Combination products with hydrocodone may lead to addiction. Follow the directions on your hydrocodone combo product precisely. Do not take it in larger amounts, more frequently, or otherwise differently than prescribed by your doctor. Discuss your pain management options, treatment duration, and goals with your healthcare professional while taking hydrocodone combo medicines. Inform your doctor if you or any family members regularly use significant amounts of alcohol, take street drugs, abuse prescription drugs excessively, experience overdosing, or currently suffer from depression or another mental disorder.If you currently have or have ever had any of these conditions, you are more likely to overuse a hydrocodone combo product. If you believe you may have an opioid addiction, speak with your healthcare physician right away and ask for advice. You can also contact the SAMHSA National Helpline by calling 1-800-662-HELP.

The initial 24 to 72 hours of treatment with hydrocodone, as well as any time your dose is increased, can be particularly dangerous for your breathing. Throughout your therapy, your doctor will keep a close eye on you. If you have asthma or slow breathing, let your doctor know. Most likely, your doctor will advise against using a hydrocodone combo product. A head injury, a brain tumor, or any condition that raises the pressure inside of your head should also be disclosed to your doctor. Lung diseases like chronic obstructive pulmonary disease (COPD), a group of illnesses that affect the lungs and airways, should also be mentioned.The likelihood that you will experience breathing issues may be increased if you are an older adult, weak, or undernourished as a result of a sickness. Get emergency medical care if you encounter any of the following symptoms, or call your doctor right away: sluggish breathing, protracted breath gaps, or shortness of breath.

Children who used a hydrocodone combo medicine reported serious and potentially fatal breathing issues, including slow or difficult breathing and fatalities. Children under the age of 18 should never take hydrocodone to manage pain or a cough. Consult your kid’s doctor about other therapies if your child is currently receiving a prescription for a cough and cold remedy that contains hydrocodone.

A hydrocodone combination product’s risk of serious or life-threatening respiratory issues, sedation, or coma may rise when certain drugs are also taken. If you are taking, intend to take, or intend to discontinue taking any of the following medications, let your doctor know right away: Benzodiazepines like alprazolam (Xanax), chlordiazepoxide (Librium), clonazepam (Klonopin), diazepam (Diastat, Valium), estazolam, flurazepam, lorazepam (Ativan), oxazepam, temazepam (Restoril), and triazolam (Halcion); erythromycin (Erytab, Erythrocin); medications for mental illness or nausea; additional painkillers; phenytoin (Dilantin, Phenytek); rifampin (Rifadin, Rimactane, in Rifamate); some HIV medications, such as indinavir (Crixivan), nelfinavir (Viracept), and ritonavir (Norvir, in Kaletra);tranquillizers, sedatives, muscle relaxants, or sleeping medications. Your doctor will closely monitor you and may need to adjust the dosage of your drugs. Call your doctor right away if you experience any of the following symptoms after taking a hydrocodone combination product with any of these drugs: unusual dizziness, lightheadedness, excessive sleepiness, slowed or trouble breathing, or unresponsiveness. If you are unable to seek treatment on your own, make sure your caregiver or family members are aware of any symptoms that may be dangerous so they can contact the doctor or emergency services.

You have a higher risk of developing these severe, potentially fatal side effects while receiving treatment with a hydrocodone combination product if you consume alcohol, use alcohol-containing prescription or over-the-counter drugs, or use illicit substances. During your treatment, refrain from drinking alcohol, taking alcohol-containing prescription or over-the-counter medications, or using illegal substances.

Do not share your medication with anyone else. Other people who take your medication, particularly children, may suffer harm or even pass away from hydrocodone.

If you are pregnant or want to become pregnant, let your doctor know. Regular use of a hydrocodone combo medication during pregnancy may put your unborn child in danger of experiencing life-threatening withdrawal symptoms. If your infant exhibits any of the following symptoms, contact your doctor right away: irritability, hyperactivity, abnormal sleep, high-pitched crying, uncontrollable shaking of a body part, vomiting, diarrhea, or failure to gain weight.

When you start therapy with a hydrocodone combination medication and each time you renew your prescription, your doctor or pharmacist will give you the manufacturer’s patient information page (Medication Guide). If you have any questions, carefully read the material and contact your doctor or pharmacist. The Medication Guide is also available on the manufacturer’s website or the Food and Drug Administration (FDA) website.

The dangers of using a hydrocodone combination product should be discussed with your doctor.

There are products that combine hydrocodone with additional substances, and they are prescribed for various purposes. To treat moderate to severe pain, several hydrocodone combination medications are used. To treat coughs, other hydrocodone combination medications are employed. In addition to being an antitussive, hydrocodone belongs to the group of drugs known as opiate (narcotic) analgesics. By altering how the brain and nerve system react to pain, hydrocodone reduces pain. By reducing activity in the area of the brain that triggers coughing, hydrocodone reduces coughing.

