 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. Drug/Laboratory Test Interactions: Acetaminophen may produce false-positive test results for urinary 5-hydroxyindoleacetic acid. 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.VICODIN HP Tablets should be used during pregnancy only if the potential benefit justifies the potential risk to the fetus. 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 VICODIN HP Tablets 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 the pediatric population have not been established. Geriatric Use: Clinical studies of VICODIN HP® (hydrocodone bitartrate and acetaminophen 10 mg/660 mg) did not include sufficient numbers of subjects aged 65 and over to determine whether they respond differently from younger subjects. Other reported clinical experience has not identified differences in responses between the elderly and younger patients. In general, dose selection for an elderly patient should be cautious, usually starting at the low end of the dosing range, reflecting the greater frequency of decreased hepatic, renal, or cardiac function, and of concomitant disease or other drug therapy. ADVERSE REACTIONS The most frequently reported adverse reactions are lightheadedness, dizziness, sedation, nausea and vomiting. 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. Other adverse reactions include: Central Nervous System: Drowsiness, mental clouding, lethargy, impairment of mental and physical performance, anxiety, fear, dysphoria, psychic dependence, mood changes. Gastrointestinal System: Prolonged administration of VICODIN HP Tablets may produce constipation. Genitourinary System: Ureteral spasm, spasm of vesical sphincters and urinary retention have been reported with opiates. Respiratory Depression: Hydrocodone bitartrate may produce dose-related respiratory depression by acting directly on the brain stem respiratory centers (see OVERDOSAGE ). Special Senses: Very rare cases of hearing impairment or loss have been reported in patients predominantly receiving very high doses of hydrocodone/acetaminophen for long periods of time. Dermatological: Skin rash, pruritus. The following adverse drug events may be borne in mind as potential effects of acetaminophen: allergic reactions, rash, thrombocytopenia, agranulocytosis. Potential effects of high dosage are listed in the OVERDOSAGE section. DRUG ABUSE AND DEPENDENCE Controlled Substance: VICODIN HP Tablets are classified as a Schedule CIII controlled substance. Abuse and Dependence: Psychic dependence, physical dependence, and tolerance may develop upon repeated administration of narcotics; therefore, VICODIN HP Tablets should be prescribed and administered with caution. However, psychic dependence is unlikely to develop when VICODIN HP Tablets are used for a short time for the treatment of pain. 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. OVERDOSAGE Following an acute overdosage, toxicity may result from hydrocodone or acetaminophen. Signs and Symptoms: Hydrocodone : Serious overdose with hydrocodone is characterized by respiratory depression (a decrease in respiratory rate and/or tidal volume, Cheyne-Stokes respiration, cyanosis), extreme somnolence progressing to stupor or coma, skeletal muscle flaccidity, cold and clammy skin, and sometimes bradycardia and hypotension. In severe overdosage, apnea, circulatory collapse, cardiac arrest and death may occur. Acetaminophen : In acetaminophen overdosage: dose-dependent, potentially fatal hepatic necrosis is the most serious adverse effect. Renal tubular necrosis, hypoglycemic coma, and thrombocytopenia may also occur. Early symptoms following a potentially hepatotoxic overdose may include: nausea, vomiting, diaphoresis and general malaise. Clinical and laboratory evidence of hepatic toxicity may not be apparent until 48 to 72 hours post-ingestion. In adults, hepatic toxicity has rarely been reported with acute overdoses of less than 10 grams, or fatalities with less than 15 grams. Treatment: A single or multiple overdose with hydrocodone and acetaminophen is a potentially lethal polydrug overdose, and consultation with a regional poison control center is recommended. Immediate treatment includes support of cardiorespiratory function and measures to reduce drug absorption. Vomiting should be induced mechanically, or with syrup of ipecac, if the patient is alert (adequate pharyngeal and laryngeal reflexes). Oral activated charcoal (1 g/kg) should follow gastric emptying. The first dose should be accompanied by an appropriate cathartic. If repeated doses are used, the cathartic might be included with alternate doses as required. Hypotension is usually hypovolemic and should respond to fluids. Vasopressors and other supportive measures should be employed as indicated. A cuffed endo-tracheal tube should be inserted before gastric lavage of the unconscious patient and, when necessary, to provide assisted respiration. Meticulous attention should be given to maintaining adequate pulmonary ventilation. In severe cases of intoxication, peritoneal dialysis, or preferably hemodialysis may be considered. If hypoprothrombinemia occurs due to acetaminophen overdose, vitamin K should be administered intravenously. Naloxone, a narcotic antagonist, can reverse respiratory depression and coma associated with opioid overdose. Naloxone hydrochloride 0.4 mg to 2 mg is given parenterally. Since the duration of action of hydrocodone may exceed that of the naloxone, the patient should be kept under continuous surveillance and repeated doses of the antagonist should be administered as needed to maintain adequate respiration. A narcotic antagonist should