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Hydroco/Apap 10-325mg: Essential Guide to Hydrocodone and Acetaminophen Oral Medication

What is Hydroco/Apap 10-325mg. How does this combination medication work. What are the proper uses and potential side effects of hydrocodone and acetaminophen. What precautions should be taken when using this pain relief medication. How to safely manage and administer Hydroco/Apap 10-325mg.

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Understanding Hydroco/Apap 10-325mg: Composition and Purpose

Hydroco/Apap 10-325mg is a powerful combination medication used for pain management. This oral tablet contains two active ingredients: hydrocodone (10mg) and acetaminophen (325mg). Hydrocodone belongs to the opioid class of drugs, while acetaminophen is a common analgesic. Together, they form a potent pain reliever designed to address moderate to severe pain that has not responded adequately to other treatments.

Is Hydroco/Apap 10-325mg available under different names? Yes, it is. While the generic form is widely used, this medication is also marketed under the brand name Norco. It’s important to note that generic versions typically cost less than their brand-name counterparts, though they may not always be available in all strengths or forms.

How Does Hydroco/Apap 10-325mg Work?

The dual-action mechanism of Hydroco/Apap 10-325mg makes it particularly effective for pain relief. Hydrocodone, an opioid, works directly on the brain’s pain receptors, altering the perception of pain signals. Acetaminophen, on the other hand, works by reducing the production of prostaglandins, substances in the body that cause pain and inflammation. This combination approach allows for comprehensive pain management, targeting pain through multiple pathways.

Proper Use and Dosage Guidelines for Hydroco/Apap 10-325mg

Administering Hydroco/Apap 10-325mg correctly is crucial for its effectiveness and safety. This medication is available as an oral tablet and an oral solution. The dosage should be strictly followed as prescribed by a healthcare professional, as it may vary based on individual factors such as the severity of pain, medical history, and response to treatment.

  • Take the medication exactly as directed by your doctor
  • Do not increase or decrease the dose without medical advice
  • If using the oral solution, use a proper measuring device to ensure accurate dosing
  • Do not crush, break, or chew the tablets unless instructed by your healthcare provider

Can Hydroco/Apap 10-325mg be taken with food? Generally, this medication can be taken with or without food. However, if you experience nausea, taking it with food may help alleviate this side effect. Always consult your doctor or pharmacist for specific instructions tailored to your situation.

Potential Side Effects and Risks of Hydroco/Apap 10-325mg

While Hydroco/Apap 10-325mg is effective for pain management, it’s essential to be aware of potential side effects. Common side effects may include:

  • Drowsiness or sleepiness
  • Dizziness or lightheadedness
  • Nausea and vomiting
  • Constipation

These side effects are usually mild and may subside as your body adjusts to the medication. However, there are also more serious side effects that require immediate medical attention.

Serious Side Effects to Watch For

Are there any severe side effects associated with Hydroco/Apap 10-325mg? Yes, and it’s crucial to be aware of them. Serious side effects may include:

  • Severe allergic reactions (difficulty breathing, swelling of face/throat/mouth, rash, itching)
  • Signs of liver problems (yellowing of skin/eyes, abdominal pain, dark urine)
  • Symptoms of adrenal gland issues (loss of appetite, unusual tiredness, weakness)
  • Signs of serotonin syndrome (agitation, hallucinations, rapid heart rate, fever, muscle stiffness)

If you experience any of these serious side effects, seek medical help immediately. It’s important to note that this list is not exhaustive, and you should report any unusual symptoms to your healthcare provider promptly.

Drug Interactions and Precautions with Hydroco/Apap 10-325mg

Hydroco/Apap 10-325mg can interact with various medications, herbs, and supplements. These interactions can alter the effectiveness of the medication or increase the risk of side effects. It’s crucial to inform your healthcare provider about all the substances you’re taking, including over-the-counter medications and herbal supplements.

Common Drug Interactions

Which medications commonly interact with Hydroco/Apap 10-325mg? Some notable interactions include:

  • Other opioid pain medications
  • Benzodiazepines and other central nervous system depressants
  • Certain antidepressants, particularly MAOIs and SSRIs
  • Drugs that affect serotonin levels in the body
  • Medications that can cause drowsiness, such as antihistamines or muscle relaxants

This list is not comprehensive, and it’s essential to consult with your healthcare provider or pharmacist about potential interactions with your specific medication regimen.

