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Opioids Why no hydro without acetominophen?

fryingsquirrel

fryingsquirrel

Bluelighter
Joined
Oct 9, 2006
Messages
2,805
The title of the thread says it all. Yeah, I tried to UTFSE, but what do I put in other than hydro and acetominophen? Doing that gets half the threads on BL.
 
I've only just recently started seeing 5mg percs without acetaminophen, I'm sure the hydro's are coming if not already available.


Edit- Hmm ok as i do more research, it seems like only Oxy can be prescribed without it. I thought that changed recently though..
 
Interesting, but while perc 5's without acetominophen may be new straight oxy in doses all the way to 160 have been around for years. Just seems odd there aren't "hydro 80's" especially given all the bad press oxy gets, "hillbilly heroin" and all that.
 
Nib: Percocet is specifically titled for oxycodone and APAP. So the no APAP "percocet" are really just 5mg oxycodone tablets, which have been around for ages and are nothing new.

As for the OP, I do not know why they don't have them w/o APAP. Never really thought about it to be honest. I do believe though, that it has something to do with the APAP boosting the pain fighting capabilities of the hydro, but I could be wrong.
 
Its simply because oxycodone is superior to hydrocodone in terms of analgesia. When a dose high enough to involve dangerous acetaminophen amounts is involved, oxycodone is used instead of higher amounts of hydrocodone.
 
Guess they just figure if you need something stronger than that you'lll get oxys instead but it is kinda weird they dont have a time release version or anything
 
Well i know the difference between Perocet and Oxy believe me. Perc was just first thing coming to mind when thinking about small oxy doses. But what I was talking about is I thought recently that they would no longer manufacture Percocet and Hydrocodone with APAP and eventually all the Oxy/Hydro pills would be straigh besides the binders and fillers.

This all being so because of how many peoples livers are getting destroyed because of it.
 
Im PRETTY sure that the lowest amt of APAP you can get with hydro's is 325? Im sure someone will correct me if that's wrong. "Norco's" and the Norco-type equivalents (not all 10/325's are Norcos..that is a brand name...fyi) come 10/325 (10mg hydro and 325mg APAP).

Once you graduate from hydro (not speaking to you personally, just generally speaking)...you won't be that impressed with them again...LOL. ANY Oxy formulation is far superior, both in pain control (for legit use) and for NON legit use (winnk wink). :0)
 
I dont know, this is really going out on a limb, but do you guys think it could be a harm reduction strategy? shooting hydrocodone can be deadly I hear (even without the APAP), so maybe they stick it in there to further discourage abuse...? Just a guess.
 
pixplzthx said:
It's to provide (US) doctors with a SCH III narcotic to prescribe.
Click to expand...
I hadn't thoght of that, but hdyro with APAP is sch 3. But that doesn't seem a full explanation, I assume they would remain so even if a strong hydro only pill came along.
 
they sell em in other countries, you could get it if u had a nice enough pharmacist who would make it up for u. u would have to go to a "compounding" pharmacy, i think they're called...

just start shooting heroin already man...
 
other countries meaning outside the us... sorry, being american i always assume everyone else is too...
 
You can get hydrocodone without apap, but its not a brand and you have to get it from a compounding pharmacy... I live in oregon and have only seen one compound pharmacy though so I dont think it is very common.


Just noticed Leojay beat me to the answer props Leojay
 
In Canada there is Hycodan cough syrup prescribed quite liberally for bronchitis. Hydrocodone is the only medicinal ingredient. I know it isn't a pill, but it is some yummy stuff. I could drink it by the glass full.
 
All that APAP will hurt you in the long run. I just hope my liver will recover with time. Dropping 10-15 perk 10s a day with, which is like 3-4000 mg of apap can't be good. Oxy is better anyway...
 
pixplzthx said:
It's to provide (US) doctors with a SCH III narcotic to prescribe.
Click to expand...

Thank you! I was thinking the same thing which is so blatantly obvious. im surprised so few know this.

And for those of you who dont know, hydrocodone/apap combination pills are the most commonly prescribed narcotics in the USA. The pharma companies were well aware the days of o><y flying off the shelves were coming to a screaming halt so many jumped on the hydro bandwagon. They were well aware that the doctors who were under such scrutiny would favour a schedule III med over a sched II. Which is also why the pills only come in 10mg,anymore and the fda would have made it a II.

I know they arnt nearly as tightly regulated because my old doctor from when Ilived in bridgeport, connetticutt could call in my hydro, and give refills, where as with my O><Y , it had to be on a piece of paper so it could be kept on record, and no refills, new R>< on a mandatory visit.

Really, I would rather be on hydro then percs. Its less hassle.

I am on sched II meds and live in canada now and its a real pain in the buttooty. They keep such a tight reign on us pain patients, its ridiculous.
 
fryingsquirrel said:
I hadn't thoght of that, but hdyro with APAP is sch 3. But that doesn't seem a full explanation, I assume they would remain so even if a strong hydro only pill came along.
Click to expand...

And yes it would make a difference. ANY narcotic pill in the USA that is narcotic only is sched II, even codeine phosphate tabs. I would be willing to bet my dillie script(most precious thing i have) that an 80mg hydrocodone pill would be schedule II, especially when a 30mg pure codeine tab is. Why do you think they only come in 10mg doses per pill at the highest preperation? Because they know that hydrocodone produces a fair amount og hydromorphone when metabolised, not alot,but it adds up fast as the hydrocodone dose goes up, especially considering the potentcy of thismetabolite at 6-11 times that of morphine.
 
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