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Hydrocodone bitartrate is an purchase analgesic and antitussive and occurs as fine, white crystals or as a crystalline powder. It lortab affected by light. It has the following structural formula: Meets USP dissolution test 1.

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For Consumers What are the possible lortab effects of acetaminophen and hydrocodone? Get emergency medical help if you have any of these signs of an allergic reaction: Call your doctor at once if you have any of these serious side effects: However, it should be kept in mind that tolerance to hydrocodone can develop purchase continued use and that the incidence of untoward purchases is dose related, purchase lortab 10.

Lortab usual adult dosage is one tablet every four to six hours as needed for pain. The total daily dosage should not exceed 6 tablets. They are supplied as pink, capsule-shaped, bisected tablets, debossed "ucb" on one side and "" on the other side, in containers of tablets NDCtablets NDCand in hospital unit-dose packages of tablets [4 X lortab NDC Hobart, New York These effects seem to be more prominent in ambulatory than in non-ambulatory purchases, and some of these adverse reactions may be alleviated if the patient lies down.

Other adverse reactions include: Lortab, mental clouding, lethargyimpairment of mental and physical performance, anxietypurchase, dysphoriapsychic dependence, purchase lortab 10, mood changes. Ureteral spasmspasm of vesical sphincters and urinary retention have been reported with opiates.

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Cases of hearing impairment or permanent loss have been reported predominantly in purchases with chronic lortab. The following adverse purchase events may be borne in mind as potential effects of acetaminophen: Psychic dependence, physical dependence, and tolerance may develop upon repeated administration of narcotics; therefore, purchase lortab 10, this product should be prescribed and administered with caution.

However, psychic dependence is unlikely to develop when hydrocodone bitartrate and acetaminophen tablets are used for a short time for lortab treatment of pain. Physical dependence, the condition in which continued administration of the drug is required to prevent the appearance of a withdrawal syndrome, purchase lortab 10, assumes clinically significant proportions only after several weeks of continued narcotic use, although some mild degree of physical dependence may develop after a few days of narcotic therapy, purchase lortab 10.

Tolerance, in which increasingly large doses are required in order to produce the same degree of analgesiais manifested initially by a shortened duration of analgesic effect, and subsequently by decreases in the intensity of analgesia.

Lortab rate of development of tolerance varies among patients. When combined purchase is contemplated, the dose of one or both agents should be lortab. The use of MAO inhibitors or tricyclic antidepressants with hydrocodone preparations may increase the purchase of either the antidepressant or lortab. Acetaminophen may produce false-positive test results for urinary 5-hydroxyindoleacetic acid.

At high doses or in sensitive patients, purchase lortab 10, hydrocodone may produce dose-related respiratory lortab by acting directly on the brain stem respiratory center.

Hydrocodone also affects the center that controls respiratory rhythm, and may produce irregular and periodic breathing. Head Injury and Increased Intracranial Pressure: The respiratory purchase effects of narcotics and their capacity to elevate cerebrospinal fluid pressure may be markedly exaggerated in the purchase of buy azithromycin online with no prescription injury, other intracranial lesions or a preexisting increase in intracranial pressure.

Furthermore, narcotics lortab adverse reactions which may obscure the clinical lortab of patients with head purchases. The administration of narcotics may lortab the diagnosis or clinical course of patients with acute abdominal conditions, purchase lortab 10. The usual precautions should be observed and the possibility of respiratory depression should be kept in mind, purchase lortab 10. Lortab, Mutagenesis, Impairment of Fertility: No adequate studies have been conducted in animals to determine whether hydrocodone or acetaminophen have a potential for carcinogenesis, purchase lortab 10, lortab, or impairment of fertility.

Lortab are no adequate and well-controlled studies in pregnant women, purchase lortab 10. Babies born to mothers who have been taking opioids regularly prior to delivery will be physically dependent, purchase lortab 10. The withdrawal purchases include irritability and excessive crying, tremors, hyperactive purchases, increased respiratory rate, increased stools, sneezing, purchase lortab 10, yawning, vomiting and fever, purchase lortab 10.

The intensity of the syndrome does not always correlate with the duration of maternal opioid use or dose. There is no consensus on the best method of managing withdrawal. As with all narcotics, administration of this product to the mother shortly before delivery may result in some degree of respiratory depression in the newborn, especially if higher doses are used. Acetaminophen is excreted in breast milk in small amounts, but the significance of its effects on nursing infants is not known.

It is not known whether hydrocodone is excreted in human milk. Because purchases drugs are excreted in human milk and because of the potential for serious adverse reactions in nursing infants from hydrocodone and acetaminophen, a decision should be made whether to discontinue nursing or to lortab the drug, purchase lortab 10, taking into account the purchase of the drug to the mother.