Special Warnings and Considerations for Hydroco/Apap 10-325mg Use

Hydroco/Apap 10-325mg carries several important warnings that users should be aware of. These warnings are in place to ensure safe use of the medication and prevent potential complications.

Risk of Dependence and Addiction

Does Hydroco/Apap 10-325mg carry a risk of dependence? Yes, it does. As an opioid medication, hydrocodone has the potential for abuse and addiction. Prolonged use can lead to physical dependence, and abrupt discontinuation may result in withdrawal symptoms. It’s crucial to use this medication exactly as prescribed and to work closely with your healthcare provider if you need to stop or change your dosage.

Acetaminophen Toxicity Warning

The acetaminophen component in Hydroco/Apap 10-325mg can cause liver damage if taken in excessive amounts. It’s important to be aware of the total daily intake of acetaminophen from all sources, including over-the-counter medications. The maximum recommended daily dose of acetaminophen for adults is 4,000 mg, but in some cases, healthcare providers may recommend lower limits.

Managing Pain Safely: Alternatives and Complementary Approaches

While Hydroco/Apap 10-325mg can be an effective pain management tool, it’s not the only option available. Exploring alternative and complementary approaches to pain management can be beneficial, especially for long-term pain control.

Non-Pharmacological Pain Management Techniques

What are some non-drug approaches to managing pain? Consider these options:

  • Physical therapy and exercise
  • Acupuncture and massage therapy
  • Cognitive behavioral therapy
  • Mindfulness and meditation practices
  • Heat and cold therapy

These techniques can be used alongside medication or as alternative methods, depending on the nature and severity of your pain. Always consult with your healthcare provider before making changes to your pain management plan.

Proper Storage and Disposal of Hydroco/Apap 10-325mg

Proper storage and disposal of Hydroco/Apap 10-325mg are crucial for safety and efficacy. This medication should be stored at room temperature, away from moisture and heat. Keep it out of reach of children and pets, preferably in a locked cabinet or safe.

Safe Disposal Methods

How should unused or expired Hydroco/Apap 10-325mg be disposed of? The FDA recommends the following methods:

  1. Take-back programs: Many communities offer drug take-back programs for safe disposal.
  2. Flushing: In some cases, flushing may be recommended if immediate disposal is necessary and no take-back options are available.
  3. Household trash: As a last resort, mix the medication with an undesirable substance (like used coffee grounds), seal it in a plastic bag, and place it in the trash.

Always check with your local pharmacy or healthcare provider for the most up-to-date disposal guidelines in your area.

Monitoring and Follow-Up: Ensuring Safe Long-Term Use

Regular monitoring and follow-up are essential when using Hydroco/Apap 10-325mg, especially for extended periods. Your healthcare provider will likely schedule regular check-ups to assess the medication’s effectiveness, monitor for side effects, and make any necessary adjustments to your treatment plan.

Important Factors to Monitor

What should be monitored during long-term use of Hydroco/Apap 10-325mg? Key factors include:

  • Pain control effectiveness
  • Liver function tests (due to acetaminophen component)
  • Signs of dependence or tolerance
  • Overall quality of life and functionality
  • Any new or worsening side effects

Be sure to keep all scheduled appointments and communicate openly with your healthcare provider about your experience with the medication. This collaboration is crucial for maintaining safe and effective pain management.

In conclusion, Hydroco/Apap 10-325mg can be an effective tool for managing moderate to severe pain when used correctly and under proper medical supervision. Understanding its composition, proper use, potential side effects, and important precautions is essential for anyone prescribed this medication. Always follow your healthcare provider’s instructions closely, and don’t hesitate to ask questions or report any concerns you may have during your treatment.

Side effects, dosage, uses and more

  1. Acetaminophen-hydrocodone oral tablet is available as a generic drug and a brand-name drug. Brand names: Norco.
  2. Acetaminophen-hydrocodone comes as an oral tablet and an oral solution.
  3. Acetaminophen-hydrocodone oral tablet is used to treat moderate to severe pain that other treatments have not been able to relieve.

Other warnings

  • Severe allergic reaction warning: This medication may cause a severe, potentially life-threatening allergic reaction. The reaction can occur very quickly. Symptoms may include:
    • trouble breathing
    • swelling of your face, throat, and mouth
    • rash
    • itching
    • vomiting

If this occurs, stop taking this medication and call your doctor right away or get emergency medical help.

