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Norco (hydrocodone/acetaminophen) is a combination medication containing hydrocodone and acetaminophen (the same active ingredient in Tylenol). It’s used to treat moderate to severe pain when over-the-counter medicines haven’t worked, but it can lead to dependence and tolerance if taken for a long time.
Norco is used in the treatment of back pain; pain; rheumatoid arthritis and belongs to the drug class narcotic analgesic combinations.
NORCO (nor koe’)
Hydrocodone Bitartrate and Acetaminophen Tablets, USP, CII
Norco
What is hydrocodone with acetaminophen?
Hydrocodone with acetaminophen is a tablet or liquid that contains two different types of medicine. Hydrocodone is an opioid medicine used to treat pain. Acetaminophen (Tylenol®) is a medicine used to treat pain or fever. Hydrocodone with acetaminophen is available as a tablet or liquid form in multiple strengths and multiple brand names. All are taken by mouth.
Tablets:
- Hydrocodone 5 mg/Acetaminophen 300 mg
- Hydrocodone 10 mg/Acetaminophen 300 mg
Liquid:
- Hydrocodone 7.5mg/Acetaminophen 325 mg in 15 ml
- Common Brand Names: Lortab®, Vicodin®, Lorcet®, Norco®, Xodol®
Dosing information
Usual Adult Dose of Norco for Pain:
Tablets:
Recommended dose:
Acetaminophen-hydrocodone 300 mg-5 mg: 1 to 2 tablets orally every 4 to 6 hours as needed
Maximum dose:
Acetaminophen-hydrocodone 300 mg-5 mg: 8 tablets daily
Comments:
Dosage should be adjusted according to the severity of the pain and the response of the patient. Tolerance to hydrocodone can develop with continued use and the incidence of side effects is dose related.
Approved indication: For the relief of moderate to moderately severe pain
NORCO is
• A strong prescription pain medicine that contains an opioid (narcotic) that is used to manage pain severe
enough to require an opioid pain medicine, when other pain treatments such as non-opioid pain medicines
please do not treat your pain well enough or you cannot tolerate them.
• An opioid pain medicine that can put you at risk for overdose and death. Even if you take your dose
correctly as prescribed you are at risk for opioid addiction, abuse, and misuse that can lead to death.
Important information about NORCO :
• Get emergency help right away if you take too much NORCO (overdose). When you first start taking
NORCO when your dose is changed, or if you take too much (overdose), serious or life-threatening
breathing problems that can lead to death may occur.
• Taking NORCO® with other opioid medicines, benzodiazepines, alcohol, or other central nervous system
depressants (including street drugs) can cause severe drowsiness, decreased awareness, breathing problems,
coma, and death.
• Never give anyone else your NORCO tablets. They could die from taking it. Store NORCO away from
children and in a safe place to prevent stealing or abuse. Selling or giving away NORCO tablets is against
the law.
Do not take NORCO if you have:
• severe asthma, trouble breathing, or other lung problems.
• a bowel blockage or narrowing of the stomach or intestines.
• known hypersensitivity to hydrocodone, acetaminophen, or any ingredient in hydrocodone and
acetaminophen tablets.
Before taking NORCO, tell your healthcare provider if you have a history of:
● head injury, seizures ● liver, kidney, thyroid problems
● problems urinating ● pancreas or gallbladder problems
● abuse of street or prescription drugs, alcohol addiction, or mental health problems.
Tell your healthcare provider if you are:
• pregnant or planning to become pregnant. Prolonged use of NORCO during pregnancy can cause
withdrawal symptoms in your newborn baby that could be life-threatening if not recognized and treated.
• breastfeeding. NORCO passes into breast milk and may harm your baby.
• taking prescription or over-the-counter medicines, vitamins, or herbal supplements. Taking NORCO with
certain other medicines can cause serious side effects that could lead to death.
