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What Is Adderall
Adderall is a prescription medication that contains two drugs: amphetamine and dextroamphetamine. It belongs to a class of medications called stimulants. It’s most commonly used to treat attention-deficit hyperactivity disorder (ADHD). It’s also used to treat narcolepsy.
Adderall is considered a first-choice treatment option for ADHD. Studies show that it improves attention and focus, and reduces impulsive behaviors. Between 75 percent and 80 percentTrusted Source of children with ADHD will see improved symptoms with the use of stimulants such as Adderall. Adderall is also effective for increasing daytime wakefulness in people with narcolepsy, although there is little related research available.
Adderall comes in two forms:
Adderall oral tablet Adderall XR extended-release oral capsule Is Adderall a controlled substance? Yes, Adderall is a controlled substance. This means that it can cause psychological or physical dependence and has the potential for abuse and misuse. The government has created special regulations that determine how controlled substances are prescribed and dispensed. These regulations also require that you get a new prescription from your doctor for each refill. Generic Adderall Adderall oral tablet and Adderall XR extended-release oral capsule are both available in generic forms. The generic name for the drug in both the tablet and the capsule is amphetamine/dextroamphetamine salts. Generic drugs usually cost less than the brand-name version. In some cases, the brand-name drug and the generic version may be available in different forms and strengths. Adderall ingredients Adderall contains a mixture of different forms of amphetamine and dextroamphetamine. Specifically, these forms include amphetamine aspartate, amphetamine sulfate, dextroamphetamine saccharate, and dextroamphetamine sulfate.
Adderall side effects
Adderall can cause mild or serious side effects. The following list contains some of the key side effects that may occur while taking Adderall. This list doesn’t include all possible side effects. For more information on the possible side effects of Adderall, or tips on how to deal with a troubling side effect, talk with your doctor or pharmacist. More common side effects The more common side effects of Adderall can include: lack of appetite dry mouth trouble sleeping headache stomach pain constipation nausea weight loss anxiety dizziness These side effects may go away within a few days or a couple of weeks. If they’re more severe or don’t go away, talk to your doctor or pharmacist. Serious side effects Call your doctor right away if you have serious side effects. Call 911 if your symptoms feel life-threatening or if you think you’re having a medical emergency. Serious side effects and their symptoms can include the following: heart problems including high blood pressure, rapid heartbeat, heart attack, and stroke depression hallucinations impaired or delusional thinking agitated or aggressive behavior irritability blurred vision severe allergic reaction muscle breakdown called rhabdomyolysis Long-term effects Adderall is safe to use long term when taken at doctor-recommended dosages. For many people, common side effects such as loss of appetite, dry mouth, or insomnia are reduced with continued use of the drug. For others, these side effects may continue. Long-term use of Adderall or other stimulants may cause some changes in the brain, such as decreases in the amount of the chemical messenger dopamine. This seems more likely to happen in people who abuse Adderall in high doses. When Adderall is misused or abused, long-term use can lead to physical and psychological dependence. Inappropriate use can lead to many serious side effects, including: severe insomnia (trouble sleeping) fatigue depression skin disorders moodiness or irritability symptoms of psychosis such as aggression and hallucinations heart damage anorexia and unwanted weight loss Adderall high When taken at typical doses for conditions such as ADHD, Adderall doesn’t usually cause a feeling of being high. Some people who take Adderall may experience feelings of being energetic, focused, excited, or self-confident. Feelings of euphoria also sometimes occur. These effects are more likely when the medication is misused or abused. Headache Headache is one of the most common side effects of Adderall. In some studies, headache occurred in up to 26 percent of people who took Adderall XR. This side effect may decrease with continued use of the drug. Nausea Nausea is a common side effect of Adderall. In some studies, nausea occurred in 5 percent to 8 percent of people taking Adderall XR. This side effect may decrease with continued use of the drug. Erectile dysfunction Most men who take Adderall don’t experience erectile dysfunction, but some report being less interested in sex. If you experience this side effect and it doesn’t go away, talk with your doctor. Men who abuse amphetamines such as Adderall can experience erectile dysfunction as well as increases or decreases in sexual desire. Constipation Constipation is a common side effect of Adderall. In some studies, constipation occurred in 2 percent to 4 percent of people who took Adderall XR. This side effect may decrease with continued use of the drug. Hair loss Some people who take Adderall have reported hair loss. However, it’s not clear how often this occurs or if Adderall was the cause of this effect. Psychosis Symptoms of psychosis, including hallucinations, agitation, or disordered thinking, are a rare side effect of Adderall. In some cases, these symptoms have occurred in people taking typical, recommended doses of Adderall. Symptoms of psychosis are more likely to occur in people who have a history of psychosis before they start taking Adderall. They’re also more common in people who misuse or abuse Adderall. If you have this side effect while taking Adderall, talk with your doctor right away. You may need to stop taking Adderall. Dry mouth Adderall XR commonly causes dry mouth in up to 35 percent of people who take it. This side effect may decrease with continued use of the drug. Sweating Some people who take Adderall report increased sweating. This seems to occur in about 2 percent to 4 percent of people taking Adderall XR. This side effect may decrease with continued use of the drug. Insomnia Insomnia, or trouble sleeping, is one of the most common side effects of Adderall. As much as 27 percent of people who take Adderall XR can have insomnia. This side effect may decrease with continued use of the drug. Chest pain People with a healthy heart don’t usually have chest pain while taking Adderall. If you do, it might mean that you have a heart condition. If you have chest pain after taking Adderall, call your doctor right away. Fatigue Fatigue may occur in 2 percent to 4 percent of people who take Adderall XR in commonly prescribed dosages. This side effect may decrease with continued use of the drug. Fatigue may be more common in people who misuse or abuse Adderall, especially in higher doses. Also, people who have become dependent on Adderall can experience extreme fatigue if they stop taking the drug. Side effects in children Some children can have slightly slowed growth in height and weight while taking Adderall. This is usually temporary, and growth typically catches up over time. Your doctor will monitor your child’s growth during treatment with Adderall. In some cases, if a child’s growth is slowed too much, the child’s doctor may stop their treatment with Adderall. Adderall and your eyes Adderall can have some effects on your eyes. Blurred vision Although rare, blurred vision or trouble focusing can occur in some people who take Adderall. If you experience blurred vision that doesn’t go away with continued use of Adderall, talk with your doctor. Effect on pupils In some cases, Adderall can temporarily cause your pupils — the black centers of your eyes — to dilate (become bigger). For most people, this isn’t a problem. However, for people with glaucoma, this effect could worsen their condition. People with glaucoma shouldn’t take Adderall. If you experience any changes in your vision that don’t go away with continued use of Adderall, talk with your doctor.