  • Adrenal gland problems warning: This medication may cause your adrenal glands to not work as well. Symptoms may include:
    • nausea
    • vomiting
    • loss of appetite
    • tiredness
    • weakness
    • dizziness
    • lightheadedness

If you have these symptoms, talk to your doctor. You may need to stop taking this medication or have some tests done.

Acetaminophen-hydrocodone is a prescription medication. As an opioid, it’s a controlled substance. It comes as an oral tablet and an oral solution.

Acetaminophen-hydrocodone oral tablet is available as the brand-name drug Norco. It’s also available in its generic form. Generic drugs usually cost less than brand-name drugs. In some cases, they may not be available in every strength or form as the brand-name version.

This medication is a combination of two drugs in a single form. It’s important to know about both of the drugs in the combination because each drug may affect you in a different way.

Why it’s used

Acetaminophen-hydrocodone oral tablet is used to treat moderate to severe pain that other treatments have not been able to relieve.

How it works

This medication is a combination of hydrocodone and acetaminophen. Hydrocodone is an opioid (narcotic), and acetaminophen is an analgesic (pain reliever). Both drugs are used to reduce pain.

These drugs work in your brain to block pain signals. They decrease your ability to feel pain.

Acetaminophen-hydrocodone oral tablet may make you feel sleepy, dizzy, or lightheaded. Avoid driving a car or using machinery until you know how your body reacts to this medication.

This drug can also cause other side effects.

More common side effects

The more common side effects that can occur with acetaminophen-hydrocodone include:

  • sleepiness or drowsiness
  • feeling dizzy or lightheaded
  • nausea
  • vomiting
  • constipation

Serious side effects

Call your doctor right away if you have serious side effects. Call 911 if your symptoms feel life threatening or if you think you’re having a medical emergency. Serious side effects and their symptoms can include the following:

  • Skin rash
  • Swelling of your face, throat, and mouth
  • Trouble breathing
  • Drug dependence
  • Liver problems, including liver failure. Symptoms may include:
    • yellowing of your skin and the whites of your eyes
    • pain in the upper right part of your stomach area
    • swelling of your stomach area
    • itchiness
    • confusion
    • feeling tired
    • lack of appetite

Disclaimer: Our goal is to provide you with the most relevant and current information. However, because drugs affect each person differently, we cannot guarantee that this information includes all possible side effects. This information is not a substitute for medical advice. Always discuss possible side effects with a healthcare provider who knows your medical history.

Acetaminophen-hydrocodone oral tablet can interact with other medications, vitamins, or herbs you may be taking. An interaction is when a substance changes the way a drug works. This can be harmful or prevent the drug from working well.

To help avoid interactions, your doctor should manage all of your medications carefully. Be sure to tell your doctor about all medications, vitamins, or herbs you’re taking. To find out how this drug might interact with something else you’re taking, talk to your doctor or pharmacist.

Examples of drugs that can cause interactions with acetaminophen-hydrocodone are listed below.

Drugs that cause drowsiness

Taking certain drugs with acetaminophen-hydrocodone increases your risk of drowsiness, dizziness, tiredness, and reduced physical and mental function. If you need to use one of these drugs with acetaminophen-hydrocodone, the dosage of one or both drugs should be reduced.

Examples of these drugs include:

  • other opioids (narcotics)
  • antihistamines, which are used for allergies
  • antipsychotics, which are used for bipolar disorder, schizophrenia, or depression
  • benzodiazepines, which are used for anxiety

Drugs that increase serotonin

Taking this medication with drugs that increase the amount of a chemical called serotonin in your body can cause a serious problem. This problem, called serotonin syndrome, can be fatal. Tell your doctor if you are taking any of these medications:

  • some antidepressants (selective serotonin reuptake inhibitors [SSRIs], selective serotonin and norepinephrine reuptake inhibitors [SNRIs], tricyclic antidepressants [TCAs], monoamine oxidase inhibitors [MAOIs], mirtazapine, trazodone)
  • certain drugs for migraine (triptans)
  • certain drugs for nausea, such as ondansetron
  • tramadol, which is used for pain
  • linezolid, which is an antibiotic

Drugs that inhibit activity of certain enzymes in the liver

Taking this medication with drugs that can inhibit activity of certain liver enzymes can increase the amount of hydrocodone in your body and cause more side effects. You may have increased breathing problems or drowsiness. Examples of these drugs include:

  • erythromycin
  • ketoconazole
  • protease inhibitors used to treat HIV, such as ritonavir

Drugs that increase activity of certain enzymes in the liver

Taking this medication with drugs that can increase activity of certain liver enzymes can lower the amount of hydrocodone or acetaminophen in your body. You may need a higher dose of this medication to control your pain. Examples of these drugs include:

  • rifampin
  • carbamazepine
  • phenytoin

Disclaimer: Our goal is to provide you with the most relevant and current information. However, because drugs interact differently in each person, we cannot guarantee that this information includes all possible interactions. This information is not a substitute for medical advice. Always speak with your healthcare provider about possible interactions with all prescription drugs, vitamins, herbs and supplements, and over-the-counter drugs that you are taking.