Feel the Desirable Pain Relief with Hydrocodone
An opioid, narcotic pain medication Hydrocodone can decrease mild to severe pain. Producing a drastic impact on the organism the treatment can also lead to dangerous complications. That is why it is a prescription treatment that requires a thorough doctor’s inspection before intake. Pain relief is available in two forms: immediate and extended-release. The first type of Hydrocodone deals with sudden pain outbursts, while the extended-release form helps with round-the-clock pain.
Recommendations for Hydrocodone Intake: Uses and Doses
Hydrocodone should never be used without a prescription. The medication may be habit-forming even with usual doses. The treatment should never be passed to other patients with similar symptoms without a doctor’s permission. Hydrocodone overuse or misuse can activate inconvertible processes in the organism that may lead to overdose, addiction, and even death.
Discuss Hydrocodone safety in your exact case with your healthcare provider. Follow the doctor’s instructions in order to achieve the necessary relieving effect, but experience no side effects. Never change the adjusted dose, duration of the therapy, and other specifications. Sudden stopping of the treatment intake can activate severe withdrawal reactions.
Your Hydrocodone dose will depend on tolerance to the active components of the treatment, overall health state, severity of the disorder, other pharmaceuticals you use, and other factors. Long-term Hydrocodone dose starts with 10 mg every 12 hours and can be increased to 40-50 mg.
When taking NORCO
• Do not change your dose. Take NORCO exactly as prescribed by your healthcare provider. Use the lowest
dose possible for the shortest time needed.
• Take your prescribed dose every four to six hours as needed for pain.
• Do not take more than your prescribed dose. If you miss a dose, take your next dose at your usual time.
• Call your healthcare provider if the dose you are taking does not control your pain.
• If you have been taking NORCO regularly, do not stop taking NORCO without talking to your
healthcare provider.
• After you stop taking NORCO tablets, the unused tablets should be disposed of by flushing them down the
toilet.
Read the Medication Guide and, if available, the Patient Information Leaflet provided by your pharmacist before you start taking this medication and each time you get a refill. If you have any questions, ask your doctor or pharmacist.
Take this medication by mouth as directed by your doctor. You may take this drug with or without food. If you have nausea, it may help to take this drug with food. 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).
If you are using a liquid form of this medication, use a medication measuring device to carefully measure the prescribed dose. Do not use a household spoon because you may not get the correct dose.
The dosage is based on your medical condition and response to treatment. In children, the dosage is also based on weight. Do not increase your dose, take the medication more frequently, or take it for a longer time than prescribed. Properly stop the medication when so directed.
Pain medications work best if they are used as the first signs of pain occur. If you wait until the pain has worsened, the medication may not work as well.
If you have ongoing pain (such as due to cancer), your doctor may direct you to also take long-acting opioid medications. In that case, this medication might be used for sudden (breakthrough) pain only as needed. Other pain relievers (such as ibuprofen, naproxen) may also be prescribed. Ask your doctor or pharmacist about using this product safely with other drugs.
Suddenly stopping this medication may cause withdrawal, especially if you have used it for a long time or in high doses. To prevent withdrawal, your doctor may lower your dose slowly. Tell your doctor or pharmacist right away if you have any withdrawal symptoms such as restlessness, mental/mood changes (including anxiety, trouble sleeping, thoughts of suicide), watering eyes, runny nose, nausea, diarrhea, sweating, muscle aches, or sudden changes in behavior.
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 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 pain does not get better or if it gets worse.
Question
Answer:
You did not mention how long you have been on the Norco, but if it is a few weeks or even a month there should be no physical withdrawal from stopping it. You may have well-controlled pain because you are taking pain meds. Stretch out the Norco intervals and see if the pain is worse.
If your doctor agrees, you can substitute OTC Tylenol or ibuprofen for the Norco and see if your pain is controlled. If the answer is yes…you are ready to stop the Norco and just use the OTC medication as needed for breakthrough pain. Coming off the Norco over a few days is better than stopping it cold, but either way, there should be no opiate withdrawal symptoms.
