FDA On Removing Vicodin, Percocet From Market & Limiting APAP: Merged Thread

Cosmic Charlie said:
This is great maybe they'll finally come out with Hydocontin :D
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I comes out next month man, and its about damn time the idiots in Washington did something right, it makes no damn sense to put APAP in a pain medication so it cant be abused because the daily limit is 4grams, that makes about as much sense as telling a drunk driver thats its ok to fly a plane. I mean the tylenol that is put in percocet and especially lortab (since its 500mg) is more fucking dangerous than the actually narcotic! So basically they were saying if u abuse these pain killers then we put so much APAP in them they it will make your kidneys fail and you will die, huh? I mean what the fuck? In all seriousness neither oxycodone nor hydrodone need any APAP in combination with them to be an effective anaglesic
 
I imagine they will just rls hydro/oxy with a lower amount of APAP. 500mg apap pills are kinda a lot anyway. And one could easily take a hydro, take a extra strength APAP, and nyquil all in one night. Without even knowing what they were doing.
 
All I see happening is ibuprofen becoming the adulterant of choice for hydrocodone or oxycodone preparations. We'll basically be switching from liver failure to kidney failure but hey, I guess it gives the people on the FDA panel a job. It sucks because CWE on ibuprofen is not nearly as beneficial as it is with acetaminophen.
 
dokomo said:
All I see happening is ibuprofen becoming the adulterant of choice for hydrocodone or oxycodone preparations. We'll basically be switching from liver failure to kidney failure but hey, I guess it gives the people on the FDA panel a job. It sucks because CWE on ibuprofen is not nearly as beneficial as it is with acetaminophen.
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thats true
 
The only problem I see with this is the fact that hydrocodone preparations will now be C-II. This means: A) NO refills, B) No prescription call in's, C) Class II quotas will be enforced, and D) One will have to visit their doctor more frequently.

I could see hydrocodone getting rescheduled though...
 
Unknown said:
The only problem I see with this is the fact that hydrocodone preparations will now be C-II. This means: A) NO refills, B) No prescription call in's, C) Class II quotas will be enforced, and D) One will have to visit their doctor more frequently.

I could see hydrocodone getting rescheduled though...
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Exactly my MAIN worry when this came up. I have to jump through hoops like crazy to keep my Dilaudid script filled every month because it's a CII med. Making every person out there that takes Hydrocodone out there a CII narcotic patient is going to lead to A LOT of unforseen hassle for patients who have never had to deal with all the fun and privacy invasion that is involved with CII meds. More Dr. APt's, No refills, Giving your SS# at some pharmacie's to get your med's, Government tracking on your meds, Hospitals/dr's treating you like a criminal/junkie, etc.

I also fear that since i work in the E.R. we are going to see A LOT less people leaving the E.R. with any kind of pain medication prescription even if they genuinely need it. They are just going to be giving people Tramdol most likely. Dr's are not comfortable prescribing anyone short term CII med's especially not a patient they just met "that day" that came in to the E.R. that isn't a normal patient a Dr. has atleast built a trusting relationship with.

I'm also worried how this will effect Dentist's who rely on prescribing Vicodin for patients as normal practice for really bad tooth aches or dental procedures. Now they are going to have to be writing these patients CII's for pain control which isn't something most dentists even want to consider. Once in a bluemoon a dentist will write for percocet's but its very rare. My mothers worked as a dental office manager for 25 years. This will pose a big issue for them as well. God forbid they start relying on Tramadol for dental pains as well.....yuck
 
I don't think this is nearly as good as people are thinking.

I think Tylenol #3 is probably as prescribed as vicodin, and that'll probably get changed too.

And yeah, it is hilarious that they're more worried about the APAP than the narcotic!
 
Hammilton said:
I don't think this is nearly as good as people are thinking.

I think Tylenol #3 is probably as prescribed as vicodin, and that'll probably get changed too.

And yeah, it is hilarious that they're more worried about the APAP than the narcotic!
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I know... but look at the numbers. APAP kills WAY more people than narcotics do. APAP is responsible for half of liver failures (this is what I heard on an msnbc report, so it may be wrong). APAP causes more suffering than narcotics.
 
^ +1.

Apparently, there is a synergy between the opioid and the APAP that makes the sum effect greater than its parts, but they have always loaded WAY too much APAP in those pills.

Why the hell didn't this happen years ago? I know people who used to take close to 10 grams of APAP daily because of Vicodin habits. I shudder to think what state their livers may be in....

Now they need to start focusing on banning that worthless poison propoxyphene (Darvocet).
 
junctionalfunkie said:
^ +1.

Apparently, there is a synergy between the opioid and the APAP that makes the sum effect greater than its parts, but they have always loaded WAY too much APAP in those pills.

Why the hell didn't this happen years ago? I know people who used to take close to 10 grams of APAP daily because of Vicodin habits. I shudder to think what state their livers may be in....

Now they need to start focusing on banning that worthless poison propoxyphene (Darvocet).
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Isn't darvocet already banned?
 
i just read an article on Associated Press that said the FDA is removing all medications that contain APAP. Sorry i dont have the link, look it up.
 
All I see happening is new warnings. Death and severe damage is accepted collateral damage in the War on Drugs. :|
 
AfterGlow said:
I find it interesting that the acetaminophen is causing more damage to people's health than the narcotic opiods.
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Yes, acetaminophen is *terrible*! That crap is hell on your liver but when doctors script narcotics, sometimes that's usually the first type of opiate - combo they give out because most docs don't like scripting CII (or single) opiates.

If Vicodin & Percocet get banned, doctors will have no choice but to give out pure opiates for pain, and I think that's a good idea.

Maybe the dream of HydroContin will come true in the future if this happens!:)
Hydrocodone is a great drug and I believe they need to make it without APAP (although some say APAP help the stuff work better), but I think differently. :)
 
smackem said:
Isn't darvocet already banned?
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no it isn't. i got a giant bottle of the shit sitting in my kitchen. i don't even crave the stuff though because it's worthless. in order to get high, which means for me, taking about 9 of them, would mean puking my innards out. i don't even touch the stuff. just looking at the pills make me sick.
 
I wonder whats gonna happen to all those kids who think they're taken 500mg of hydro with each pill, maybe some of my friends will believe me when I tell them to quite washing down 10 pills with a shot Vodka instead of rolling their eyes. More likely they'll think they got ripped off.
 
thadocta13 said:
no it isn't. i got a giant bottle of the shit sitting in my kitchen. i don't even crave the stuff though because it's worthless. in order to get high, which means for me, taking about 9 of them, would mean puking my innards out. i don't even touch the stuff. just looking at the pills make me sick.
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Darvocet is one of the worst opiates out there. I've read *many* reviews online from people who take the stuff, and it seems to do more harm than good. I guess if a person is faced with going through WD's or having to use darvocet to aviod them - they'd choose the Darvocet.
 
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