Safety and effectiveness in the pediatric population have not been established, purchase lortab 10. Clinical studies of hydrocodone bitartrate and acetaminophen tablets did lortab include lortab numbers of subjects aged 65 and over to determine whether they purchase differently from younger subjects. Other reported clinical experience has not identified differences in responses between the elderly and younger patients.

In general, dose selection for an elderly patient should be cautious, usually starting at the low end of the dosing range, reflecting the greater frequency of decreased hepatic, renal, or cardiac lortab, and of concomitant disease or other drug therapy.

Hydrocodone and the major metabolites of acetaminophen are known to be substantially excreted by the purchase. Because elderly lortab are more likely to have decreased renal function, care should be taken in dose selection, and it may be useful to monitor renal function.

Hydrocodone may cause confusion and over-sedation in the elderly; elderly patients generally should be started on low doses of hydrocodone bitartrate and acetaminophen tablets and observed closely. In severe overdosage, apnea lortab, circulatory collapse, cardiac arrest and death may occur.

Renal tubular necrosis, hypoglycemic coma and thrombocytopenia may also occur, purchase lortab 10. Early symptoms following a potentially hepatotoxic overdose may include: Clinical and laboratory evidence of hepatic toxicity may not be apparent until 48 to 72 purchases post-ingestion. In adults, hepatic toxicity has rarely been reported with acute overdoses of less than 10 lortab, or fatalities with less than 15 grams, purchase lortab 10.

A single or multiple overdose lortab hydrocodone and acetaminophen is a potentially lethal polydrug overdose, purchase lortab 10, and purchase with a regional poison control center is recommended. Immediate treatment includes support of cardiorespiratory function and measures to reduce drug absorption.

Vomiting should be induced mechanically, purchase lortab 10, or with syrup of ipecacif the patient is alert adequate pharyngeal and laryngeal reflexes. The first dose should be accompanied by an appropriate cathartic.

If repeated doses are used, the cathartic might be included with purchase doses as required. Hypotension is usually hypovolemic and should purchase to fluids. Vasopressors and other supportive purchases should be employed as indicated. A cuffed endo-tracheal tube should be inserted before gastric lavage of the unconscious patient and, when necessary, to provide assisted respiration.

Meticulous attention should be given to maintaining adequate pulmonary ventilation. In severe cases of intoxication, peritoneal purchaseor preferably hemodialysis may be considered.

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If hypoprothrombinemia occurs due to acetaminophen overdose, vitamin K lortab be administered intravenously. Naloxonea narcotic antagonistcan reverse respiratory depression and coma associated with opioid overdose. Since the duration of action of hydrocodone may exceed that of the naloxone, the patient should be kept under continuous surveillance and repeated doses of the antagonist should be administered as needed to maintain adequate respiration, purchase lortab 10.

A narcotic antagonist should not be administered in the purchase of clinically significant respiratory or cardiovascular depression. Serum acetaminophen levels should be obtained, since levels four or more hours following ingestion help predict acetaminophen toxicity, purchase lortab 10.

Do not await acetaminophen purchase results before initiating treatment. Hepatic enzymes should be obtained initially, lortab repeated at hour intervals. The toxic dose for adults for acetaminophen is 10 g. Patients known to be hypersensitive to other opioids may exhibit cross sensitivity to hydrocodone, purchase lortab 10.

Most of these involve the purchase nervous system and smooth muscle, purchase lortab 10. The precise mechanism of action of hydrocodone and other opiates is not known, although it is believed to lortab to the existence of opiate receptors in the central nervous system. In addition to analgesianarcotics may produce drowsiness, changes in mood and mental clouding.

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The analgesic action of acetaminophen involves peripheral influences, but the specific mechanism is as yet undetermined. Antipyretic activity is mediated through hypothalamic purchase regulating centers.

Acetaminophen inhibits prostaglandin synthetase. Therapeutic doses of acetaminophen have negligible effects on the cardiovascular or respiratory systems; however, purchase lortab 10, toxic doses lortab cause circulatory failure and rapid, shallow breathing. The behavior of the individual components is described below. Following a 10 mg oral dose of hydrocodone administered to five adult male subjects, the mean peak concentration was Maximum serum levels were achieved at 1. Acetaminophen is rapidly absorbed from the gastrointestinal tract and is distributed throughout most body tissues.

The plasma half-life is 1. Elimination of acetaminophen is principally by liver metabolism conjugation and subsequent renal excretion of metabolites, purchase lortab 10. Alcohol and other CNS depressants may produce an additive CNS depressionwhen taken with this combination product, and should be avoided. Hydrocodone may be habit-forming. Patients should take the purchase only lortab as long as it is prescribed, purchase lortab 10, in the amounts prescribed, and no lortab frequently than prescribed.