Hydrocodone is used to treat a dry cough caused by the
common cold or allergies. Hydrocodone is an opioid cough suppressant
(antitussive) that affects a certain part of the brain, reducing the urge
to cough. This medication is not usually used for coughs with a lot of
mucus. Coughing is a natural response to help clear the lungs of
mucus.
Opioid cough suppressants should not be used by children
younger than 18 years. Children are at higher risk for serious (even fatal)
side effects, especially breathing problems. Talk with the doctor about the
risks and benefits of this medication.
Cough-and-cold products do not cure colds. Cough due to
a common cold often does not need to be treated with medicine. Ask your
doctor or pharmacist about other ways to relieve cough and cold symptoms,
such as drinking enough fluids, using a humidifier, or saline nose
drops/spray.
Take this medication by mouth after meals, and at
bedtime with food or milk, as directed by your doctor. Wait at least 4
hours between doses. Carefully measure the dose using a special measuring
device/spoon. Do not use a household spoon because you may not get the
correct dose.
If you have nausea, ask your doctor or pharmacist about
ways to reduce it (such as lying down for 1 to 2 hours with as little head
movement as possible).
The dosage is based on your medical condition and
response to treatment. Do not increase your dose or use this drug more
often or for longer than prescribed. Your condition will not improve any
faster, and your risk of side effects will increase.
If you suddenly stop using this medication, you may have
withdrawal symptoms (such as restlessness, watering eyes, runny nose,
nausea, sweating, muscle aches). To help prevent withdrawal, your doctor
may lower your dose slowly. Withdrawal is more likely if you have used
hydrocodone for a long time (more than a few weeks) or in high doses. Tell
your doctor or pharmacist right away if you have
withdrawal.
When this medication is used for a long time, it may not
work as well. Talk with your doctor if this medication stops working
well.
Though it helps many people, this medication has a risk
for abuse and may sometimes cause addiction. This risk may be higher if you
have a substance use disorder (such as overuse of or addiction to
drugs/alcohol). Take this medication exactly as prescribed to lower the
risk of addiction. Ask your doctor or pharmacist for more
details.
Tell your doctor if your cough does not get better in 5
days or if your condition gets worse.
See also Warning section.
Drowsiness, dizziness, lightheadedness, nausea,
vomiting, or constipation may occur. If any of these effects last or get
worse, tell your doctor or pharmacist promptly.
To prevent constipation, eat dietary fiber, drink enough
water, and exercise. You may also need to take a laxative. Ask your
pharmacist which type of laxative is right for you.
To reduce the risk of dizziness and lightheadedness, get
up slowly when rising from a sitting or lying position.
Remember that this medication has been prescribed
because your doctor has judged that the benefit to you is greater than the
risk of side effects. Many people using this medication do not have serious
side effects.
Tell your doctor right away if you have any serious side
effects, including:
- interrupted breathing during sleep (sleep apnea)
- mental/mood changes (such as agitation, confusion,
hallucinations)
- stomach/abdominal pain
- difficulty urinating
- signs of your adrenal glands not working well (such as loss
of appetite, unusual tiredness, weight loss)
Get medical help right away if you have any very serious
side effects, including:
- fainting
- slow/shallow breathing
- severe drowsiness/difficulty waking up
- seizure
A very serious allergic reaction to this drug is rare.
However, get medical help right away if you notice any symptoms of a
serious allergic reaction, including:
- rash
- itching/swelling (especially of the face/tongue/throat)
- severe dizziness
- trouble breathing
This is not a complete list of possible side effects. If
you notice other side effects not listed above, contact your doctor or
pharmacist.
In the US - Call your doctor for medical advice about side effects.
You may report side effects to FDA at 1-800-FDA-1088 or at
www.fda.gov/medwatch.
In Canada - Call your doctor for medical advice about
side effects. You may report side effects to Health Canada at
1-866-234-2345.
Before taking hydrocodone, tell your doctor or
pharmacist if you are allergic to it; or to other opioids (such as
benzhydrocodone, codeine, hydromorphone, morphine); or if you have any
other allergies. This product may contain inactive ingredients, which can
cause allergic reactions or other problems. Talk to your pharmacist for
more details.
