Hydrocodone
Hydromorphone
Codeine
Oxymorphone
An opioid analgesic with actions and uses similar to those of MORPHINE, apart from an absence of cough suppressant activity. It is used in the treatment of moderate to severe pain, including pain in obstetrics. It may also be used as an adjunct to anesthesia. (From Martindale, The Extra Pharmacopoeia, 30th ed, p1092)
Obstetric Surgical Procedures
Substance Abuse Detection
Analgesics, Opioid
Antitussive Agents
Narcotics
Miosis
Cytochrome P-450 CYP2D6
Gas Chromatography-Mass Spectrometry
Acetaminophen
Chlorpheniramine
Intestinal Obstruction
Biliary Tract Diseases
Gastric Outlet Obstruction
Lupus Erythematosus, Systemic
A chronic, relapsing, inflammatory, and often febrile multisystemic disorder of connective tissue, characterized principally by involvement of the skin, joints, kidneys, and serosal membranes. It is of unknown etiology, but is thought to represent a failure of the regulatory mechanisms of the autoimmune system. The disease is marked by a wide range of system dysfunctions, an elevated erythrocyte sedimentation rate, and the formation of LE cells in the blood or bone marrow.
Histamine H1 Antagonists
Drugs that selectively bind to but do not activate histamine H1 receptors, thereby blocking the actions of endogenous histamine. Included here are the classical antihistaminics that antagonize or prevent the action of histamine mainly in immediate hypersensitivity. They act in the bronchi, capillaries, and some other smooth muscles, and are used to prevent or allay motion sickness, seasonal rhinitis, and allergic dermatitis and to induce somnolence. The effects of blocking central nervous system H1 receptors are not as well understood.
Nitrocinnamoyl and chlorocinnamoyl derivatives of dihydrocodeinone: in vivo and in vitro characterization of mu-selective agonist and antagonist activity. (1/55)
Two 14beta-p-nitrocinnamoyl derivatives of dihydrocodeinone, 14beta-(p-nitrocinnamoylamino)-7,8-dihydrocodeinone (CACO) and N-cyclopropylmethylnor-14beta-(p-nitrocinnamoylamino)- 7, 8-dihydrocodeinone (N-CPM-CACO), and the corresponding chlorocinnamoylamino analogs, 14beta-(p-chlorocinnamoylamino)-7, 8-dihydrocodeinone (CAM) and N-cyclopropylmethylnor-14beta-(p-chlorocinnamoylamino) -7, 8-dihydrocodeinone (MC-CAM), were tested in opioid receptor binding assays and the mouse tail-flick test to characterize the opioid affinity, selectivity, and antinociceptive properties of these compounds. In competition binding assays, all four compounds bound to the mu opioid receptor with high affinity. When bovine striatal membranes were incubated with any of the four dihydrocodeinones, binding to the mu receptor was inhibited in a concentration-dependent, wash-resistant manner. Saturation binding experiments demonstrated that the wash-resistant inhibition of mu binding was due to a decrease in the Bmax value for the binding of the mu-selective peptide [3H][D-Ala2, MePhe4,Gly(ol)5] enkephalin and not a change in the Kd value, suggesting an irreversible interaction of the compounds with the mu receptor. In the mouse 55 degrees C warm water tail-flick test, both CACO and N-CPM-CACO acted as short-term mu-selective agonists when administered by i. c.v. injection, whereas CAM and MC-CAM produced no measurable antinociception at doses up to 30 nmol. Pretreatment of mice for 24 h with any of the four dihydrocodeinone derivatives produced a dose-dependent antagonism of antinociception mediated by the mu but not the delta or kappa receptors. Long-term antagonism of morphine-induced antinociception lasted for at least 48 h after i.c. v. administration. Finally, shifts in the morphine dose-response lines after 24-h pretreatment with the four dihydrocodeinone compounds suggest that the nitrocinnamoylamino derivatives may produce a greater magnitude long-term antagonism of morphine-induced antinociception than the chlorocinnamoylamino analogs. (+info)GC-MS confirmation of codeine, morphine, 6-acetylmorphine, hydrocodone, hydromorphone, oxycodone, and oxymorphone in urine. (2/55)
A procedure for the simultaneous confirmation of codeine, morphine, 6-acetylmorphine, hydrocodone, hydromorphone, oxycodone, and oxymorphone in urine specimens by gas chromatography-mass spectrometry (GC-MS) is described. After the addition of nalorphine and naltrexone as the two internal standards, the urine is hydrolyzed overnight with beta-glucuronidase from E. coli. The urine is adjusted to pH 9 and extracted with 8% trifluoroethanol in methylene dichloride. After evaporating the organic, the residue is sequentially derivatized with 2% methoxyamine in pyridine, then with propionic anhydride. The ketone groups on hydrocodone, hydromorphone, oxycodone, oxymorphone, and naltrexone are converted to their respective methoximes. Available hydroxyl groups on the O3 and O6 positions are converted to propionic esters. After