This drug comes with several warnings.

Allergy warning

This drug can cause a severe allergic reaction. Symptoms may include:

  • trouble breathing
  • swelling of your throat or tongue
  • hives
  • rash
  • itching

If you develop these symptoms, call 911 or go to the nearest emergency room.

Don’t take this drug again if you’ve ever had an allergic reaction to it. Taking it again could be fatal (cause death).

Alcohol interaction warning

You shouldn’t drink alcohol while taking acetaminophen-hydrocodone. Drinking alcohol while taking this medication may cause:

  • slowed or stopped breathing
  • drowsiness
  • tiredness
  • mental cloudiness
  • physical and mental slowing

Combining alcohol with this drug also increases your risk for liver problems and liver damage.

Warnings for people with certain health conditions

For people with head injury: If you have a head injury, hydrocodone may cause increased pressure in your brain and cause breathing problems.

For people with stomach problems: Use caution taking this drug if you have intestinal obstruction, ulcerative colitis, or constipation. This medication may worsen your symptoms.

For people with severe kidney disease: This drug may build up in your body, which can cause trouble breathing and other side effects.

For people with lung disease: If you have lung disease, you might have trouble breathing if you take this medication.

For people with severe liver disease: If you have severe liver disease, your risk of liver failure is increased. Also, this drug may build up in your body, which can cause trouble breathing and other side effects.

For people with prostate enlargement: If you have an enlarged prostate, taking acetaminophen-hydrocodone may cause increased difficulty in urination.

For people with asthma: If you have severe or uncontrolled asthma, do not use this medication without talking to your doctor. You may have to take the first few doses in a monitored setting.

For pregnant women: This drug is a category C pregnancy drug. That means two things:

  1. Research in animals has shown adverse effects to the fetus when the mother takes the drug.
  2. There haven’t been enough studies done in humans to be certain how the drug might affect the fetus.

Tell your doctor if you’re pregnant or plan to become pregnant. Babies born to mothers who regularly take opioids such as hydrocodone may be born physically dependent on this drug. This can cause symptoms of withdrawal, or neonatal opioid withdrawal syndrome. Symptoms can include:

  • excessive crying
  • sneezing
  • shaking
  • rapid breathing
  • increased bowel movements
  • yawning
  • vomiting
  • fever

There’s also an increased chance that the baby may have trouble breathing if this medication is given to the mother shortly before giving birth.

For women who are breastfeeding: Acetaminophen is passed in small amounts in breast milk. Hydrocodone also passes into breast milk and may result in excessive tiredness and slowed breathing in a child who is breastfed.

Breastfeeding while taking this medication may come with risks. You and your doctor should decide whether you’ll take this medication or breastfeed.

For seniors: Older adults may have decreased kidney, liver, and heart function. If you’re a senior, your doctor may start you at a low dose of this medication.

All possible dosages and drug forms may not be included here. Your dosage, drug form, and how often you take the drug will depend on:

  • your age
  • the condition being treated
  • the severity of your condition
  • other medical conditions you have
  • how you react to the first dose

Forms and strengths

Generic: Acetaminophen-hydrocodone

  • Form: oral tablet
  • Strengths:
    • hydrocodone 5 mg/acetaminophen 300 mg
    • hydrocodone 7.5 mg/acetaminophen 300 mg
    • hydrocodone 10 mg/acetaminophen 300 mg
    • hydrocodone 2.5 mg/acetaminophen 325 mg
    • hydrocodone 5 mg/acetaminophen 325 mg
    • hydrocodone 7.5 mg/acetaminophen 325 mg
    • hydrocodone 10 mg/acetaminophen 325 mg

Brand: Norco

  • Form: oral tablet
  • Strengths:
    • 2. 5 mg hydrocodone/325 mg acetaminophen
    • 5 mg hydrocodone/325 mg acetaminophen
    • 7.5 mg hydrocodone/325 mg acetaminophen
    • 10 mg hydrocodone/325 mg acetaminophen