Before using this medication, tell your doctor or
pharmacist your medical history, especially of:
- adrenal gland problem (such as Addison's disease)
- brain disorders (such as head injury, tumor, seizures)
- breathing problems (such as asthma, sleep apnea, chronic
obstructive pulmonary disease-COPD)
- gallbladder disease
- kidney disease
- liver disease
- mental/mood disorders (such as confusion, depression,
thoughts of suicide)
- personal or family history of a substance use disorder (such
as overuse of or addiction to drugs/alcohol)
- stomach/intestinal problems (such as blockage, constipation,
diarrhea due to infection, paralytic ileus)
- disease of the pancreas (pancreatitis)
- difficulty urinating (such as due to enlarged prostate)
This drug may make you dizzy or drowsy. Alcohol or
marijuana (cannabis) can make you more dizzy or drowsy. Do not drive, use
machinery, or do anything that needs alertness until you can do it safely.
Avoid alcoholic beverages. Talk to your doctor if you are using marijuana
(cannabis).
Before having surgery, tell your doctor or dentist about
all the products you use (including prescription drugs, nonprescription
drugs, and herbal products).
This medication may contain sugar. Caution is advised if
you have diabetes. Ask your doctor or pharmacist about using this product
safely.
Older adults may be more sensitive to the side effects
of this drug, especially confusion, dizziness, drowsiness, and slow/shallow
breathing.
Tell your doctor if you are pregnant or think you may be
pregnant. During pregnancy, this product is not recommended. It may harm an
unborn baby. Talk to your doctor about the risks and benefits of this
medication. See also Warning section.
This product passes into breast milk and may have
undesirable effects on a nursing infant (such as unusual sleepiness,
difficulty feeding, trouble breathing, or unusual limpness). Breastfeeding
is not recommended while using this product. Consult your doctor before
breastfeeding.
See also Warning section.
Drug interactions may change how your medications work
or increase your risk for serious side effects. This document does not
contain all possible drug interactions. Keep a list of all the products you
use (including prescription/nonprescription drugs and herbal products) and
share it with your doctor and pharmacist. Do not start, stop, or change the
dosage of any medicines without your doctor's approval.
Some products that may interact with this drug
include:
- certain pain medications (mixed opioid agonist-antagonists
such as butorphanol, nalbuphine, pentazocine)
- naltrexone
- samidorphan
The risk of serious side effects (such as slow/shallow
breathing, severe drowsiness/dizziness) may be increased if this medication
is taken with other products that may also cause drowsiness or breathing
problems. Tell your doctor or pharmacist if you are taking other products
such as other opioid pain or cough relievers (such as codeine,
hydromorphone), alcohol, marijuana (cannabis), drugs for sleep or anxiety
(such as alprazolam, lorazepam, zolpidem), muscle relaxants (such as
carisoprodol, cyclobenzaprine), or antihistamines (such as cetirizine,
diphenhydramine).
Check the labels on all your medicines (such as allergy
or cough-and-cold products) because they may contain ingredients that cause
drowsiness. Ask your pharmacist about using those products
safely.
Other medications can affect the removal of hydrocodone
from your body, which may affect how hydrocodone works. Examples include
azole antifungals (such as ketoconazole), macrolide antibiotics (such as
erythromycin), mifepristone, HIV medications (such as tipranavir),
rifamycins (such as rifabutin, rifampin), ritonavir, certain drugs used to
treat seizures (such as carbamazepine, phenytoin), among
others.
This medication may interfere with certain lab tests
(such as amylase/lipase levels), possibly causing false test results. Make
sure lab personnel and all your doctors know you use this
drug.
If someone has overdosed and has serious symptoms such
as passing out or trouble breathing, call 911. Otherwise, call a poison
control center right away. US residents can call 1-800-222-1222. Canada
residents can call 1-844-764-7669. Symptoms of overdose may include: slow
heartbeat, slow breathing, coma.
Do not share this medication with others. Sharing it is
against the law.
This medication has been prescribed for your current
condition only. Do not use it later for another condition unless told to do
so by your doctor. A different medication may be necessary in that
case.
If you are taking this on a regular schedule and miss a
dose, take it as soon as you remember. If it is near the time of the next
dose, skip the missed dose. Take your next dose at the regular time. Do not
double the dose to catch up.
Store at room temperature. Keep all medications away
from children and pets.
Do not flush medications down the toilet or pour them
into a drain unless instructed to do so. Properly discard this product when
it is expired or no longer needed. Consult your pharmacist or local waste
disposal company.