Medical Rights

Q: What are the dangers of taking hydrocodone with a heart condition or hypertension? Are there safe levels of hydrocodone that can be taken? What does this drug do to your heart while taking it?
A: Not much usually. It can lower your blood pressure by vasodilating your venous system, but usually nothing very marked.

Q: The specialist treating me for pain prescribed Vicoprofen for pain. It worked well for me but seemed to cause severe edema, have you heard of this side effect before? My family doctor put me on Hydrocodone 7.5/650. What do those numbers mean? The Hydrocodone makes me feel so tired, I asked him to try something else. He prescribed Ultram. What pain medication do you think is best for treating moderate chronic pain and for allowing for the most normal functioning in daily living?
A: Any of the narcotics can cause edema, some more than others. As to the hydrocodone, the 7.5 refers to the milligrams of hydrocodone. The 650 the acetaminophen it is combined with. Ultram is a relatively new synthetic drug that is similar to narcotics. As to what is best, I am not convinced that any one is superior to another. They require you to take them and see for yourself. They actually have similar effects and side effects. First criteria is to find one that works-then with the least bothersome side effects for you. This is an individual issue. That is, some are more bothered by mental suppression with the narcotics, others less so.

Q: have been taking Hydrocodone for 6 months on and off. I am wondering if this interacts with or causes birth control bills not to work? Can you please answer this for me? I would greatly appreciate it.
A: Shouldn’t be a problem

Q: have just found out that I am 5 weeks pregnant. I take hydrocodone 5/500 for migraines and have taken 2-3 tabs per day on at least 7 occasions in the last 3 weeks, not realizing the increase in headaches may have been related to the pregnancy. Will this have an effect on my fetus, either teratogenic or otherwise? I am terrified and have discontinued the medication. I would appreciate your consideration on my specific situation.
A: Should have minimal effects unless taken regularly and close to the end of pregnancy. However, less medications are better than more during pregnancy.

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Norco

acetaminophen and hydrocodone (ah see ta MIH no fen and hye dreo KOE done)
Anexsia, Anolor DH5, Bancap HC, Dolacet, Lorcet 10/650, Lorcet HD, Lorcet Plus, Lortab, Lortab 10, Lortab 5/500, Lortab 7.5/500, Lortab Elixir, Norco, T-Gesic, Vicodin, Vicodin ES, Vicodin HP, Zydone.

What is Norco?
- Hydrocodone (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 hydrocodone.
- Together, acetaminophen and hydrocodone are used to relieve moderate-to-severe pain.
- Norco may also be used for purposes other than those listed in this medication guide.

How should I take Norco?

- Take Norco exactly as directed by your doctor. If you do not understand these directions, ask your pharmacist, nurse, or doctor to explain them to you.
- Take each dose with a full glass of water.
- Take Norco with food or milk if it causes stomach upset.
- To ensure that you get a correct dose, measure the liquid form of Norco with a special dose-measuring spoon or cup, not with a regular table spoon. If you do not have a dose-measuring device, ask your pharmacist where you can get one.
- Hydrocodone 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.
- 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.
- Store Norco at room temperature away from moisture and heat.

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Xanax ( Alprazolam )

is a benzodiazepine used to treat anxiety and panic disorder. Xanax may also be used to treat other conditions as determined by your doctor.

Tablets

Chemical Name: ALPRAZOLAM (al-PRAZ-oh-lam)

Common uses
This medicine is a benzodiazepine used to treat anxiety and panic disorder. It may also be used to treat other conditions as determined by your doctor.

Before using

Some medicines or medical conditions may interact with this medicine. INFORM YOUR DOCTOR OR PHARMACIST of all prescription and over-the-counter medicine that you are taking. ADDITIONAL MONITORING OF YOUR DOSE OR CONDITION may be needed if you are taking clozapine, nefazodone, rifampin, oral antifungal agents (imidazoles), HIV protease inhibitors, or medicine for seizures. Inform your doctor of any other medical conditions, allergies, pregnancy, or breast-feeding. Contact your doctor or pharmacist if you have any questions or concerns about using this medicine.

Directions
Follow the directions for using this medicine provided by your doctor. AVOID DRINKING GRAPEFRUIT JUICE while taking this medicine. STORE THIS MEDICINE at room temperature, away from heat and light. IF YOU MISS A DOSE OF THIS MEDICINE and you are using it regularly, take it as soon as possible. If you do not remember until later, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.

Cautions
DO NOT EXCEED THE RECOMMENDED DOSE or take this medicine for longer than prescribed. Exceeding the recommended dose or taking this medicine for longer than prescribed may be habit-forming. THIS MEDICINE MAY CAUSE drowsiness or dizziness. Do not drive, operate machinery, or do anything else that could be dangerous until you know how you react to this medicine. THIS MEDICINE WILL ADD TO THE EFFECTS of other medicines and alcohol. Ask your pharmacist if you have questions about which medicines can cause drowsiness. FOR WOMEN: THIS MEDICINE HAS BEEN SHOWN TO CAUSE HARM to the human fetus. IF YOU PLAN ON BECOMING PREGNANT, discuss with your doctor the benefits and risks of using this medicine during pregnancy. THIS MEDICINE IS EXCRETED IN BREAST MILK. DO NOT BREAST-FEED while taking this medicine.