a brief purification step, the extracts are analyzed by GC-MS using full scan electron impact ionization. Nalorphine is used as the internal standard for codeine, morphine, and 6-acetylmorphine; naltrexone is used as the internal standard for the 6-keto-opioids. The method is linear to 2000 ng/mL for the 6-keto-opioids and to 5000 ng/mL for the others. The limit of quantitation is 25 ng/mL in hydrolyzed urine. Day-to-day precision at 300 and 1500 ng/mL ranged between 6 and 10.9%. The coefficients of variation for 6-acetylmorphine were 12% at both 30 and 150 ng/mL. A list of 38 other basic drugs or metabolites detected by this method is tabulated. (+info)The antitussive activity of delta-opioid receptor stimulation in guinea pigs. (3/55)
In this study, the activity of the delta-opioid receptor subtype-selective agonist, SB 227122, was investigated in a guinea pig model of citric acid-induced cough. Parenteral administration of selective agonists of the delta-opioid receptor (SB 227122), mu-opioid receptor (codeine and hydrocodone), and kappa-opioid receptor (BRL 52974) produced dose-related inhibition of citric acid-induced cough with ED(50) values of 7.3, 5.2, 5.1, and 5.3 mg/kg, respectively. The nonselective opioid receptor antagonist, naloxone (3 mg/kg, i.m.), attenuated the antitussive effects of codeine or SB 227122, indicating that the antitussive activity of both compounds is opioid receptor-mediated. The delta-receptor antagonist, SB 244525 (10 mg/kg, i.p.), inhibited the antitussive effect of SB 227122 (20 mg/kg, i.p.). In contrast, combined pretreatment with beta-funaltrexamine (mu-receptor antagonist; 20 mg/kg, s.c.) and norbinaltorphimine (kappa-receptor antagonist; 20 mg/kg, s.c.), at doses that inhibited the antitussive activity of mu- and kappa-receptor agonists, respectively, was without effect on the antitussive response of SB 227122 (20 mg/kg, i.p.). The sigma-receptor antagonist rimcazole (3 mg/kg, i.p.) inhibited the antitussive effect of dextromethorphan (30 mg/kg, i.p.), a sigma-receptor agonist, but not that of SB 227122. These studies provide compelling evidence that the antitussive effects of SB 227122 in this guinea pig cough model are mediated by agonist activity at the delta-opioid receptor. (+info)Identification of hydrocodone in human urine following controlled codeine administration. (4/55)
Allegations of illicit hydrocodone use have been made against individuals who were taking physician-prescribed oral codeine but denied hydrocodone use. Drug detection was based on positive urine opiate immunoassay results with subsequent confirmation of hydrocodone by gas chromatography-mass spectrometry (GC-MS). In these cases, low concentrations of hydrocodone (approximately 100 ng/mL) were detected in urine specimens containing high concentrations of codeine (> 5000 ng/mL). Although hydrocodone has been reported to be a minor metabolite of codeine in humans, there has been little study of this unusual metabolic pathway. We investigated the occurrence of hydrocodone excretion in urine specimens of subjects who were administered codeine. In a controlled study, two African-American and three Caucasian male subjects were orally administered 60 mg/70 kg/day and 120 mg/70 kg/day of codeine sulfate on separate days. Urine specimens were collected prior to and for approximately 30-40 h following drug administration. In a second case study, a postoperative patient self-administered 960 mg/day (240 mg four times per day) of physician-prescribed oral codeine phosphate, and urine specimens were collected on the third day of the dosing regimen. Samples from both studies were extracted on copolymeric solid-phase columns and analyzed by GC-MS. In the controlled study, codeine was detected in the first post-drug-administration specimen from all subjects. Peak concentrations appeared at 2-5 h and ranged from 1475 to 61,695 ng/mL. Codeine was detected at concentrations above the 10-ng/mL limit of quantitation for the assay throughout the 40-h collection period. Hydrocodone was initially detected at 6-11 h following codeine administration and peaked at 10-18 h (32-135 ng/mL). Detection times for hydrocodone following oral codeine administration ranged from 6 h to the end of the collection period. Confirmation of hydrocodone in a urine specimen was always accompanied by codeine detection. Codeine and hydrocodone were detected in all specimens collected from the postoperative patient, and concentrations ranged from 2099 to 4020 and 47 to 129 ng/mL, respectively. Analyses of the codeine formulations administered to subjects revealed no hydrocodone present at the limit of detection of the assay (10 ng/mL). These data confirm that hydrocodone can be produced as a minor metabolite of codeine in humans and may be excreted in urine at concentrations as high as 11% of parent drug concentration. Consequently, the detection of minor amounts of hydrocodone in urine containing high concentrations of codeine should not be interpreted as evidence of hydrocodone abuse. (+info)Do gender and race affect decisions about pain management? (5/55)
