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TREAT CHRONIC PAIN
WHAT IS HYDROCODONE ?
WHAT IS HYDROCODONE ?
Hydrocodone is a semi-synthetic opioid prescribed mainly for the management of moderate to severe pain, especially when other pain medications are ineffective or not tolerated. It is also used as an antitussive agent in some cough formulations. Hydrocodone is frequently combined with acetaminophen or ibuprofen in clinical practice for acute pain relief, such as post-surgical pain, injury, or chronic conditions like back pain.
Precautions
Precautions
Hydrocodone has a high risk for dependence, misuse, and addiction; it is classified as a Schedule II controlled substance in the US.
Elderly patients and those with hepatic or renal impairment should start on reduced doses due to increased drug sensitivity and slower metabolism.
Serious side effects can include slowed or stopped breathing, particularly at the beginning of therapy or following dose increases.
Monitoring
Monitoring
Continuous monitoring for side effects, effectiveness, and potential abuse is essential. Dosage should be titrated slowly to achieve pain control without unnecessary risk.
Use in older adults is considered potentially inappropriate due to a higher risk of side effects and complications.
Patients with a history of substance abuse or mental health disorders are at a greater risk for developing an opioid use disorder.
Clinical Use Of Hydrocodone
Clinical Use Of Hydrocodone
Hydrocodone is indicated for severe chronic pain that requires opioid analgesia and cannot be managed by non-opioid alternatives.
It is suitable for both acute and long-term pain, including cancer-related pain, postoperative pain, and significant musculoskeletal injuries.
Extended-release formulations are reserved for opioid-tolerant individuals needing continuous, around-the-clock pain management.
In some cases, hydrocodone is used in cough suppression, particularly for nonproductive coughs in adults.
Important Counseling Points
Important Counseling Points
Hydrocodone should be stored safely, away from children and others for whom it is not prescribed, as accidental ingestion can be fatal.
Sudden discontinuation in dependent patients can result in withdrawal symptoms; dosage should be tapered under medical supervision.
Patients should be cautioned about the dangers of combining hydrocodone with alcohol or central nervous system depressants due to additive respiratory depression risk.
Questions?
Questions?
1. What is hydrocodone prescribed for?
Hydrocodone is prescribed to manage moderate to severe pain when other pain medications are not effective
2. How does hydrocodone work?
It works by affecting the brain and nervous system to reduce the sensation of pain
3. Is hydrocodone safe for long-term use?
Long-term use may lead to dependence or tolerance, so it must be monitored closely by a healthcare provider
4. What precautions should I take while using hydrocodone?
Avoid alcohol, follow the exact prescribed dosage, and inform your doctor about all other medications you take
5. Can hydrocodone cause side effects?
Yes—common side effects include drowsiness, constipation, nausea, and dizziness
6. Who should avoid hydrocodone?
People with breathing problems, liver disease, or a history of substance misuse should consult their doctor before using it
7. Can I drive after taking hydrocodone?
Driving is not recommended, as hydrocodone can impair alertness and reaction time
8. What should I do if I miss a dose?
Take it when you remember, unless it’s close to your next dose. Never double up.
9. Can hydrocodone interact with other medications?
Yes—sedatives, alcohol, benzodiazepines, and certain antidepressants may cause dangerous interactions
10. How should hydrocodone be stored?
Store it securely in a cool, dry place, away from children and anyone for whom it is not prescribed.
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