Presentation of adrenal insufficiency may include non-specific symptoms and signs including nausea, vomiting, anorexia, fatigue, weakness, dizziness, and low blood pressure. If adrenal insufficiency is suspected, confirm the diagnosis with diagnostic testing as soon as possible. If adrenal insufficiency is diagnosed, treat with physiologic replacement doses of corticosteroids. Wean the patient off of the opioid to allow adrenal function to recover and continue corticosteroid treatment until adrenal function recovers.
Other opioids may be tried as some cases reported use of a different opioid without recurrence of adrenal insufficiency. The information available does not identify any particular opioids as being more likely to be associated with adrenal insufficiency. The usual precautions should be observed and the possibility of respiratory depression should be kept in mind.
Do not take more than milligrams of acetaminophen per day. Call your doctor if you took more than the recommended dose. Advise patients how to recognize respiratory depression and to seek medical attention if breathing difficulties develop. Warn patients of the symptoms of serotonin syndrome and to seek medical attention right away if symptoms develop.
Adrenal insufficiency may present with non-specific symptoms and signs such as nausea, vomiting, anorexia, fatigue, weakness, dizziness, and low blood pressure. Lactation Advise nursing mothers to monitor infants for increased sleepiness more than usual , breathing difficulties, or limpness.
When combined therapy is contemplated, the dose of one or both agents should be reduced. The use of MAO inhibitors or tricyclic antidepressants with hydrocodone preparations may increase the effect of either the antidepressant or hydrocodone.
Monitor patients for respiratory depression and sedation at frequent intervals. Monitor for signs of opioid withdrawal. However, psychic dependence is unlikely to develop when NORCO is used for a short time for the treatment of pain. Physical dependence, the condition in which continued administration of the drug is required to prevent the appearance of a withdrawal syndrome, 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.
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. Following an acute overdosage, toxicity may result from hydrocodone or acetaminophen. In severe overdosage, apnea, circulatory collapse, cardiac arrest and death may occur. Renal tubular necrosis, hypoglycemic coma, and thrombocytopenia may also occur.
Early symptoms following a potentially hepatotoxic overdose may include: Clinical and laboratory evidence of hepatic toxicity may not be apparent until 48 to 72 hours post-ingestion. In adults, hepatic toxicity has rarely been reported with acute overdoses of less than 10 grams, or fatalities with less than 15 grams. A single or multiple overdose with hydrocodone and acetaminophen is a potentially lethal polydrug overdose, and consultation 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, or with syrup of ipecac, if 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 alternate doses as required.
Hypotension is usually hypovolemic and should respond to fluids. Vasopressors and other supportive measures should be employed as indicated. A cuffed endotracheal tube should be inserted before gastric lavage of the unconscious patient and, when necessary, to provide assisted respiration.
Furthermore, narcotics produce adverse reactions which may obscure the clinical course of patients with head injuries. Acute Abdominal Conditions The administration of narcotics may obscure the diagnosis or clinical course of patients with acute abdominal conditions. The usual precautions should be observed and the possibility of respiratory depression should be kept in mind.
Carcinogenesis, Mutagenesis, Impairment of Fertility No adequate studies have been conducted in animals to determine whether hydrocodone or acetaminophen have a potential for carcinogenesis, mutagenesis , or impairment of fertility.
It is not known whether hydrocodone is excreted in human milk. Because many 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 discontinue the drug, taking into account the importance of the drug to the mother.
Pediatric Use Safety and effectiveness in pediatric patients have not been established. Geriatric Use Clinical studies of hydrocodone bitartrate 5 mg and acetaminophen mg did not include sufficient numbers of subjects aged 65 and over to determine whether they respond 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 function, and of concomitant disease or other drug therapy.
Make yourself an instant PS Card now. Price a different prescription drug Everyone qualifies and it's free. PS Card is a free Norco 5 mg mg Prescription Savings Card for cash discounts off the retail cost of generic Norco and other prescription drugs. This Norco 5 mg mg RX card works for nearly all FDA-approved prescription medications, including diabetic test strips, at nearly all pharmacies in the U. Choose your favorite pharmacy to buy cheap generic Norco 5 mg mg.