not be administered in the absence of clinically significant respiratory or cardiovascular depression. If the dose of acetaminophen may have exceeded 140 mg/kg, acetylcysteine should be administered as early as possible. Serum acetaminophen levels should be obtained, since levels four or more hours following ingestion help predict acetaminophen toxicity. Do not await acetaminophen assay results before initiating treatment. Hepatic enzymes should be obtained initially, and repeated at 24-hour intervals. Methemoglobinemia over 30% should be treated with methylene blue by slow intravenous administration. The toxic dose for adults for acetaminophen is 10 g. DOSAGE AND ADMINISTRATION Dosage should be adjusted according to severity of pain and the response of the patient. However, it should be kept in mind that tolerance to hydrocodone can develop with continued use and that the incidence of untoward effects is dose related. The usual adult dosage is one tablet every four to six hours as needed for pain. The total daily dosage should not exceed 6 tablets. HOW SUPPLIED VICODIN HP® (hydrocodone bitartrate and acetaminophen, 10 mg/660 mg) is supplied as a white, oval-shaped, tablet bisected on one side and debossed with "VICODIN HP" on the other side. Bottles of 100-NDC #0074-2274-14 Bottles of 500-NDC #0074-2274-54 Storage: Store at 25°C (77°F); excursions permitted to 15°-30°C (59°-86°F). [see USP Controlled Room Temperature]. Dispense in a tight, light-resistant container as defined in the USP. A Schedule CIII Controlled Drug Substance. ©Abbott Ref. 03-5164-R1 Revised: November, 2001 Abbott Laboratories North Chicago, IL 60064, U.S.A. PRODUCT PHOTO(S): NOTE: These photos can be used only for identification by shape, color, and imprint. They do not depict actual or relative size. The product samples shown here have been supplied by the manufacturer and reproduced in full color by PDR as a quick-reference identification aid. While every effort has been made to assure accurate reproduction, please remember that any visual identification should be considered preliminary. In cases of poisoning or suspected overdosage, the drug's identity should be verified by chemical analysis. The information contained in the Thomson Healthcare (Micromedex) products as delivered by Drugs.com is intended as an educational aid only. It is not intended as medical advice for individual conditions or treatment. It is not a substitute for a medical exam, nor does it replace the need for services provided by medical professionals. Talk to your doctor, nurse or pharmacist before taking any prescription or over the counter drugs (including any herbal medicines or supplements) or following any treatment or regimen. Only your doctor, nurse, or pharmacist can provide you with advice on what is safe and effective for you. The use of the Thomson Healthcare products is at your sole risk. These products are provided "AS IS" and "as available" for use, without warranties of any kind, either express or implied. Thomson Healthcare and Drugs.com make no representation or warranty as to the accuracy, reliability, timeliness, usefulness or completeness of any of the information contained in the products. Additionally, THOMSON HEALTHCARE MAKES NO REPRESENTATION OR WARRANTIES AS TO THE OPINIONS OR OTHER SERVICE OR DATA YOU MAY ACCESS, DOWNLOAD OR USE AS A RESULT OF USE OF THE THOMSON HEALTHCARE PRODUCTS. ALL IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE OR USE ARE HEREBY EXCLUDED. Thomson Healthcare does not assume any responsibility or risk for your use of the Thomson Healthcare products. Hydrocodone bitartrate and acetaminophen is supplied in tablet form for oral administration. Hydrocodone bitartrate is an opioid analgesic and antitussive and occurs as fine, white crystals or as a crystalline powder. It is affected by light. The chemical name is 4,5a-Epoxy-3-methoxy-17-methylmorphinan-6-one tartrate (1:1) hydrate (2:5). It has the following structural formula: Hydrocodone bitartrate and acetaminophen is supplied in tablet form for oral administration. Hydrocodone bitartrate is an opioid analgesic and antitussive and occurs as fine, white crystals or as a crystalline powder. It is affected by light. The chemical name is 4,5a-Epoxy-3-methoxy-17-methylmorphinan-6-one tartrate (1:1) hydrate (2:5). It has the following structural formula: Vicodin addiction is an extremely powerful disease that affects the lives of many Americans each year; however, with proper treatment vicodin addiction can be overcome. In recent years prescription drug abuse and addiction has been on the rise but denial around the issue of addiction also continues to persist. Vicodin addiction is the obsessive-compulsive misuse of a mood-altering drug. In this sense, misuse means using the drug without the authorization of a medical profession, or using the drug when it is no longer needed as prescribed. Vicodin addiction can have devastating effects on a person's mind and body. Prescription drug addiction, and vicodin addiction in particular, is very problematic since originally the drugs were prescribed by a doctor. In many cases people who have become addicted to vicodin are in denial that they have a problem and they rationalize their use by saying things like, "I'm taking it for the pain", or "the doctor said I could take a few extra". Vicodin produces a euphoric feeling, relaxing both the physical body and the mind, as well as relieving pain. Vicodin addiction is extremely common among prescription drug users, most likely because it is readily prescribed for many different types of pain problems. Some prescription drug users do not intend to get hooked