Hydrocodone chemical structure
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Vicoprofen

Hydrocodone or dihydrocodeinone (marketed as Vicodin, Anexsia, Dicodid, Hycodan, Hycomine, Lorcet, Lortab, Norco, Tussionex, Vicoprofen) is an opioid derived from either of the naturally occurring opiates codeine or thebaine. Hydrocodone is an orally active narcotic analgesic and antitussive. The typical therapeutic dose of 5 to 10 mg is pharmacologically equivalent to 30 to 60 mg of oral codeine. Sales and production of this drug have increased significantly in recent years, as have diversion and illicit use. more...

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Hydrocodone is commonly available in tablet, capsule and syrup form.

As a narcotic, hydrocodone relieves pain by binding to opioid receptors in the brain and spinal cord. It may be taken with or without food, but should never be combined with alcohol. It may interact with monoamine oxidase inhibitors, as well as other drugs that cause drowsiness. It is in FDA pregnancy category C: its effect on an unborn embryo or fetus is not clearly known and pregnant women should consult their physicians before taking it. Common side effects include dizziness, lightheadedness, nausea, drowsiness, euphoria, vomiting, and constipation. Some less common side effects are allergic reaction, blood disorders, changes in mood, mental fogginess, anxiety, lethargy, difficulty urinating, spasm of the ureter, irregular or depressed respiration and rash.

Hydrocodone can be habit-forming, and can lead to physical and psychological addiction. In the U.S., pure hydrocodone and forms containing more than 15 mg per dosage unit are considered Schedule II drugs. Those containing less than 15 mg per dosage unit are Schedule III drugs. Hydrocodone is typically found in combination with other drugs such as paracetamol (acetaminophen), aspirin and homatropine methylbromide. In the UK it is listed as a Class A drug under the Misuse of Drugs Act 1971.

The presence of acetaminophen in hydrocodone-containing products deters many drug users from taking excessive amounts. However, some users will get around this by extracting a portion of the acetaminophen using hot/cold water, taking advantage of the water-soluble element of the drug. It is not uncommon for addicts to have liver problems from taking excessive amounts of acetaminophen over a long period of time--taking 10–15 grams of acetaminophen in a period of 24 hours typically results in severe hepatotoxicity. It is this factor that leads many addicts to use only single entity opiates such as OxyContin.

Symptoms of hydrocodone overdosage include respiratory depression, extreme somnolence, coma, stupor, cold/clammy skin, sometimes bradycardia, and hypotension. A severe overdose may involve circulatory collapse, cardiac arrest and/or death.

Notes

  1. ^  Tarascon Pocket Pharmacopoeia.

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Abbott to expand help for low-income seniors
From Chicago Sun-Times, 5/20/04 by Francine Knowles

Abbott Laboratories said it is expanding its Medicare Assistance Program to enable low-income seniors to get certain medicines from the drugmaker for as little as $5 to $12 per monthly prescription starting June 1.

Abbott plans to partner with Medicare drug discount cards to offer its thyroid medicine Synthroid for $5 per monthly prescription. Abbott also plans to offer Abbott medications for high blood pressure, cholesterol, epilepsy and bipolar disorder for $12 per monthly prescription for seniors and Medicare beneficiaries with low incomes who use the cards, Abbott said.

The Medicare prescription drug discount cards, which go into effect June 1, are part of the Medicare reform bill passed last year. The card program is a temporary one to provide aid in lowering prescription drug costs in 2004 and 2005. It will end when a more comprehensive prescription drug benefit begins Jan. 1, 2006.

Abbott follows Eli Lilly & Co., Merck & Co. and other drugmakers in offering bigger discounts to poor recipients of Medicare.

In other news at North Chicago-based Abbott, a lawsuit filed by the company that seeks to block Teva Pharmaceutical Industries from selling a generic form of the painkiller Vicoprofen was revived by the U.S. Court of Appeals for the Federal Circuit in Washington.

The court said a judge erred in invalidating a patent for treating pain with a combination of hydrocodone and ibuprofen.

The drug had annual sales of about $108 million before the patent was rejected in 2002.

Contributing: Bloomberg News

Copyright The Chicago Sun-Times, Inc.
Provided by ProQuest Information and Learning Company. All rights Reserved.

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