Using too much of this medicine may cause infertility (unable to have children). Talk with your doctor before using this medicine if you plan to have children. Before you or your child have any medical tests, tell the medical doctor in charge that you are taking this medicine.
Table of Contents
- 1 Norco Dosage and Administration
- 2 Side effects of hydrocodone and acetaminophen
- 3 Does Acetaminophen/hydrocodone interact with my other drugs?
- 4 Latest Research: Opioids vs OTC Medications
- 5 Risks from Concomitant Use with Benzodiazepines or Other CNS Depressants
- 6 OTC Pain Relievers: First-Line Treatment for All Types of Pain
- 7 Risks of Use in Patients with Gastrointestinal Conditions
Norco Dosage and Administration
Naproxen is a nonsteroidal anti-inflammatory drug used to treat pain or inflammation caused by … Hydrocodone is a drug of abuse and you should be aware if anyone is using your medicine improperly or without a prescription. Ask a doctor before using opioid medicine if you are breastfeeding. Tell your doctor if you notice severe drowsiness or slow breathing in the nursing baby. Do not use Norco if you have taken a MAO inhibitor in the past 14 days. MAO inhibitors include isocarboxazid, linezolid, phenelzine, rasagiline, selegiline, and tranylcypromine.
Side effects of hydrocodone and acetaminophen
Do not abruptly discontinue NORCO Tablets in a patient physically dependent on opioids. When discontinuing NORCO Tablets in a physically dependent patient, gradually taper the dosage. Rapid tapering of NORCO Tablets in a patient physically dependent on opioids may lead to a withdrawal syndrome and return of pain see DOSAGE AND ADMINISTRATION, DRUG ABUSE AND DEPENDENCE.
Does Acetaminophen/hydrocodone interact with my other drugs?
Since this medicine is used for pain, you are not likely to miss a dose. Stop taking acetaminophen and hydrocodone and call your doctor right away if you have skin redness or a rash that spreads and causes blistering and peeling. Aspirin is used to treat mild to moderate pain and to reduce fever or inflammation.
- Inform patients that they can visit /drugdisposal for a complete list of medicines recommended for disposal by flushing, as well as additional information on disposal of unused medicines.
- Norco is more likely to cause breathing problems in older adults and people who are severely ill, malnourished, or otherwise debilitated.
- For most pain conditions, properly dosed OTC medications provide equivalent pain relief to prescription opioids with dramatically better safety profiles and lower costs.
- Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use acetaminophen or hydrocodone only for the indication prescribed.
- In general, use caution when selecting a dosage for an elderly patient, 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.
These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Hydrocodone bitartrate and acetaminophen has the potential for addiction, abuse, and misuse, which can lead to overdose and death. Hydrocodone and acetaminophen are known to be substantially excreted by the kidney, and the risk of adverse reactions to this drug may be greater in patients with impaired renal function. Because elderly patients are more likely to have decreased renal function, care should be taken in dose selection, and it may be useful to monitor renal function.
Latest Research: Opioids vs OTC Medications
Using this medicine while you are pregnant may cause serious unwanted effects, including neonatal withdrawal syndrome in your newborn baby. Tell your doctor right away if your child has an abnormal sleep pattern, diarrhea, a high-pitched cry, irritability, shakiness or tremors, sneezing, weight loss, vomiting, yawning, or failure to gain weight. Check with your doctor right away if you think you are pregnant or if you plan to become pregnant while using this medicine. If concomitant use is warranted, follow patients for signs and symptoms of urinary retention or reduced gastric motility when NORCO Tablets are used concomitantly with anticholinergic drugs.
Risks from Concomitant Use with Benzodiazepines or Other CNS Depressants
Reserve concomitant prescribing of Hydrocodone ER and benzodiazepines or other CNS depressants for use in patients for whom alternative treatment options are inadequate. Monitor for respiratory depression, especially during initiation of Hydrocodone ER or following a dose increase. Hydrocodone intended for pain relief is available as abuse-deterrent controlled-release capsules (Hysingla ER, Zohydro ER) and in combination with acetaminophen or ibuprofen. Neuropathic pain results from damaged or malfunctioning nerves and responds poorly to traditional pain medications, requiring specialized treatments that target nerve signaling pathways. Examples include diabetic neuropathy, post-herpetic neuralgia, or sciatica. It usually takes about 5 to 6 half lives for a drug to be eliminated from your system.
This medicine will add to the effects of alcohol and other CNS depressants. CNS depressants are medicines that slow down the nervous system, which may cause drowsiness or make you less alert. This effect may last for a few days after you stop using this medicine. Check with your doctor before taking any of these medicines while you are using this medicine. Inflammatory pain requires addressing the underlying autoimmune process rather than just treating symptoms, making disease-modifying medications the cornerstone of effective management.
- If concomitant use is warranted, carefully follow the patient, particularly during treatment initiation and dose adjustment.
- These may be symptoms of a serious condition called serotonin syndrome.
- For more information on hydocodone/acetminophen doses for adults or children, or dosage adjustments required for medical conditions click on the link below.
- Do not use Norco if you have taken a MAO inhibitor in the past 14 days.
- Some examples include opioids, clonidine, buspirone, and metoclopramide.
Following an acute overdosage, toxicity may result from hydrocodone or acetaminophen. The following adverse reactions have been identified during post approval use of NORCO. Because these reactions are reported voluntarily from a population of uncertain size, it is not always possible to reliably estimate their frequency or establish a causal relationship to drug exposure. The risk of acute liver failure is higher in individuals with underlying liver disease and in individuals who ingest alcohol while taking acetaminophen.
Do not change your dose or suddenly stop using this medicine without first checking with your doctor. Your doctor may want you or your child to gradually reduce the amount you are using before stopping it completely. This may help prevent worsening of your condition and reduce the possibility of withdrawal symptoms, including stomach cramps, anxiety, fever, nausea, runny nose, sweating, tremors, or trouble with sleeping. Accidental ingestion of hydrocodone bitartrate and acetaminophen, especially by children, can result in a fatal overdose of hydrocodone bitartrate and acetaminophen. Hydrocodone bitartrate and acetaminophen oral solution has the potential for addiction, abuse, and misuse, which can lead to overdose and death.
OTC Pain Relievers: First-Line Treatment for All Types of Pain
Acetaminophen is a non-opioid analgesic used for pain relief and to reduce fever. Acetaminophen is a less potent pain reliever that increases the effects of hydrocodone. Opioids cross the placenta and may produce respiratory depression and psycho-physiologic effects in neonates. An opioid antagonist, such as naloxone, must be available for reversal of opioid-induced respiratory depression in the neonate. NORCO is not recommended for use in pregnant women during or immediately prior to labor, when other analgesic techniques are more appropriate.
Risks of Use in Patients with Gastrointestinal Conditions
Examples of conditions that cause inflammatory pain include rheumatoid arthritis and autoimmune conditions. Follow patients closely for respiratory depression, especially within the first hours of initiating therapy and following dosage increases with NORCO and adjust the dosage accordingly see WARNINGS. Initiate the dosing regimen for each patient individually, taking into account the patient’s severity of pain, patient response, norco and alcohol food interactions prior analgesic treatment experience, and risk factors for addiction, abuse, and misuse see WARNINGS.
Check the label to see if a medicine contains acetaminophen or APAP. Your doctor may recommend you get naloxone (a medicine to reverse an opioid overdose) and keep it with you at all times. A person caring for you can give the naloxone if you stop breathing or don’t wake up. Your caregiver must still get emergency medical help and may need to perform CPR (cardiopulmonary resuscitation) on you while waiting for help to arrive.