on the medicine, but when their prescription runs out they begin to obsess about how they are going to obtain more and more of the drug. Vicodin addicts find that they cannot longer function normally without the drug and that even though the pain is gone, vicodin produces an effect in them that they feel they cannot live without. People suffering from vicodin addiction start looking to outside sources for more prescriptions and are willing to go to great lengths to get more drugs. Vicodin addiction is often seen a less serious condition than addiction to illicit street drugs or alcohol. This is because vicodin is prescribed by a physician and also because vicodin is not seen as causing the same negative problems as other drugs. This misconception often leads vicodin addicts and their loved ones to believe that they do not need to seek treatment. All mind altering substances affect the way that the brain functions, and in the case of vicodin, the brain stops producing chemicals like endorphins. Because the brain has stopped producing these essential chemicals, the body feels that it is unable to function without the use of the drug. A person who suffers from vicodin addiction has become dependent upon the drug and will go into withdrawal and cravings if he/she cannot acquire anymore. Vicodin addiction affects the mental, emotional, physical and spiritual aspects of a person's life. In addition, vicodin addiction can tear apart families, ruin relationships and leave lives in shambles. Many people who are addicted to vicodin want to stop but find that they are unable to live without the drug. By understanding the devious nature of vicodin addiction, helping yourself or someone you love is a much easier task. Freedom from vicodin addiction is possible. Seeking drug abuse treatment is the best course of action for anyone who has a problem with drugs or alcohol. During the initial phase of vicodin addiction treatment, the addict will undergo the detoxification process, to cleanse the physical body of the drug and make the person ready for further treatment. The treatment program will give the addict tools and resources to live without the use of vicodin. If you or someone you love has a vicodin addiction, there is hope. At Spencer Recovery Centers we offer the best in drug addiction and alcoholism recovery programs. Our serene environment, trained specialists and highly successful treatment methods help to ensure lasting sobriety. Please give us a call; a new life is just a phone call away.

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Sponsored by: http://www.reliable-online-drugs.com (Ads by Yahoo Vicodin 5-500mg (10 tabs) $12.92 Vicodin 5-500mg (20 tabs) $16.92 Vicodin 5-500mg (30 tabs) $23.92 Vicodin ES 7.5-750mg (10 tabs) $12.92 Vicodin ES 7.5-750mg (20 tabs) $17.92 Vicodin ES 7.5-750mg (30 tabs) $26.92 ACETAMINOPHEN-HYDROCODONE (Lortab®, Lorcet®, Vicodin®, and others) is a combination of two different types of pain medicine and is used to treat moderate to severe pain. Federal law prohibits the transfer of acetaminophen-hydrocodone to any person other than the patient for whom it was prescribed. Generic acetaminophen-hydrocodone tablets and capsules are available. Acetaminophen-hydrocodone is also available as caplets. What should my health care professional know before I take acetaminophen-hydrocodone? They need to know if you have any of these conditions:; drink more than 3 alcohol-containing drinks per day; anemia; infection; heart or circulation problems; lung disease or breathing difficulties; kidney disease; liver disease; problems urinating; seizures or other neurologic disorders; hepatitis; constipation; an unusual or allergic reaction to acetaminophen, hydrocodone, other opioid analgesics, foods, dyes or preservatives; pregnant or trying to get pregnant; breast-feeding How should I take this medicine? Take acetaminophen-hydrocodone tablets or capsules by mouth. Follow the directions on the prescription label. Swallow the tablets whole with a full glass of water. You can take acetaminophen-hydrocodone with food to prevent stomach upset. Do not take your medicine more often than directed. Contact your pediatrician or health care professional regarding the use of this medicine in children. Special care may be needed. Do not share this medicine with anyone. What if I miss a dose? If you miss a dose, take it as soon as you can. If it is almost time for your next dose, take only that dose. Do not take double or extra doses. What drug(s) may interact with acetaminophen-hydrocodone?; medicines for seizures; medicines for high blood pressure; alcohol; warfarin; cimetidine; antacids Because acetaminophen-hydrocodone can cause drowsiness, other medicines that also cause drowsiness may increase this effect of acetaminophen-hydrocodone. Some other medicines that cause drowsiness are:; alcohol-containing medicines; barbiturates such as phenobarbital; certain antidepressants or tranquilizers; muscle relaxants; certain antihistamines used in cold medicines Tell your prescriber or health care professional about all other medicines you are taking, including non-prescription medicines, nutritional supplements, or herbal products. Also tell your prescriber or health care professional if you are a frequent user of drinks with caffeine or alcohol, if you smoke, or if you use illegal drugs. These may affect the way your medicine works. Check with your health care professional before stopping or starting any of your medicines. What side effects may I notice from taking acetaminophen-hydrocodone? Elderly patients are more likely to get side effects. Side effects that you should report to your