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#81731 - 03/02/04 10:13 PM
Vicodin - Hydrocodone Bitartrate and Acetaminophen
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Administrator
Administrator
GRAND Pooh-Bah
Registered: 11/18/01
Posts: 5948
Loc: DrugBuyers.Com
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Hydrocodone Bitartrate and Acetaminophen
(Most common brand names are: Vicodin, Lortab, and Lorcet. Other brand names are: Anexsia, Azdone, Bancap HC, Ceta-Plus, Co-Gesic, Damason-P, Duocet, Dolacet, Hydrocet, Hy-Phen, Margesic H, Medipain 5, Lorcet HD, Lorcet Plus, Lortab Elixir, Panacet, Stagesic, T- Gesic, Vicodin HP, Zydone).
Health Care Professional Version
Cynthia Kreutzer RN & Jo Eland PhD RN
Every attempt has been made to insure the accuracy of this material, however, medical science is constantly changing. If the information on this page differs from what you have been told by a nurse, pharmacist or physician, consult the person who told you differently or the manufacturer.
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Classification: Narcotic Analgesic with Acetaminophen
Use: Used as short-term treatment to relieve moderate to severe pain; also, used as an antitussive. It is a prescription drug and can be addictive due to the narcotic component.
Usual dose: Vicodin 5mg/500mg tablet 1-2 every 4-6 hours not to exceed 8 in 24 hours. Vicodin ES 7.5mg/750mg tablet 1-2 every 4-6 hours not to exceed 5 in 24 hours.
Pediatrics: PO 0.15 mg/kg/dose q 6 hours
Dosages vary according to brand names.
Lortab Elixer: 2.5/167 mg 15 ml Lortab: 2.5/500 mg tablet
Anexsia: 5/500 mg tablet mg Lortab: 5/500 mg tablet
Panacet: 5/500 mg tablet Lorcet: 5/500 mg tablet
Stagesic 5/500 capsule Bancap HC: 5/500 mg capsule
T-Gesic: 5/500 mg capsule Ceta-Plus: 5/500 mg capsule
Zydone: 5/500 mg capsule Co-gesic: 5/500 mg capsule
Azdone: 5/500 mg tablet Duocet: 5/500 mg capsule
Damason-P: 5/500 mg tablet Dolacet: 5/500 mg capsule
Medipain 5: 5/500 mg tablet Hydrocet: 5/500 mg capsule
Lorcet HD: 5/500 mg capsule Hy-Phen: 5/500 mg tablet
Margesic H: 5/500 mg capsule
Lortab: 7.5/500 mg tablet Anexsia: 7.5/650 mg tablet
Lorcet Plus: 7.5/ 650 mg tablet Vicodin ES: 7.5/750 mg tablet
Lortab: 10/500 mg tablet Lorcet: 10/650 mg tablet
Anexsia: 10/660 mg tablet Vicodin HP: 10/660 mg tablet
Route: Oral
Action: Hydrocodone is similar to codeine in its action, working on the central nervous system and smooth muscle. It is believed to relate to opiate receptors in the central nervous system. Acetaminophen works in the periphery as an analgesic but also has antipyretic effects. It is absorbed rapidly in the GI tract and is distributed to most tissue areas in the body. Acetaminophen inhibits the production of prostaglandin which then may cause irritation to the stomach.
Onset: approximately 30 minutes
Peak: 1.3 + 0.3 hours
Steady State: After repeated doses at 4-6 hour intervals, a steady state is reached after the 5th dose (20 — 30 hours).
Metabolism: Hydrocodone is metabolized in the liver and excreted by the kidney.
Half Life: Hydrocodone 3.8 + 0.3 hours. Acetaminophen 1.25-3 hours
Contraindications: Hypersensitivity to hydrocodone or acetaminophen.
Warning: Use of Vicodin with MAO inhibitors or tricyclic antidepressants may increase the effect of either the antidepressant or the hydrocodone. Using Vicodin with other narcotics, antihistamines, anti-psychotic, anti-anxiety, other central nervous system (CNS) depressants, or alcohol may increase CNS depression.
Precautions: Use with caution in patients with a head injury. Narcotics tend to increase intracranial pressure. Narcotics such as Vicodin may interfere with the diagnosis and treatment of patients with abdominal conditions. Use with caution in patients with liver, kidney disorder, underactive thyroid gland, Addison’s disease, enlarged prostate or urethral stricture.The effects of Vicodin in pregnancy have not been established. Pregnant women must consult their physician before taking Vicodin. Drug dependence occurs in newborns when the mother has been taking this drug prior to delivery. If taken shortly before delivery, it may cause respiratory depression in the infant. Acetaminophen is present in breast milk and Hydrocodone may be present in breast milk; therefore, it is not advised to be administered to nursing mothers.
Drug Interactions: Use caution in combination with following drugs:
Sedatives: Halcion, Restoril
Tranquilizers: Thorazine, Haldol
Antidepressants: Elavil, Nardil,Tofranol
Carbamazepine: Tegretol
Other analgesics: Demerol
Antihistamine: Tavist
Anti-anxiety: Valium, Librium
Anti-spasmodic: Cogentin
Ceiling: Because of the acetaminophen content, there is a ceiling. Doses of acetaminophen should not exceed 4000 mg in 24 hours.