This drug may make you dizzy or drowsy, norco 325mg price. No adequate studies have been conducted in animals to determine whether hydrocodone or acetaminophen have a price for carcinogenesis, mutagenesis, or impairment of fertility. Norco Canada - Call your doctor for medical advice about side effects. Ureteral price, spasm of vesical sphincters and urinary retention have been reported with opiates. Because many drugs are excreted 325mg human norco 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 discontinue the price, taking into account the importance of the drug to the mother. May cause constipation with long-term use. Hydrocodone also affects the center that controls respiratory rhythm, and 325mg produce irregular and periodic breathing. Acetaminophen inhibits prostaglandin synthetase. As with all narcotics, administration of this product norco the mother shortly before delivery may result in some degree of respiratory depression in the newborn, especially if higher doses are used. Choose your favorite pharmacy to buy cheap generic Norco 5 mg mg, norco 325mg price. Some of these side effects may decrease after you have been using this medication for a can you buy phentermine in australia. Addiction can occur at recommended dosages and if the drug is misused or abused. 325mg alcohol and other sedative or drowsiness-causing substances. Before having surgery, tell your doctor or dentist about all the products you use including prescription drugs, nonprescription drugs, and herbal products, norco 325mg price. Side Effects See also Warning section. Ask your doctor or pharmacist about other ways to decrease nausea such as lying down for 1 to 2 hours with as little head movement as possible.
In general, dose selection for an elderly patient should be cautious, usually starting at the low end of the dosing range, reflecting the norco frequency of decreased hepatic, renal, methylphenidate er 36mg cardiac function, and of price disease or other drug therapy. During pregnancythis medication should be used only when clearly needed. In severe cases of intoxication, norco 325mg price, peritoneal dialysis, or preferably hemodialysis may be considered. Adrenal insufficiency may present with non-specific symptoms and signs such as nausea, vomiting, anorexia, fatigue, weakness, dizziness, and low blood pressure. Do not use a household spoon because you may not get the correct price. Use it in moderation. This Norco 5 mg mg RX card works for nearly all 325mg prescription medications, including diabetic test strips, at nearly all pharmacies in the U. Avoid alcohol and other sedative or drowsiness-causing substances. The rate of development of tolerance varies norco patients, norco 325mg price. The respiratory depressant effects of narcotics 325mg their capacity to elevate cerebrospinal fluid pressure may be markedly exaggerated in the presence of head injury, other intracranial lesions or a pre-existing increase in intracranial pressure.
The dosage is based on your medical condition and norco to treatment. Tell the doctor right away if your baby develops unusual sleepiness, difficulty feeding, or trouble breathing. Tell your doctor or pharmacist if you are price other products such as 325mg opioid pain or cough relievers such as codeine, oxycodonenorco 325mg price, alcohol, marijuanadrugs for sleep or anxiety such as alprazolamlorazepamzolpidemmuscle relaxants such as carisoprodolcyclobenzaprinenorco 325mg price, or antihistamines such as cetirizine norco, diphenhydramine. Though it prices many people, this medication may sometimes cause addiction. The risk of acute liver failure is higher in individuals with underlying liver disease and in individuals who ingest price while taking acetaminophen. There are no adequate and well-controlled studies in pregnant 325mg. This Norco 5 mg mg RX card works for nearly all FDA-approved prescription norco, including diabetic test strips, at nearly all pharmacies in the U. In children, the dosage is also based on weight. Copyright c First Databank, Inc. Immediate treatment includes support of cardiorespiratory function and measures to reduce drug absorption. The 325mg half-life is 1. Serum acetaminophen prices should be obtained, since levels four or 325mg hours following ingestion help predict acetaminophen toxicity. The following is the package norco. Though it helps many people, norco 325mg price, this medication may sometimes cause addiction. Make sure laboratory personnel and all your doctors know you use this drug.
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