prescriber or health care professional as soon as possible:; chest pain or irregular heartbeat; difficulty breathing, wheezing; severe rash; cold, clammy skin; unusual weakness; fever, chills, muscle aches and pains Side effects that usually do not require medical attention (report to your prescriber or health care professional if they continue or are bothersome):; constipation; dizziness, drowsiness; confusion; gas or heartburn; nausea, vomiting; dry mouth; itching; flushing; pinpoint pupils What should I watch for while taking acetaminophen-hydrocodone? Tell your prescriber or health care professional if your pain does not go away, if it gets worse, or if you have new or different type of pain. Do not take other pain medicines with acetaminophen-hydrocodone without advice. Use exactly as directed by your prescriber or health care professional. Do not take more than the recommended dose due to the possibility of liver damage or effects on your breathing. If you get flu-like symptoms (fever, chills, muscle aches and pains), call your prescriber or health care professional; do not treat yourself. If you are receiving cancer chemotherapy or other immunosuppression medicine, do not take acetaminophen with out checking with your prescriber or health care professional. Acetaminophen may hide the signs of an infection such as fever or pain. To reduce unpleasant effects on your throat and stomach, take acetaminophen-hydrocodone with a full glass of water and never just before lying down. You may also take it with food or milk. Acetaminophen-hydrocodone may make you drowsy when you first start taking it or change doses. Do not drive, use machinery, or do anything that needs mental alertness until you know how acetaminophen-hydrocodone affects you. Do not sit or stand up quickly. This reduces the risk of dizzy or fainting spells. These effects may be worse if you are an older patient. The drowsiness should decrease after taking acetaminophen-hydrocodone for a couple of days. If you have not slept because of your pain, you may sleep more the first few days your pain is controlled to catch-up on missed sleep. Be careful taking other medicines that may also make you tired. This effect may be worse when taking these medicines with acetaminophen-hydrocodone. Alcohol can increase possible drowsiness, dizziness, confusion and affect your breathing. Alcohol can increase possible damage to your liver. Avoid alcohol while taking acetaminophen-hydrocodone. Acetaminophen-hydrocodone can cause constipation. Make sure to take a laxative and/or a stool softener. Try to have a bowel movement at least every 2-3 days. If you do not have a bowel movement for 3 days or more call your prescriber or health care professional. They may recommend using an enema or suppository to help you move your bowels. Many non-prescription medicines contain acetaminophen as an ingredient. Always read the labels carefully to avoid taking an accidental overdose, which can be dangerous. Acetaminophen can affect the results from some blood sugar tests used by diabetic patients. Check with your prescriber or health care professional before you change your diet or the dose of your diabetic medicine. If you are going to have surgery tell your prescriber or health care professional that you are taking acetaminophen-hydrocodone. Where can I keep my medicine? Keep out of the reach of children in a container that small children cannot open. Do not share or give this medicine to anyone else. Avoid accidental swallowing of acetaminophen-hydrocodone by someone (especially children) other than for whom it was prescribed as this may result in severe side effects and possibly death. Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F). Protect from light. Keep container tightly closed. Throw away any unused medicine after the expiration date. ETAMINOPHEN-HYDROCODONE (Lortab®, Lorcet®, Vicodin®, and others) is a combination of two different types of pain medicine and is used to treat moderate to severe pain. Federal law prohibits the transfer of acetaminophen-hydrocodone to any person other than the patient for whom it was prescribed. Generic acetaminophen-hydrocodone tablets and capsules are available. Acetaminophen-hydrocodone is also available as caplets. What should my health care professional know before I take acetaminophen-hydrocodone? They need to know if you have any of these conditions:; drink more than 3 alcohol-containing drinks per day; anemia; infection; heart or circulation problems; lung disease or breathing difficulties; kidney disease; liver disease; problems urinating; seizures or other neurologic disorders; hepatitis; constipation; an unusual or allergic reaction to acetaminophen, hydrocodone, other opioid analgesics, foods, dyes or preservatives; pregnant or trying to get pregnant; breast-feeding How should I take this medicine? Take acetaminophen-hydrocodone tablets or capsules by mouth. Follow the directions on the prescription label. Swallow the tablets whole with a full glass of water. You can take acetaminophen-hydrocodone with food to prevent stomach upset. Do not take your medicine more often than directed. Contact your pediatrician or health care professional regarding the use of this medicine in children. Special care may be needed. Do not share this medicine with anyone. What if I miss a dose? If you miss a dose, take it as soon as you can. If it is almost time for your next dose, take only that dose. Do not take double or extra doses. What drug(s) may interact with acetaminophen-hydrocodone?; medicines for seizures; medicines for high blood pressure; alcohol; warfarin; cimetidine; antacids Because acetaminophen-hydrocodone