Dosage for moderate to severe pain

Adult dosage (ages 18 years and older and weighing at least 101 pounds [46 kg])

  • 5 mg or 2.5 mg hydrocodone / 300 mg or 325 mg acetaminophen: The typical dosage is 1–2 tablets taken every 4–6 hours as needed. The maximum dosage is 8 tablets per day.
  • 7.5 mg or 10 mg hydrocodone / 300 mg or 325 mg acetaminophen: The typical dosage is 1 tablet taken 4–6 hours as needed. The maximum dosage is 6 tablets per day.

Child dosage (ages 0–17 years)

  • Dosage for people younger than 18 years hasn’t been established.

Disclaimer: Our goal is to provide you with the most relevant and current information. However, because drugs affect each person differently, we cannot guarantee that this list includes all possible dosages. This information is not a substitute for medical advice. Always speak with your doctor or pharmacist about dosages that are right for you.

Acetaminophen-hydrocodone is used for short- or long-term treatment. It comes with risks if you don’t take it exactly as prescribed by your doctor.

If you stop taking the drug or don’t take it at all: Your pain will continue and might get worse.

If you miss doses or don’t take the drug on schedule: Your medication may not work as well or may stop working completely. For this drug to work well, a certain amount needs to be in your body at all times.

What to do if you miss a dose: If you’re taking the medication regularly, take the missed dose as soon as you remember. Skip the missed dose if it’s almost time for your next scheduled dose.

Don’t use extra medication to make up the missed dose. This could result in dangerous side effects.

If you take too much: If you take too much, you can overdose on this medication. You may experience:

  • nausea and vomiting
  • sweating
  • an overall feeling of fatigue
  • slowed or stopped breathing
  • slowed heart rate
  • very low blood pressure
  • possible coma
  • liver damage or failure

If you think you’ve taken too much of this drug, call your doctor or seek guidance from the American Association of Poison Control Centers at 1-800-222-1222 or through their online tool. But if your symptoms are severe, call 911 or go to the nearest emergency room right away.

How to tell if the drug is working: Your pain should decrease.

Keep these considerations in mind if your doctor prescribes acetaminophen-hydrocodone for you.

General

  • Take with food to lower your risk of upset stomach.
  • You can cut or crush the oral tablet.

Storage

  • Store this drug at temperatures ranging from 68°F to 77°F (20°C to 25°C).
  • Keep this drug in a container with a child-resistant closure.
  • Keep this drug away from light.
  • Keep this drug in a locked place and out of children’s reach.

Refills

A prescription for this medication is not refillable. You or your pharmacy will have to contact your doctor for a new prescription if you need this medication refilled.

Travel

When traveling with your medication:

  • Always carry your medication with you. When flying, never put it into a checked bag. Keep it in your carry-on bag.
  • Don’t worry about airport X-ray machines. They can’t hurt your medication.
  • You may need to show airport staff the pharmacy label for your medication. Always carry the original prescription-labeled container with you.
  • Don’t put this medication in your car’s glove compartment or leave it in the car. Be sure to avoid doing this when the weather is very hot or very cold.

Clinical monitoring

Your doctor may do certain tests to check whether you have severe liver or kidney disease. These tests will check your:

  • Kidney function. Your doctor may do kidney tests if you have kidney problems to make sure that this medication is safe for you and won’t cause breathing problems.
  • Liver function. Your doctor may do liver tests if you have liver problems to make sure that this medication is safe for you and won’t cause breathing problems.

Prior authorization

Most insurance companies do not require a prior authorization for this drug.

There are other drugs available to treat your condition. Some may be more suitable for you than others. Talk to your doctor about other drug options that may work for you.

Disclaimer: Medical News Today has made every effort to make certain that all information is factually correct, comprehensive, and up to date. However, this article should not be used as a substitute for the knowledge and expertise of a licensed healthcare professional. You should always consult your doctor or other healthcare professional before taking any medication. The drug information contained herein is subject to change and is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. The absence of warnings or other information for a given drug does not indicate that the drug or drug combination is safe, effective, or appropriate for all patients or all specific uses.

Side effects, dosage, uses and more

  1. Acetaminophen-hydrocodone oral tablet is available as a generic drug and a brand-name drug. Brand names: Norco.
  2. Acetaminophen-hydrocodone comes as an oral tablet and an oral solution.
  3. Acetaminophen-hydrocodone oral tablet is used to treat moderate to severe pain that other treatments have not been able to relieve.

