quick question on hydrocodone

[johnfire121]

swim would like to know whether taking 1 pill of hydrocodone/APAP 5/500 on every Friday and Saturday will mess up his liver on a consistent basis for 6 months. SWIM would also like to know whether he should just do a CWE on 2 pills so that he doesn't have to worry about the APAP messing up his liver. intially, SMIW broke his leg but never really used the hydrocodone for pain. instead, he used it to for the relaxed feeling from time to time. then he started doing it every weekend. your expertise on the matter would help.

 

[tyrael]

To begin with, welcome! However we don't use "swim" here, it's not fooling anyone. (just be sensible don't reveal any personal info!)

A CWE (a reduction in any regular APAP consumption is best) imo should be preferenced. Ultimately performing a CWE don't do any harm!. Having said that, the frequency you've said shouldn't be a problem! You're body (assuming no liver problems, etc.) should easily be able metabolise that much APAP in that time frame!

Play safe!

 

[missmeyet?]

You could do a CWE I guess, but if you are just going to take only 1 or 2 pills a couple of days a week even for an extended period of time it is absolutely not necessary. Even if you were take 1 pill everyday you should still be ok.. I say this as a chronic pain aptient who took hydros everyday for years (within normal dosing range) and as a nurse for 20 years.

The only problem I see with doing a CWE is that you are going to waste some of the hydro (which is totally worth it rather than taking all that APAP especially if you are taking a lot) and some of your time. It certainly won't hurt to do the CWE and maybe its a good habit to get into in case you ever do more at one time (which I do NOT suggest) but you are also perfectly safe to not do a CWE on just one or 2 pills a day (unless you already have existing liver issues).

 

[tyrael]

In case you're interested, the dosing indication (adult) for APAP is 325mg-1000mg PO q4-6h, max: 1g/4h and 4g/day. Pregnancy class B, Safe for lactation. LFTs if high-dose or long-term tx, especially if pre-exisiting hepatic dz*.

(PO - Latin for per os [oral],
q - 'every' [Latin],
LFT - Liver Function Test [tests for hepatic function/damage]
hepatic - liver
dz - disease
tx - treatment)


* Epocrates iPhone app

 

[Morphling]

If you do an extraction with one or two pills, to do so properly you would be using a volume of water which would be mostly absorbed by the filter you were using.

That amount of tylenol isn't going to hurt you, people with severe liver damage can even take a bit of APAP/paracetamol for pain.

 

[missmeyet?]

Absolutely/\..

The maximum amount of APAP a day is now 3000mg (just been lowered from 4000)...just don't go over that either..

 

[tyrael]

...The maximum amount of APAP a day is now 3000mg (just been lowered from 4000)...just don't go over that either..

Ah, thanks!

 

[Pill Hoarder]

I got addicted doing 1/2-1 percoset a day for 3 months- The first WD was only a week of feeling tired-The next go round w Percs were not as much fun.

If you have had a drinking problem (alcoholic), no matter how long ago- i think u r pretty much addicted to Opiods before you take ur first one. JMHO