can cause drowsiness, other medicines that also cause drowsiness may increase this effect of acetaminophen-hydrocodone. Some other medicines that cause drowsiness are:; alcohol-containing medicines; barbiturates such as phenobarbital; certain antidepressants or tranquilizers; muscle relaxants; certain antihistamines used in cold medicines Tell your prescriber or health care professional about all other medicines you are taking, including non-prescription medicines, nutritional supplements, or herbal products. Also tell your prescriber or health care professional if you are a frequent user of drinks with caffeine or alcohol, if you smoke, or if you use illegal drugs. These may affect the way your medicine works. Check with your health care professional before stopping or starting any of your medicines. What side effects may I notice from taking acetaminophen-hydrocodone? Elderly patients are more likely to get side effects. Side effects that you should report to your prescriber or health care professional as soon as possible:; chest pain or irregular heartbeat; difficulty breathing, wheezing; severe rash; cold, clammy skin; unusual weakness; fever, chills, muscle aches and pains Side effects that usually do not require medical attention (report to your prescriber or health care professional if they continue or are bothersome):; constipation; dizziness, drowsiness; confusion; gas or heartburn; nausea, vomiting; dry mouth; itching; flushing; pinpoint pupils What should I watch for while taking acetaminophen-hydrocodone? Tell your prescriber or health care professional if your pain does not go away, if it gets worse, or if you have new or different type of pain. Do not take other pain medicines with acetaminophen-hydrocodone without advice. Use exactly as directed by your prescriber or health care professional. Do not take more than the recommended dose due to the possibility of liver damage or effects on your breathing. If you get flu-like symptoms (fever, chills, muscle aches and pains), call your prescriber or health care professional; do not treat yourself. If you are receiving cancer chemotherapy or other immunosuppression medicine, do not take acetaminophen with out checking with your prescriber or health care professional. Acetaminophen may hide the signs of an infection such as fever or pain. To reduce unpleasant effects on your throat and stomach, take acetaminophen-hydrocodone with a full glass of water and never just before lying down. You may also take it with food or milk. Acetaminophen-hydrocodone may make you drowsy when you first start taking it or change doses. Do not drive, use machinery, or do anything that needs mental alertness until you know how acetaminophen-hydrocodone affects you. Do not sit or stand up quickly. This reduces the risk of dizzy or fainting spells. These effects may be worse if you are an older patient. The drowsiness should decrease after taking acetaminophen-hydrocodone for a couple of days. If you have not slept because of your pain, you may sleep more the first few days your pain is controlled to catch-up on missed sleep. Be careful taking other medicines that may also make you tired. This effect may be worse when taking these medicines with acetaminophen-hydrocodone. Alcohol can increase possible drowsiness, dizziness, confusion and affect your breathing. Alcohol can increase possible damage to your liver. Avoid alcohol while taking acetaminophen-hydrocodone. Acetaminophen-hydrocodone can cause constipation. Make sure to take a laxative and/or a stool softener. Try to have a bowel movement at least every 2-3 days. If you do not have a bowel movement for 3 days or more call your prescriber or health care professional. They may recommend using an enema or suppository to help you move your bowels. Many non-prescription medicines contain acetaminophen as an ingredient. Always read the labels carefully to avoid taking an accidental overdose, which can be dangerous. Acetaminophen can affect the results from some blood sugar tests used by diabetic patients. Check with your prescriber or health care professional before you change your diet or the dose of your diabetic medicine. If you are going to have surgery tell your prescriber or health care professional that you are taking acetaminophen-hydrocodone. Where can I keep my medicine? Keep out of the reach of children in a container that small children cannot open. Do not share or give this medicine to anyone else. Avoid accidental swallowing of acetaminophen-hydrocodone by someone (especially children) other than for whom it was prescribed as this may result in severe side effects and possibly death. Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F). Protect from light. Keep container tightly closed. Throw away any unused medicine after the expiration date. Vicodin Pronounced: VY-koe-din Generic ingredients: Hydrocodone bitartrate, Acetaminophen Other brand names: Anexsia, Co-Gesic, Hydrocet, Lorcet, Lortab, Maxidone, Norco, Zydone Vicodin combines a narcotic analgesic (painkiller) and cough reliever with a non-narcotic analgesic for the relief of moderate to moderately severe pain. Vicodin can be habit-forming. If you take this drug over a long period of time, you can become mentally and physically dependent on it, and you may find the drug no longer works for you at the prescribed dosage. How should you take this medication? What side effects may occur? Why should this drug not be prescribed? Special warnings about this medication Possible food and drug interactions when taking this medication Special information if you are pregnant or breastfeeding Recommended dosage Overdosage See Pill Images