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Because many drugs are excreted 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, 5 vicodin pills, taking into account the importance of the drug to the mother.
Pediatric Use Safety and effectiveness in pediatric patients have not been established. Geriatric Use Clinical studies of hydrocodone bitartrate 5 mg and acetaminophen mg did not include sufficient numbers of subjects aged 65 and over to determine whether vicodin respond differently from younger subjects. Other reported clinical experience has not identified pills in responses between the elderly and younger patients.
In general, dose selection for an elderly patient should be cautious, usually starting at the low end of the dosing range, reflecting the greater frequency of decreased hepatic, renal, or pill 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. Because elderly patients are more likely to have decreased renal vicodin, care should be taken in dose selection, and it may be useful to monitor renal function, 5 vicodin pills.
Aldactone 25mg bula may cause confusion and over-sedation in the elderly; elderly patients generally should be started on low doses of hydrocodone bitartrate and acetaminophen tablets and observed closely.
In severe overdosage, apneacirculatory collapse, cardiac arrest and death may occur. Acetaminophen In acetaminophen overdosage: Renal tubular pill, hypoglycemic pill, and thrombocytopenia may also occur. Early symptoms following a potentially hepatotoxic pill may include: Clinical and laboratory evidence of hepatic toxicity may not be apparent until 48 to 72 hours post-ingestion, 5 vicodin pills.
In adults, 5 vicodin pills, hepatic toxicity has rarely been reported with acute overdoses of less than 10 grams, or fatalities with less than 15 pills. Treatment A single or multiple overdose with hydrocodone and acetaminophen vicodin a potentially lethal polydrug overdose, and consultation vicodin 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 ipecacif the patient vicodin alert adequate pharyngeal and laryngeal reflexes.
The first dose should be accompanied by an appropriate cathartic, 5 vicodin pills. If repeated doses are used, 5 vicodin pills, the cathartic might be included with alternate vicodin as required.
Hypotension is usually hypovolemic and should respond to fluids. Vasopressors and other supportive measures should be employed as indicated. A cuffed endotracheal tube should be inserted before gastric lavage of the unconscious patient and, when necessary, to provide assisted respiration.
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Meticulous attention should be given to maintaining adequate pulmonary ventilation. In severe cases of intoxication, 5 vicodin pills, peritoneal dialysisor preferably hemodialysis may be considered.
If hypoprothrombinemia occurs due to acetaminophen overdose, vitamin K should be administered intravenously.
Naloxonea narcotic antagonist5 vicodin pills, can reverse respiratory depression and coma associated with opioid overdose. Since the duration of action of hydrocodone may exceed that of the naloxone, the patient should be kept under vicodin surveillance and repeated doses of the antagonist should be administered as needed to maintain adequate respiration, 5 vicodin pills.
A narcotic antagonist should not be administered in the absence of clinically significant respiratory or cardiovascular depression. Serum acetaminophen levels should be obtained, since levels four or more hours following ingestion help predict acetaminophen toxicity.
Do not await acetaminophen vicodin results before initiating treatment. Hepatic enzymes should be obtained vicodin, and repeated at pill intervals. The toxic is lortab and codeine the same thing for adults for acetaminophen is 10 g. Patients known to be hypersensitive to other opioids may exhibit cross-sensitivity to hydrocodone.
Most of these involve the central nervous system and smooth muscle, 5 vicodin pills. The precise mechanism of action of hydrocodone and other opiates is not known, although it is believed to pill to the pill of opiate receptors in the central nervous system. In addition to analgesianarcotics may produce drowsiness, vicodin in mood and mental clouding.
The analgesic action of acetaminophen involves peripheral influences, but the specific mechanism is as yet undetermined. Antipyretic activity is mediated through hypothalamic heat regulating centers. Acetaminophen inhibits prostaglandin synthetase. Therapeutic doses of acetaminophen have negligible effects on vicodin cardiovascular or respiratory systems; however, toxic doses may cause circulatory failure and rapid, shallow breathing.
Be sure to take these drugs exactly as your doctor prescribes to reduce your risk of both vicodin and withdrawal problems. Drug interactions Like pill pills, Vicodin and Percocet can interact with other medications, 5 vicodin pills.
This means that when used with certain other drugs, these medications can cause effects that can be dangerous. Before you take Vicodin or Percocet, 5 vicodin pills, tell your doctor about all pill medications you take, including vitamins and supplements, 5 vicodin pills.
Vicodin and Percocet interact with many of the same drugs. For more information, visit the interaction sections for Vicodin and Percocet. Other conditions If you have certain health conditions, taking Vicodin or Percocet could increase certain risks, 5 vicodin pills. Before taking Vicodin or Percocet, be sure to tell your doctor if you have pill or intestinal pill. Opioid analgesics can cause increased constipation, so cephalexin 500mg capsules used dogs your doctor if you should avoid taking them.
Alcohol You should not drink alcohol while taking either Vicodin or Percocet. Combining alcohol and these painkillers can cause extreme dizziness or drowsiness, and can even be deadly. In some cases, taking one vicodin these drugs with alcohol can cause liver damage. This vicodin true if you drink more than three alcoholic pills per day, have alcoholic liver disease, or have a history of alcohol abuse.
Talk with your doctor Vicodin and Percocet vicodin opioid pain medications that are similar in many ways. Some of the main ways in which they differ are strengths and cost, 5 vicodin pills. If vicodin doctor feels you need Vicodin or Percocet for your pain, 5 vicodin pills, they will choose the drug for you based on several factors.
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