WARNING

Norco is a prescription medication that contains a combination of hydrocodone and acetaminophen. It is commonly used to relieve moderate to severe pain. While Norco can be effective in managing pain, it also carries certain risks. Here are some of the potential risks associated with taking Norco:

• Addiction and dependence: Norco contains hydrocodone, which is an opioid medication. Opioids can be highly addictive, and prolonged use can lead to physical dependence on the drug.
• Respiratory depression: Norco, like other opioids, can cause respiratory depression, where breathing becomes slow and shallow. This risk is increased when Norco is taken in high doses or in combination with other drugs that depress the central nervous system, such as alcohol.
• Overdose: Taking too much Norco can lead to an overdose, which can be life-threatening. Symptoms of an overdose may include extreme drowsiness, confusion, slowed or stopped breathing, cold/clammy skin, and unconsciousness.
• Liver damage: Norco contains acetaminophen, and high doses or long-term use can cause liver damage or liver failure. It’s important to follow the recommended dosage and not exceed the maximum daily limit of acetaminophen.
• Side effects: Norco can cause various side effects, including drowsiness, dizziness, nausea, constipation, vomiting, and itching. It may also affect cognitive and motor functions, impairing the ability to drive or operate machinery safely.
• Drug interactions: Norco can interact with other medications, including certain antidepressants, sedatives, muscle relaxants, and antihistamines. These interactions can increase the risk of side effects or negatively affect the effectiveness of the medications involved.

It’s crucial to use Norco only as prescribed by a healthcare professional, follow the recommended dosage, and discuss any concerns or potential risks with your doctor. They can provide personalized guidance and monitor your use to minimize the risks associated with Norco.

Why is this medication prescribed?

Norco is prescribed primarily for the management of moderate to severe pain. It contains two main active ingredients: hydrocodone, which is an opioid analgesic, and acetaminophen, a non-opioid pain reliever.

Hydrocodone, as an opioid, works by binding to opioid receptors in the brain and spinal cord, reducing the perception of pain. Acetaminophen, on the other hand, helps to enhance the pain-relieving effects of hydrocodone.

Norco is commonly prescribed for conditions such as:

• Acute pain: It can be used to manage short-term pain after surgeries, injuries, or dental procedures.
• Chronic pain: Norco may be prescribed for individuals with chronic pain conditions, such as arthritis, fibromyalgia, or back pain, when other non-opioid pain medications have not provided sufficient relief.

It’s important to note that Norco should be used under the supervision of a healthcare professional, and the duration of use should be limited to the shortest effective time to minimize the risk of dependence, addiction, and other potential side effects associated with opioid use.

How should this medicine be used?

Norco should be used exactly as prescribed by your healthcare professional. It is important to follow the recommended dosage and instructions for use. Here are some general guidelines for taking Norco:

• Prescription instructions: Read the medication guide or patient information leaflet provided by your pharmacist or healthcare provider. It will contain specific instructions regarding the dosage, frequency, and duration of Norco use.
• Dosage: Norco comes in different strengths, and the dosage prescribed will depend on various factors such as the severity of your pain, your medical condition, and your response to the medication. Do not exceed the prescribed dose or take it more frequently than recommended.
• Timing: Take Norco as directed by your healthcare provider. It may be prescribed to be taken every 4 to 6 hours as needed for pain relief. Avoid taking it more often than prescribed, even if the pain persists, unless directed by your doctor.
• Food and fluids: Norco can be taken with or without food. However, taking it with food may help reduce stomach upset. Drink plenty of fluids to prevent constipation, a common side effect of opioids.
• Avoid alcohol: It is important to avoid consuming alcohol while taking Norco. Alcohol can increase the risk of side effects, including sedation, respiratory depression, and liver damage.
• Follow-up with your doctor: Regularly communicate with your healthcare provider and report any changes in your pain level or any side effects you may experience. They can make adjustments to your dosage or explore alternative pain management options if necessary.
• Tapering off: When discontinuing Norco, it is generally recommended to gradually reduce the dosage under medical supervision to avoid withdrawal symptoms. Do not abruptly stop taking Norco without consulting your doctor.

Remember, these guidelines are general and may vary depending on your specific situation. Always consult your healthcare professional for personalized instructions on how to use Norco safely and effectively.

Other uses for this medicine

Norco is primarily prescribed for pain management, but there are no other approved uses for the medication beyond this indication. It is important to use Norco only as prescribed by a healthcare professional for the approved purpose.

What special precautions should I follow?

When taking Norco, there are several special precautions to consider:

