C ; potential neonatal opioid withdrawal syndrome during prolonged use. Avoid concomitant other acetaminophen-containing drugs. During or within 14 days of MAOIs: not recommended. Potentiated by CYP3A4 inhibitors eg, macrolides, azole antifungals, protease inhibitors. Antagonized by CYP3A4 inducers eg, rifampin, carbamazepine, phenytoin. May antagonize diuretics; monitor. Paralytic ileus may occur with anticholinergics.
May increase serum amylase. Light-headedness, dizziness, sedation, nausea, vomiting, constipation, somnolence; respiratory depression, severe hypotension, syncope, hepatotoxicity; rare: serious skin reactions or anaphylaxis; discontinue if occurs. Limitations of Use: Reserve for use in patients for whom alternative treatment options eg, non-opioid analgesics are ineffective, not tolerated, or would be otherwise inadequate. Adult Dosage: Use lowest effective dose for shortest duration.
Children Dosage: Not established. Boxed Warning: Addiction, abuse, and misuse. Adverse Reactions: Light-headedness, dizziness, sedation, nausea, vomiting, constipation, somnolence; respiratory depression, severe hypotension, syncope, hepatotoxicity; rare: serious skin reactions or anaphylaxis; discontinue if occurs.
Enter Zip Code GoodRx. Read it again each time you refill your prescription in case there is new information. Ask your doctor if you have any questions. Measure the oral liquid with a marked measuring spoon, oral syringe, dropper, or medicine cup. The average household teaspoon may not hold the right amount of liquid. Carefully check the labels of all other medicines you are using, because they may also contain acetaminophen.
It is not safe to use more than 4 grams 4, milligrams of acetaminophen in one day 24 hours. The dose of this medicine will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of this medicine. If your dose is different, do not change it unless your doctor tells you to do so. The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.
If you miss a dose of this medicine, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not double doses. Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing. Hydrocodone can cause serious unwanted effects or fatal overdose if taken by children, pets, or adults who are not used to strong narcotic pain medicines.
Make sure you store the medicine in a safe and secure place to prevent others from getting it. Drop off any unused narcotic medicine at a drug take-back location right away. If you do not have a drug take-back location near you, flush any unused narcotic medicine down the toilet. Check your local drug store and clinics for take-back locations.
You can also check the DEA web site for locations. Here is the link to the FDA safe disposal of medicines website: www. It is very important that your doctor check your or your child's progress while using this medicine, especially within the first 24 to 72 hours of treatment.
This will allow your doctor to see if the medicine is working properly and to decide if you or your child should continue to take it. Blood and urine tests may be needed to check for unwanted effects. It is against the law and dangerous for anyone else to use your medicine. Keep your unused tablets in a safe and secure place. People who are addicted to drugs might want to steal this medicine.
This medicine will add to the effects of alcohol and other CNS depressants medicines that can make you drowsy or less alert. Some examples of CNS depressants are antihistamines or medicine for allergies or colds, sedatives, tranquilizers, or sleeping medicine, other prescription pain medicine or narcotics, medicine for seizures or barbiturates, muscle relaxants, or anesthetics numbing medicines , including some dental anesthetics.
Also, there may be a greater risk of liver damage if you drink three or more alcoholic beverages while you are taking acetaminophen. Do not drink alcoholic beverages, and check with your doctor before taking any of these medicines while you are using this medicine. This medicine may be habit-forming. If you feel that the medicine is not working as well, do not use more than your prescribed dose.
If you think you or someone else may have taken an overdose of this medicine, get emergency help at once. Your doctor may also give naloxone to treat an overdose. Signs of an overdose include: cold, clammy skin, coughing that sometimes produces a pink frothy sputum, dark urine, difficult or trouble breathing, irregular, fast or slow, or shallow breathing, nausea, vomiting, pain in the upper stomach, pale or blue lips, fingernails, or skin, pinpoint pupils of the eyes, or yellow eyes or skin.
This medicine may cause sleep-related breathing problems eg, sleep apnea, sleep-related hypoxemia. Your doctor may decrease your dose if you have sleep apnea stop breathing for short periods during sleep while using this medicine.
This medicine may cause adrenal gland problems. Check with your doctor right away if you have darkening of the skin, diarrhea, dizziness, fainting, loss of appetite, mental depression, nausea, skin rash, unusual tiredness or weakness, or vomiting. Check with your doctor right away if you have pain or tenderness in the upper stomach, pale stools, dark urine, loss of appetite, nausea, unusual tiredness or weakness, or yellow eyes or skin.
These could be symptoms of a serious liver problem. This medicine may cause serious skin reactions eg, acute generalized exanthematous pustulosis, Stevens-Johnson syndrome, toxic epidermal necrolysis. Check with your doctor right away if you have blistering, peeling, or loosening of the skin, chills, cough, diarrhea, itching, joint or muscle pain, red irritated eyes, red skin lesions, often with a purple center, sore throat, sores, ulcers, or white spots in the mouth or on the lips, or unusual tiredness or weakness.
As noted, hydrocodone is commonly found in combination products, such as Norco and Vicodin, that also contain acetaminophen, the active ingredient in Tylenol.
Unfortunately, this medication can have severe and potentially lethal consequences on its own e. According to health experts, adults should not take more than 3, mg of acetaminophen per, and less for those over 65 years of age. Taking more, especially over 7, mg, can lead to severe overdose symptoms. Moreover, taking even ten tablets of hydrocodone products that contain mg of acetaminophen per day can be problematic, and 20 tablets could prove lethal. An addiction to prescription painkillers, illicit drugs, or alcohol can result in long-term physical and mental health problems and the potential for life-threatening effects, including overdose.
Therefore, individuals who are abusing intoxicating substances and have attempted to quit multiple times and failed are urged to seek professional addiction treatment as soon as possible.
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