OBJECTIVE: To determine if patient gender and race affect decisions about pain management. DESIGN, SETTING, AND PARTICIPANTS: Experimental design using medical vignettes to evaluate treatment decisions. A convenience sample of 111 primary care physicians (61 men, 50 women) in the Northeast was asked to treat 3 hypothetical patients with pain (kidney stone, back pain) or a control condition (sinusitis). Symptom presentation and severity were held constant, but patient gender and race were varied. MEASUREMENTS AND MAIN RESULTS: The maximum permitted doses of narcotic analgesics (hydrocodone) prescribed at initial and return visits were calculated by multiplying mg per pill x number of pills per day x number of days x number of refills. No overall differences with respect to patient gender or race were found in decisions to treat or in the maximum permitted doses. However, for renal colic, male physicians prescribed higher doses of hydrocodone to white patients versus black patients (426 mg vs 238 mg), while female physicians prescribed higher doses to blacks (335 mg vs 161 mg, F1,85 = 9.65, P =.003). This pattern was repeated for persistent kidney stone pain. For persistent back pain, male physicians prescribed higher doses of hydrocodone to males than to females (406 mg vs 201 mg), but female physicians prescribed higher doses to females (327 mg v. 163 mg, F1,28 = 5.50, P =.03). CONCLUSION: When treating pain, gender and racial differences were evident only when the role of physician gender was examined, suggesting that male and female physicians may react differently to gender and/or racial cues. (+info)The simultaneous determination of codeine, morphine, hydrocodone, hydromorphone, 6-acetylmorphine, and oxycodone in hair and oral fluid. (6/55)
Recently, the abuse of prescription opiates as alternatives to heroin has become a national concern. The determination of a six-drug opiate panel, codeine, morphine, 6-acetylmorphine, hydrocodone, hydromorphone, and oxycodone, in hair and oral fluid using solid-phase extraction and capillary gas chromatography-mass spectrometry (GC-MS) is described. Oral fluid was obtained from the donor by insertion of absorptive collectors into the mouth. Hair was collected from the patient and powdered using stainless steel ball bearings in a mini bead-beater apparatus. Opiates present in the samples were extracted from a buffered, aqueous matrix using a solid-phase cartridge. The extracts were concentrated and the methoxime/BSTFA derivatives prepared in order to eliminate interference from the keto-opiates. The extracts were separated by GC-MS in electron impact mode. By utilizing methoxyamine, we were able to produce the methoxime derivatives required for single derivative production and chromatographically separate all six opiates. The routine analysis of these opiates in hair and oral fluid using GC-MS is described for the first time. (+info)CYP2D6 and CYP3A4 involvement in the primary oxidative metabolism of hydrocodone by human liver microsomes. (7/55)
AIM: To determine the Michaelis-Menten kinetics of hydrocodone metabolism to its O- and N-demethylated products, hydromorphone and norhydrocodone, to determine the individual cytochrome p450 enzymes involved, and to predict the in vivo hepatic intrinsic clearance of hydrocodone via these pathways. METHODS: Liver microsomes from six CYP2D6 extensive metabolizers (EM) and one CYP2D6 poor metabolizer (PM) were used to determine the kinetics of hydromorphone and norhydrocodone formation. Chemical and antibody inhibitors were used to identify the cytochrome p450 isoforms catalyzing these pathways. Expressed recombinant cytochrome p450 enzymes were used to characterize further the metabolism of hydrocodone. RESULTS: Hydromorphone formation in liver microsomes from CYP2D6 EMs was dependent on a high affinity enzyme (Km = 26 microm) contributing 95%, and to a lesser degree a low affinity enzyme (Km = 3.4 mm). In contrast, only a low affinity enzyme (Km = 8.5 mm) formed this metabolite in the liver from the CYP2D6 PM, with significantly decreased hydromorphone formation compared with the livers from the EMs. Norhydrocodone was formed by a single low affinity enzyme (Km = 5.1 mm) in livers from both CYP2D6 EM and PM. Recombinant CYP2D6 and CYP3A4 formed only hydromorphone and only norhydrocodone, respectively. Hydromorphone formation was inhibited by quinidine (a selective inhibitor of CYP2D6 activity), and monoclonal antibodies specific to CYP2D6. Troleandomycin, ketoconazole (both CYP3A4 inhibitors) and monoclonal antibodies specific for CYP3A4 inhibited norhydrocodone formation. Extrapolation of in vitro to in vivo data