Take Vicodin exactly as prescribed. Do not increase the amount you take or the frequency without your doctor's approval. Do not take this drug for any reason other than the one prescribed. Do not give this drug to others who may have similar symptoms. --If you miss a dose... If you take Vicodin regularly, take the forgotten dose as soon as you remember. If it is almost time for your next dose, skip the one you missed and go back to your regular schedule. Do not take 2 doses at once. Side effects cannot be anticipated. If any develop or change in intensity, inform your doctor as soon as possible. Only your doctor can determine if it is safe for you to continue taking Vicodin. More common side effects may include: Dizziness, light-headedness, nausea, sedation, vomiting If these side effects occur, it may help if you lie down after taking the medication. Less common or rare side effects may include: Allergic reactions, anxiety, blood disorders, constipation, decreased mental and physical capability, difficulty urinating, drowsiness, fear, hearing loss, itching, mental clouding, mood changes, restlessness, skin rash, slowed breathing, sluggishness If you are sensitive to or have ever had an allergic reaction to hydrocodone or acetaminophen (Tylenol), you should not take this medication. Make sure your doctor is aware of any drug reactions you have experienced. Vicodin may make you drowsy, less alert, or unable to function well physically. Do not drive a car, operate machinery, or perform any other potentially dangerous activities until you know how this drug affects you. Use caution in taking Vicodin if you have a head injury. Narcotics tend to increase the pressure of the fluid within the skull, and this effect may be exaggerated by head injuries. Side effects of narcotics can interfere in the treatment of people with head injuries. Use Vicodin with caution if you have a severe liver or kidney disorder, an underactive thyroid gland, Addison's disease (a disease of the adrenal glands), an enlarged prostate, or urethral stricture (narrowing of the tube carrying urine from the bladder). Older adults and those in a weakened condition should be careful using this drug, since it contains a narcotic. Narcotics such as Vicodin may interfere with the diagnosis and treatment of people with abdominal conditions. Hydrocodone suppresses the cough reflex; therefore, be careful using Vicodin after an operation or if you have a lung disease. High doses of hydrocodone may produce slowed breathing; if you are sensitive to this drug, you are more likely to experience this effect. Possible food and drug interactions when taking this medication Return to top Hydrocodone slows the nervous system. Alcohol can intensify this effect. If hydrocodone is taken with certain other drugs, the effects of either may be increased, decreased, or altered. It is especially important to check with your doctor before combining Vicodin with the following: Antianxiety drugs such as Valium and Librium Antidepressant medications classified as "tricyclics," such as Elavil and Tofranil Antihistamines such as Tavist Drugs classified as MAO inhibitors, including the antidepressants Nardil and Parnate Major tranquilizers such as Thorazine and Haldol Other narcotic analgesics such as Demerol Other central nervous system depressants such as Halcion and Restoril The effects of Vicodin in pregnancy have not been adequately studied. Do not take this drug if you are pregnant or plan to become pregnant unless you are directed to do so by your doctor. Drug dependence occurs in newborns when the mother has taken this drug regularly prior to delivery. If you take it shortly before delivery, the baby's breathing may be slowed. Acetaminophen does, and hydrocodone may, appear in breast milk and could affect a nursing infant. If this medication is essential to your health, your doctor may advise you to discontinue breastfeeding your baby until your treatment is finished. ADULTS Your doctor will adjust the dosage according to the severity of the pain and the way the medication affects you. The dosages given below are for Vicodin products only. If your doctor prescribes other brands, your daily dose may vary. All forms of Vicodin are taken every 4 to 6 hours as needed for pain. The usual dose of Vicodin is 1 or 2 tablets, up to a maximum of 8 tablets per day. The usual dose of Vicodin HP is 1 tablet, up to a maximum of 6 tablets per day. For Vicodin ES, the usual dose is 1 tablet, up to a maximum of 5 tablets per day. CHILDREN The safety and effectiveness of Vicodin have not been established in children. Any medication taken in excess can have serious consequences. A severe overdose of Vicodin can be fatal. If you suspect an overdose, seek emergency medical treatment immediately. Symptoms of a Vicodin overdose include: Blood disorders, bluish tinge to skin, cold and clammy skin, extreme sleepiness progressing to a state of unresponsiveness or coma, general feeling of bodily discomfort, heart problems, heavy perspiration, kidney problems, limp muscles, liver failure, low blood pressure, nausea, slow heartbeat, troubled or slowed breathing, vomiting Hydrocodone-APAP 5/500mg ( 15 tabs) (Gen. Vicodin) 2.9 Hydrocodone-APAP 5/500mg ( 30 tabs) (Gen. Vicodin) 5.9 Hydrocodone-APAP 5/500mg ( 60 tabs) (Gen. Vicodin) 10.9 Hydrocodone-APAP 5/500mg ( 90 tabs) (Gen. Vicodin) 16.9 Hydrocodone-APAP 7.5/750mg ( 15 tabs) (Gen. Vicodin ES) 2.9 Hydrocodone-APAP 7.5/750mg ( 30 tabs) (Gen. Vicodin ES) 6.9 Hydrocodone-APAP 7.5/750mg ( 60 tabs) (Gen. Vicodin ES) 10.9 Hydrocodone-APAP 7.5/750mg ( 90 tabs) (Gen. Vicodin ES) 16.9 Hydrocodone-APAP 7.5/750mg (120 tabs) (Gen. Vicodin