Norco

Norco

Generic Name: acetaminophen and hydrocodone (a SEET a MIN oh fen and hye droe KOE done)

Brand Names: Anexsia, Co-Gesic, Dolorex Forte, Hycet, Liquicet, Lorcet, Lortab, Maxidone, Norco, Polygesic, Stagesic, Vicodin, Xodol, Zamicet, Zolvit, Zydone

What is Norco?

Norco tablets contain a combination of acetaminophen and hydrocodone. Hydrocodone belong to a group of drugs called narcotic pain relievers.

Acetaminophen is a less potent pain reliever that increases the effects of hydrocodone.

Norco is used to relieve moderate to severe pain.

Norco may also be used for purposes not listed in this medication guide.

Important information about Norco

Tell your doctor if you have ever had alcoholic liver disease (cirrhosis). You may not be able to take medication that contains acetaminophen.

Hydrocodone may be habit-forming and should be used only by the person it was prescribed for. Keep the medication in a secure place where others cannot get to it. Norco can cause side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert. Avoid drinking alcohol. It may increase your risk of liver damage.

Tell your doctor if your Norco tablets seem to stop working as well as they previously did in relieving your pain.

Before taking Norco

Do not use Norco if you are allergic to acetaminophen (Tylenol) or hydrocodone. Hydrocodone may be habit forming and should be used only by the person it was prescribed for. Never share Norco with another person, especially someone with a history of drug abuse or addiction. Keep the medication in a place where others cannot get to it. Tell your doctor if you drink more than 3 alcoholic beverages per day or if you have ever had alcoholic liver disease (cirrhosis). You may not be able to take medication that contains acetaminophen.

To make sure you can safely take Norco, tell your doctor if you have any of these other conditions:

asthma, COPD, sleep apnea, or other breathing disorders;

liver or kidney disease;

a history of head injury or brain tumor;

low blood pressure;

a stomach or intestinal disorder;

underactive thyroid;

Addison's disease or other adrenal gland disorder;

curvature of the spine;

mental illness; or

a history of drug or alcohol addiction.

FDA pregnancy category C. It is not known whether Norco is harmful to an unborn baby, but it could cause breathing problems or addiction/withdrawal symptoms in a newborn. Before you take Norco, tell your doctor if you are pregnant or plan to become pregnant during treatment. Acetaminophen and hydrocodone can pass into breast milk and may harm a nursing baby. Do not use Norco without telling your doctor if you are breast-feeding a baby.

See also: Norco pregnancy and breastfeeding warnings (in more detail)

How should I take Norco?

Take Norco exactly as prescribed. Never take Norco in larger amounts, or for longer than recommended by your doctor. Follow the directions on your prescription label. Tell your doctor if Norco seems to stop working as well in relieving your pain.

An overdose of acetaminophen can damage your liver. Adults should not take more than 1 gram (1000 mg) of acetaminophen per dose or 4 grams (4000 mg) per day. If you drink more than 3 alcoholic beverages per day, never take more than 2 grams (2000 mg) of acetaminophen per day.

Drink 6 to 8 full glasses of water daily to help prevent constipation while you are taking Norco. Ask your doctor about ways to increase the fiber in your diet. Do not use a stool softener (laxative) without first asking your doctor. Do not stop using Norco suddenly after long-term use, or you could have unpleasant withdrawal symptoms. Ask your doctor how to avoid withdrawal symptoms when you stop using Norco.

Acetaminophen can cause false results with certain lab tests for glucose (sugar) in the urine. Talk to your doctor if you are diabetic and you notice changes in your glucose levels during treatment.

If you need surgery, tell the surgeon ahead of time that you are using Norco. You may need to stop using the medicine for a short time.

Store Norco at room temperature away from moisture and heat.

Keep track of the amount of medicine used from each new bottle. Hydrocodone is a drug of abuse and you should be aware if anyone is using your medicine improperly or without a prescription.

See also: Norco dosage (in more detail)

What happens if I miss a dose?

Since Norco is taken as needed, you may not be on a dosing schedule. If you are taking the medication regularly, take the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not use extra medicine to make up the missed dose.

What happens if I overdose?

Seek emergency medical attention or call the Poison Help line at 1 800 222 1222. An overdose of Norco can be fatal.