resulted in a predicted total hepatic clearance of 227 ml x h-1 x kg-1 and 124 ml x h-1 x kg-1 for CYP2D6 EM and PM, respectively. CONCLUSIONS: The O-demethylation of hydrocodone is predominantly catalyzed by CYP2D6 and to a lesser extent by an unknown low affinity cytochrome p450 enzyme. Norhydrocodone formation was attributed to CYP3A4. Comparison of recalculated published clearance data for hydrocodone, with those predicted in the present work, indicate that about 40% of the clearance of hydrocodone is via non-CYP pathways. Our data also suggest that the genetic polymorphisms of CYP2D6 may influence hydrocodone metabolism and its therapeutic efficacy. (+info)Cough suppression during flexible bronchoscopy using combined sedation with midazolam and hydrocodone: a randomised, double blind, placebo controlled trial. (8/55)
BACKGROUND: Current British Thoracic Society guidelines do not recommend routinely the combined use of a benzodiazepine and opiate during flexible bronchoscopy (FB). A randomised, placebo controlled, double blind study was undertaken to determine whether hydrocodone in combination with midazolan improves cough suppression during FB without increasing the risk of desaturation. METHODS: 120 patients were randomised to receive midazolam and 5 mg i.v. hydrocodone or midazolam and placebo with topical anaesthesia. Pulse oximetry was recorded continuously during FB. Bronchoscopists and nurses charted their perception of cough and the patients rated their discomfort during the procedure on a 10 cm visual analogue scale (VAS). RESULTS: There was no significant difference between the two groups with regard to the indication for FB, duration of procedure (21 (11) min v 22 (10) min, p = 0.570), doses of supplemental lignocaine (171 (60) mg v 173 (66) mg, p = 0.766) and midazolam (4.5 (2.3) mg v 4.9 (2.7) mg, p = 0.309), lowest oxygen saturation (94.8 (2.7) v 94.9 (2.7), p = 0.433), and desaturations < or =90%. Perception of cough by both the bronchoscopist and the nurse was significantly lower in the hydrocodone group (3 (0-10) and 3 (0-10)) than in the placebo group (6 (0-10) and 6 (0-10)), respectively (p = 0.001). According to the VAS scale, patients' tolerance was also significantly better with hydrocodone than with placebo (2 (0-8) v 3 (0-9), p = 0.043). CONCLUSION: The combination of midazolam and hydrocodone markedly reduces cough during FB without causing significant desaturation, especially when invasive diagnostic procedures are performed. (+info)
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Hydrocodone
Oral hydrocodone has a mean equivalent daily dosage (MEDD) factor of 0.4, meaning that 1 mg of hydrocodone is equivalent to 0.4 ... Hydrocodone 10 mg is equivalent to about 10 mg of morphine by mouth. Hydrocodone was patented in 1923, while the long-acting ... Hydrocodone is available in a variety of formulations for oral administration: The original oral form of hydrocodone alone, ... The volume of distribution of hydrocodone is 3.3 to 4.7 L/kg. The plasma protein binding of hydrocodone is 20 to 50%. In the ...
CYP2D6
"Hydrocodone". Drugbank. Retrieved 14 June 2011. Hoskins JM, Carey LA, McLeod HL (August 2009). "CYP2D6 and tamoxifen: DNA ...
Conorfone
It is an analogue of hydrocodone substituted with an 8-ethyl group and an N-cyclopropylmethyl group. It acts as a mixed agonist ... Alkylation of that intermediate with cyclopropylmethyl chloride affords the analgesic codorphone (5). Hydrocodone F.. Macdonald ...
Regulation of therapeutic goods
... hydrocodone and oxycodone; synthetic opioids: pethidine, methadone, fentanyl, and levorphanol; various sedative-hypnotics: ...
Cuco (musician)
On April 2, 2019, Cuco released "Hydrocodone," the lead single for Para Mi, before releasing "Bossa No Sé" with Jean Carter on ... Bloom, Madison (April 2, 2019). "Cuco Shares New Song "Hydrocodone"". Pitchfork. Retrieved August 22, 2019. Darville, Jordan ( ... Hydrocodone (Official Music Video), retrieved August 18, 2019 - via YouTube Cuco - Bossa No Sé ft. Jean Carter (Official Video ...
Hear Sum Evil
Da Mafia 6ix "Hydrocodone" ft. Charlie P #RIPLordInfamous. DJ Paul KOM TV. January 29, 2015. Archived from the original on ... The official music video for "Hydrocodone" was released on January 29, 2015. Paul Wall and Crunchy Black's verses were cut for ...
Opioid epidemic in the United States
Hydrocodone can be prescribed under a different brand name. These brand names include Norco, Lortab, and Vicodin. Hydrocodone ... Hydrocodone is second among the list of top prescribed opioid painkillers, but it is also high on the list of most frequently ... Statistics show that hydrocodone ranks in at number 4 on the list of the most common drugs used recreationally in the United ... When opioids like hydrocodone are taken as prescribed, for the indication prescribed, and for a short period of time, then the ...
