NARCOTIC & ACETAMINOPHEN

Brand & Generic Names

Aceta with Codeine	Lorcet-HD
Acetaco	Lortab
ACETAMINOPHEN & CODEINE	Lortab 5
Allay	Lortab 7
Amacodone	Megagesic
Anexsia	MEPERIDINE &
Anodynos DHC	ACETAMINOPHEN
Anolor-DH5	M-Gesic
APAP with Codeine	Myapap with Codeine
Atasol with Codeine	Norcet
Bancap-HC	Novogesic
Capital with Codeine	Oxycocet
Codalan	OXYCODONE &
Codamin	ACETAMINOPHEN
Codaminophen	PENTAZOCINE &
Co-gesic	ACETAMINOPHEN
Compal	Percocet
Darvocet-N 100	Percocet-Demi
Darvocet-N 50	Phenaphen with Codeine
Demerol-APAP	Polygesic
Dolacet	Pro Pox with APAP
Dolene-AP 65	Propacet
Doxapap	Propain-HC
D-Rex	PROPOXYPHENE &
Duocet	ACETAMINOPHEN
Duradyne DHC	Proval
E-Lor	Proxy 65
Empracet 30	Pyregesic-C
Empracet 60	Rogesic
Emtec	Rounox with Codeine
Endocet	Roxicet
Exdol with Codeine	Senefen III
Genagesic	Talacen
Hy-5	Tylaprin with Codeine
Hycomed	Tylenol with Codeine
Hycopap	Tylox
Hydrocet	Ty-Pap with Codeine
HYDROCODONE &	Ty-Tabs
ACETAMINOPHEN	Ultragesic
Hydrocodone with APAP	Veganin
Hydrogesic	Vicodin
HY-PHEN	Wygesic
Lenoltec	Zydone
Lorcet

Basic Information

• Habit forming? Yes
• Prescription needed? Yes
• Available as generic? Yes
• Drug class: Narcotic, analgesic, fever-reducer

Uses

Relieves pain.

Dosage & Usage Information

How to take:
Tablet or capsule--Swallow with liquid. If you can't swallow whole, crumble tablet or open capsule and take with liquid or food.
Drops or liquid--Dilute dose in beverage before swallowing.

When to take:
When needed. No more often than every 4 hours.

If you forget a dose:
Take as soon as you remember. Wait 4 hours for next dose.

What drug does:
May affect hypothalamus--the part of the brain that helps regulate body heat and receives body's pain messages.
Blocks pain messages to brain and spinal cord.
Reduces sensitivity of brain's cough control center.

Time lapse before drug works:
15 to 30 minutes. May last 4 hours.

Don't take with:
Other drugs with acetaminophen. Too much acetaminophen can damage liver and kidneys.
Any other medicine without consulting your doctor or pharmacist.

Overdose

SYMPTOMS:
Stomach upset; irritability; sweating, convul- sions; deep sleep; slow breathing; slow pulse; flushed, warm skin; constricted pupils; coma.

WHAT TO DO:

• Dial 911 (emergency) or O (operator) for an ambulance or medical help. Then give first aid immediately.
• If patient is unconscious and not breathing, give mouth-to- mouth breathing. If there is no heartbeat, use cardiac massage and mouth-to-mouth breathing (CPR). Don't try to make patient vomit. If you can't get help quickly, take patient to nearest emergency facility.
• See EMERGENCY Information.

Possible Adverse Reactions or Side Effects

Life-threatening:

Irregular or slow Discontinue. Seek heartbeat, difficult emergency treatment. breathing, wheezing.

Common:

Dizziness, agitation, tiredness, dry mouth, headache.

Infrequent:

Abdominal pain, constipation, vomiting, confusion, pinpoint eye pupils, hallucinations, flushed face, face swelling, uncontrolled muscle movements, jaundice, nightmares, insomnia.

Rare:

• Itchy skin; rash; sore throat, fever, mouth sores; bruising and bleeding increased; painful or difficult urination; blood in urine; blurred vision.
• Depression.

Warnings & Precautions

Don't take if:

• You are allergic to any narcotic or acetaminophen.
• Your symptoms don't improve after 2 days' use. Call your doctor.

Before you start, consult your doctor:

• If you have bronchial asthma, kidney disease or liver damage.
• If you will have surgery within 2 months, including dental surgery, requiring general or spinal anesthesia.

Over age 60:
More likely to be drowsy, dizzy, unsteady or constipated. Don't exceed recommended dose. You can't eliminate drug as efficiently as younger persons. Use only if absolutely necessary.

Pregnancy:
Decide with your doctor whether drug benefits justify risk to unborn child. Abuse by pregnant woman will result in addicted newborn. Withdrawal of newborn can be life-threatening.

Breast-feeding:
Drug filters into milk. May harm child. Avoid.

Infants & children:
Not recommended.

Prolonged use:

• Causes psychological and physical dependence (addiction).
• May affect blood stream and cause anemia. Limit use to 5 days for children 12 and under, and 10 days for adults.

Skin & sunlight:
No problems expected.

Driving, piloting or hazardous work:
Don't drive or pilot aircraft until you learn how medicine affects you. Don't work around dangerous machinery. Don't climb ladders or work in high places. Danger increases if you drink alcohol or take medicine affecting alertness and reflexes, such as antihistamines, tranquilizers, sedatives, pain medicine, narcotics and mind-altering drugs.

Discontinuing:
Discontinue in 2 days if symptoms don't improve. Report to your doctor any symptoms that develop after discontinuing such as gooseflesh, irritability, insomnia, yawning, weakness, large eye pupils.

Others:
No problems expected.

Possible Interaction with Other Drugs

GENERIC NAME	COMBINED EFFECT
------------------------	-----------------------
Analgesics*,	Increased analgesic
other	effect.
Anticoagulants*,	May increase anticoagulant effect.
other	Prothrombin times should be
	monitored.
Anticholinergics*	Increased anticholinergic effect.
Antidepressants*	Increased sedative effect.
Antihistamines*	Increased sedative effect.
Carteolol	Increased narcotic effect.
	Dangerous sedation.
Mind-altering drugs*	Increased sedative effect.
Narcotics*, other	Increased narcotic effect.
Nitrates*	Excessive blood pressure drop.
Phenobarbital and	Quicker elimination and decreased
other barbiturates*	effect of acetaminophen.
Phenothiazines*	Increased phenothiazine effect.
Sedatives*	Increased sedative effect.
Selegiline	Severe toxicity characterized by
	breathing difficulty, seizures,
	coma.
Sertraline	Increased depressive effects of
	both drugs.
Sleep inducers*	Increased sedative effect.
Sotalol	Increased narcotic effect.
	Dangerous sedation.
Terfenadine	Possible oversedation.
Tetracyclines*	May slow tetracycline absorption.
	Space doses 2 hours apart.
Tranquilizers*	Increased sedative effect.
Zidovudine	Increased toxicity of zidovudine.

Possible Interaction with Other Substances

INTERACTS WITH	COMBINED EFFECT
---------------	---------------
Alcohol:	Increases alcohol's intoxicating
	effect. Long-term use may cause
	toxic effect in liver. Avoid.
Beverages:	None expected.
Cocaine:	Increased toxic effects of cocaine.
	Avoid.
Foods:	None expected.
Marijuana:	Impairs physical and mental
	performance. Avoid.
Tobacco:	None expected.