Accidental exposure may cause fatal overdose esp. COPD, cor pulmonale, decreased respiratory reserve, hypoxia, hypercapnia, or pre-existing respiratory depression; monitor and consider non-opioid analgesics. Abuse potential monitor. Adrenal insufficiency. Head injury. Increased intracranial pressure, brain tumors; monitor. Seizure disorders. CNS depression. Impaired consciousness, coma, shock; avoid.
Acute abdominal conditions. Biliary tract disease. Taking it again could be fatal cause death. You should not drink alcohol while taking acetaminophen-hydrocodone.
Drinking alcohol while taking this medication may cause:. Suddenly stopping acetaminophen-hydrocodone may cause withdrawal symptoms. Symptoms of withdrawal from acetaminophen-hydrocodone may include:. Talk with your doctor before stopping acetaminophen-hydrocodone. 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 people with seizures: If you have epilepsy or have ever had seizures, tell your doctor before taking acetaminophen-hydrocodone.
This drug may increase your risk of seizures. For pregnant women: This drug is a category C pregnancy drug. That means two things:. 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:. 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. For seniors: Older adults may have decreased kidney, liver, and heart function.
All possible dosages and drug forms may not be included here. Acetaminophen and hydrocodone contains an opioid medicine, and may be habit-forming. Acetaminophen and hydrocodone may also be used for purposes not listed in this medication guide. You should not use this medicine if you are allergic to acetaminophen or hydrocodone, or if you have:. If you use opioid medicine while you are pregnant, your baby could become dependent on the drug.
This can cause life-threatening withdrawal symptoms in the baby after it is born. Babies born dependent on opioids may need medical treatment for several weeks. Ask a doctor before using opioid medicine if you are breastfeeding.
Tell your doctor if you notice severe drowsiness or slow breathing in the nursing baby. Get emergency medical help if you have signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Opioid medicine can slow or stop your breathing, and death may occur. In rare cases, acetaminophen may cause a severe skin reaction that can be fatal.
This could occur even if you have taken acetaminophen in the past and had no reaction. Stop taking this medicine and call your doctor right away if you have skin redness or a rash that spreads and causes blistering and peeling.
Serious breathing problems may be more likely in older adults and in those who are debilitated or have wasting syndrome or chronic breathing disorders. This is not a complete list of side effects and others may occur.
Call your doctor for medical advice about side effects. Avoid driving or operating machinery until you know how this medicine will affect you.
Oftentimes, physicians will select a drug based on experience and make dose adjustments or drug changes after observing patient response. Norco and Vicodin are typically covered by both commercial and Medicare prescription plans, though some limitations may apply. The DEA and Centers for Medicare Services recognize the opiate abuse epidemic and its potential effects on our society. In response, on Jan.
There are many facets to this effort to control opiate prescribing and abuse. Medicare Part D beneficiaries who are opiate naive are limited to a seven-day prescription upon an initial fill of an opiate. Opiate naive is defined as not having taken an opiate in the past 60 days.
After seven days, if additional medication is needed, prescribers may prescribe longer term. There are exceptions to these rules, such as hospice and cancer-related care. Some chronic pain diagnoses qualify for prescribing exceptions as well. Many commercial insurance plans have adopted similar limitations for their beneficiaries. Pharmacies may also have specific policies for the filling of opiate medications. Vicodin is usually covered in its generic form by most insurance companies, and by some Medicare Part D plans.
Norco and Vicodin have the potential to cause the same side effects due to their similar content. Side effects related to their effect on the central nervous system include drowsiness, dizziness, and headache. Each patient may experience these adverse effects in varying degrees and it may depend on dose.
Opiate pain relievers are known to cause constipation, especially when given for longer periods of time. Increasing water intake or taking stool softeners may help mitigate this side effect. The following list is not intended to be an all-inclusive list of potential side effects. You should consult with your doctor, pharmacist, or healthcare provider for a complete list of adverse events and medical advice.
The drug interaction profiles for Norco and Vicodin are similar due to the fact that they contain the same active ingredients. The concomitant use of opiates such as Norco and Vicodin with other CNS depressants should be avoided whenever possible.
Examples of other CNS depressants include benzodiazepines, other opiate painkillers, and cannabinoid drugs.
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