The first signs of an acetaminophen overdose include loss of appetite, nausea, vomiting, stomach pain, sweating, and confusion or weakness. Later symptoms may include pain in your upper stomach, dark urine, and yellowing of your skin or the whites of your eyes.

Overdose symptoms may also include extreme drowsiness, pinpoint pupils, cold and clammy skin, muscle weakness, fainting, weak pulse, slow heart rate, coma, blue lips, shallow breathing, or no breathing

What should I avoid while taking Norco?

Norco may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be alert. Ask a doctor or pharmacist before using any other cold, allergy, pain, or sleep medication.

Acetaminophen (sometimes abbreviated as APAP) is contained in many combination medicines. Taking certain products together can cause you to get too much acetaminophen. Check the label to see if a medicine contains acetaminophen or APAP. Avoid drinking alcohol. It may increase your risk of liver damage.

Norco side effects

Get emergency medical help if you have any of these signs of an allergic reaction to Norco: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Call your doctor at once if you have any of these serious side effects:

shallow breathing, slow heartbeat;

feeling light-headed, fainting;

confusion, fear, unusual thoughts or behavior;

seizure (convulsions);

problems with urination; or

nausea, upper stomach pain, itching, loss of appetite, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes).

Less serious Norco side effects may include:

feeling anxious, dizzy, or drowsy;

mild nausea, vomiting, upset stomach, constipation;

headache, mood changes;

blurred vision;

ringing in your ears; or

dry mouth.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

See also: Norco side effects (in more detail)

What other drugs will affect Norco?

Cold or allergy medicine, narcotic pain medicine, sleeping pills, muscle relaxers, antidepressants, or seizure medication can add to sleepiness caused by hydrocodone, or could slow your breathing. Tell your doctor if you need to use any of these other medicines while you are taking Norco.

Tell your doctor about all other medicines you use, especially:

an antidepressant such as amitriptyline (Elavil, Vanatrip, Limbitrol), doxepin (Sinequan), nortriptyline (Pamelor), and others;

an MAO inhibitor such as furazolidone (Furoxone), isocarboxazid (Marplan), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl, Emsam, Zelapar), or tranylcypromine (Parnate);

atropine (Donnatal, and others), benztropine (Cogentin), dimenhydrinate (Dramamine), glycopyrrolate (Robinul), mepenzolate (Cantil), methscopolamine (Pamine), or scopolamine (Transderm-Scop);

bladder or urinary medications such as darifenacin (Enablex), flavoxate (Urispas), oxybutynin (Ditropan, Oxytrol), tolterodine (Detrol), or solifenacin (Vesicare);

a bronchodilator such as ipratropium (Atrovent) or tiotropium (Spiriva); or

irritable bowel medications such as dicyclomine (Bentyl), hyoscyamine (Anaspaz, Cystospaz, Levsin, and others), or propantheline (Pro-Banthine).

This list is not complete and other drugs may interact with Norco. Tell your doctor about all medications you use. This includes prescription, over-the-counter, vitamin, and herbal products. Do not start a new medication without telling your doctor.

More Norco resources

Norco Side Effects (in More Detail)

Norco Dosage

Norco Use in Pregnancy & Breastfeeding

Drug Images

Norco Drug Interactions

Norco Support Group

70 Reviews for Norco - Add your own review/rating

Norco Prescribing Information (FDA)

Norco Advanced Consumer (Micromedex) - Includes Dosage Information

Co-gesic Prescribing Information (FDA)

Dolacet MedFacts Consumer Leaflet (Wolters Kluwer)

Hycet Prescribing Information (FDA)

Hycet Liquid MedFacts Consumer Leaflet (Wolters Kluwer)

Liquicet Prescribing Information (FDA)

Lortab Prescribing Information (FDA)

Lortab MedFacts Consumer Leaflet (Wolters Kluwer)

Maxidone Prescribing Information (FDA)

Vicodin Prescribing Information (FDA)

Vicodin ES Prescribing Information (FDA)

Vicodin HP Prescribing Information (FDA)

Zolvit Prescribing Information (FDA)

Zydone Prescribing Information (FDA)

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Where can I get more information?

Your pharmacist can provide more information about Norco.