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What is Vicodin?
Vicodin (acetaminophen and hydrocodone) belongs to the group of medicines called narcotic pain relievers. Generic Vicodin is manufactured by the world famous Cipla Laboratories, while brand Vicodin is produced by several different companies.
What you need to report to you health care provider
Your health care provider needs to know all about any allergies you have before prescribing Vicodin. It's also important that you tell your health care provider if you ever had any of the following health conditions: adrenal gland disorder, a history of brain tumor, intestinal disorder, stomach disorder, a history of drug or alcohol abuse, curvature of the spine, liver or kidney disease, low blood pressure, any breathing disorders, mental illness, or underactive thyroid. Tell your health care provider if you drink alcoholic beverages regularly as this may affect your treatment by interfering with the effects of one of the active ingredients (acetaminophen). If you think Vicodin stopped relieving your pain or its effects are not what you have expected make sure you notify your health care provider of that fact.
Vicodin strengths
There are three varieties of Vicodin, each one containing different amounts of the two active ingredients. The regular Vicodin contains 500 mg of acetaminophen and 5 mg of hydrocodone, Vicodin ES contains 750 mg of acetaminophen and 7.5 mg of hydrocodone, while Vicodin HP contains 660 mg or acetaminophen and 10 mg of hydrocodone. Vicodin should be taken in the amount of 1-2 tablets per day no more than 8 tablets every 24 hours. You are not supposed to take more than 5 Vicodin ES tablets a day and more than 6 Vicodin HP tablets a day.
How to take Vicodin
No matter which form of this medicine you have been prescribed you will need to take it every four to six hours to prevent pain from bothering you. You are not supposed to exceed the regular dose of 2 tablets each time, but no more than 8 tablets every 24 hours. However, for Vicodin ES the maximum number of tablets you can take is 5 a day. Take this medicine in accordance with your health care provider's instructions. Avoid taking more of Vicodin than recommended. If the instructions of your doctor are different from what's written on the label – follow them anyway as they are based on the thorough examination of your health condition. Make sure you know what your dosage of Vicodin is supposed to be, as an overdose of this medicine can cause serious harm to the liver. If you have to take the liquid form make sure you use a special dose-measuring device that you can get from your pharmacist or your doctor. Follow any recommendations of your health care provider regarding your diet. Vicodin can make you constipated – so it's important to drink plenty of water and get the necessary amount of fiber. Vicodin can be taken regularly or on the "when needed" basis. If you are using this drug regularly because of your doctor's recommendations try not to miss your doses. If you happened to miss a dose – just take it as soon as you remember unless it's almost time for the next dose. In that case just skip the dose missed and take the next one when it's time.
Drug interactions
One of the active ingredients Vicodin contains – acetaminophen – can be contained in some other medicines, such as medicines for the treatment of cold, pain, allergies or insomnia. To avoid too strong effects of this active ingredient avoid starting to take any new medicines without previously discussing it with your health care provider, especially MAO inhibitors, irritable bowel medications, antidepressants, bladder or urinary medications, or bronchodilators.
Vicodin side effects
If you need to take antidepressants, seizure medications, muscle relaxers, cold medicines, allergy medicine or narcotic pain medicine talk to your doctor in advance as otherwise these can add to the sleepiness you may experience when taking Vicodin. Sometimes this medicine can cause you to lose concentration and alertness, making you dizzy. Although different people may have different reactions, make sure you avoid operating machinery or driving a car unless you are absolutely sure Vicodin does not affect you that way.
Vicodin and pregnancy
Vicodin is FDA pregnancy category C. This category is used for drugs that have not been properly studied yet – it is not clear whether this drug can harm an unborn baby, however it is known that while being taken by the mother it can lead to breathing problems of addiction in a newborn baby. In case you are pregnant or breastfeeding let your health care provider know about it in advance.
Vicodin withdrawal
Gradual withdrawal is recommended when taking Vicodin as otherwise unpleasant withdrawal symptoms are possible. If you are to have some urine tests done – notify the nurse about taking Vicodin as this medicine may affect the results. It's also important to let your surgeon know about taking this drug before the surgery has started – this way you are making sure there will be no drug interference when your doctor decides to use some other meds for anesthesia.
Vicodin precautions
Drinking alcohol while taking Vicodin is not recommended as it can lead to liver damage because of the combination. You should not take Vicodin if you are allergic to it. If you took this medicine anyway the following signs of allergic reaction are to be reported immediately: trouble breathing, swelling of the face, tongue or throat and hives.
Vicodin has been reported to suppress cough reflex, which means you should be especially careful with it if you have a lung disease or recently had a surgery. People sensitive to the effects of hydrocodone may experience slowed breathing in case the dosage is too high.
Additional information
Do not share this drug with other people to whom it was not prescribed and make sure no one else has access to it. Vicodin has been reported to cause additions, especially in people that already had this kind of problems with alcohol or drugs, so it must be taken under your doctor's close supervision.