Other warnings

  • Severe allergic reaction warning: This medication may cause a severe, potentially life-threatening allergic reaction. The reaction can occur very quickly. Symptoms may include:
    • trouble breathing
    • swelling of your face, throat, and mouth
    • rash
    • itching
    • vomiting

If this occurs, stop taking this medication and call your doctor right away or get emergency medical help.

  • Adrenal gland problems warning: This medication may cause your adrenal glands to not work as well. Symptoms may include:
    • nausea
    • vomiting
    • loss of appetite
    • tiredness
    • weakness
    • dizziness
    • lightheadedness

If you have these symptoms, talk to your doctor. You may need to stop taking this medication or have some tests done.

Acetaminophen-hydrocodone is a prescription medication. As an opioid, it’s a controlled substance. It comes as an oral tablet and an oral solution.

Acetaminophen-hydrocodone oral tablet is available as the brand-name drug Norco. It’s also available in its generic form. Generic drugs usually cost less than brand-name drugs. In some cases, they may not be available in every strength or form as the brand-name version.

This medication is a combination of two drugs in a single form. It’s important to know about both of the drugs in the combination because each drug may affect you in a different way.

Why it’s used

Acetaminophen-hydrocodone oral tablet is used to treat moderate to severe pain that other treatments have not been able to relieve.

How it works

This medication is a combination of hydrocodone and acetaminophen. Hydrocodone is an opioid (narcotic), and acetaminophen is an analgesic (pain reliever). Both drugs are used to reduce pain.

These drugs work in your brain to block pain signals. They decrease your ability to feel pain.

Acetaminophen-hydrocodone oral tablet may make you feel sleepy, dizzy, or lightheaded. Avoid driving a car or using machinery until you know how your body reacts to this medication.

This drug can also cause other side effects.

More common side effects

The more common side effects that can occur with acetaminophen-hydrocodone include:

  • sleepiness or drowsiness
  • feeling dizzy or lightheaded
  • nausea
  • vomiting
  • constipation

Serious side effects

Call your doctor right away if you have serious side effects. Call 911 if your symptoms feel life threatening or if you think you’re having a medical emergency. Serious side effects and their symptoms can include the following:

  • Skin rash
  • Swelling of your face, throat, and mouth
  • Trouble breathing
  • Drug dependence
  • Liver problems, including liver failure. Symptoms may include:
    • yellowing of your skin and the whites of your eyes
    • pain in the upper right part of your stomach area
    • swelling of your stomach area
    • itchiness
    • confusion
    • feeling tired
    • lack of appetite

Disclaimer: Our goal is to provide you with the most relevant and current information. However, because drugs affect each person differently, we cannot guarantee that this information includes all possible side effects. This information is not a substitute for medical advice. Always discuss possible side effects with a healthcare provider who knows your medical history.

Acetaminophen-hydrocodone oral tablet can interact with other medications, vitamins, or herbs you may be taking. An interaction is when a substance changes the way a drug works. This can be harmful or prevent the drug from working well.

To help avoid interactions, your doctor should manage all of your medications carefully. Be sure to tell your doctor about all medications, vitamins, or herbs you’re taking. To find out how this drug might interact with something else you’re taking, talk to your doctor or pharmacist.

Examples of drugs that can cause interactions with acetaminophen-hydrocodone are listed below.

Drugs that cause drowsiness

Taking certain drugs with acetaminophen-hydrocodone increases your risk of drowsiness, dizziness, tiredness, and reduced physical and mental function. If you need to use one of these drugs with acetaminophen-hydrocodone, the dosage of one or both drugs should be reduced.