Adderall dosage
The Adderall dosage your doctor prescribes will depend on several factors. These include: the type and severity of the condition you’re using Adderall to treat your age the form of Adderall you take other medical conditions you may have Typically, your doctor will start you on a low dosage and adjust it over time to reach the dosage that’s right for you. They’ll ultimately prescribe the smallest dosage that provides the desired effect. The following information describes dosages that are commonly used or recommended. However, be sure to take the dosage your doctor prescribes for you. Your doctor will determine the best dosage to suit your needs. Forms and strengths Immediate-release tablet: 5 mg, 7.5 mg, 10 mg, 12.5 mg, 15 mg, 20 mg, and 30 mg Extended-release capsule: 5 mg, 10 mg, 15 mg, 20 mg, 25 mg, and 30 mg Dosage for attention deficit-hyperactivity disorder (ADHD) Adderall tablet Adults (ages 18 years and older) Typical starting dosage: 5 mg once or twice daily. Dosage increases: This dosage may be increased by 5 mg each week until it has the desired effect. Note: The first dose of the medication should be taken when you first wake up. Any additional doses should be taken every four to six hours. Children (ages 6–17 years) Typical starting dosage: 5 mg once or twice daily. Dosage increases: This dosage may be increased by 5 mg each week until it has the desired effect. Note: The first dose of the medication should be taken when your child first wakes up. Any additional doses should be taken every four to six hours. Children (ages 3–5 years) Typical starting dosage: 2.5 mg once or twice daily. Dosage increases: This dosage may be increased by 2.5 mg each week until it has the desired effect. Note: The first dose of the medication should be taken when your child first wakes up. Any additional doses should be taken every four to six hours. Children (ages 0–2 years) Adderall tablet isn’t recommended for treating ADHD in children under the age of 3 years. Adderall XR extended-release capsule Adults (ages 18 years and older) Typical starting dosage: 20 mg once daily. Dosage increases: This dosage may be increased or decreased each week until it has the desired effect. Note: The medication should be taken when you first wake up. Children (ages 13–17 years) Typical starting dosage: 10 mg once daily. Dosage increases: This dosage may be increased to 20 mg once daily after the first week, if needed. Note: The medication should be taken when your child first wakes up. Children (6–12 years) Typical starting dosage: 5 mg or 10 mg once daily. Dosage increases: This dosage may be increased by 5 mg or 10 mg each week until it has the desired effect. Note: The medication should be taken when your child first wakes up. Children (ages 0–5 years) Adderall XR isn’t recommended for treating ADHD in children under the age of 6 years. Dosage for narcolepsy Adderall tablet Adults (18 years and older) Typical starting dosage: 10 mg once daily. Dosage increases: The dosage may be increased by 10 mg each week until it has the desired effect. Note: The first dose of the medication should be taken when you first wake up. Any additional doses should be taken every four to six hours. Children (12–17 years) Typical starting dosage: 10 mg once daily. Dosage increases: The dosage may be increased by 10 mg each week until it has the desired effect. Note: The first dose of the medication should be taken when your child first wakes up. Any additional doses should be taken every four to six hours. Children (6–11 years) Typical starting dosage: 5 mg once daily. Dosage increases: The dose may be increased by 5 mg each week until it has the desired effect. Note: The first dose of the medication should be taken when your child first wakes up. Any additional doses should be taken every four to six hours. Children (ages 0–5 years) Adderall tablet isn’t recommended for treating narcolepsy in children under the age of 6 years. What if I miss a dose? If you miss a dose in the morning, take it as soon as you can. However, if it’s just a few hours until your next dose, skip the missed dose and take the next one on schedule. When possible, avoid taking makeup doses in the late afternoon or evening because this can cause problems falling asleep at bedtime. Never try to catch up by taking two doses at a time. This can cause dangerous side effects. Will I need to use this drug long term? You might need to use this drug long term. From time to time during your treatment, your doctor may check whether you need to keep taking it. They’ll do this by tapering you off the medication to see if your symptoms return. If symptoms do return, you may need to keep taking the medication. Adderall withdrawal Talk with your doctor before stopping this medication. If you stop taking it, the symptoms of your condition may return. You may also develop withdrawal symptoms. Withdrawal symptoms If you’ve been taking high doses of this medication and you stop taking it, you may have withdrawal symptoms. These can include: tiredness fatigue depression How to take Adderall How you take Adderall depends on the form you’re using. Timing For Adderall tablets: The tablets are usually taken one to three times daily. The first dose should be taken in the morning after first waking up. Any additional doses should be spread out and taken every four to six hours. Try not to take Adderall tablets later in the evening. This can cause trouble falling asleep at bedtime. For Adderall XR extended-release capsules: The capsules are taken once daily. They should be taken in the morning after first waking up. You shouldn’t take Adderall XR in the afternoon. This can cause trouble falling asleep at bedtime.< Adderall on an empty stomach Adderall tablets and Adderall XR extended-release capsules can be taken on an empty stomach. Both forms can also be taken with food. Some people prefer to take them with food to help prevent stomach upset. Handling Adderall tablets can be split or crushed. Adderall XR extended-release capsules shouldn’t be split, crushed, or chewed. If you have trouble swallowing, you can open the capsule and sprinkle the contents onto a spoonful of applesauce. Be sure to eat the applesauce right away. Adderall uses The Food and Drug Administration (FDA) approves drugs to treat certain conditions. Adderall has been approved to treat two conditions. However, Adderall is sometimes used for purposes that aren’t approved by the FDA. Approved uses for Adderall The FDA has approved Adderall to treat ADHD and narcolepsy. ADHD/ADD Both forms of Adderall — Adderall tablet and Adderall XR extended-release capsule — are FDA-approved for adults and children to treat attention deficit hyperactivity disorder (ADHD). Adderall can help reduce hyperactivity and inattentiveness in people with ADHD. Narcolepsy Adderall tablet is also approved to treat narcolepsy. It can help reduce daytime sleepiness in people with this condition. Off-label uses for Adderall While these uses aren’t approved by the FDA, doctors may prescribe Adderall to treat other conditions besides ADHD and narcolepsy. This is called off-label use. It means a drug that’s approved to treat one condition is prescribed by a doctor to treat another condition that’s not approved. Depression Adderall isn’t an antidepressant, but it’s sometimes used off-label to treat depression that doesn’t respond to other treatments. It may also be used to treat depression in people who have both ADHD and depression. Some people who take Adderall or similar stimulant medication along with antidepressant medication have improved depression symptoms. However, taking stimulants with antidepressants can increase the risk of side effects. Talk with your doctor before combining Adderall and any antidepressant medication. Anxiety Adderall or similar stimulant medications are sometimes prescribed off-label for people with anxiety, especially for those who have both ADHD and anxiety. Some research suggests that combining stimulant medication with antidepressants might improve symptoms of ADHD and anxiety. Bipolar disorder Adderall and other stimulants are sometimes prescribed off-label for treating symptoms of depression in people with bipolar disorder. When used for this purpose, stimulants aren’t usually used by themselves, but are combined with other bipolar medications. Talk with your doctor before combining Adderall with medications used for bipolar disorder. Other uses that aren’t approved People may sometimes misuse Adderall without their doctor’s recommendation or prescription. In some cases, this type of misuse of Adderall can lead to abuse of the drug. You should never use Adderall if it hasn’t been prescribed for you by your doctor. Weight loss Adderall can cause a loss of appetite. Because of this side effect, some people misuse Adderall as a weight loss aid. Studying Adderall is often misused by people without ADHD to increase focus, concentration, and endurance when studying. This occurs especially often with college students. However, a recent study suggests that for people without ADHD, Adderall doesn’t improve thinking. In addition, it could worsen memory.