Paracetamol
"Hydrocodone and Acetaminophen (Professional Patient Advice)". Drugs.com. 2 January 2020. Archived from the original on 21 May ... oxycodone or hydrocodone. Another very commonly used analgesic combination includes paracetamol in combination with ...
Cold water extraction
Codeine Hydrocodone Paracetamol Paracetamol toxicity Pubchem. "Diacetylmorphine , C21H23NO5 - PubChem". pubchem.ncbi.nlm.nih. ... Cold water extraction is often used with codeine/paracetamol, hydrocodone/paracetamol and oxycodone/paracetamol medications. ...
Homatropine methylbromide
"Hydromet (Hydrocodone Bitartrate and Homatropine Methylbromide)". DailyMed. NIH. v t e (Articles with short description, Short ... Certain preparations of drugs such as hydrocodone are mixed with a small, sub-therapeutic amount of homatropine methylbromide ...
Antiarthritics
For example, tramadol, oxycodone or hydrocodone. Opioids function on the central nervous system to provide pain relief. The ...
William Shell
"DailyMed - THERACODOPHEN-650 - hydrocodone bitartrate, acetaminophen, .gamma.-aminobutyric acid". dailymed.nlm.nih.gov. NCAHF ( ... Hydrocodone 10 mg, Acetaminophen 650 mg, and Theramine); Strazepam Convenience Pack (Temazepam 15 mg and Sentra PM); ...
Joe Manchin
"Senators approve Manchin amendment to reclassify hydrocodone drugs". Charleston Gazette-Mail. May 23, 2012. Retrieved January ... Manchin successfully proposed an amendment to the Food and Drug Administration reauthorization bill to reclassify hydrocodone ...
Chlorphenamine
... may be combined with the opioid hydrocodone. Chlorphenamine/dihydrocodeine immediate-release syrups are also ...
Nicocodeine
... is approximately the same strength as hydrocodone; it has a faster onset of action. The 2013 DEA annual production ... although not the stronger hydrocodone or oxycodone, which are regulated like morphine) and others of this class in the laws of ...
Christina Smolke
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Killing of Stephon Clark
Codeine and hydrocodone were found in Clark's urine. Multiple leaders in the community opined that Clark's criminal record was ...
Morphinone reductase
Hydrocodone is a FDA-approved, mild analgesic and antitussive. Notably, morphine and codeine are natural products of the opiate ... "Hydrocodone: Uses, Side Effects & Dosage Guide - Drugs.com". Drugs.com. Smanski, Michael J.; Zhou, Hui; Claesen, Jan; Shen, Ben ... As an example, morphinone reductase was used as part of the de novo biosynthetic pathway of hydrocodone in yeast. French, C E; ... The enzyme yields hydromorphone and hydrocodone, which are both valuable semi-synthetic opiate drugs. Hydromorphone is a ...
Codeine
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Thebacon
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Hydromorphone
The semi-synthetic opiates, of which hydromorphone and its codeine analogue hydrocodone are among the best-known and oldest, ... the same goes for codeine being turned into hydrocodone. The process gave rise to various concentrations of hydromorphone, ...
Death of Michael Jackson
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Knoll Pharmaceuticals
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Anorexia (symptom)
Narcotics, such as heroin, morphine, codeine, hydrocodone, oxycodone, etc. Antidepressants can have anorexia as a side effect, ...
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Altered state of consciousness
Examples of opioids include heroin, morphine, hydrocodone, and oxycodone. Opioids produce analgesia and often feelings of ...
Benzhydrocodone
Hydrocodone is mainly excreted in the urine. The average half-life of hydrocodone is 4.5 hours. Acetaminophen metabolites are ... Benzhydrocodone is a prodrug of hydrocodone. Hydrocodone is a full agonist of the opioid receptors with a higher affinity for ... Hydrocodone causes respiratory depression and miosis. Hydrocodone decreases gastrointestinal (GI) motility by increasing smooth ... Accidental ingestion can cause a fatal overdose of hydrocodone. Hydrocodone can cause neonatal opioid withdrawal syndrome when ...
