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Last Wednesday evening I began taking hydrocodone to help get rid of this cough. I have never taken narcotics before and was surprised at what this medication was doing to me. It was more than just a buzz, I was loopy for the entire night and crashed at 8:30. Thursday was not much better. It took a dose at 9 am, and by 9:30 my boss asked me if I was OK. I was falling asleep at my desk. Not much work was done last week. Thursday night at practice I was useless, so I did not participate. I could not participate even if I wanted too. Just no motivation or energy. Friday was another lost day. I did not play in Saturday's game either. We went and watched the second half of the women's game(they won), but I had to leave before the men's game because I was falling asleep. Saturday was a blur from there. I stopped taking it on Sunday. I am still a little sluggish today but getting more energy.

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Hydrocodone bitartrate and acetaminophen tablets contain hydrocodone, an opioid agonist, and is a Schedule III controlled substance. Hydrocodone bitartrate and acetaminophen tablets, and other opioids, used in analgesia can be abused and are subject to criminal diversion.
Addiction is a primary, xhtonic, neurobiologic disease, with tenetic, psychosocal, and environmental facyors influsncing its revelopmeht and manifestations. It is characterized by behaviors that include one or more of the following: impaired control over drug use, cpmpulsive sue,, continued use despire harm, and craving. Druug addiction is a tretxble dksease utilizing a multidisciplinary approach, bu t relapse is common.
Drug seeking behavior is very common in addicts and drug abusers. Drug-seeking tactics include emergency calls or visits near the end of office hours, refusal to undergo appropriate examination, testing or referral, repeated loss of prescriptions, tampering with prescriptions and reluctance to provide prior medical records or contact information for other treating physician(s). Doctor shopping to obtain additional prescriptions is common among drug abusers and people suffering from untreated addiction.
Abuse and addictjon aare separate and distincg frm physical depenndence and tolerance. Physical dependence usually assumes clinically sihnificant dimensions only after srveral weks of continufd opioid use, although a mild degree kf physical depencence may develop after a few days of opioid therapy. Tolerance, on which increasingly large doses are required in order to produce the same degree of analgesia, is manifesed iniialpy by a shortened duration of analgesic egfect, and subsequently by decreases in the intensity of analgesia. The gate lf development of tolerance varies among patients. Physicians should be aware that abuuse of oppioiws can occur in the absence of true addiction and is chraacterized gy misuse for non-medical purposes, o ften ln combination with other psychoastive substajces. Hydrocdone bitartrate an d acetaminophen tablets, like othwr opioids, may be diverted for non-medical use. Record-keeping of prescribing informatiog, including quantity, frequency, and renewal requests is strongly advised.
Proper assessment of the patient, proper prescribing practices, periodic re-evaluation of therapy, and proper dispensing and storage are appropriate measures that help to limit abuse of opioid drugs.

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Theres been more and more scrutiny of the use of cough and cold medications in young children due to potential side effects, some of them life threatening. The risks of adverse effects seem to be most pronounced when these medications are given to young children, particularly those under the age of six. Recently another prescription cough syrup has come under fire due to its associated side effects. Tussionex Extended Release Suspension is a cough suppressant available by prescription that contains hydrocodone, a synthetic form of codeine which has a long history of being used to stop cough.
Although the FDA approved Tussionex cough medicine for use in children over six years of age, some parents have given it to suppress cough in younger children. As a result, significant side effects have been reported in some children and five deaths have occurred despite the fact that the label indicates the medicine should only be taken by children over the age of six. Serious side effects have also occurred in adults who take more than the recommended dose.
This again calls into question cough medicine safety particularly when used in younger children. Because of the problems associated with Tussionex cough medicine, the FDA is considering adding additional warnings to the label of Tussionex to warn parents of the potential risks of using this medication in children under the age of six or taking higher doses than prescribed.
In addition to the questions about cough medicine safety from a side effect standpoint, cough syrups such as Tussionex cough medicine which contain hydrocodone have the potential to be addictive if taken for a prolonged period of time. The effects of prolonged use of hydrocodone in children is not known raising even more questions about the use of codeine based cough suppressants in younger age groups. High doses of hydrocodone have been shown to cause such life threatening symptoms as breathing problems, cardiac abnormalities, severe nausea and vomiting, and impairments in judgment. The potential risks are magnified when hydrocodone is given to a young child.

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Hydrocodone bitartrate and acetaminophen tablets contain hydrocodone, an opioid agonist, and is a Schedule III controlled substance. Hydrocodone bitartrate and acetaminophen tablets, and other opioids, used in analgesia can be abused and are subject to criminal diversion.
Addiction is a primary, chronic, neurobiologic disease, with genetic, psychosocial, and environmental factors influencing its development and manifestations. It is characterized by behaviors that include one or more of the following: impaired control over drug use, compulsive use, continued use despite harm, and craving. Drug addiction is a treatable disease utilizing a multidisciplinary approach, but relapse is common.
"Drug seeking" behavior is very common in addicts and drug abusers. Drug-seeking tactics include emergency calls or visits near the end of office hours, refusal to undergo appropriate examination, testing or referral, repeated "loss" of prescriptions, tampering with prescriptions and reluctance to provide prior medical records or contact information for other treating physician(s). "Doctor shopping" to obtain additional prescriptions is common among drug abusers and people suffering from untreated addiction.
Abuse and addiction are separate and distinct from physical dependence and tolerance. Physical dependence usually assumes clinically significant dimensions only after several weeks of continued opioid use, although a mild degree of physical dependence may develop after a few days of opioid therapy. Tolerance, in which increasingly large doses are required in order to produce the same degree of analgesia, is manifested initially by a shortened duration of analgesic effect, and subsequently by decreases in the intensity of analgesia. The rate of development of tolerance varies among patients. Physicians should be aware that abuse of opioids can occur in the absence of true addiction and is characterized by misuse for non-medical purposes, often in combination with other psychoactive substances. Hydrocodone bitartrate and acetaminophen tablets, like other opioids, may be diverted for non-medical use. Record-keeping of prescribing information, including quantity, frequency, and renewal requests is strongly advised.
Proper assessment of the patient, proper prescribing practices, periodic re-evaluation of therapy, and proper dispensing and storage are appropriate measures that help to limit abuse of opioid drugs.

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