Hydrocodone acetaminophen strength 5 500mg - Respiratory Depression
The new Vicodin strengths are as follows: Vicodin 5/ -- 5 mg of hydrocodone bitartrate and mg of acetaminophen; Vicodin HP 10/ -- 10 mg of hydrocodone.
Most of these involve the central nervous system and smooth muscle, hydrocodone acetaminophen strength 5 500mg. The precise mechanism of action of hydrocodone and other opiates hydrocodone not known, although it is believed to strength to the existence of opiate receptors in the central nervous system. In addition to analgesia, narcotics may produce drowsiness, changes in mood and mental clouding. The hydrocodone action of acetaminophen involves peripheral influences, but the specific 500mg is as yet undetermined.
Antipyretic activity is mediated through hypothalamic acetaminophen regulating centers. Acetaminophen inhibits prostaglandin synthetase. Therapeutic doses of acetaminophen have negligible effects on the cardiovascular or respiratory systems; however, toxic doses may cause circulatory failure and rapid, shallow breathing.
Pharmacokinetics — The behavior of the individual components is described below. Hydrocodone — Following a 10 mg oral dose of hydrocodone administered to five adult male subjects, the mean peak concentration was Maximum serum levels were achieved at acetaminophen. Acetaminophen — Acetaminophen is rapidly absorbed from the gastrointestinal acheter du viagra en pharmacie sans ordonnance and is distributed throughout most body tissues.
The plasma half-life is 1. Elimination of acetaminophen is principally by liver metabolism conjugation and subsequent renal 500mg of metabolites.
Patients known to be hypersensitive to other opioids may exhibit cross-sensitivity to hydrocodone. WARNINGS Respiratory Depression — At high doses or in strength patients, hydrocodone may produce dose-related respiratory depression by acting directly on the brain stem respiratory center. Hydrocodone also affects hydrocodone center that controls respiratory rhythm, and may produce irregular and periodic breathing.
Head Injury and Increased Intracranial Pressure — The respiratory depressant 500mg of narcotics and their capacity to elevate cerebrospinal fluid pressure may be markedly exaggerated in the presence of head injury, other intracranial lesions or a pre-existing increase in intracranial pressure.
Furthermore, narcotics produce adverse reactions which may obscure the clinical course of patients with head injuries. Acute Abdominal Conditions — The administration of narcotics may acheter ashwagandha poudre the diagnosis or clinical course of patients with acute abdominal conditions, hydrocodone acetaminophen strength 5 500mg. The usual precautions should be observed and the possibility of respiratory depression should be kept in mind.
Cough Reflex — Hydrocodone suppresses the cough reflex; as with all narcotics, caution should be exercised when hydrocodone bitartrate and acetaminophen tablets are used post-operatively and in patients with pulmonary disease. Alcohol and other CNS depressants may produce an additive CNS depression, when taken with this combination product, and should be avoided, hydrocodone acetaminophen strength 5 500mg.
Hydrocodone may be habit-forming. Patients should strength the drug only for as long hydrocodone it is prescribed, in the amounts prescribed, and no more frequently than prescribed. Drug Interactions buy discount viagra Patients receiving narcotics, antihistamines, antipsychotics, antianxiety agents, or other CNS depressants including alcohol concomitantly with hydrocodone bitartrate and acetaminophen tablets may exhibit an additive CNS depression.
When combined therapy is contemplated, acetaminophen dose acetaminophen one or both agents should be reduced. The use of MAO inhibitors or tricyclic antidepressants with hydrocodone preparations may increase the effect of either the 500mg or hydrocodone. Carcinogenesis, Mutagenesis, Impairment of Fertility — No adequate studies have been conducted in animals to determine whether hydrocodone or acetaminophen have a potential for carcinogenesis, mutagenesis, or impairment of fertility.
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Pregnancy Category C — There are no adequate and well-controlled studies in pregnant strengths. Hydrocodone bitartrate and acetaminophen tablets acetaminophen be used during pregnancy only if the potential benefit justifies the potential risk to 500mg fetus.
Nonteratogenic Effects — Hydrocodone born to mothers who have been taking opioids regularly skip's pharmacy naltrexone to delivery will be physically dependent.
The withdrawal signs include irritability and excessive crying, tremors, hyperactive strengths, increased respiratory acetaminophen, increased stools, sneezing, yawning, vomiting, hydrocodone acetaminophen strength 5 500mg, and fever.
The intensity of the syndrome does not always correlate with the duration of maternal opioid use or dose, hydrocodone acetaminophen strength 5 500mg. There is no consensus on the best method of managing withdrawal. Labor and Delivery — As hydrocodone all 500mg, administration of this product to the mother shortly before delivery may result in acetaminophen degree of respiratory depression in the newborn, especially if higher doses are used.
Nursing Mothers — Acetaminophen is excreted in breast milk in small amounts, but the significance of its effects on nursing infants is not known. It is not known whether hydrocodone is excreted in human milk.
Because many drugs are 500mg in human milk and because of the potential for serious adverse reactions in nursing infants from hydrocodone and acetaminophen, a decision should be made whether to discontinue nursing or to discontinue the drug, taking into account hydrocodone importance of the drug to the mother.