Uses in children
Adderall tablets are approved for treating ADHD in children ages 3 years and older. Adderall tablets are also approved for treating narcolepsy in children ages 6 years and older. Adderall XR capsules are approved for treating ADHD in children ages 6 years and older. Adderall alternatives There are other drugs available to treat your condition. Some may be better suited for you than others. Talk to your doctor to learn more about other medications that may work well for you. Alternatives for ADHD Adderall belongs to a class of medications called stimulants. Drugs in this class are usually considered the first choice of medications for treating ADHD. Other stimulants that are options for treating ADHD include: amphetamine (Adzenys ER, Adzenys XR-ODT, Dyanavel XR, Evekeo) dextroamphetamine (Dexedrine, ProCentra, Zenzedi) dexmethylphenidate (Focalin, Focalin XR) lisdexamfetamine (Vyvanse) methamphetamine (Desoxyn) methylphenidate (Concerta, Daytrana, Methylin, Metadate CD, Quillivant XR, Ritalin, others) Some nonstimulant medications are also options for treating ADHD. These include: atomoxetine (Strattera) bupropion (Wellbutrin) desipramine (Norpramin) clonidine (Kapvay) guanfacine (Intuniv) imipramine (Tofranil) valproic acid Some people also use herbs and dietary supplements to treat ADHD. For most of these supplements, there is very little research showing that they work, or research findings are inconsistent. Examples of these supplements include: iron magnesium melatonin omega-3 fatty acids such as fish oil theanine zinc Be sure to talk with your doctor before trying any herb or dietary supplement for treating ADHD. Alternatives for narcolepsy For narcolepsy, there are several other medication options available. These include: amphetamine (Evekeo) armodafinil (Nuvigil) dextroamphetamine (Dexedrine, ProCentra, Zenzedi) lisdexamfetamine (Vyvanse) methylphenidate (Concerta, Methylin, Ritalin) modafinil (Provigil) sodium oxybate (Xyrem) Adderall vs. other drugs You may wonder how Adderall compares to other drugs used to treat ADHD or narcolepsy. Adderall vs. Vyvanse Adderall and Vyvanse (lisdexamfetamine) are two medications commonly used to treat ADHD. They’re both stimulants, and they work in a similar way. Despite these similarities, there are some differences between the drugs that might make you prefer one over the other. Use Adderall is FDA-approved for treating ADHD and narcolepsy. Vyvanse is approved for treating ADHD and binge eating disorder. Vyvanse is also used off-label to treat narcolepsy. It’s not FDA-approved for this purpose, but there is some scientific evidence that it might help. Drug forms Adderall comes in two forms: an immediate-release tablet (Adderall) and an extended-release capsule (Adderall XR). The Adderall tablet is taken one to three times daily. Adderall XR is taken just once daily. Vyvanse is available as a delayed-release capsule and a chewable tablet, both of which are taken once daily. The chewable tablet may be a good option for those who have a hard time swallowing pills. Effectiveness Both Adderall and Vyvanse are effective for improving symptoms of ADHD. In fact, they’re both considered to be among the first choices of medications for treating ADHD. Generally, it’s not clear if one of these medications works better than the other. However, individual people may respond better to one over the other. Adderall typically works more quickly than Vyvanse but doesn’t usually last as long: Adderall works within 30 minutes and lasts for 5 to 7 hours. Adderall XR also works within 30 minutes and lasts about 8 to 10 hours. Vyvanse typically works within 2 hours and lasts for about 10 hours. Side effects and risks Because Adderall and Vyvanse are very similar medications, they also have similar side effects and drug interactions. Both medications can cause psychological and physical dependence and can be misused or abused. However, Vyvanse may be less likely to be misused. This is because Adderall has a more immediate and intense effect when taken, which might be attractive to people who want to misuse it. Vyvanse, on the other hand, must be broken down by the body before it takes effect. Costs The costs of brand-name versions of Adderall and Vyvanse are similar. However, Adderall is also available in a generic form, while Vyvanse is not. The FDA has determined that the patent for Vyvanse is valid until 2023. It will be at least until then before a generic for Vyvanse is available. Generic drugs are typically less expensive than brand-name drugs. But in some cases, the brand-name drug and the generic version may be available in different forms and strengths.
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What Is Ultram
Ultram (tramadol) is a pain reliever (analgesic) used to treat moderate to moderately severe pain in adults. Ultram is available as 50 mg oral tablets. Ultram is available in generic form.
What Are Side Effects of Ultram?
Side effects of Ultram include: agitation, nervousness, anxiety, seizures (convulsions), skin rash, dizziness, spinning sensation, hallucinations, fever, fast heart rate, overactive reflexes, nausea, vomiting, upset stomach, diarrhea, constipation, loss of coordination, headache, drowsiness, and fainting. Dosage for Ultram Good pain management practice dictates that the dose of Ultram be individualized according to patient need using the lowest beneficial dose.
What Drugs, Substances, or Supplements Interact with Ultram?
Ultram may interact with other drugs including monoamine oxidase inhibitors (MAOIs) and other antidepressant medications. Ultram During Pregnancy and Breastfeeding There are no adequate and well-controlled studies of Ultram in pregnant women. Ultram should be used during pregnancy only if the potential benefit justifies the potential risk to the fetus. Ultram passes into breast milk and may harm a nursing baby. Breastfeeding while taking Ultram is not recommended.
Additional Information
Our Ultram Side Effects Drug Center provides a comprehensive view of available drug information on the potential side effects when taking this medication. This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088. Ultram Professional Information SIDE EFFECTS The following serious adverse reactions are described, or described in greater detail, in other sections: Addiction, Abuse, and Misuse Life-Threatening Respiratory Depression Ultra-Rapid Metabolism of Tramadol and Other Risk Factors for Life-threatening Respiratory Depression in Children Neonatal Opioid Withdrawal Syndrome Interactions with Benzodiazepines or Other CNS Depressants Serotonin Syndrome Seizures Suicide Adrenal Insufficiency Severe Hypotension Gastrointestinal Adverse Reactions Hypersensitivity Reactions Withdrawal Clinical Trials Experience Because clinical trials are conducted under widely varying conditions, adverse reaction rates observed in the clinical trials of a drug cannot be directly compared to rates in the clinical trials of another drug and may not reflect the rates observed in practice.
ULTRAM was administered to 550 patients during the double-blind or open-label extension periods in U.S. studies of chronic nonmalignant pain. Of these patients, 375 were 65 years old or older. Table 1 reports the cumulative incidence rate of adverse reactions by 7, 30 and 90 days for the most frequent reactions (5% or more by 7 days). The most frequently reported events were in the central nervous system and gastrointestinal system. Although the reactions listed in the table are felt to be probably related to ULTRAM administration, the reported rates also include some events that may have been due to underlying disease or concomitant medication. The overall incidence rates of adverse experiences in these trials were similar for ULTRAM and the active control groups, TYLENOL with Codeine #3 (acetaminophen 300 mg with codeine phosphate 30 mg), and aspirin 325 mg with codeine phosphate 30 mg, however, the rates of withdrawals due to adverse events appeared to be higher in the ULTRAM groups.
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Carisoprodol is a muscle relaxer that blocks pain sensations between the nerves and the brain.
Carisoprodol is used together with rest and physical therapy to treat skeletal muscle conditions such as pain or injury. Carisoprodol may also be used for purposes not listed in this medication guide. What is Carisoprodol (Soma) used for? Muscle Spasm
WARNINGS
What is the most important information I should know about Carisoprodol (Soma)? You should not use this medicine if you are allergic to carisoprodol or meprobamate, or if you have: porphyria (a genetic enzyme disorder that causes symptoms affecting the skin or nervous system). Tell your doctor if you have ever had: liver disease; kidney disease; or a seizure. It is not known whether this medicine will harm an unborn baby. Tell your doctor if you are pregnant. Carisoprodol can pass into breast milk and may cause drowsiness in a nursing baby. Tell your doctor if you are breast-feeding. Carisoprodol is not approved for use by anyone younger than 16 years old. Older adults may be more sensitive to the effects of this medicine.
What are the side effects of Carisoprodol (Soma)?
Get emergency medical help if you have signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat. Stop using carisoprodol and call your doctor at once if you have: a seizure (convulsions); or high levels of serotonin in the body--agitation, hallucinations, fever, sweating, shivering, fast heart rate, muscle stiffness, twitching, loss of coordination, nausea, vomiting, diarrhea. Common side effects may include: drowsiness; dizziness; or headache. This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088. PREGNANCY & BREASTFEEDING Can I take Carisoprodol (Soma) if I’m pregnant or breastfeeding? Risk cannot be ruled out Based on FDA pregnancy categories It is not known whether this medicine will harm an unborn baby. Tell your doctor if you are pregnant. Carisoprodol can pass into breast milk and may cause drowsiness in a nursing baby. Tell your doctor if you are breast-feeding. INTERACTIONS What drugs and food should I avoid while taking Carisoprodol (Soma)? Do not drink alcohol. Dangerous side effects or death could occur. Avoid driving or hazardous activity until you know how this medicine will affect you. Dizziness or drowsiness can cause falls, accidents, or severe injuries.
DOSAGE GUIDELINES & TIPS
How to take Carisoprodol (Soma)? Use Carisoprodol (Soma) exactly as directed on the label, or as prescribed by your doctor. Do not use in larger or smaller amounts or for longer than recommended. Follow all directions on your prescription label and read all medication guides or instruction sheets. Use the medicine exactly as directed. Carisoprodol may be habit-forming. Misuse can cause addiction, overdose, or death. Selling or giving away this medicine is against the law. Carisoprodol is usually taken 3 times per day and at bedtime. Follow your doctor's dosing instructions very carefully. Carisoprodol should be taken only 2 or 3 weeks. Call your doctor if your symptoms do not improve, or if they get worse. Do not stop using carisoprodol suddenly after long-term use, or you could have unpleasant withdrawal symptoms. Ask your doctor how to safely stop using this medicine. Carisoprodol is only part of a complete program of treatment that may also include rest, physical therapy, or other pain relief measures. Follow your doctor's instructions. Store at room temperature away from moisture and heat. Keep track of your medicine. Carisoprodol is a drug of abuse and you should be aware if anyone is using it improperly or without a prescription. OVERDOSE SIGNS What happens if I overdose on Carisoprodol (Soma)? Overdose symptoms may include vision problems, confusion, hallucinations, muscle stiffness, loss of coordination, weak or shallow breathing, fainting, seizure, or coma. If you think you or someone else may have overdosed on: Carisoprodol (Soma), call your doctor or the Poison Control center.
