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Hydrocodone/APAP
Hydrocodone/APAP is a combination pain-killer used to lull short-term pain ranged from moderate to moderately severe. This medication is available in the forms of capsules, syrup and pills. It is usually prescribed to be taken as needed when pain arises, though you might as well be recommended to take a dose every four to six hours. As Hydrocodone/APAP contains a narcotic compound it belongs to the class of controlled drugs.
What Is Hydrocodone/APAP and How Does It Work?
Hydrocodone/APAP (hydrocodone and acetaminophen) is a medication available only on prescription licensed to be applied in the course of moderate to moderately severe pain treatment. As the drug contains the narcotic component, it belongs to the class of controlled substances.
What Are the Products Containing Hydrocodone/APAP?
Hydrocodone/APAP is contained in the following available products:
- Anexsia®
- hycet™
- Lorcet® (Lorcet Plus® and Lorcet-HD®)
- Lortab®
- Maxidone™
- Vicodin® (Vicodin ES and Vicodin HP)
- Norco®
- Stagesic®
- Xodol®
- Zydone®.
The major part (though not all) of the drugs listed above are available in the form of generic medications. The medication is manufactured as both brand-name and generic versions by different producers.
Possible Side Effects of Therapy with Hydrocodone/APAP
Hydrocodone/APAP as a typical medication possesses a certain number of possible side effects. Though, far not all the people undergoing the therapy actually experience its side effects. The majority of experienced side effects are minor ones, so they may either be treated by your therapist or you yourself.
Below is the list of the common side effects:
- Lightheadedness
- Dizziness
- Drowsiness
- Nausea
- Vomiting
- Constipation.
What are the Medical Conditions Treated With Hydrocodone/APAP?
Before starting the treatment with Hydrocodone/APAP you should tell your therapist if you have any of the following medical conditions:
- Cirrhosis, liver failure, hepatitis, etc
- Kidney disease
- A head injury, high intracranial pressure
- Severe abdominal pain
- Hypothyroidism
- Addison's disease
- An enlarged prostate (benign prostatic hyperplasia, or BPH)
- Any lung disease
- Drug or alcohol addiction in the past
- Any allergies.
You should also inform your therapist in case you are:
- Pregnant or planning to become pregnant in nearest future
- Breastfeeding a baby.
Also make sure that your healthcare provider knows about any other drugs, vitamins or food additives that you are currently taking (both prescription and over-the-counter ones).
In What Way Does Hydrocodone/APAP Work?
Hydrocodone/APAP has two different drugs in its content: hydrocodone bitartrate and acetaminophen, where hydrocodone is a semi-synthetic narcotic, opioid pain reliever, which has the effect similar to that of codeine. It is used to cease pain and to relieve coughing, though at the same time among its side effects there are sleepiness, mood swings and mental "clouding". Because of these in the USA it is only available as a constituent of other drugs, but can't be bought alone.
Acetaminophen ("APAP") is used as a pain-killer and an antipyretic drug and commonly serves as a constituent for non-prescription drugs (i.e. Tylentol). APAP is actually the abbreviation for acetaminophen. Combining these two substances together is the way to increase the effectiveness of the drug in lulling pain and simultaneously reduce the psychotropic effects of hydrocodone.
Why Hydrocodone/APAP Might Be An Abused Drug?
Hydrocodone/APAP is one of the frequently abused drugs. It costs little and is readily available as a generic medication. However, physical dependence on the drug is not always synonymous to its abuse. At the same time for therapists it is usually difficult to distinguish those suffering from inadequate pain and thus displaying changed behavior from those whose abnormal behavior is explained by drug-abuse. As Hydrocodone/APAP is a controlled drug but at the same time very popular one for abuse it might be obtained through illegal means. People abusing the drug and who then withdraw from using it will most probably be submitted to withdrawal symptoms.
How Do I Take Hydrocodone/APAP?
Here is the usual instruction on how and when Carisoprodol should be taken:
- The drug is manufactured in the form of pills, capsules or syrup. It is meant to be taken orally at the intervals of 4 to 6 hours, depending on the intensity of pain.
