NORCO
Hydrocodone or dihydrocodeinone (marketed as Vicodin, Anexsia, Dicodid, Hycodan, Hycomine, Lorcet, Lortab, Norco, Hydroco, Tussionex, Vicoprofen) is an opioid derived from either of the naturally occurring opiates codeine or thebaine. Hydrocodone is an orally active narcotic analgesic and antitussive. The typical therapeutic dose of 5 to 10 mg is pharmacologically equivalent to 30 to 60 mg of oral codeine.[citation needed] Sales and production of this drug have increased significantly in recent years, as have diversion and illicit use. Hydrocodone is commonly available in tablet, capsule and syrup form.
The presence of acetaminophen in hydrocodone-containing products deters many drug users from taking excessive amounts. However, some users will get around this by extracting a portion of the acetaminophen using hot/cold water, taking advantage of the water-soluble element of the drug. It is not uncommon for addicts to have liver problems from consuming excessive amounts of acetaminophen over a long period of time; taking 10 to 15 grams of acetaminophen in a period of 24 hours typically results in severe hepatotoxicity, and doses exceding 15 grams a day have been reported as fatal.[1] It is this factor that leads many addicts to use only single entity opiates such as OxyContin. Norco (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 Norco. Together, Norco are used to relieve moderate-to-severe pain. Norco may also be used for purposes other than those listed in this medication guide.  Norco 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 Norco is stopped suddenly after several weeks of continuous use. Your doctor may recommend a gradual reduction in dose. Avoid alcohol while taking Norco. 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. Norco 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 Norco 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. Norco 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. |
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Take the missed dose as soon as you remember. However, if it is almost time for the next regularly scheduled dose, skip the missed dose and take the next one as directed. Do not take a double dose of this medication. If you experience any of the following serious side effects, stop taking Norco 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; unusual fatigue, bleeding, or bruising. Other, less serious side effects may be more likely to occur. Continue to take Norco 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; decreased sex drive. Norco 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 Norco 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. 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; Addison's disease. You may not be able to take Norco, or you may require a dosage adjustment or special monitoring during treatment if you have any of the conditions listed above. Norco 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. Norco 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 Norco. Your doctor may prescribe a lower dose. Keep Norco in the container it came in, tightly closed, and out of reach of children. Store it at room temperature and away from excess heat and moisture (not in the bathroom). Throw away any medication that is outdated or no longer needed. Talk to your pharmacist about the proper disposal of your medication. Patients receiving other narcotics, antihistamines, antipsychotics, antianxiety agents, or other CNS depressants (including alcohol) concomitantly with NORCOO 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. Acetaminophen may produce false-positive test results for urinary 5-hydroxyindoleacetic acid.
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