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What Is Tramadol
Tramadol is used for the short-term relief of moderate to severe pain. It should only be used when other forms of non-opioid pain relief have not been successful in managing pain or are not tolerated.
Tramadol is not usually recommended for the treatment of chronic (long-term) pain.
How does tramadol work?
Tramadol works directly on opioid receptors in the central nervous system and reduces feelings of pain by interrupting the way nerves signal pain between the brain and the body. What are the possible side effects of tramadol? All opioids, including tramadol, can have side effects that include life-threatening breathing problems. The risk of these is higher: when first taking tramadol after a dosage increase if you are older if you have an existing lung problem The side effects of tramadol are similar to those of other opioids, and include: sleepiness constipation sweating fatigue headache dry mouth vomiting Always take medicines exactly as prescribed by your doctor.
What are the risks associated with tramadol? Opioids are strong pain-relief medicines and can cause life-threatening breathing problems. If you take tramadol, you may become dependent on this medicine, even if you take it exactly as prescribed by your doctor. Your doctor will monitor how you use tramadol, to reduce your risk of harm, including through misuse, abuse and addiction. You can also develop tolerance when you take tramadol — this means that you may need to take larger amounts of the opioid to get the same effect. As the dosage increases, so does the risk of side effects. Continue to take tramadol for as long as your doctor tells you to. If you stop taking tramadol suddenly, you may experience withdrawal symptoms. Tramadol may make it difficult for you to drive or operate heavy machinery. If you have recently started taking tramadol or another opioid medication, or changed your dosage, you may be at higher risk of having an accident. If your kidney or liver function is impaired, your doctor may decide that tramadol in not appropriate for you. There are other factors that may limit your use of tramadol — for example, if you drink alcohol or take other medicines that can cause drowsiness. Your doctor is the best person to advise you on whether tramadol is the right medicine for you, how much you need and how long to take it for. If a person is not breathing, or if they are unresponsive, seek help straight away. Call triple zero (000) and ask for an ambulance.
Are there any alternatives to tramadol?
Everyone's pain is unique, and different pain-relief medicines will work in different circumstances. Some people’s pain will respond well to non-opioid medicines, which are generally associated with fewer risks and side effects. Always check with your doctor or pharmacist before making any change to the dosage or type of medicine you take. If you have chronic (long-term) pain, your doctor might suggest lifestyle changes to help manage the discomfort. This may include physical fitness and activity pacing, social activities, relaxation techniques and overall health management.
When should I see my doctor?
If your pain is not well controlled by tramadol or you have any new or unexpected side effects, see your doctor. How do I dispose of medicines safely? It's important you dispose of unwanted opioid medicines safely — unused medicines can be returned to any pharmacy. Don't keep unused tramadol 'just in case', since this can lead to inappropriate use. Keep tramadol out of reach of children and pets. Never throw medicines into a garbage bin or flush them down the toilet — this is dangerous to others and harmful to the environment.
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What Is Norco
Norco contains a combination of acetaminophen and hydrocodone. Hydrocodone is an opioid pain medication. An opioid is sometimes called a narcotic. Acetaminophen is a less potent pain reliever that increases the effects of hydrocodone.
Norco is used to relieve moderate to moderately severe pain. Norco may also be used for purposes not listed in this medication guide.
Warnings
Hydrocodone can slow or stop your breathing. Never use Norco in larger amounts, or for longer than prescribed. Opioid pain medicine may be habit-forming, even at regular doses. Never share Norco with another person, especially someone with a history of drug abuse or addiction. Keep the medication in a place where others cannot get to it. MISUSE OF NARCOTIC MEDICINE CAN CAUSE ADDICTION, OVERDOSE, OR DEATH, especially in a child or other person using the medicine without a prescription. Do not use Norco if you have used a MAO inhibitor in the past 14 days, such as isocarboxazid, linezolid, methylene blue injection, phenelzine, rasagiline, selegiline, or tranylcypromine. An overdose of acetaminophen can damage your liver or cause death. Call your doctor at once if you have nausea, pain in your upper stomach, itching, loss of appetite, dark urine, clay-colored stools, or jaundice (yellowing of your skin or eyes). Stop taking Norco and call your doctor right away if you have skin redness or a rash that spreads and causes blistering and peeling. Before taking this medicine You should not use Norco if you are allergic to acetaminophen (Tylenol) or hydrocodone, or if you have recently used alcohol, sedatives, tranquilizers, or other narcotic medications. Do not use Norco if you have taken a MAO inhibitor in the past 14 days. A dangerous drug interaction could occur. MAO inhibitors include isocarboxazid, linezolid, phenelzine, rasagiline, selegiline, and tranylcypromine. Some medicines can interact with hydrocodone and cause a serious condition called serotonin syndrome. Be sure your doctor knows if you also take medicine for depression, mental illness, Parkinson's disease, migraine headaches, serious infections, or prevention of nausea and vomiting. Ask your doctor before making any changes in how or when you take your medications. You should not use this medicine if you have: severe asthma or breathing problems; or a blockage in your stomach or intestines. To make sure Norco is safe for you, tell your doctor if you have ever had: breathing problems, sleep apnea (breathing stops during sleep); liver disease; a drug or alcohol addiction; kidney disease; a head injury or seizures; urination problems; or problems with your thyroid, pancreas, or gallbladder. Norco is more likely to cause breathing problems in older adults and people who are severely ill, malnourished, or otherwise debilitated. If you use narcotic 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 habit-forming medicine may need medical treatment for several weeks. Tell your doctor if you are pregnant or plan to become pregnant. 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.
How should I take Norco?
Take Norco exactly as prescribed. Follow all directions on your prescription label. Never take this medicine in larger amounts, or for longer than prescribed. An overdose can damage your liver or cause death. Tell your doctor if the medicine seems to stop working as well in relieving your pain. Hydrocodone may be habit-forming, even at regular doses. Never share this medicine with another person, especially someone with a history of drug abuse or addiction. MISUSE OF NARCOTIC MEDICINE CAN CAUSE ADDICTION, OVERDOSE, OR DEATH, especially in a child or other person using the medicine without a prescription. Selling or giving away Norco is against the law. If you need surgery or medical tests, tell the doctor ahead of time that you are using this medicine. You may need to stop using the medicine for a short time. Do not stop using this medicine suddenly after long-term use, or you could have unpleasant withdrawal symptoms. Ask your doctor how to safely stop using Norco. Store Norco at room temperature away from moisture and heat. Keep track of the amount of medicine used from each new bottle. Hydrocodone is a drug of abuse and you should be aware if anyone is using your medicine improperly or without a prescription. Always check your bottle to make sure you have received the correct pills (same brand and type) of medicine prescribed by your doctor.