Administration: Do not administer to pediatric patients. Use with caution in elderly patients or those with impaired renal or hepatic function. Use with caution during pregnancy or nursing mothers.
Effectiveness: Pain level will decrease and patient will report less pain.
Side Effects: Most common from Vicodin: dizziness, sedation, nausea, vomiting, constipation. Less common: Mood changes, mental cloudiness, anxiety, lethargy, urine retention, ureteral spasm, lightheadedness, irregular breathing, respiratory depression, pruritus, skin rash, impaired mental and physical performance. Side effects of acetaminophen are allergic reaction, rash, thrombocytopenia (decreased number of platelets), agranulocytosis (decreased number of agranular white blood cells).
Overdose: Symptoms of overdose include: blood disorders, cyanotic skin color, cold clammy skin, increasing sedation progressing to unresponsiveness, diaphoresis, irregular heartbeat, decreased heart rate, weakness, low blood pressure, nausea, vomiting, irregular or depressed respirations. Treatment is administration of Nalaxone.
Storage: Store at room temperature away from sunlight and moisture.
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#81734 - 09/06/05 06:11 AM
Re: Vicodin - Hydrocodone Bitartrate and Acetaminophen
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Eddie1907
Stranger
Registered: 08/03/05
Posts: 10
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This can be purchased from www.onlinesolutions4u.com without a prescription.
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#81738 - 09/16/06 06:54 PM
Re: Vicodin - Hydrocodone Bitartrate and Acetaminophen
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2thClnr
Newbie
Registered: 05/15/06
Posts: 47
Loc: Not in OZ
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Hydrocodone shows up in the pre-screening as an opiate as do all the other opiate narcotice pain relievers. If the testing site wants to find out exactly what it is they have to do a more detailed test.
If you aren't worried about the UA, and they ask you to report any meds that might show up....it is important to do so. As long as you report it and have a legit reason for taking it, they cannot say they won't hire you.
Good luck   
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#81740 - 09/16/06 08:28 PM
Re: Vicodin - Hydrocodone Bitartrate and Acetaminophen
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MrCharlie
Banned: multiple account to create trouble and shill.Same as CosmiCharlie and others
Registered: 01/22/06
Posts: 320
Loc: Joliet
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Quote:
Quote:
Hydrocodone shows up in the pre-screening as an opiate as do all the other opiate narcotice pain relievers. If the testing site wants to find out exactly what it is they have to do a more detailed test.
This is 100% TRUE~ Hydrocodone DOES show up as an opiate. No matter how many mgs you take daily, it will be out of your system in 48 hours.
Peace,
Julz
100% FALSE. Sorry but I have to disagree. A five panel DT is only looking for codeine/morphine based opiates or opiates that contain or are metabolized into 1 of those compounds. I have passed several 5-panel DT's while taking large doses of hydro, because it's not metabolized into codeine or morphine. It's my understanding that even Oxy won't show on a standard NIDA-5 Gas Chromatography/Mass Spectromety test.
I'm sure many folks are going to disagree and give personal examples of their own failures. My info is from Erowid and my experiences are personal and true. Hydro will not show up on your run of the mill pre-employment screening, unless the company specifically requests that it is added to the list.
Report the med, if you want to, I don't. If you do they may not hire you, even though it's illegal, because you are "damaged goods". Also, when you get ins. they may consider your pain to be pre-exsisting and not cover it. Unless you're applying for a Gov., transportation or other vital to the economy or security, of the country position, they aren't going to be looking for Hydro. Like I said report it if you want. I'd wait until it comes back positive, it shouldn't, and then and only then give up the info on taking pain meds. IMHO.
BTW AAA...- nevermind looks like someone already took care of you.
Edited by MrCharlie (09/17/06 03:41 AM)
_________________________
"...'cause Mr Charlie told me so..."
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#81743 - 09/17/06 06:15 AM
Re: Vicodin - Hydrocodone Bitartrate and Acetaminophen
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DonBarba
Pooh-Bah
Registered: 04/02/04
Posts: 1266
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#81746 - 09/17/06 03:00 PM
Re: Vicodin - Hydrocodone Bitartrate and Acetaminophen
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2thClnr
Newbie
Registered: 05/15/06
Posts: 47
Loc: Not in OZ
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OK, I guess I don't know everything (LOL) Sorry, but I am going by the test that I have to take pretty much on a monthly basis because of a situation I got myself into. They "pre-screen" for like 5 groups of drugs and also alcohol. Then if they want to be specific they test it more. That's why they fill 2 vials with the urine I suppose
Get this,,,,,,I had something to drink on a Friday,,,,was tested on the next Wed.( 5 days) later so I thought I was okay.....NOT !!!!!! There is an enzyme produced by the liver that will show up on a urinalysis that showed that I indeed had had some alcohol recently. I was floored!
But, my bad. That's why I was being tested in the first place. OOPS !!! Anyhoo, I've been sober almost 1 year now so that's no longer an issue (well, for today anyway!)
Sorry if I mislead anyone. As I said, I was going by the test I'm given. And to think, I get to do this for 2 more years. Call an 800 # every morning to see if I've been "selected" for testing. At 65 dollars a pop, sometimes twice a month. SUCKS. You play, you pay.
Bye now.  
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