Norhydrocodone
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Opioid epidemic
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Analgesic
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Hydrocodone/oxycodone overdose: MedlinePlus Medical Encyclopedia
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Hydrocodone Disease Interactions - Drugs.com
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Acetaminophen32
- Hydrocodone bitartrate and acetaminophen tablets exposes patients and other users to the risks of opioid addiction, abuse, and misuse, which can lead to overdose and death. (nih.gov)
- Assess each patient's risk prior to prescribing hydrocodone bitartrate and acetaminophen tablets, and monitor all patients regularly for the development of these behaviors or conditions [see WARNINGS ]. (nih.gov)
- Serious, life-threatening, or fatal respiratory depression may occur with use of hydrocodone bitartrate and acetaminophen tablets. (nih.gov)
- Monitor for respiratory depression, especially during initiation of hydrocodone bitartrate and acetaminophen tablets or following a dose increase [see WARNINGS]. (nih.gov)
- Accidental ingestion of even one dose of hydrocodone bitartrate and acetaminophen tablets, especially by children, can result in a fatal overdose of hydrocodone bitartrate and acetaminophen tablets [see WARNINGS ]. (nih.gov)
- Prolonged use of hydrocodone bitartrate and acetaminophen tablets during pregnancy can result in neonatal opioid withdrawal syndrome, which may be life-threatening if not recognized and treated, and requires management according to protocols developed by neonatology experts. (nih.gov)
- The concomitant use of hydrocodone bitartrate and acetaminophen tablets with all cytochrome P450 3A4 inhibitors may result in an increase in hydrocodone bitartrate and acetaminophen tablets plasma concentrations, which could increase or prolong adverse reactions and may cause potentially fatal respiratory depression. (nih.gov)
- In addition, discontinuation of a concomitantly used cytochrome P450 3A4 inducer may result in an increase in hydrocodone bitartrate and acetaminophen tablets plasma concentration. (nih.gov)
- Xodol (hydrocodone bitartrate and acetaminophen tablet) is a combination of an opioid pain reliever and an analgesic /fever reducer used to manage pain severe enough to require an opioid analgesic and for which alternative treatments are inadequate. (rxlist.com)
- Our Xodol (hydrocodone bitartrate and acetaminophen tablet) Side Effects Drug Center provides a comprehensive view of available drug information on the potential side effects when taking this medication. (rxlist.com)
- Hydrocodone bitartrate and acetaminophen is supplied in tablet form for oral administration. (prescriptiondrugs.com)
- Hydrocodone bitartrate and acetaminophen tablets are indicated for the relief of moderate to moderately severe pain. (prescriptiondrugs.com)
- This product should not be administered to patients who have previously exhibited hypersensitivity to hydrocodone or acetaminophen. (prescriptiondrugs.com)
- The phase IV clinical study analyzes which people take Hydrocodone bitartrate and acetaminophen and have Psoriasis. (ehealthme.com)
- It is created by eHealthMe based on reports of 59,015 people who have side effects when taking Hydrocodone bitartrate and acetaminophen from the FDA, and is updated regularly. (ehealthme.com)
- 59,015 people reported to have side effects when taking Hydrocodone bitartrate and acetaminophen. (ehealthme.com)
- What is Hydrocodone bitartrate and acetaminophen? (ehealthme.com)
- eHealthMe is studying from 61,406 Hydrocodone bitartrate and acetaminophen users for its effectiveness, alternative drugs and more. (ehealthme.com)
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- This drug combines hydrocodone and acetaminophen. (only4pills.com)
- Acetaminophen is a less potent pain reliever that increases the effects of hydrocodone. (chez.com)
- Physical addiction implies that a dose of acetaminophen and hydrocodone. (chez.com)
- What I drive on Hydrocodone Addiction Before any treatment for hydrocodone with acetaminophen is soluble in water, HYDROCODONE can be fatal. (chez.com)
- If hydrocodone is always combined with acetaminophen those two drugs can cause serious harm to your liver. (chez.com)
- Dosage == The following refers to hydrocodone in the form of hydrocodone mixture with Acetaminophen/Ibuprofen. (tripsit.me)
- Moreover, because hydrocodone contains acetaminophen, long-term alcohol and hydrocodone abuse can lead to liver toxicity, disease, or failure. (banyantreatmentcenter.com)
- PHOENIX, Arizona - Hydrocodone/acetaminophen ( Vicodin , AbbVie) was not superior to codeine/acetaminophen ( Tylenol #3 , McNeil) in acute pain relief reported by patients 24 hours after being discharged from the emergency department, according to a new study. (medscape.com)
- Patients reported the mean decrease in the pain scores 2 hours after pain medications to be 3.9 in the hydrocodone/acetaminophen group and 3.5 in the codeine/acetaminophen group, for a between-group difference of only 0.4. (medscape.com)
- It was surprising to find so few studies comparing hydrocodone/acetaminophen to codeine/acetaminophen for acute pain, including in the emergency department setting," Dr. Chang said. (medscape.com)
- hydrocodone is almost always combined with acetaminophen. (conganat.org)