Dosing information
Usual Adult Dose of Norco for Pain: Tablets: Recommended dose: Acetaminophen-hydrocodone 300 mg-5 mg: 1 to 2 tablets orally every 4 to 6 hours as needed Maximum dose: Acetaminophen-hydrocodone 300 mg-5 mg: 8 tablets daily Comments: Dosage should be adjusted according to severity of the pain and the response of the patient. Tolerance to hydrocodone can develop with continued use and the incidence of side effects is dose related. Approved indication: For the relief of moderate to moderately severe pain Detailed Norco dosage information What happens if I miss a dose? Since Norco is taken as needed, you may not be on a dosing schedule. If you are taking the medication regularly, take the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not use extra medicine to make up the missed dose. What happens if I overdose? Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. A hydrocodone overdose can be fatal, especially in a child or other person using the medicine without a prescription. Overdose symptoms may include severe drowsiness, pinpoint pupils, slow breathing, or no breathing. Your doctor may recommend you get naloxone (a medicine to reverse an opioid overdose) and keep it with you at all times. A person caring for you can give the naloxone if you stop breathing or don't wake up. Your caregiver must still get emergency medical help and may need to perform CPR (cardiopulmonary resuscitation) on you while waiting for help to arrive. Anyone can buy naloxone from a pharmacy or local health department. Make sure any person caring for you knows where you keep naloxone and how to use it. What to avoid This medication may impair your thinking or reactions. Avoid driving or operating machinery until you know how Norco will affect you. Dizziness or severe drowsiness can cause falls or other accidents. Ask a doctor or pharmacist before using any other cold, allergy, pain, or sleep medication. Acetaminophen (sometimes abbreviated as APAP) is contained in many combination medicines. Taking certain products together can cause you to get too much acetaminophen which can lead to a fatal overdose. Check the label to see if a medicine contains acetaminophen or APAP. Avoid drinking alcohol. It may increase your risk of liver damage while taking acetaminophen.
Norco side effects
Get emergency medical help if you have signs of an allergic reaction to Norco: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Opioid medicine can slow or stop your breathing, and death may occur. A person caring for you should give naloxone and/or seek emergency medical attention if you have slow breathing with long pauses, blue colored lips, or if you are hard to wake up. 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. If you have this type of reaction, you should never again take any medicine that contains acetaminophen. Call your doctor at once if you have: noisy breathing, sighing, shallow breathing, breathing that stops during sleep; a light-headed feeling, like you might pass out; confusion, unusual thoughts or behavior; seizure (convulsions); easy bruising or bleeding; infertility, missed menstrual periods; impotence, sexual problems, loss of interest in sex; liver problems - nausea, upper stomach pain, itching, loss of appetite, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes); low cortisol levels - nausea, vomiting, loss of appetite, dizziness, worsening tiredness or weakness; or high levels of serotonin in the body - agitation, hallucinations, fever, sweating, shivering, fast heart rate, muscle stiffness, twitching, loss of coordination, nausea, vomiting, diarrhea. Serious breathing problems may be more likely in older adults and in those who are debilitated or have wasting syndrome or chronic breathing disorders. Common Norco side effects include: drowsiness, headache; upset stomach, constipation; blurred vision; or dry mouth. This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088. Norco side effects (more detail) What other drugs will affect Norco? You may have breathing problems or withdrawal symptoms if you start or stop taking certain other medicines. Tell your doctor if you also use an antibiotic, antifungal medication, heart or blood pressure medication, seizure medication, or medicine to treat HIV or hepatitis C. Norco can interact with many other drugs and cause dangerous side effects or death. Be sure your doctor knows if you also use: cold or allergy medicines, bronchodilator asthma/COPD medication, or a diuretic ("water pill"); medicines for motion sickness, irritable bowel syndrome, or overactive bladder; other narcotic medications - opioid pain medicine or prescription cough medicine; a sedative like Valium - diazepam, alprazolam, lorazepam, Xanax, Klonopin, Versed, and others; drugs that make you sleepy or slow your breathing - a sleeping pill, muscle relaxer, medicine to treat mood disorders or mental illness; or drugs that affect serotonin levels in your body - a stimulant, or medicine for depression, Parkinson's disease, migraine headaches, serious infections, or nausea and vomiting. This list is not complete. Other drugs may interact with acetaminophen and hydrocodone, including prescription and over-the- counter medicines, vitamins, and herbal products. Not all possible interactions are listed here. Norco drug interactions (more detail) Frequently asked questions Oxycodone vs Hydrocodone - How do they compare? How long does Norco stay in your system? Norco vs Vicodin - How do they compare? More about Norco (acetaminophen / hydrocodone) Side Effects During Pregnancy Dosage Information Patient Tips Drug Images Drug Interactions Compare Alternatives Support Group Pricing & Coupons En Español 313 Reviews Drug class: narcotic analgesic combinations Consumer resources Advanced Reading Other brands Vicodin, Lortab, Lorcet, Hycet, Vicodin HP, Anexsia, Maxidone, Co-Gesic, Stagesic, Zydone, Zyfrel Professional resources Prescribing Information Related treatment guides Back Pain Rheumatoid Arthritis Pain Further information Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use Norco only for the indication prescribed. Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.
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What Is Percocet
Percocet is one of the popular brand names for an opioid analgesic. It is used for pain treatment. A combination of oxycodone and acetaminophen, the drug is available in different dosages. Due to its narcotic properties, this medication is meant for short-term use only. This medication is also available in generic variants. As a combination drug consisting of an opioid pain reliever (oxycodone) and a non-opioid pain reliever (acetaminophen), this medication is used for the management of moderate to severe pain.
Oxycodone acts on the brain, influencing the body’s feelings and responses to pain. The acetaminophen in this medication is also capable of reducing fever. Percocet abuse is known to result in the same feelings experienced by morphine or heroin but at comparatively far lower levels. As a short-acting opioid, the medication begins to take effect barely 20-30 minutes after it is consumed. It reaches its peak blood plasma levels rapidly: oxycodone’s peak effects are felt within 30-60 minutes after taking medication. Effects of the medication generally last for somewhere between 2 and 4 hours.
Is Percocet Addictive?
As a combination of acetaminophen and oxycodone, Percocet has been found to cause severe addictions even when used over durations as short as one week. The drug brings a high risk of abuse and can potentially lead to addiction if the habit is not nipped in the bud. People who have developed an addiction to this medication have been known to take as many as 20 pills per day. Such overdoses often lead to serious health complications and sometimes result in death for the users. Prolonged use increases the possibility of a person developing a dependence. Women, senior citizens, and adolescents are most vulnerable to addiction from Percocet usage. Women are twice as likely as men to become addicted to Percocet. This is likely because studies have shown that women are twice as likely as men to be prescribed the medication. Some of the signs that indicate a possible addiction include: A noticeable decline in school or work performance Complaining frequently of not feeling well Sleeping a lot more than usual, or more than necessary Lack of concern about personal hygiene or physical appearance Sudden changes in behavior Frequently seeking more money Common Questions Percocet’s Class Percocet is an opioid narcotic medication, a member of the class of drugs to which morphine also belongs. Oxycodone, the primary component in the medication, acts as a central nervous system depressant. By acting directly on µ and kappa opioid receptors located in the spinal cord, the brain, and perhaps the tissues as well, oxycodone gives pain relief. In scientific terms, Percocet latches on to opiate receptors in the central nervous system and numbs the feeling of pain; in the process, it often gives rise to euphoria or a “high.” In laymen’s language, Percocet, as an opioid, interferes with the way that stimuli or signals are conveyed to the brain through the central nervous system. As a result, the body does not feel pain. The oxycodone present in this medication is a mu-agonist opioid with an abuse liability quite similar to that of morphine. Where is Percocet on the Schedule? Percocet tablets are listed as a Schedule II controlled substance by the USFDA. Schedule II drugs are considered to have a high potential for abuse and rank only below Schedule I drugs. Schedule II drugs are capable of causing physical or/and psychological addiction. Schedule II drugs have medical applications in the U.S. and can be procured by prescription.
Is Percocet Safe?