ES) 22.5 Vicodin 5-500mg (10 tabs) 12.9 Vicodin 5-500mg (20 tabs) 16.9 Vicodin 5-500mg (30 tabs) 23.9 Vicodin ES 7.5-750mg (10 tabs) 12.9 Vicodin ES 7.5-750mg (20 tabs) 17.9 Vicodin ES 7.5-750mg (30 tabs) 26.9 ACETAMINOPHEN-HYDROCODONE (Lortab®, Lorcet®, Vicodin®, and others) is a combination of two different types of pain medicine and is used to treat moderate to severe pain. Federal law prohibits the transfer of acetaminophen-hydrocodone to any person other than the patient for whom it was prescribed. Generic acetaminophen-hydrocodone tablets and capsules are available. Acetaminophen-hydrocodone is also available as caplets. What should my health care professional know before I take acetaminophen-hydrocodone? They need to know if you have any of these conditions:; drink more than 3 alcohol-containing drinks per day; anemia; infection; heart or circulation problems; lung disease or breathing difficulties; kidney disease; liver disease; problems urinating; seizures or other neurologic disorders; hepatitis; constipation; an unusual or allergic reaction to acetaminophen, hydrocodone, other opioid analgesics, foods, dyes or preservatives; pregnant or trying to get pregnant; breast-feeding How should I take this medicine? Take acetaminophen-hydrocodone tablets or capsules by mouth. Follow the directions on the prescription label. Swallow the tablets whole with a full glass of water. You can take acetaminophen-hydrocodone with food to prevent stomach upset. Do not take your medicine more often than directed. Contact your pediatrician or health care professional regarding the use of this medicine in children. Special care may be needed. Do not share this medicine with anyone. What if I miss a dose? If you miss a dose, take it as soon as you can. If it is almost time for your next dose, take only that dose. Do not take double or extra doses. What drug(s) may interact with acetaminophen-hydrocodone?; medicines for seizures; medicines for high blood pressure; alcohol; warfarin; cimetidine; antacids Because acetaminophen-hydrocodone can cause drowsiness, other medicines that also cause drowsiness may increase this effect of acetaminophen-hydrocodone. Some other medicines that cause drowsiness are:; alcohol-containing medicines; barbiturates such as phenobarbital; certain antidepressants or tranquilizers; muscle relaxants; certain antihistamines used in cold medicines Tell your prescriber or health care professional about all other medicines you are taking, including non-prescription medicines, nutritional supplements, or herbal products. Also tell your prescriber or health care professional if you are a frequent user of drinks with caffeine or alcohol, if you smoke, or if you use illegal drugs. These may affect the way your medicine works. Check with your health care professional before stopping or starting any of your medicines. What side effects may I notice from taking acetaminophen-hydrocodone? Elderly patients are more likely to get side effects. Side effects that you should report to your prescriber or health care professional as soon as possible:; chest pain or irregular heartbeat; difficulty breathing, wheezing; severe rash; cold, clammy skin; unusual weakness; fever, chills, muscle aches and pains Side effects that usually do not require medical attention (report to your prescriber or health care professional if they continue or are bothersome):; constipation; dizziness, drowsiness; confusion; gas or heartburn; nausea, vomiting; dry mouth; itching; flushing; pinpoint pupils What should I watch for while taking acetaminophen-hydrocodone? Tell your prescriber or health care professional if your pain does not go away, if it gets worse, or if you have new or different type of pain. Do not take other pain medicines with acetaminophen-hydrocodone without advice. Use exactly as directed by your prescriber or health care professional. Do not take more than the recommended dose due to the possibility of liver damage or effects on your breathing. If you get flu-like symptoms (fever, chills, muscle aches and pains), call your prescriber or health care professional; do not treat yourself. If you are receiving cancer chemotherapy or other immunosuppression medicine, do not take acetaminophen with out checking with your prescriber or health care professional. Acetaminophen may hide the signs of an infection such as fever or pain. To reduce unpleasant effects on your throat and stomach, take acetaminophen-hydrocodone with a full glass of water and never just before lying down. You may also take it with food or milk. Acetaminophen-hydrocodone may make you drowsy when you first start taking it or change doses. Do not drive, use machinery, or do anything that needs mental alertness until you know how acetaminophen-hydrocodone affects you. Do not sit or stand up quickly. This reduces the risk of dizzy or fainting spells. These effects may be worse if you are an older patient. The drowsiness should decrease after taking acetaminophen-hydrocodone for a couple of days. If you have not slept because of your pain, you may sleep more the first few days your pain is controlled to catch-up on missed sleep. Be careful taking other medicines that may also make you tired. This effect may be worse when taking these medicines with acetaminophen-hydrocodone. Alcohol can increase possible drowsiness, dizziness, confusion and affect your breathing. Alcohol can increase possible damage to your liver. Avoid alcohol while taking acetaminophen-hydrocodone. Acetaminophen-hydrocodone can cause constipation. Make sure to take a laxative and/or a stool softener. Try to have a bowel movement at least every 2-3 days. If you do