- In the opioid group, the first step was immediate-release morphine, oxycodone, or hydrocodone/acetaminophen. (cdc.gov)
- Vicodin, Lortab, Lorcet: Mixtures of hydrocodone and acetaminophen. (dreamwarriorrecovery.com)
Oxycodone16
- Hydrocodone and oxycodone are opioids, drugs that are mostly used to treat extreme pain. (medlineplus.gov)
- Hydrocodone and oxycodone overdose occurs when someone intentionally or accidentally takes too much medicine containing these ingredients. (medlineplus.gov)
- Hydrocodone and oxycodone belong to a class of narcotic medicines called opiates. (medlineplus.gov)
- Hydrocodone and oxycodone are most often found in prescription painkillers. (medlineplus.gov)
- Additional therapies may be needed if the person took hydrocodone and oxycodone with other drugs, such as Tylenol or aspirin. (medlineplus.gov)
- Twenty years ago, at the Philadelphia College of Pharmacy, I was taught to trust no one when it came to dispensing controlled substance prescriptions, especially for opiates like oxycodone and soon-to-be-reclassified hydrocodone. (pharmacytimes.com)
- Deaths due to hydrocodone and oxycodone have more than quadrupled in number. (koco.com)
- In this study, oxycodone-based and hydrocodone-based haptens were conjugated to KLH to generate immunogens that would recognize both oxycodone and hydrocodone. (nih.gov)
- Vaccination with 6OXY(Gly)(4)-KLH increased drug binding in serum, reduced drug distribution to brain, and blunted analgesia for both oxycodone and hydrocodone. (nih.gov)
- Hydrocodone abuse is wide spread because it is used as a recreational drug, second only to its cousin Oxycodone, the drug in the brand OxyContin. (drug-addiction-support.org)
- Hydrocodone (Vicodin) along with other opioids like oxycodone (Oxycontin), morphine, methadone and fentanyl are included in this schedule, as are stimulants such as methamphetamine and cocaine. (shouselaw.com)
- Both oxycodone and hydrocodone at room temperature away from moisture and heat. (chez.com)
- The most frequently prescribed opioids among women in and specific opioid medication, age group, U.S. geographic both groups were hydrocodone, codeine, and oxycodone. (cdc.gov)
- Opioid-related overdose and chronic use following an initial prescription of hydrocodone versus oxycodone. (harvard.edu)
- Legally prescribed painkillers such as oxycodone, hydrocodone, and codeine are safe when taken under medical supervision and for a limited period of time. (ashevilledetox.com)
- Short-acting opioids - like hydrocodone and oxycodone - can deliver withdrawal symptoms 6-12 hours after the last dose. (addiction-treatment-services.com)
CODEINE3
- Hydrocodone is a semisynthetic narcotic analgesic and antitussive with multiple actions qualitatively similar to those of codeine. (prescriptiondrugs.com)
- Hydrocodone is derived from codeine. (tripsit.me)
- codeine (170, 36 percent) and hydrocodone (163, 35 percent) were the most commonly reported opioids. (cdc.gov)
Opioids6
- Patients known to be hypersensitive to other opioids may exhibit cross-sensitivity to hydrocodone. (prescriptiondrugs.com)
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- Opioids like hydrocodone have a direct impact on normal brain function and create chemical imbalance. (myvictorycenter.com)
- Like other opioids, hydrocodone works by binding to opioid receptors on the surface of nerve cells, depressing the central nervous system. (banyantreatmentcenter.com)
- Drinking alcohol with hydrocodone or other opioids is also dangerous because opioids affect your inhibitions or ability to make sound decisions, causing you to drink too much or take too many pills. (banyantreatmentcenter.com)
- TAMPA, Florida - A new extended-release formulation of hydrocodone that has antiabuse properties has been shown to provide safe and long-lasting pain relief in a variety of patients with chronic pain, including those who have used opioids before and those who are opioid-naive. (medscape.com)
Unapproved hydrocodone cough suppressants7
- The FDA is particularly concerned about unapproved hydrocodone cough suppressants (antitussives) marketed for kids, as well as the risk of medication errors involving unapproved products. (medscape.com)
- Consumers have some alternatives to unapproved hydrocodone cough suppressants. (medscape.com)
- The agency is particularly concerned about improper pediatric labeling of unapproved hydrocodone cough suppressants (also known as antitussives), and the risk of medication error involving the unapproved products. (blogspot.com)
- On Friday, the Food & Drug Administration (FDA) announced that it was cracking down on unapproved hydrocodone cough suppressants, ordering the manufacturers of these drugs to stop making most of them by the end of the year. (yourlawyer.com)
- Many unapproved hydrocodone cough suppressants are improperly labeled, and have names similar to approved versions. (yourlawyer.com)
- Hydrocodone is not approved by the FDA for use in children under two, but many unapproved hydrocodone cough suppressants are labeled as being suitable for very young children. (yourlawyer.com)
- The FDA move against unapproved hydrocodone cough suppressants is part of the agency’s efforts to crack down on unapproved prescription drugs. (yourlawyer.com)
Narcotic7
- Hydrocodone is a narcotic widely used to treat pain and suppress coughs. (medscape.com)
- Hydrocodone, a powerful narcotic, is used in some prescription painkillers and cough suppressants. (yourlawyer.com)