While Percocet is often considered to be safer than illegal drugs, its effects on the body are quite similar to those of illicit opioids such as heroin. Just as in the case of heroin, the body forms tolerance very rapidly. As a result, people begin taking progressively larger doses of the drug to enjoy the effects they used to experience with lower doses. The use or abuse of this medication can lead to the development of typical mannerisms, such as appearing to be on a high or being unusually excitable. On the other hand, some people abuse this medication who tend to appear sedated or excessively tired. Street Names As this medication is a Schedule II drug, it is difficult to obtain without a doctor’s prescription. Some people frequently ask their doctors for fresh prescriptions to get the drug. Others visit different doctors and obtain prescriptions. Some people try to get the drug from the black market or “street.” The street names by which Percocet is known, include Percs, “Paulas,” Roxi’s,” “Blue Dynamite,” “Roxicotten,” and “512S.” How is Percocet Used? Percocet is available in brand name as well as generic versions. The branded versions come in tablet form, whereas generic versions are available in tablet as well as liquid forms. Tablets contain acetaminophen (325 mg) along with oxycodone (2.5 mg, 5 mg, 7.5 mg, or 10 mg). Generic versions of the drug in tablet form consist of 325 mg or 300 mg of acetaminophen along with 2.5 mg, 5 mg, 7.5 mg, or 10 mg of oxycodone. Each 5 mL of the generic version of the drug in liquid form contains 325 mg acetaminophen and 5 mg oxycodone. This medication is usually prescribed to be taken every four to six hours, depending upon factors such as pain intensity and duration. Percocet, in tablet and liquid forms, is ingested by mouth in the dosages prescribed by the doctor. It can be taken with or without food. People who suffer from nausea may find that taking the medication with food helps. Doctors advise patients not to take Percocet along with grapefruit; this combination substantially increases the risk of developing side effects. When using the medication in its liquid form, it’s advisable to use a medication measuring device instead of a normal household spoon. This makes it possible to maintain dosage accuracy. Some people also chew, snort, or inject Percocet in an attempt to get faster effects. Using medications, not as prescribed, only raises the risks of adverse effects or could even result in an overdose, leading to possible death.
Effects of Percocet?
Short-term The short-term side effects of using this medication are usually non-serious reactions such as dizziness, light-headedness, drowsiness, nausea, vomiting, and a sedated feeling. These adverse effects are more noticeable in ambulatory patients as compared to non-ambulatory patients. These adverse reactions can be reduced if the patient is made to lie down. Such patients should take care to get up slowly when rising from a chair or bed. Some of the people who take this drug are known to experience conditions such as euphoria, dysphoria, pruritus, and constipation. Constipation can be controlled to a large extent if the patient consumes dietary fiber and sufficient water, and also exercises regularly. A doctor may also prescribe a laxative to address the problem. Reactions caused by hypersensitivity to the drug, including skin eruptions and other skin reactions, are also non-serious short-term side effects. Most of these side effects may abate after the medication has been used for a while. However, if any of these effects continue or worsen, it’s advisable to consult a doctor at the earliest opportunity. It is rare to come across a very serious allergic reaction induced by Percocet usage. However, the serious side effects include sleep apnea (interrupted breathing while asleep), mental/mood shifts, acute stomach/abdominal pain, troubled urination, and adrenal gland malfunction (which may manifest as loss of appetite, unusual tiredness, weight loss, etc.). Seeking medical help immediately is vital for any of the very serious side effects such as: Fainting Seizures Shallow breathing Severe drowsiness Difficulty waking up Long-term With prolonged use, Percocet can damage physical and mental health. The risk is far higher if an overdose of the medication is taken. The extended use of Percocet may damage vital organs. The acetaminophen in Percocet can damage the liver to an irreversible extent so that a liver transplant becomes the only option. It has been noticed that people who consume daily dosages exceeding 4000 milligrams of acetaminophen are the most susceptible to liver damage. Similarly, the oxycodone in Percocet is also capable of causing damage to the vital organs, with potentially fatal consequences. The long-term effects include: Liver damage Kidney failure Urinary retention Severe constipation Lowered testosterone levels in males Tolerance to the drug Osteoporosis Immune suppression
Is it Possible to Overdose on Percocet?
The total daily dose of acetaminophen should not exceed 4 grams per day. This means that a person should not consume more than 12 tablets of Percocet 2.5 mg/325 mg in a day. Similarly, the maximum dosages for Percocet 5 mg/325 mg, Percocet 7.5 mg/325 mg, and Percocet 10 mg/325 mg users are 10, 8, and 6 tablets respectively. Anybody exceeding the prescribed dosages is at risk of overdosing and suffering from serious health risks. As this medication is a derivative of morphine, an overdose can potentially lead to death. Symptoms of overdose include slow or shallow breathing, a slow heartbeat, coma, nausea, vomiting, lack of appetite, sweating, stomach pain, acute tiredness, yellowing of eyes or skin, and darkened urine. The serious symptoms of overdosing present as passing out or finding it difficult to breathe. Usually, in such circumstances, doctors advise administering naloxone to the patient and summoning an ambulance. Emergency treatment for a Percocet overdose usually involves injecting an opioid antagonist so that the drug is blocked chemically. Stopping Use Taper Down Percocet usage should never be discontinued or stopped abruptly because of the withdrawal effects it can induce. Anyone using Percocet must consult their doctor and get proper guidance on gradually stopping their use of the medicine. Usually, in the case of patients who have been treated with Percocet tablets for a few weeks and are no longer in need of therapy, doses are tapered gradually. This approach helps to prevent withdrawal signs and symptoms in patients with a physical dependence. What is Withdrawal from Percocet Like? The physical withdrawal symptoms for Percocet are quite similar to those for morphine. Typical withdrawal symptoms include: Increased heart rate Hypertension Chills Nausea / vomiting Diarrhea Fever Anxiety Runny nose Watery eyes Body aches Depression Beginning with flu-like symptoms, withdrawal leads to intense cravings for the medication. Psychological symptoms of withdrawal can last longer than physical addiction. Withdrawal symptoms begin to set in from twelve to twenty-four hours after the last dosage. These symptoms then go on to peak at around forty-eight to seventy-two hours. The duration of withdrawal symptoms varies depending on factors such as the duration of individual usage, and the level of tolerance individuals have developed. Normal detox treatments last for around seven days. However, the psychological impact of dependence or addiction will linger longer and will need to be treated if absolute healing is expected. The following timeline gives a broad idea of the various symptoms that can be expected at different stages of the detox process: DAY 1 Since Percocet’s half-life is around 3.5 hours, general withdrawal symptoms can be expected to appear from around 5-8 hours after ingesting the last dose. Initial withdrawal symptoms at this time may include sweating, body aches, goosebumps, runny nose, and watery eyes, chills, and hot flushes. DAYS 2-3 Percocet withdrawal symptoms usually peak around 2-3 days after the last dose. Along with flu-like symptoms, some of the additional withdrawal symptoms in this phase include abdominal cramping, tremors, nausea, diarrhea, irritability, anxiety, insomnia, and fatigue. DAYS 4-7 By this time, the intensity and severity of the physical symptoms begin to subside. From here onwards, strong cravings may occur. At this stage, it becomes important to provide counseling and psychological help to support healing from dependence and encourage ongoing abstinence from the drug. Treatment for Percocet Dependence Since discontinuation is accompanied by a host of withdrawal symptoms, treatment for addiction must be done in a controlled manner, under medical supervision. The drug’s narcotic character and the severity of withdrawal symptoms require treatment in a professional environment. Depending upon the intensity and duration of the addiction, the physician may recommend that the patient access treatment as either an inpatient or an outpatient. Usually, inpatient treatment is prescribed for Percocet detox; this is more effective because it allows constant monitoring and care. This is particularly important in the initial phases of the detox treatment because the patient is particularly vulnerable to sudden cravings and is in danger of reverting to their habit. Moreover, the immediate effects of withdrawal can be quite severe in some cases, necessitating immediate medical attention which is possible only at a medical center. Inpatient treatment may last for around a week. The Course of Treatment Initially, the patient is subjected to a comprehensive medical and psychiatric examination to help determine the extent of the dependence. This stage also helps the medical team to determine whether the patient has any co-occurring disorders and medical conditions. The results of the medical examination and tests help the treatment administrators design the appropriate treatment for each patient. The patient is then administered medically managed detox program. In this phase, the patient is prescribed certain medications, in specified dosages, to help overcome the physical symptoms of drug withdrawal. Since Percocet addiction treatment is similar to the treatment of most opiate addictions, medications like methadone or buprenorphine are usually prescribed to help address withdrawal symptoms. Once the physical symptoms produced by withdrawal subside and the drug is successfully cleared out of the body, it’s time to provide the patient with counseling to prevent a possible relapse. In this phase, the patient is reoriented with the help of private and group therapies, training in life skills, and addiction awareness education. Recovery from this medication resembles that of treatment for prescription opiates like morphine.