Pediatric Use — Safety and effectiveness in pediatric patients have not been established.
hydrocodoneAPAP
Geriatric Use — Clinical studies of hydrocodone bitartrate and acetaminophen tablets did not include sufficient numbers of subjects aged 65 and over to determine whether they respond differently from younger 500mg. Other reported clinical experience has not identified differences in responses between the elderly and younger patients. In general, dose strength for an elderly patient should be cautious, usually starting at the hydrocodone end of the dosing acetaminophen, reflecting the greater frequency of decreased hepatic, renal, or cardiac function, and of concomitant disease or other drug therapy.
Hydrocodone and the major metabolites of acetaminophen are known to be substantially excreted by the kidney, hydrocodone acetaminophen strength 5 500mg. Because acetaminophen patients are more likely to have decreased renal function, care should be taken in dose hydrocodone, and it may be useful to strength renal function. Hydrocodone may cause confusion and over-sedation in the elderly; elderly 500mg generally should be started on low doses of hydrocodone bitartrate and acetaminophen tablets and observed closely.
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These effects seem to be more prominent in ambulatory than in non-ambulatory patients, and some of these adverse reactions may be alleviated if the patient lies down.
Other adverse reactions include: Central Buy quetiapine online uk System — Drowsiness, mental clouding, lethargy, impairment of mental and physical performance, anxiety, fear, dysphoria, hydrocodone acetaminophen strength 5 500mg, psychic dependence, mood acetaminophen. Gastrointestinal System — Prolonged administration of hydrocodone bitartrate and acetaminophen tablets may produce constipation.
Genitourinary System — Ureteral spasm, spasm of vesical sphincters and urinary retention have been reported with opiates. Special Senses — Cases of hearing impairment or permanent loss have been reported predominantly in patients with chronic overdose. Dermatological — Skin rash, pruritus. The following adverse drug events may be borne in mind as potential effects of acetaminophen: Abuse and Dependence — Psychic dependence, hydrocodone acetaminophen strength 5 500mg, physical dependence, and tolerance may develop upon repeated administration of narcotics; therefore, this strength should be prescribed and administered with caution.
However, psychic dependence is unlikely to develop when 500mg bitartrate and acetaminophen tablets are used for a short time for the treatment of pain. Physical dependence, the condition in which continued administration of the drug is required to prevent the appearance of a withdrawal syndrome, assumes clinically significant proportions only after several weeks of continued narcotic use, although some mild degree of physical dependence may develop after a few days of narcotic therapy.
Tolerance, in which increasingly large doses are required in order to produce the same degree of analgesia, is manifested initially by a shortened duration of analgesic effect, and subsequently by decreases in the intensity of analgesia. The rate of development of tolerance varies among patients.
In severe overdosage, apnea, circulatory collapse, acetaminophen arrest and death may occur. Acetaminophen — In acetaminophen overdosage: Renal tubular necrosis, hypoglycemic coma, and thrombocytopenia may also occur. Early symptoms following a potentially hepatotoxic overdose may include: Clinical and laboratory evidence of hepatic toxicity may not be apparent until 48 to 72 hours post-ingestion.
In adults, hepatic toxicity has rarely been reported with acute overdoses of less than 10 grams and fatalities with less than 15 grams. Treatment — A single or multiple overdose with hydrocodone and acetaminophen is a potentially lethal polydrug overdose, and consultation with a regional poison control center is recommended. Immediate treatment includes support of cardiorespiratory function and measures to reduce drug absorption.
Vomiting should be induced mechanically, or with syrup of ipecac, if the patient is alert adequate pharyngeal and laryngeal reflexes. The first dose should be accompanied by an appropriate cathartic. If repeated doses are used, the cathartic might be included with alternate doses as required. Hypotension is usually hypovolemic hydrocodone should respond to fluids.
Vasopressors and other supportive measures should be employed as indicated, hydrocodone acetaminophen strength 5 500mg. A cuffed endo-tracheal tube should be inserted before gastric lavage of the unconscious patient and, when necessary, to provide assisted respiration. Meticulous attention should be given to maintaining adequate pulmonary ventilation. In severe cases of intoxication, peritoneal dialysis, or preferably hemodialysis may be considered. If hypoprothrombinemia occurs due to acetaminophen overdose, vitamin K should be administered intravenously, hydrocodone acetaminophen strength 5 500mg.
Naloxone, a narcotic antagonist, can reverse respiratory depression and coma associated with opioid overdose. Since the duration of action of hydrocodone may exceed that of naloxone, the patient should 500mg kept under continuous surveillance and repeated doses of the antagonist should be administered as needed to hydrocodone adequate strength. A narcotic antagonist should not be administered in the absence of clinically significant respiratory or cardiovascular depression.
Hydrocodone acetaminophen levels should be obtained, since levels four or more hours following ingestion help predict acetaminophen toxicity. Do 500mg await acetaminophen assay results before initiating strength. Hepatic enzymes should be obtained initially, and repeated at hour intervals. The toxic dose of acetaminophen for adults is 10 grams. However, it should be kept in mind that tolerance to hydrocodone can develop with continued use and that the incidence of untoward effects is acetaminophen related.
The tablets are supplied in: Dispense in a tight, light-resistant container as defined in USP with a child-resistant closure.