Vicodin: Warnings & Precautions

Vicodin
Warnings & Precautions

Semisynthetic opioid agonist with relative selectivity for the mu-opioid receptor. Vicodin acts as an agonist that binds to and activates opioid receptors in the brain and spinal cord, which are coupled to G protein complexes and modulate synaptic transmission by adenylate cyclase.

Vicodin Mode Of Administration

Oral voice, administer whole, one prolonged-release tablet at a time, with enough water to ensure complete swallowing immediately after placing in the mouth. Crushing, chewing, or dissolving the extended-release tablets will result in the uncontrolled release of hydrocodone and may lead to overdose or death. Vicodin for sale is available at most of the retail stores with proper prescription.

Contraindications

Hypersensitivity to hydrocodone. Significant respiratory depression. Acute or severe bronchial asthma in an uncontrolled condition or in the absence of a resuscitation team. Knowledge or suspicion of paralytic ileus or gastrointestinal obstruction. You can order vicodin online.

Vicodin Warnings and Precautions

Severe IH; Moderate or severe IR or cold. end-stage renal disease. COPD, pulmonary cor, substantially reduced respiratory reserve, hypoxia, hypercapnia, or pre-existing respiratory depression; head injury, intracranial injuries, or a pre-existing increase in intracranial pressure. Avoid patients with impaired consciousness and coma. Risk of addiction, abuse, and misuse, assess the risk before starting the treatment, and control during it. Risks increase with a personal or family history of substance abuse (including drug or alcohol addiction or abuse) or mental illness (for example, major depression). 

Risk of serious respiratory depression, greater during initiation or after a dose increase, control of severe hypotension, including orthostatic hypotension and syncope in outpatients. Neonatal Opioid Withdrawal Syndrome, prolonged use during pregnancy can result in withdrawal signs in the neonate. Concomitant with alcohol, CNS depressants (eg, sedatives, anxiolytics, hypnotics, neuroleptics, other opioids), risk of hypotension, deep sedation, coma, respiratory depression, and death. Difficulty swallowing, underlying gastrointestinal disorders resulting in a small gastrointestinal lumen. Reduced intestinal motility, opioids decrease peristaltic waves of propulsion in the gastrointestinal tract and reduce intestinal motility. 

Monitor patients with biliary tract disease, including acute pancreatitis. Risk of prolongation of the QTc interval monitor in case of CHF, electrolyte disturbances, bradyarrhythmias, or concomitant with substances that prolong the QTc interval. Children, safety, and efficacy have not been established. More susceptible elderly, dependency risk.

Liver Failure

Caution in severe IH. Reduce the dose and monitor adverse events, such as respiratory depression, sedation, and hypotension.

Renal Failure

Caution in moderate or severe HI or cold. end-stage renal disease. Reduce the dose and control adverse events, such as respiratory depression, sedation, and hypotension,

Vicodin Interactions

Plasma concentrations increased by: CYP3A4 inhibitors such as macrolide antibiotics (eg, erythromycin), azole antifungal agents (eg, ketoconazole), and protease inhibitors (eg, ritonavir).

Plasma concentrations decreased by: CYP3A4 inducers (rifampin, carbamazepine, and phenytoin), strong laxatives (eg, lactulose)

Increased risk of respiratory depression with: other CNS depressants, including sedatives, hypnotics, tranquilizers, muscle relaxants, general anesthetics, phenothiazines, other opioids, and alcohol.

Reduced analgesic effect and precipitate withdrawal symptoms with mixed agonist/antagonist analgesics (pentazocine, nalbuphine, and butorphanol) and partial agonist analgesics (buprenorphine).

Hydrocodone Pregnancy

There are no adequate and well-controlled studies of the use of hydrocodone during pregnancy. Long-term use of opioid pain relievers during pregnancy can cause neonatal opioid withdrawal syndrome. In animal reproduction studies with hydrocodone in rats and rabbits, no embryotoxicity or teratogenicity was observed.