Possible side effects

SIDE EFFECTS, that may go away during treatment, include excessive daytime drowsiness, unusual weakness, dizziness, lightheadedness, headache, clumsiness, or unsteadiness. If they continue or are bothersome, check with your doctor. If you notice other effects not listed above, contact your doctor, nurse, or pharmacist.

Drug interactions
Drug interactions can result in unwanted side effects or prevent a medicine from doing its job. Use our drug interaction checker to find out if your medicines interact with each other. Check drug interactions

If you take too much
If overdose is suspected, contact your local poison control center or emergency room immediately. Symptoms of overdose may include confusion, slow reflexes, clumsiness, deep sleep, and loss of consciousness.

Additional information
DO NOT SHARE THIS MEDICINE with others for whom it was not prescribed. DO NOT USE THIS MEDICINE for other health conditions. KEEP THIS MEDICINE out of the reach of children.

Anexsia, Anolor DH5, Bancap HC, Dolacet, Lorcet 10/650, Lorcet HD, Lorcet Plus, Lortab, Lortab 10, Lortab 5/500, Lortab 7.5/500, Lortab Elixir, Norco, T-Gesic, Vicodin, Vicodin ES, Vicodin HP, Zydone

What is Lortab?:

Hydrocodone (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 hydrocodone.
• Together, acetaminophen and hydrocodone are used to relieve moderate-to-severe pain.
• Lortab may also be used for purposes other than those listed in this medication guide.

How should I take Lortab?:

• Take Lortab exactly as directed by your doctor. If you do not understand these directions, ask your pharmacist, nurse, or doctor to explain them to you.
• Take each dose with a full glass of water.
• Take Lortab with food or milk if it causes stomach upset.
• To ensure that you get a correct dose, measure the liquid form of Lortab with a special dose-measuring spoon or cup, not with a regular table spoon. If you do not have a dose-measuring device, ask your pharmacist where you can get one.
• Hydrocodone 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 Lortab is stopped suddenly after several weeks of continuous use. Your doctor may recommend a gradual reduction in dose.
• Lortab 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.
• Store Lortab at room temperature away from moisture and heat.

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Anxiolytic - Sedative - Muscle Relaxant

Valium Side Effects:
Patients should be advised to abstain from alcohol and other CNS depressant drugs during treatment with diazepam. Phenothiazines, barbiturates, MAO inhibitors and other psychoactive drugs may potentiate the action of the drug and should not usually be given concurrently

Valium Indications:
The short-term symptomatic management of mild to moderate degrees of anxiety in conditions dominated by tension, excitation, agitation, fear or aggressiveness, such as may occur in psychoneurosis, anxiety reactions due to stress conditions and anxiety states with somatic expression. In acute alcoholic withdrawal, diazepam may be useful in the symptomatic relief of acute agitation, tremor and impending acute delirium tremens.

As an adjunct for the relief of skeletal muscle spasm due to reflex spasm to local pathology, such as inflammation of the muscle and joints or secondary to trauma; spasticity caused by upper motor neuron disorders, such as cerebral palsy and paraplegia; athetosis and the rare stiff man syndrome.

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GENERIC NAME: hydrocodone/acetaminophen

BRAND NAMES: Vicodin, Vicodin ES, Anexsia, Lorcet, Lorcet Plus, Norco

DRUG CLASS AND MECHANISM: Hydrocodone is a narcotic pain-reliever and a cough suppressant, similar to codeine. The precise mechanism of pain relief by hydrocodone and other narcotics is not known. Acetaminophen is a non-narcotic analgesic (pain reliever) and antipyretic (fever reducer). Acetaminophen relieves pain by elevating the pain threshold. It reduces fever through its action on the heat regulating center of the brain. Frequently, hydrocodone and acetaminophen are combined to achieve pain relief, as in Vicodin and Lortab. For more information please see acetaminophen (Tylenol).

PRESCRIPTION: yes

GENERIC AVAILABLE: yes

PREPARATIONS: Among the many brands the dose of acetaminophen ranges between 500 and 750 mg, and the dose of hydrocodone ranges between 2.5 and 10 mg.

STORAGE: Store at room temperature, sealed, light- resistant container.

PRESCRIBED FOR: Hydrocodone is prescribed for the relief of moderate to moderately severe pain.

DOSING: Should be taken with food.

DRUG INTERACTIONS: Hydrocodone can depress breathing, and is used with caution in elderly, debilitated patients and in patients with serious lung disease. Hydrocodone can impair thinking and the physical abilities required for driving or operating machinery. Alcohol and other sedatives, such as Xanax, can produce further brain impairment and even confusion when combined with hydrocodone. Hydrocodone is generally avoided in children. Hydrocodone may be habit forming. Mental and physical dependence can occur, but are unlikely when used for short-term pain relief.

PREGNANCY: Hydrocodone is generally avoided in pregnant women.

NURSING MOTHERS: Hydrocodone is generally avoided in nursing mothers.

SIDE EFFECTS: The most frequent adverse reactions include lightheadedness, dizziness, sedation, nausea, and vomiting. Other side effects include drowsiness, constipation, and spasm of the ureter, which can lead to difficulty in urinating.