- Vicodin contains hydrocodone, a narcotic pain reliever. (allaboutcounseling.com)
- First things first… Hydrocodone abuse is best understood by knowing that it is a narcotic and can be habit forming. (drug-addiction-support.org)
- The active drug in Vicodin is Hydrocodone, a opiate analgesic (narcotic). (drug-addiction-support.org)
- Buy Hydrocodone Online Purchase Hydrocodone Online is an opiate that connects itself to certain proteins known as narcotic receptors. (listfav.com)
- Hydrocodone 40mg is an opioid during a class of medicine referred to as narcotic analgesics. (only4pills.com)
Overdose4
- Hydrocodone overdose can result in breathing problems or cardiac arrest, and its use may impair motor skills and judgment. (medscape.com)
- People who overdose on hydrocodone can experience breathing problems or cardiac arrest and it can impair motor skills and judgment. (yourlawyer.com)
- Potentiators: == The following products may react negatively with hydrocodone and may cause overdose if mixed together. (tripsit.me)
- It's also highly addictive and one of the top drugs, along with methadone and hydrocodone, involved in prescription opioid overdose deaths. (drugrehab.com)
Concerned about unapproved hydrocodone1
- The FDA also said that it was concerned about unapproved hydrocodone products labeled for use in children. (yourlawyer.com)
Marketing unapproved hydrocodone products3
- On September 28, the FDA announced deadlines for companies to stop marketing unapproved hydrocodone products. (medscape.com)
- Anyone marketing unapproved hydrocodone products that are currently labeled for use in children younger than 6 years of age must end further manufacturing and distribution of the products on or before October 31, 2007. (medscape.com)
- The FDA ordered companies marketing unapproved hydrocodone products that are labeled for use in children younger than 6 years of age to stop manufacturing and distributing the products by October 31, 2007. (yourlawyer.com)
Pennkinetic2
- 160;The FDA says the approved products are Tussicaps (Tyco Healthcare), Tussionex Pennkinetic (UCB Inc), Hydrocodone Compound (Actavis Mid Atlantic), Mycodone (Morton Grove), Homatropine Methylbromide and Hydrocodone Bitartrate (Actavis Totowa), Hycodan (Endo Pharms), and Tussigon (King Pharmaceuticals). (medscape.com)
- The objective of this open-label, randomized, two-period, crossover study was to evaluate the oral bioavailability of the Mallinckrodt extended release test capsule formulation of chlorpheniramine polistirex/hydrocodone polistirex compared to an equivalent oral dose of a commercially available extended release oral suspension of chlorpheniramine polistirex/hydrocodone polistirex (Tussionex® Pennkinetic® Extended Release Oral Suspension, Celltech Pharmaceuticals, Inc.) in a test group of healthy subjects under fasting conditions. (clinicaltrials.gov)
Heroin1
- hydrocodone is Schedule II drug in the United States due to their noticeably high potential for abuse, ranking only one schedule below the most severe and abused drugs like heroin and LSD. (thelawman.net)
Opiates1
- 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. (prescriptiondrugs.com)
Cough9
- October 1, 2007 -- The US Food and Drug Administration (FDA) plans to crack down on unapproved prescription drug products -- including some 200 cough suppressants -- containing hydrocodone. (medscape.com)
- Hydrocodone is one of the strongest medications available to treat pain or to suppress cough. (medscape.com)
- A case in point -- no hydrocodone cough suppressant has been established as safe and effective for children under 6 years of age and some of these unapproved products carry labels with dosing instructions for children as young as 2 years of age," says Galson, who directs the FDA's Center for Drug Evaluation and Research. (medscape.com)
- According to the FDA , hydrocodone is an ingredient in more than 200 prescription cough suppressants, but only a handful of these medications are approved. (yourlawyer.com)
- The FDA also took action against hydrocodone cough suppressants marketed for young children. (yourlawyer.com)
- Hydrocodone is prescribed for the relief of moderate to severe pain, and in combination with other drugs to relieve cough. (drug-addiction-support.org)
- Hydrocodone is a multi-purpose opiate drug that is often prescribed by physicians to serve as an effective cough suppressant and pain reliever. (shouselaw.com)
- Other hydrocodone mixture merchandise are used to alleviate cough. (kruthai.com)
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Drug24
- The FDA has received reports of medication errors associated with formulation changes in unapproved hydrocodone products and reports of confusion over the similarity of the names of unapproved products to those of approved drug products. (medscape.com)
- Those marketing any other unapproved hydrocodone drug products must stop manufacturing such products on or before December 31, 2007, and must cease further shipment in interstate commerce on or before March 31, 2008. (medscape.com)
- Reclassifying hydrocodone will not stop the drug from being filled legitimately and sold illegally. (pharmacytimes.com)
- The FDA ordered companies making unapproved hydrocodone drug products to stop manufacturing such products on or before December, 31, 2007, and to "cease further shipment in interstate commerce on or before March 31, 2008. (yourlawyer.com)
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