• Allergies: Inform your doctor if you have any known allergies to hydrocodone, acetaminophen, or any other medications. Discuss any previous allergic reactions or sensitivities you may have experienced.
• Medical conditions: Inform your healthcare provider about any existing medical conditions you have, including but not limited to respiratory disorders (such as asthma or chronic obstructive pulmonary disease), liver disease, kidney disease, a history of substance abuse or addiction, mental health disorders, or a history of seizures.
• Medications and interactions: Make sure to inform your doctor about all the medications you are currently taking, including prescription drugs, over-the-counter medications, herbal supplements, and vitamins. Some medications, such as certain antidepressants, sedatives, muscle relaxants, or antihistamines, can interact with Norco and increase the risk of side effects or reduce the effectiveness of the medications.
• Pregnancy and breastfeeding: Norco should be used with caution during pregnancy. Consult your doctor if you are pregnant, planning to become pregnant, or breastfeeding. The medication can pass into breast milk and may have adverse effects on the infant.
• Respiratory depression: Norco can cause respiratory depression, which can be life-threatening, especially in higher doses or when combined with other central nervous system depressants like alcohol or sedatives. Avoid activities that require mental alertness, such as driving or operating heavy machinery, while taking Norco.
• Dependence and addiction: Norco contains hydrocodone, an opioid medication that can lead to dependence and addiction with prolonged use. Follow your doctor’s instructions carefully, and do not take larger doses or use it more frequently than prescribed. If you notice signs of dependence or addiction, such as cravings, withdrawal symptoms, or a loss of control over the medication, seek medical help immediately.
• Liver function: Norco contains acetaminophen, which can cause liver damage in high doses or when combined with other medications that contain acetaminophen. Avoid exceeding the recommended maximum daily dose of acetaminophen and be cautious if you have any underlying liver conditions.

It’s crucial to discuss any specific precautions and concerns with your healthcare professional before starting Norco to ensure safe and appropriate use of the medication.

What special dietary instructions should I follow?

Norco does not have any specific dietary instructions. However, it is generally recommended to take Norco with food or milk to help reduce the risk of stomach upset. This is especially important if you have a sensitive stomach or have experienced gastrointestinal discomfort when taking medications in the past.

What should I do if I forget a dose?

If you forget to take a dose of Norco, take it as soon as you remember. However, if it is close to the time for your next scheduled dose, skip the missed dose and resume your regular dosing schedule. Do not double the dose to make up for a missed one.

What side effects can this medication cause?

Norco, like any medication, can cause side effects. The severity and frequency of these side effects can vary among individuals. Common side effects of Norco include:

• Drowsiness: Norco can cause drowsiness or sedation, which can impair your ability to drive or operate machinery safely. Avoid engaging in activities that require alertness until you know how Norco affects you.
• Constipation: Opioids like Norco commonly cause constipation. It is advisable to maintain adequate fluid intake, eat a high-fiber diet, and, if necessary, consult your doctor about the use of stool softeners or laxatives to manage this side effect.
• Nausea and vomiting: Some individuals may experience nausea or vomiting while taking Norco. Taking the medication with food or milk can help reduce these symptoms.
• Dizziness: Norco may cause dizziness or lightheadedness. Avoid sudden changes in posture, such as getting up quickly from a sitting or lying position, to minimize the risk of falls or accidents.
• Dry mouth: Norco can lead to a dry mouth sensation. Regular oral hygiene practices, such as drinking water, chewing sugarless gum, or using saliva substitutes, can help alleviate this discomfort.
• Itching: Itching or skin rash may occur as a side effect of Norco. If you experience severe itching or an allergic reaction, seek immediate medical attention.
• Respiratory depression: Norco can depress the respiratory system, leading to slowed or shallow breathing. This is more likely to occur at higher doses or when combined with other medications that suppress the central nervous system.
• Other side effects: Other possible side effects of Norco include confusion, mood changes, difficulty urinating, blurred vision, and decreased libido.

It’s important to note that this is not an exhaustive list of side effects, and some individuals may experience rare or more severe side effects. If you experience any unusual or bothersome side effects while taking Norco, it is essential to contact your healthcare provider for further evaluation and guidance.

What should I know about storage and disposal of this medication?

Storage:

• Keep Norco in a secure and safe place, out of reach of children, pets, and anyone else for whom the medication is not prescribed.
• Store Norco at room temperature, away from moisture and heat.
• Avoid storing Norco in the bathroom or near sinks, as moisture and humidity can degrade the medication.
• Follow any specific storage instructions provided by your pharmacist or healthcare provider.

Disposal:

• Unused or expired Norco should be disposed of properly to prevent accidental ingestion, misuse, or harm to others.
• Check with your local pharmacy or healthcare facility for medication take-back programs or community disposal options.
• If no take-back programs are available, follow the disposal instructions provided by the U.S. Food and Drug Administration (FDA) or your local guidelines for safe medication disposal.
• Do not flush Norco down the toilet or pour it down the drain unless specifically instructed to do so by authorized disposal guidelines.

In case of emergency/overdose

• In case of an emergency or suspected overdose, immediately call your local emergency services or go to the nearest emergency room.
• Provide all relevant information about the medication taken, including the name (Norco), dosage, and timing.
• If possible, have the Norco bottle or packaging available for medical professionals to identify the medication and its strength.

What other information should I know?

• Norco is a controlled substance, and it should be taken only as prescribed by your healthcare provider. Do not share Norco with others, as it can be dangerous and illegal.
• Inform all your healthcare providers, including doctors, dentists, and pharmacists, about your use of Norco, as it may interact with other medications or treatments.
• Attend regular follow-up appointments with your healthcare provider to monitor the effectiveness of Norco and discuss any concerns or side effects you may be experiencing.
• Avoid consuming alcohol while taking Norco, as it can increase the risk of side effects and potentially dangerous interactions.
• Inform your doctor if you are pregnant, planning to become pregnant, or breastfeeding, as Norco can affect the developing fetus or pass into breast milk.

Always follow the guidance and instructions provided by your healthcare professional regarding the safe storage, disposal, and management of Norco.