- It might be taken when required, only when you experience a pang of pain. In case you do not experience pain, you skip the dose). It may also me taken on the regular, scheduled basis, even if pain is silent, thought this kind of prescription is rare.
- It is recommended to be taken along with meals, in order not to experience any stomach discomfort.
- Do not exceed the max dose recommended for daily use, as it might lead to overdose or to liver failure.
Hydrocodone/APAP Dosage
There following factors might influence the prescription of your healthcare provider:
- The strength of hydrocodone/APAP you're prescribed
- The reaction of your body to hydrocodone/APAP
- Other drugs taken in
- Other dysfunctions the patient has.
Be careful with the dose you take and never change it on your own unless you have instructions of your therapist to.
Possible Drug Interactions with Hydrocodone/APAP
Drug interactions with Hydrocodone/APAP may increase the risk of side effects. For the sake of your safety avoid mixing Hydrocodone/APAP with the following products:
- Alcohol
- Antidepressants
- Antihistamines
- Antipsychotic medications
- Barbiturates, such as:
- Amobarbital (Amytal®)
- Butalbital (Fioricet®, Fiorinal®)
- Pentobarbital (Nembutal®)
- Phenobarbital (Luminal®)
- Secobarbital (Seconal®)
- Benzodiazepines, such as:
- Alprazolam (Xanax®, Xanax XR®)
- Chlordiazepoxide (Librium®, Limbitrol®, Librax®)
- Clonazepam (Klonopin®)
- Clorazepate (Tranxene®)
- Diazepam (Valium®)
- Estazolam (ProSom®)
- Flurazepam (Dalmane®)
- Lorazepam (Ativan®)
- Midazolam (Versed®)
- Temazepam (Restoril®)
- Triazolam (Halcion®)
- Other acetaminophen products, including many prescription and non-prescription pain killers and cold or cough products
- Other narcotics or opiates, such as morphine (MS Contin®, MSIR®) or oxycodone
- Sleep medications.
What Should I Do in Case of Overdose with Hydrocodone/APAP?
The symptoms of overdose are:
- Difficulty breathing
- Extreme drowsiness, leading to coma
- Cold, clammy skin
- A slow heart rate
- Hypotension
- Cardiac arrest
- Nausea and vomiting
- Sweating
- Liver failure
- Death.
If you happen to overdose, run for medical help.
How Should I Store Hydrocodone/APAP?
The drug as usual should be stored at a dry place at room temperature out of children's reach.
What Should I Do in Case I Miss a Dose of Hydrocodone/APAP?
As this drug is usually taken at the pangs of pain it is not necessary to take it unless you really feel a surge of pain. If you do, take the skipped dose immediately. However make sure there is a gap between this dose and the next one.
What Strengths of Hydrocodone/APAP Are Available?
The strengths available are as follows (the smaller number stands for the content of hydrocodone bitartrate, the larger one of acetaminophen)
- Hydrocodone/APAP 2.5/500 mg
- Hydrocodone/APAP 5/300 mg
- Hydrocodone/APAP 5/325 mg
- Hydrocodone/APAP 5/400 mg
- Hydrocodone/APAP 5/500 mg
- Hydrocodone/APAP 7.5/300 mg
- Hydrocodone/APAP 7.5/325 mg
- Hydrocodone/APAP 7.5/400 mg
- Hydrocodone/APAP 7.5/500 mg
- Hydrocodone/APAP 7.5/650 mg
- Hydrocodone/APAP 7.5/750 mg
- Hydrocodone/APAP 10/300 mg
- Hydrocodone/APAP 10/325 mg
- Hydrocodone/APAP 10/400 mg
- Hydrocodone/APAP 10/500 mg
- Hydrocodone/APAP 10/650 mg
- Hydrocodone/APAP 10/660 mg
- Hydrocodone/APAP 10/750 mg
- Capsules: hydrocodone/APAP 5/500
- Syrup (elixir):
- Hydrocodone/APAP 7.5/325 mg per 15 mL (per tablespoonful)
- Hydrocodone/APAP 7.5/500 mg per 15 mL (per tablespoonful)
- Hydrocodone/APAP 10/500 mg per 15 mL (per tablespoonful).
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