Although you will combine hydrocodone with at least one additional drug, this monograph exclusively covers hydrocodone. Make careful to read the contents list for the hydrocodone product you are using. If you have any inquiries, speak with your physician or pharmacist.

Products containing a mixture of hydrocodone are available as tablets, capsules, syrup, solutions (clear liquids), extended-release (long-acting) capsules, and extended-release (long-acting) suspensions (liquids). Typically, every 4 to 6 hours, depending on necessity, the tablet, capsule, syrup, and solution are consumed. It is typical to take the extended-release capsule or suspension every 12 hours as needed. If you regularly take hydrocodone, try to take it at roughly the same time each day. Ask your doctor or pharmacist to explain any instructions on your prescription label that you are unsure about following.

Do not break, chew, or crush the extended-release capsules; instead, swallow them whole.

Before each usage, thoroughly shake the extended-release suspension to evenly distribute the medication. The extended-release suspension should not be used with other drugs or fluids, such as water.

Never use a regular teaspoon to measure your dose of a hydrocodone combination solution, syrup, or extended-release suspension. You risk receiving too much or too little medication if you estimate your dose with a household teaspoon because they are not precise measuring tools. Use a dropper, medicine spoon, or oral syringe instead as long as it is appropriately marked. If you need assistance procuring or using a measurement device, consult your doctor or pharmacist.

If your symptoms are not being managed by the hydrocodone combo medicine you are taking, contact your doctor. Don’t alter your prescription dosage on your own. If you take more medication or take it more frequently than recommended by your doctor, you could experience a deadly overdose.

Do not discontinue taking a hydrocodone combination product if you have been using it for many weeks or longer without first consulting your doctor. A hydrocodone combo medicine may cause withdrawal symptoms if you stop using it abruptly. Your dose will likely be gradually reduced by your doctor.

For a copy of the manufacturer’s information for the patient, which is available for some hydrocodone combination medicines, ask your pharmacist or doctor.

Ask your doctor or pharmacist for more details if you believe this drug should be used for something else.

Before taking a hydrocodone combination product,

• If you have an allergy to hydrocodone, the other medication in the hydrocodone combination product you are taking, other opiate (narcotic) drugs like morphine or codeine, any other medications, or any of the ingredients in the hydrocodone combination product you are taking, let your doctor and pharmacist know right away. For a list of the ingredients, consult your pharmacist or look in the patient’s information provided by the manufacturer.
• Inform your doctor and pharmacist about all prescription and over-the-counter drugs, vitamins, dietary supplements, and herbal products that you are now taking or intend to use. Incorporate any of the following: antipsychotics, antihistamines, and antidepressants (medications for mental illness) medication for irritable bowel syndrome, motion sickness, Parkinson’s disease, seizures, ulcers, or urinary issues; cyclobenzaprine (Amrix); dextromethorphan (found in many cough medications; in Nuedexta); ipratropium (Atrovent); lithium (Lithobid); medication for migraine headaches such as almotriptan (Axert), eletriptan (Relpax), zolmitriptan (Zomig), sumatriptan (Imitrex, in Treximet), naratriptan (Amerge), rizatriptan (Maxalt), and frovatriptan (Frova); mirtazapine (Remeron); 5HT3 serotonin blockers such alosetron (Lotronex), dolasetron (Anzemet), granisetron (Kytril), ondansetron (Zofran, Zuplenz), or palonosetron (Aloxi); selective serotonin-reuptake inhibitors like citalopram (Celexa), escitalopram (Lexapro), fluoxetine (Prozac, Sarafem, in Symbyax), fluvoxamine (Luvox), paroxetine (Brisdelle, Prozac, Pexeva), and sertraline (Zoloft); serotonin and norepinephrine reuptake inhibitors like desvenlafaxine (Khedezla, Pristiq), duloxetine (Cymbalta), milnacipran ( (Surmontil). Additionally, let your doctor or pharmacist know if you’re using any of the following MAO inhibitors: tranylcypromine (Eldepryl, Emsam, Zelapar), isocarboxazid (Marplan), linezolid (Zyvox), methylene blue, phenelzine (Nardil), rasagiline (Azilect), or rasagiline (Azilect) (Parnate). Tell your doctor about all of your current medications, even those not on this list, as many other drugs may also interact with hydrocodone combination products. Your physician might need to adjust the dosage of your drugs or keep a close eye on you for side effects.
• Tell your doctor about any herbal medications you are taking, notably tryptophan and St. John’s wort.
• If you have paralytic ileus or any of the symptoms listed in the IMPORTANT WARNING section, let your doctor know very once (condition in which digested food does not move through the intestines). Your physician might advise against ingesting a hydrocodone combo product.
• Inform your physician if you currently experience or have ever experienced urinary incontinence, seizures, thyroid, intestinal, liver, pancreas, gallbladder, or kidney disease.
• Inform your doctor if you are nursing a child.
• You should be aware that this medicine may lower both male and female fertility. The dangers of using a hydrocodone combo product should be discussed with your doctor.
• Inform the surgeon or dentist that you are taking a hydrocodone combination product if you are having surgery, including dental surgery.
• You ought to be aware that hydrocodone combo products might cause you to feel sleepy. Prior to understanding how this drug affects you, avoid using machinery or driving a car.