not have a bowel movement for 3 days or more call your prescriber or health care professional. They may recommend using an enema or suppository to help you move your bowels. Many non-prescription medicines contain acetaminophen as an ingredient. Always read the labels carefully to avoid taking an accidental overdose, which can be dangerous. Acetaminophen can affect the results from some blood sugar tests used by diabetic patients. Check with your prescriber or health care professional before you change your diet or the dose of your diabetic medicine. If you are going to have surgery tell your prescriber or health care professional that you are taking acetaminophen-hydrocodone. Where can I keep my medicine? Keep out of the reach of children in a container that small children cannot open. Do not share or give this medicine to anyone else. Avoid accidental swallowing of acetaminophen-hydrocodone by someone (especially children) other than for whom it was prescribed as this may result in severe side effects and possibly death. Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F). Protect from light. Keep container tightly closed. Throw away any unused medicine after the expiration date. Patient Information from WebMD • Vicodin is sometimes used to treat pain. Visit WebMD for additional health information on pain management. DESCRIPTION Hydrocodone bitartrate and acetaminophen is supplied in tablet form for oral administration. Hydrocodone bitartrate is an opioid analgesic and antitussive and occurs as fine, white crystals or as a crystalline powder. It is affected by light. The chemical name is 4,5a-Epoxy-3-methoxy-17-methylmorphinan-6-one tartrate (1:1) hydrate (2:5). It has the following structural formula: Acetaminophen, 4?-Hydroxyacetanilide, a non-opiate, non-salicylate analgesic and antipyretic. It has the following structural formula: Hydrocodone Bitartrate and Acetaminophen Tablets USP for oral administration are available in a variety of strengths as described in the following table. In addition, each tablet contains the following inactive ingredients: anhydrous lactose, croscarmellose sodium, crospovidone, magnesium stearate, microcrystalline cellulose, povidone, starch and stearic acid; except the 7.5 mg/325 mg, 10 mg/325 mg and 10 mg/500 mg tablets do not contain anhydrous lactose. The 7.5 mg/325 mg tablets include FD&C Yellow #6 Aluminum Lake; the 7.5 mg/650 mg tablets include FD&C Red #40 Aluminum Lake; the 10 mg/325 mg and 10 mg/750 mg tablets include D&C Yellow #10 Aluminum Lake; the 10 mg/500 mg tablets include FD&C Blue #2 Aluminum Lake; and the 10 mg/650 mg tablets include FD&C Blue #1 Aluminum Lake and D&C Yellow #10 Aluminum Lake. Meets USP Dissolution Test 1. Vicodin (Hydrocodone or dihydrocodeinone, not to be confused with dihydrocodeine) is most commonly seen as a white tablet with the name “Vicodin,” “Vicodin ES,” or “Vicodin HP” imprinted on one side. It shares its characteristics with many other drugs in chemistry and form; such drugs are also pain killers and may be marketed as Anexsia, Anolor DH5, Bancap HC, Dolacet, Lorcet 10/650, Lorcet HD, Lorcet Plus, Lortab, Lortab 10, Lortab 5/500, Lortab 7.5/500, Lortab Elixir, Norco, T-Gesic, Vicodin, Vicodin ES, Vicodin HP, and Zydone. [1] Manufacturers Manufacturers of Vicodin (generic or otherwise) include: Abbott Laboratories, Allscripts Healthcare Solutions LLC, Amerisource Health Services Corp, Cardinal Health, Drx Pharmaceutical Consultants Inc, Eckerd Corp, Hospira Inc, Knoll Laboratories Div Knoll Pharmaceutical Co, Pdrx Pharmaceuticals Inc, Physicians Total Care Inc, Rx Pak Div of Mckesson Corp, Sandhills Packaging Inc and Watson Labs. [2] At any rate, Vicodin production reportedly approaches 20 tons annually. [3] In the United States, Vicodin production is regulated in part by the Controlled Substances Act of 1970. This guarantees that all manufacturing, importing, possession, and distribution of drugs is to be looked over and regulated by the federal government who are also responsible (along with the Department of Justice and state governments) for the conviction and sentencing of anyone who breaks drug laws. [4] [edit] Scheduling Vicodin was put into Schedule III along with anabolic steroids, ketamine, paregoric, xyrem, marinol, and hydrocodone/codeine (when “compounded with an NSAID” or with paracetamol); these drugs have high psychological dependence and low to medium physical addiction. [5] [edit] Surgery Vicodin is most commonly prescribed for persons experiencing pain after surgery or intense pain. It helps calm a person down and increases their ability to relax and forget about painful ailments (which speeds up recovery). [edit] Interactions and contraindications Drugs that should be avoided in order to decrease the chance of side effects are isocarboxazid (Marplan), phenelzine (Nardil), tranylcypromine (Parnate), or other monoamine oxidase inhibitors (MAOI’s) 14 days prior to use. Acetaminophen should also be avoided so as to decrease chances of destroying the liver. In addition, alcohol increases the drowsiness already caused by Vicodin and may result in a person to become unconscious or much worse, dead. Aside from alcohol, other drugs that induce drowsiness should also be avoided (i.e. antidepressants, antihistamines, pain killers, muscle relaxants, etc.) so as to decrease chances of contacting Vicodin’s severe side effects. Furthermore, if a person experiences Addison’s Disease, kidney disease, gallbladder disease, liver disease, complications with the thyroid, severe head injuries, asthma or alcohol abuse Vicodin should not be taken for fear of worsening the condition. Vicodin is also not recom