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What Is Dilaudid
Dilaudid (hydromorphone) is an opioid pain medication. An opioid is sometimes called a narcotic. Dilaudid is used to treat moderate to severe pain. Dilaudid may also be used for purposes not listed in this medication guide.
Warnings You should not take Dilaudid if you have severe breathing problems, or a blockage in your stomach or intestines. Dilaudid can slow or stop your breathing, especially when you start using this medicine or whenever your dose is changed. Never use Dilaudid in larger amounts, or for longer than prescribed. Do not crush, break, or open an extended-release pill. Swallow it whole to avoid exposure to a potentially fatal dose. Dilaudid may be habit-forming, even at regular doses. Take this medicine exactly as prescribed by your doctor. Never share the medicine with another person. MISUSE OF NARCOTIC PAIN MEDICATION CAN CAUSE ADDICTION, OVERDOSE, OR DEATH, especially in a child or other person using the medicine without a prescription. Tell your doctor if you are pregnant. Dilaudid may cause life-threatening addiction and withdrawal symptoms in a newborn if the mother has taken this medicine during pregnancy. Do not drink alcohol. Dangerous side effects or death could occur when alcohol is combined with hydromorphone. Before using Dilaudid You should not take Dilaudid if you have ever had an allergic reaction to hydromorphone or other narcotic medicines, or if you have: breathing problems, sleep apnea; a blockage in your stomach or intestines; or a bowel obstruction called paralytic ileus. Do not use Dilaudid if you have used a MAO inhibitor in the past 14 days. A dangerous drug interaction could occur. MAO inhibitors include isocarboxazid, linezolid, methylene blue injection, phenelzine, rasagiline, selegiline, tranylcypromine, and others. Some medicines can interact with hydromorphone and cause a serious condition called serotonin syndrome. Be sure your doctor knows if you also take medicine for depression, mental illness, Parkinson's disease, migraine headaches, serious infections, or prevention of nausea and vomiting. Ask your doctor before making any changes in how or when you take your medications. You may not be able to take Dilaudid if you are NOT already being treated with a similar opioid (narcotic) pain medicine and are tolerant to it. Talk with your doctor if you are not sure you are opioid-tolerant. Dilaudid may be habit-forming. Never share this medicine with another person, especially someone with a history of drug abuse or addiction. Keep the medication in a place where others cannot get to it. Selling or giving away hydromorphone to any other person is against the law. To make sure hydromorphone is safe for you, tell your doctor if you have: noisy breathing, sighing, shallow breathing, breathing that stops during sleep; a history of head injury, brain tumor, or seizures; a history of drug abuse, alcohol addiction, or mental illness; urination problems; liver or kidney disease; sulfite allergy; Addison's disease or other adrenal gland disorders; problems with your gallbladder, pancreas, or thyroid; or if you use a sedative like Valium - diazepam, alprazolam, lorazepam, Xanax, Klonopin, Versed, and others; It is not known whether this medicine will harm an unborn baby. If you use hydromorphone 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 habit-forming medicine may need medical treatment for several weeks. Tell your doctor if you are pregnant or plan to become pregnant. Hydromorphone can pass into breast milk and may harm a nursing baby. You should not breast-feed while you are using Dilaudid.
How should I use Dilaudid?
Take Dilaudid exactly as prescribed. Follow all directions on your prescription label. Dilaudid can slow or stop your breathing, especially when you start using this medicine or whenever your dose is changed. Never use Dilaudid in larger amounts, or for longer than prescribed. Tell your doctor if the medicine seems to stop working as well in relieving your pain. Dilaudid may be habit-forming, even at regular doses. Take this medicine exactly as prescribed by your doctor. MISUSE OF NARCOTIC PAIN MEDICATION CAN CAUSE ADDICTION, OVERDOSE, OR DEATH. Measure the liquid medicine with a special dose-measuring spoon or medicine cup, not with a regular table spoon. If you do not have a dose-measuring device, ask your pharmacist for one. Do not stop using Dilaudid suddenly, or you could have unpleasant withdrawal symptoms. Ask your doctor how to safely stop using this medicine. Never crush or break a tablet to inhale the powder or mix it into a liquid to inject the drug into your vein. This practice has resulted in death with the misuse of hydromorphone and similar prescription drugs. Store at room temperature away from moisture, heat, and light. Throw away any unused liquid after 90 days. Keep track of the amount of medicine used from each new bottle. Hydromorphone is a drug of abuse and you should be aware if anyone is using your medicine improperly or without a prescription. Do not keep leftover Dilaudid tablets or liquid. Ask your pharmacist where to locate a drug take-back disposal program. If there is no take-back program, flush any unused tablets or liquid down the toilet. Disposal of medicines by flushing is recommended to reduce the danger of accidental overdose causing death. This advice applies to a very small number of medicines only. The FDA, working with the manufacturer, has determined this method to be the most appropriate route of disposal and presents the least risk to human safety.
Detailed Dilaudid dosage information
What happens if I miss a dose? Since Dilaudid is used for pain, you are not likely to miss a dose. Skip any missed dose if it is almost time for your next scheduled dose. Do not use extra medicine to make up the missed dose. What happens if I overdose? Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. A hydromorphone overdose can be fatal, especially in a child or other person using the medicine without a prescription. Overdose symptoms may include slow breathing and heart rate, severe drowsiness, muscle weakness, cold and clammy skin, pinpoint pupils, and fainting. What should I avoid? Do not drink alcohol. Dangerous side effects or death can occur when alcohol is combined with hydromorphone. This medication may impair your thinking or reactions. Avoid driving or operating machinery until you know how Dilaudid will affect you. Dizziness or severe drowsiness can cause falls or other accidents.
Dilaudid side effects
Get emergency medical help if you have any signs of an allergic reaction to Dilaudid: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Like other narcotic medicines, hydromorphone can slow your breathing. Death may occur if breathing becomes too weak. Call your doctor at once if you have: noisy breathing, sighing, shallow breathing, breathing that stops during sleep; confusion, feelings of extreme happiness or sadness; severe weakness or drowsiness; a light-headed feeling, like you might pass out; infertility, missed menstrual periods; impotence, sexual problems, loss of interest in sex; or low cortisol levels - nausea, vomiting, loss of appetite, dizziness, worsening tiredness or weakness. Seek medical attention right away if you have symptoms of serotonin syndrome, such as: agitation, hallucinations, fever, sweating, shivering, fast heart rate, muscle stiffness, twitching, loss of coordination, nausea, vomiting, or diarrhea. Hydromorphone is more likely to cause breathing problems in older adults and people who are severely ill, malnourished, or otherwise debilitated. Common Dilaudid side effects may include: constipation, nausea, vomiting, stomach pain; dizziness, drowsiness; headache, tired feeling; feelings of extreme happiness or sadness; sweating, mild itching; dry mouth; or flushing (warmth, redness, or tingly feeling). This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088. Dilaudid side effects (more detail) What other drugs will affect Dilaudid? Hydromorphone can interact with many other drugs and cause dangerous side effects or death. Be sure your doctor knows if you also use: other narcotic medications - opioid pain medicine or prescription cough medicine; a sedative like Valium - diazepam, alprazolam, lorazepam, Xanax, Klonopin, Versed, and others; drugs that make you sleepy or slow your breathing - a sleeping pill, muscle relaxer, medicine to treat mood disorders or mental illness; or drugs that affect serotonin levels in your body - a stimulant, or medicine for depression, Parkinson's disease, migraine headaches, serious infections, or nausea and vomiting. This list is not complete. Other drugs may affect hydromorphone, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible interactions are listed here. Dilaudid drug interactions (more detail) Frequently asked questions Which painkiller should you use? More about Dilaudid (hydromorphone) Side Effects During Pregnancy or Breastfeeding Dosage Information Patient Tips Drug Images Drug Interactions Compare Alternatives Support Group Pricing & Coupons 308 Reviews Generic Availability Drug class: narcotic analgesics Consumer resources Advanced Reading Dilaudid Injection (Advanced Reading) Dilaudid-5 (Advanced Reading) Dilaudid (Hydromorphone Injection) Dilaudid (Hydromorphone Liquid) Other brands Dilaudid-HP, Exalgo, Palladone Professional resources Prescribing Information Related treatment guides Chronic Pain Cough Pain Further information Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use Dilaudid only for the indication prescribed. Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.