Examples of these drugs include:

  • other opioids (narcotics)
  • antihistamines, which are used for allergies
  • antipsychotics, which are used for bipolar disorder, schizophrenia, or depression
  • benzodiazepines, which are used for anxiety

Drugs that increase serotonin

Taking this medication with drugs that increase the amount of a chemical called serotonin in your body can cause a serious problem. This problem, called serotonin syndrome, can be fatal. Tell your doctor if you are taking any of these medications:

  • some antidepressants (selective serotonin reuptake inhibitors [SSRIs], selective serotonin and norepinephrine reuptake inhibitors [SNRIs], tricyclic antidepressants [TCAs], monoamine oxidase inhibitors [MAOIs], mirtazapine, trazodone)
  • certain drugs for migraine (triptans)
  • certain drugs for nausea, such as ondansetron
  • tramadol, which is used for pain
  • linezolid, which is an antibiotic

Drugs that inhibit activity of certain enzymes in the liver

Taking this medication with drugs that can inhibit activity of certain liver enzymes can increase the amount of hydrocodone in your body and cause more side effects. You may have increased breathing problems or drowsiness. Examples of these drugs include:

  • erythromycin
  • ketoconazole
  • protease inhibitors used to treat HIV, such as ritonavir

Drugs that increase activity of certain enzymes in the liver

Taking this medication with drugs that can increase activity of certain liver enzymes can lower the amount of hydrocodone or acetaminophen in your body. You may need a higher dose of this medication to control your pain. Examples of these drugs include:

  • rifampin
  • carbamazepine
  • phenytoin

Disclaimer: Our goal is to provide you with the most relevant and current information. However, because drugs interact differently in each person, we cannot guarantee that this information includes all possible interactions. This information is not a substitute for medical advice. Always speak with your healthcare provider about possible interactions with all prescription drugs, vitamins, herbs and supplements, and over-the-counter drugs that you are taking.

This drug comes with several warnings.

Allergy warning

This drug can cause a severe allergic reaction. Symptoms may include:

  • trouble breathing
  • swelling of your throat or tongue
  • hives
  • rash
  • itching

If you develop these symptoms, call 911 or go to the nearest emergency room.

Don’t take this drug again if you’ve ever had an allergic reaction to it. Taking it again could be fatal (cause death).

Alcohol interaction warning

You shouldn’t drink alcohol while taking acetaminophen-hydrocodone. Drinking alcohol while taking this medication may cause:

  • slowed or stopped breathing
  • drowsiness
  • tiredness
  • mental cloudiness
  • physical and mental slowing

Combining alcohol with this drug also increases your risk for liver problems and liver damage.

Warnings for people with certain health conditions

For people with head injury: If you have a head injury, hydrocodone may cause increased pressure in your brain and cause breathing problems.

For people with stomach problems: Use caution taking this drug if you have intestinal obstruction, ulcerative colitis, or constipation. This medication may worsen your symptoms.

For people with severe kidney disease: This drug may build up in your body, which can cause trouble breathing and other side effects.

For people with lung disease: If you have lung disease, you might have trouble breathing if you take this medication.

For people with severe liver disease: If you have severe liver disease, your risk of liver failure is increased. Also, this drug may build up in your body, which can cause trouble breathing and other side effects.

For people with prostate enlargement: If you have an enlarged prostate, taking acetaminophen-hydrocodone may cause increased difficulty in urination.

For people with asthma: If you have severe or uncontrolled asthma, do not use this medication without talking to your doctor. You may have to take the first few doses in a monitored setting.

For pregnant women: This drug is a category C pregnancy drug. That means two things:

  1. Research in animals has shown adverse effects to the fetus when the mother takes the drug.
  2. There haven’t been enough studies done in humans to be certain how the drug might affect the fetus.

Tell your doctor if you’re pregnant or plan to become pregnant. Babies born to mothers who regularly take opioids such as hydrocodone may be born physically dependent on this drug. This can cause symptoms of withdrawal, or neonatal opioid withdrawal syndrome. Symptoms can include:

  • excessive crying
  • sneezing
  • shaking
  • rapid breathing
  • increased bowel movements
  • yawning
  • vomiting
  • fever

There’s also an increased chance that the baby may have trouble breathing if this medication is given to the mother shortly before giving birth.

For women who are breastfeeding: Acetaminophen is passed in small amounts in breast milk. Hydrocodone also passes into breast milk and may result in excessive tiredness and slowed breathing in a child who is breastfed.

Breastfeeding while taking this medication may come with risks. You and your doctor should decide whether you’ll take this medication or breastfeed.

For seniors: Older adults may have decreased kidney, liver, and heart function. If you’re a senior, your doctor may start you at a low dose of this medication.

