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Hydrocodone
and ibuprofen
Brand
Name: Vicoprofen
Most
Common Medical Uses
Hydrocodone
(related to codeine) is in a class of drugs called narcotic analgesics.
It is a pain reliever. Ibuprofen is a nonsteroidal anti-inflammatory
drug (NSAID). It relieves pain and decreases inflammation. Hydrocodone
and ibuprofen are used together for the short-term treatment of
pain. Hydrocodone and ibuprofen may also be used for purposes other
than those listed in this medication guide.
How
to Take This Medication
Take
hydrocodone and ibuprofen exactly as directed by your doctor. If
you do not understand these directions, ask your pharmacist, nurse,
or doctor to explain them to you. Take each dose with a full glass
of water. Hydrocodone and ibuprofen can be taken with food or milk
to decrease stomach upset. Never take more hydrocodone and ibuprofen
than is prescribed for you. If your pain is not being adequately
treated, talk to your doctor. Hydrocodone and ibuprofen may cause
constipation. Drink plenty of water (six to eight full glasses a
day) to lessen this side effect. Increasing the amount of fiber
in your diet may also help to alleviate constipation.
Possible
Side Effects
If
you experience any of the following serious side effects, stop taking
hydrocodone and ibuprofen and seek emergency medical attention or
contact your doctor immediately: an allergic reaction (difficulty
breathing; closing of the throat; swelling of the lips, tongue,
or face; or hives); slow or weak breathing; yellowing of the skin
or eyes; unusual fatigue, bleeding, or bruising; abdominal cramping,
indigestion, or heartburn; black, bloody, or tarry stools; bloody
vomit; decreased hearing or ringing in the ears; blurred vision
or other visual problems; or sudden weight gain (fluid retention).
Other, less serious side effects may be more likely to occur. Continue
to take hydrocodone and ibuprofen and talk to your doctor if you
experience constipation; dry mouth, nausea, or decreased appetite;
dizziness, tiredness, or lightheadedness; muscle twitches; sweating;
itching; or decreased urination. Hydrocodone and ibuprofen is habit
forming. Dependence may develop if it is taken for a prolonged period
of time and withdrawal effects may occur if it is stopped suddenly
after prolonged treatment. Side effects other than those listed
here may also occur. Talk to your doctor about any side effect that
seems unusual or that is especially bothersome.
Precautions
Use
caution when driving, operating machinery, or performing other hazardous
activities. Hydrocodone and ibuprofen may cause drowsiness or dizziness.
If you experience drowsiness or dizziness, avoid these activities.
Do not drink alcohol while taking hydrocodone and ibuprofen. Alcohol
may increase drowsiness or dizziness. Alcohol may also increase
the risk of stomach bleeding while taking this medication. Do not
take other prescription or over-the-counter medications that contain
ibuprofen (Motrin, Advil, others) while taking hydrocodone and ibuprofen
without first talking to your doctor. Drowsiness or dizziness caused
by hydrocodone and ibuprofen may be increased by the effects of
other drugs that cause drowsiness including antidepressants, alcohol,
antihistamines, sedatives (used to treat insomnia), pain relievers,
anxiety medicines, muscle relaxants, and many others. Tell your
doctor about all medicines that you are taking and do not take any
medicine without first talking to your doctor
Drug
Interactions
Before
taking hydrocodone and ibuprofen, tell your doctor if you are taking
any of the following medicines: another nonsteroidal anti-inflammatory
drug (NSAID) such as ketoprofen (Orudis, Orudis KT, Oruvail), naproxen
(Naprosyn, Aleve, Anaprox), diclofenac (Voltaren, Cataflam), etodolac
(Lodine), fenoprofen (Nalfon), flurbiprofen (Ansaid), indomethacin
(Indocin), ketorolac (Toradol), nabumetone (Relafen), oxaprozin
(Daypro), piroxicam (Feldene), sulindac (Clinoril), or tolmetin
(Tolectin); aspirin or another salicylate (form of aspirin) such
as salsalate (Disalcid), choline salicylate, and magnesium salicylate;
a diuretic (water pill) such as hydrochlorothiazide (HCTZ, HydroDiuril,
others), chlorothiazide (Diuril, others), chlorthalidone (Thalitone),
bumetanide (Bumex), ethacrynic acid (Edecrin), furosemide (Lasix),
spironolactone (Aldactone), and amiloride (Midamor); an anticoagulant
such as warfarin (Coumadin); or lithium (Eskalith, Lithobid, others).
You may require a dosage adjustment or special monitoring during
treatment if you are taking any of the medicines listed above. Drowsiness
or dizziness caused by hydrocodone and ibuprofen may be increased
by the effects of other drugs that cause drowsiness including antidepressants,
alcohol, antihistamines, sedatives (used to treat insomnia), pain
relievers, anxiety medicines, muscle relaxants, and many others.
Tell your doctor about all medicines that you are taking and do
not take any medicine without first talking to your doctor. Drugs
other than those listed here may also interact with hydrocodone
and ibuprofen. Talk to your doctor and pharmacist before taking
any prescription or over-the-counter medicines, including herbal
products.
Missed
Dose
Take
the missed dose as soon as you remember. Do not take a double dose
of this medication. Wait the prescribed amount of time before taking
your next dose.
Storage
Store
at room temperature away from moisture and heat. Keep this and all
medications out of the reach of children.
Notes
Remember,
keep this and all other medicines out of the reach of children,
never share your medicines with others, and use this medication
only for the indication prescribed.
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