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What Is Hydrocodone
Hydrocodone is a prescription medication sold under multiple brand names, such as: Vicodin, Norco, Lortab. The aforementioned trade names are combinations of hydrocodone and acetaminophen. Other trade formulations also exist that are hydrocodone in combination with other analgesic or anti-inflammatory medication, such as ibuprofen. Doctors prescribe this opioid drug for its pain relief and cough suppressant qualities. When taken long-term and/or in excessive doses, hydrocodone users are placed at high risk for developing tolerance, addiction, and dependency—due in part to the feelings of euphoria that often accompany the pain relief. When taken appropriately for pain relief, during limited periods of time—and when adhering to a physician prescription—the risk of opiate addiction is minimized; however, the drug is often misused. Visit our page on the History and Statistics of Hydrocodone to learn more about this drug.
SHORT-TERM EFFECTS OF HYDROCODONE
The National Institutes of Health (NIH) estimates that 20% of Americans have taken prescription drugs like Vicodin for non-medical reasons—and this type of abuse is on the rise.
More specifically, reports from the Drug Enforcement Administration (DEA) in 2013 claim that more than 24 million people in the US over the age of 12 have used hydrocodone for non-medical reasons. Even though hydrocodone addiction has traditionally been viewed as a problem among the middle and upper classes due to access to health insurance and ease of getting prescriptions, rates of abuse have been on the rise for people from all ethnic and socioeconomic group as prescription diversion becomes increasingly common. In the short-term, effects of hydrocodone are primarily to modify pain signaling in the central nervous system through interaction with your body’s numerous opioid receptors. As it is a pain reliever, hydrocodone does not work to decrease the source of the pain but rather to change the user’s perception of the pain. This feeling is very sought-after, especially from those dealing with pain that is high in intensity or long in duration.
In the short-term, effects of hydrocodone are primarily to modify pain signaling in the central nervous system through interaction with your body’s numerous opioid receptors. As it is a pain reliever, hydrocodone does not work to decrease the source of the pain but rather to change the user’s perception of the pain. This feeling is very sought-after, especially from those dealing with pain that is high in intensity or long in duration.
Other short-term, desirable effects of hydrocodone include: Increased sense of well-being. Numbness. Feeling sleepy or lethargic. Reduced worry and stress. It’s important to keep in mind that this is a prescription medication, so doctors prescribe it for patients who are experiencing some type of pain, possibly chronic, and looking for relief. Hydrocodone brings the much-desired relief and, as a side-effect for some, a pleasurable high that interacts with the brain’s reward circuitry. Both effects help to explain why it is easy to become addicted to or dependent on hydrocodone and other opiate drugs, even in situations where initial use was done according to prescribed parameters.
OPIATES AND YOUR BRAIN
The brain’s reward circuitry mentioned above has a lot to do with dopamine. Dopamine is a highly-desirable chemical found in the brain. Hydrocodone works to make more dopamine available in the brain, which produces this positive feeling. Once someone experiences this feeling, they will likely repeat the same behaviors in order to re-experience it. SIDE EFFECTS MILD SIDE EFFECTS Some patients experience mild side effects when they take hydrocodone. These symptoms generally abate as the dose wears off. They may include: Anxiety/dysphoria. Constipation. Dizziness. Drowsiness. Fatigue. Headache. Nausea. Trouble sleeping/nightmares. Diffuse muscle weakness. Itchiness. SERIOUS SIDE EFFECTS Some of the more serious side effects of hydrocodone require medical care and can include: Bowel obstruction. Breathing problems. Slowed or irregular heartbeat. Severe allergic reaction such as rash, hives, itching or swelling. Trouble urinating. Vomiting. Some of the more serious side effects listed above have to do with the depressant quality of hydrocodone. This means that the substance can slow down your body’s typical rate of functioning, as evidenced by the examples of slowed heartbeat and delayed breathing.
LONG-TERM EFFECTS OF HYDROCODONE
Despite the problems it creates, those locked in a cycle of compulsive drug use continue to seek out and abuse the drug in question. Addiction may be one of the most dangerous long-term effects of hydrocodone use. Hydrocodone is an opiate, or narcotic, similar to codeine, heroin, and morphine. These kinds of substances are particularly risky because you can become addicted even when you are taking them as recommended by your doctor. Repeated use of hydrocodone frequently leads to tolerance, so you will need to take more of the drug in order to get the same effect as your body becomes adjusted to the dose or frequency. Tolerance can develop remarkably quickly with these medications, becoming noticeable within a few doses taken, in some cases. Tolerance can easily lead to addiction. Addiction entails problematic, compulsive drug use that negatively impacts multiple areas of your life. Despite the problems it creates, those locked in a cycle of compulsive drug use continue to seek out and abuse the drug in question. Long-term effects of hydrocodone use can include a broad range of physical problems—from acetaminophen toxicity and liver damage to sensorineural hearing loss. Some of the most damaging results of being addicted to hydrocodone, however, may be the adverse effects on your personal life. Drug addiction can: Wreak havoc on relationships. Cause difficulties with job performance. Lead to mental health problems. In the above cases, someone with an opiate addiction will commit more time, effort, and resources to obtaining and using the desired drug. This will leave fewer resources to manage the other facets of life and can be devastating to those that love that person. However, it is possible to recover. Learn how to help a hydrocodone addict.
HYDROCODONE DEPENDENCY
Hydrocodone dependency happens when a person cannot function normally without taking the drug. If you or someone you love exhibits any of the following behavior, a hydrocodone dependency may have already developed: Discover how treatment can help. Taking too much of the drug at one time. Not following your doctor’s instructions when taking the medication. Mixing hydrocodone with alcohol or other drugs. Continuing to take the substance when it is no longer medically needed. Faking injury to obtain more painkiller medication. Using hydrocodone without a prescription. Like all of the prescription painkillers, addiction to hydrocodone presents a unique and troublesome circumstance because it is a legal substance that is typically prescribed by a medical professional. The Drug Enforcement Administration reports that doctors gave out nearly 140 million prescriptions for products containing hydrocodone in 2010, putting hydrocodone at the top of the list of prescribed opiates in the United States. About 99% of the hydrocodone abuse in the world happens in the US. Opiate addiction is a serious illness and, like other health issues, it requires treatment to overcome the problem. HYDROCODONE WITHDRAWAL AND ADDICTION TREATMENT Withdrawal from hydrocodone can cause a number of physical, emotional and mental symptoms. Symptoms range from mild to severe, but most are unpleasant enough to present obstacles to continued abstinence–undergoing a detox process in a treatment center is frequently recommended. Detox centers offer both inpatient and outpatient services, but inpatient centers may be better suited to dealing with the effects of opiate withdrawal. WITHDRAWAL SYMPTOMS The physical effects vary from person to person and depend on a number of factors, including how long you have been taking the drug, the dose you are taking, and whether you are mixing hydrocodone with other substances. Common withdrawal symptoms can include: Constant shivering. Diarrhea. Difficulty sleeping. Fever. Anxiety. Hallucinations. Body aches. Intense sweating. Nausea. Vomiting. Rapid or irregular heartbeat. Depression. TREATMENT Withdrawal from long-term hydrocodone use can be very unpleasant. The opiate withdrawal syndrome is frequently described as having flu-like symptoms. Despite the potential for some profoundly uncomfortable moments, the opiate detox process is not typically life-threatening. Any one of these symptoms may be enough to send a user back to the drug for relief, and that is why inpatient treatment centers are a safe, caring and effective place to deal with hydrocodone withdrawal. Nurse showing medical report to senior patient at hospital Some treatment programs administer medications to ease the patient’s withdrawal. This form of medical assistance sometimes involves other potentially addictive substances and is strictly controlled and monitored by addiction treatment professionals. Treatment focused on the addiction will prove highly valuable moving forward, but another important part of treatment involves discovering why you became addicted and how you can live without the substance in the future. Mental health treatment, like cognitive-behavioral therapy, can help those addicted to retrain their minds and teach them new ways to deal with pain and other circumstances that led to substance abuse.
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