All possible dosages and drug forms may not be included here. Your dosage, drug form, and how often you take the drug will depend on:

  • your age
  • the condition being treated
  • the severity of your condition
  • other medical conditions you have
  • how you react to the first dose

Forms and strengths

Generic: Acetaminophen-hydrocodone

  • Form: oral tablet
  • Strengths:
    • hydrocodone 5 mg/acetaminophen 300 mg
    • hydrocodone 7. 5 mg/acetaminophen 300 mg
    • hydrocodone 10 mg/acetaminophen 300 mg
    • hydrocodone 2.5 mg/acetaminophen 325 mg
    • hydrocodone 5 mg/acetaminophen 325 mg
    • hydrocodone 7.5 mg/acetaminophen 325 mg
    • hydrocodone 10 mg/acetaminophen 325 mg

Brand: Norco

  • Form: oral tablet
  • Strengths:
    • 2.5 mg hydrocodone/325 mg acetaminophen
    • 5 mg hydrocodone/325 mg acetaminophen
    • 7.5 mg hydrocodone/325 mg acetaminophen
    • 10 mg hydrocodone/325 mg acetaminophen

Dosage for moderate to severe pain

Adult dosage (ages 18 years and older and weighing at least 101 pounds [46 kg])

  • 5 mg or 2.5 mg hydrocodone / 300 mg or 325 mg acetaminophen: The typical dosage is 1–2 tablets taken every 4–6 hours as needed. The maximum dosage is 8 tablets per day.
  • 7.5 mg or 10 mg hydrocodone / 300 mg or 325 mg acetaminophen: The typical dosage is 1 tablet taken 4–6 hours as needed. The maximum dosage is 6 tablets per day.

Child dosage (ages 0–17 years)

  • Dosage for people younger than 18 years hasn’t been established.

Disclaimer: Our goal is to provide you with the most relevant and current information. However, because drugs affect each person differently, we cannot guarantee that this list includes all possible dosages. This information is not a substitute for medical advice. Always speak with your doctor or pharmacist about dosages that are right for you.

Acetaminophen-hydrocodone is used for short- or long-term treatment. It comes with risks if you don’t take it exactly as prescribed by your doctor.

If you stop taking the drug or don’t take it at all: Your pain will continue and might get worse.

If you miss doses or don’t take the drug on schedule: Your medication may not work as well or may stop working completely. For this drug to work well, a certain amount needs to be in your body at all times.

What to do if you miss a dose: If you’re taking the medication regularly, take the missed dose as soon as you remember. Skip the missed dose if it’s almost time for your next scheduled dose.

Don’t use extra medication to make up the missed dose. This could result in dangerous side effects.

If you take too much: If you take too much, you can overdose on this medication. You may experience:

  • nausea and vomiting
  • sweating
  • an overall feeling of fatigue
  • slowed or stopped breathing
  • slowed heart rate
  • very low blood pressure
  • possible coma
  • liver damage or failure

If you think you’ve taken too much of this drug, call your doctor or seek guidance from the American Association of Poison Control Centers at 1-800-222-1222 or through their online tool. But if your symptoms are severe, call 911 or go to the nearest emergency room right away.

How to tell if the drug is working: Your pain should decrease.

Keep these considerations in mind if your doctor prescribes acetaminophen-hydrocodone for you.

General

  • Take with food to lower your risk of upset stomach.
  • You can cut or crush the oral tablet.

Storage

  • Store this drug at temperatures ranging from 68°F to 77°F (20°C to 25°C).
  • Keep this drug in a container with a child-resistant closure.
  • Keep this drug away from light.
  • Keep this drug in a locked place and out of children’s reach.

Refills

A prescription for this medication is not refillable. You or your pharmacy will have to contact your doctor for a new prescription if you need this medication refilled.

Travel

When traveling with your medication:

  • Always carry your medication with you. When flying, never put it into a checked bag. Keep it in your carry-on bag.
  • Don’t worry about airport X-ray machines. They can’t hurt your medication.
  • You may need to show airport staff the pharmacy label for your medication. Always carry the original prescription-labeled container with you.
  • Don’t put this medication in your car’s glove compartment or leave it in the car. Be sure to avoid doing this when the weather is very hot or very cold.

Clinical monitoring

Your doctor may do certain tests to check whether you have severe liver or kidney disease. These tests will check your:

  • Kidney function. Your doctor may do kidney tests if you have kidney problems to make sure that this medication is safe for you and won’t cause breathing problems.
  • Liver function. Your doctor may do liver tests if you have liver problems to make sure that this medication is safe for you and won’t cause breathing problems.

Prior authorization

Most insurance companies do not require a prior authorization for this drug.

There are other drugs available to treat your condition. Some may be more suitable for you than others. Talk to your doctor about other drug options that may work for you.