Keep eating normally unless your doctor instructs you otherwise.

Typically, this drug is given as needed. Take the missing dose as soon as you remember it if your doctor has instructed you to regularly take a hydrocodone combination product. Then, wait at least 4 hours or at least 12 hours before taking your next dose of tablets, syrup, capsules, or solution, or of extended-release capsules or extended-release solution, respectively. Skip the missed dose and carry on with your regular dosing plan if it is almost time for your next dose. To make up for a missing dose, do not take a second one.

Products that combine hydrocodone may have negative side effects. If any of these symptoms are severe or do not go away, let your doctor know right once:

• Constipation
• Drowsiness
• Lightheadedness
• Hazy reasoning
• Anxiety
• Abnormally happy or melancholy feelings
• Throat is dry
• Having trouble urinating
• Rash
• Itching
• Reduction in pupil size (black circles in the centre of the eyes)

Some adverse effects can be very harmful. Call your doctor right away if you experience any of these symptoms, or seek emergency care:

• Slowed or irregular breathing
• Agitation, hallucinations (seeing things or hearing voices that do not exist), fever, sweating, confusion, fast heartbeat, shivering, severe muscle stiffness or twitching, loss of coordination, nausea, vomiting, or diarrhea
• Nausea, vomiting, loss of appetite, weakness, or dizziness
• Inability to get or keep an erection
• Irregular menstruation
• Decreased sexual desire
• Chest tightness

Products that combine hydrocodone may result in additional negative effects. If you experience any strange issues while taking this medicine, contact your doctor right away.

You or your doctor can submit a report to the Food and Drug Administration’s (FDA) MedWatch Adverse Event Reporting programme online or by phone if you have a serious side event (1-800-332-1088).

Keep this medication tightly closed in the original container and out of the reach of children. Store it away from excessive heat and moisture at room temperature (not in the bathroom). Any medication that has expired or is no longer needed must be disposed of right away via a medicine take-back programme. If you do not have a take-back programme nearby or that you can quickly access, flush any obsolete or no longer required hydrocodone combo products down the toilet to prevent others from taking them. Consult your pharmacist for advice on how to properly dispose of your medications.

As many containers (such as weekly pill minders and those for eye drops, creams, patches, and inhalers) are not child-resistant and are simple for young children to open, it is crucial to keep all medications out of sight and out of reach of children. Always lock safety caps and promptly stash medication up and away from young children where it is out of their sight and reach to prevent poisoning. http://www.upandaway.org

Call the poison control hotline at 1-800-222-1222 in the event of an overdose. Additionally, information can be found online at https://www.poisonhelp.org/help. Call 911 right once if the person has collapsed, experienced a seizure, is having difficulty breathing, or cannot be roused.

You should speak with your doctor about keeping naloxone on hand while taking a hydrocodone combo medicine (e.g., home, office). Naloxone is used to undo an overdose’s potentially fatal consequences. To treat harmful symptoms brought on by excessive levels of opiates in the blood, it functions by inhibiting the effects of opiates. If you live with young children or someone who has abused prescription or illicit drugs, your doctor could also advise you to get naloxone. Make sure you, your family, your caretakers, and anyone else who spends time with you are aware of the signs of an overdose, how to administer naloxone, and what to do until emergency assistance arrives. You and your family members will be shown how to use the medication by your doctor or pharmacist. For the directions, speak to your pharmacist or go to the manufacturer’s website. If you start to experience overdose symptoms, a friend or family member should administer the first dose of naloxone, contact 911 right away, and stay by your side while keeping a careful eye on you until emergency medical assistance comes. After receiving naloxone, your symptoms can come back a short while later. The person should administer you another dose of naloxone if your symptoms come back. If symptoms reappear before receiving medical attention, more doses may be given every 2 to 3 minutes.

Symptoms of overdose may include the following:

• Reduced vision or enlarged pupils
• Breathing that’s irregular, shallow, or stopped
• Having trouble breathing
• Sluggish or irregular pulse
• Blue, cold, or clammy skin
• Extreme drowsiness
• Unable to wake up or speak
• Seizures

Keep all of your appointments with your physician and the lab. In order to monitor your body’s reaction to a hydrocodone combination product, your doctor will request specific lab tests.

Inform your doctor and the lab staff that you are taking hydrocodone prior to any laboratory test (especially one that uses methylene blue).

This medication cannot be renewed. Call your doctor if you experience pain or a cough after taking your prescription.

You should keep a written record of every medication you take, including any over-the-counter (OTC) items, prescription drugs, and dietary supplements like vitamins and minerals. This list should be brought with you whenever you see a doctor or are admitted to the hospital. You should always have this information with you in case of emergencies.