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

It's not the least bit shady... this could be possible in the foreseeable future and the title is close to the title of the original article and is therefore a hook to grab your attention. Plus, no one answered any of my questions. Which is the main and sole reason I posted.
 
I've heard of these mythical 10/100 and 5/50 pills but I think they're just myths and nothing more. FInally, and FDA solution that will make drugs more badass.
 
i geuss hydrocodone will be a c2 and will come in larger amounts then 10mg


APAP is pointless and fucked up my liver after just using vicoden then percs for 6 months, i then moved to oxy irs
 
An enlightened recommendation from an FDA panel. I'm impressed. I've wanted this for years. It will save many lives if enacted, and I doubt it will have much effect on availability. Doctors and the government know there are many that need opiate pain relievers. Acetaminophen combos added little benefit but increased risk tons.
 
Hopefully they follow these reccomendations, it is obvious they initially included acetaminophen in these medications in the hopes it would limit the misuse of them. The sad truth is that abuse is rife with little regard for the consequences of ingesting excessive amount of acetaminophen.

If anybody feels it is neccessary to combine acetaminophen with hydrocodone or oxycodone, there are OTC medications containing it as the only "active" ingredient. I think anybody can work out to manage the doses of narcotics and acetaminophen as needed without their narcotic medicines having to contain it.

This would certainly save a lot of lives and a lot of liver disease, they should of done this years ago.
 
This is just ridiculous. A complete crock of shit. How long have we been talking about the limits of APAP a day and the damage that results from this? How long has the FDA known about this and now they want to take away valuable pain medicine for those who truly need it (broken arms, legs, toothaches, etc.) and now everyone's totally overreacting to this by trying to make acetaminophen a PRESCRIPTION? Is this all as a result of that freak Michael Jackson fucking himself up with demerol (or whatever) and Billy Mays having painkillers in his system? What the fuck just happened?
 
monstanoodle said:
I hope this works it's way to painkillers which contain Paracetamol being lowered (i.e. instead of Vicodin containing 5mg Hydrocodone and 500mg Paracetamol, it would change to 200mg Paracetamol).
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Fucking hell... It's not often I'm right about something =D
 
StaffWriter said:
This is just ridiculous. A complete crock of shit. How long have we been talking about the limits of APAP a day and the damage that results from this? How long has the FDA known about this and now they want to take away valuable pain medicine for those who truly need it (broken arms, legs, toothaches, etc.) and now everyone's totally overreacting to this by trying to make acetaminophen a PRESCRIPTION? Is this all as a result of that freak Michael Jackson fucking himself up with demerol (or whatever) and Billy Mays having painkillers in his system? What the fuck just happened?
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you are an idiot


you can get oxycodone without APAP in many forms
 
Actually, hydrocodone and codeine are already Schedule II; they are only allowed in Schedule III when mixed with an adulterant admix, the most common of which is paracetamol (APAP). For example, pure 60mg codeine pills are C-II, but 60mg of codeine with 325mg of APAP is C-III. Hence, if these proprietary 'combination' products disappear (which does make sense--if one wanted to take APAP and an opioid, why wouldn't one just add separate APAP, allowing a better titration of dose), all forms of all morphinian-type opioids will be C-II.
 
Cosmic Charlie said:
This is great maybe they'll finally come out with Hydocontin :D
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Actually in countries outside of the U.S. i've heard of compounding pharmacies that do make Hydrocontin. I think it would be great to have Hydrocontin here in the U.S. I personally found my Norco 10/325 scripts to work much better then my Percocet 10/325 scripts. The analgesia I recieved from Hydrocodone has always outdone Oxycodone for me.

I do beleive that this should help people get more "pure" pain killers rather then having compounded drugs. That can be a good or bad thing though. I know I was taken off of my Percocet 10/325's because the Dr. knew I was probably going to need pain killers for the rest of my life & he didn't want me to take that much tylenol. So now all I take is 24mg's of Dilaudid (Hydromorphone) a day in the form of 6X 4mg's a day. It works great. Problem is though when they take the APAP out of Hydrocodone it's going to become a CII med instead of CIII & your going to have to put up with all the B.S. privacy issues that go along with CII's. No refills, triplicate sciprts, etc.

As much as I love the fact I'm aloud ot have high dose scripts of CII meds it's such a pain in the arse to get them and they make you feel like a criminal when you do. They make you feel like a criminal when you go to the hospital and they pull your records, etc. CII's are just a big pain. I used to love when they'd write me 180 Norco 10/325's with 4 months of refills. Now that it's 180 Hydromorphone's I need to go to the Dr. every single month & if he's on vacation for a few days I gotta wait. My Dr. is an hour each way to get there since i've moved, etc.

So I really beleive we will see a large influx of people being switched to CII medications & all the problems that go along with it. I also hate that you get tracked so tightly when you get a CII it's like big brother is breathing down your neck daily. Also a side note people seem to be forgetting which is a big factor for me & means a lot. The painkillers with APAP actually DO have a synergy between the two medications that make them work better. 10mg's of Percocet worked much better for analgesia then 10mg's of pure Oxycodone. The APAP honestly did help with the pain killing effects of the narcotic. It's just my stomach is so messed up it can't handle too much APAP these days.

I think it will be interesting to see how this plays out. This has been a hot topic around the hospital that last couple of days. Because in the E.R. 99% of the time if we send you home with a pain killer prescription leaving the E.R. it HAS to be a narcotic with APAP in it. We don't just write out CII med's to take home for obvious reasons. I really wonder if the Dr's are going to be forced to send home NO PAIN CONTROL or write CII's for these "Frequent Flyers"
 
The big pens in this industry don't want to have to pull all of their compounded narcotics. Odds are they'll either decide to put something less toxic in there (naproxen, ibuprofen, asprin, or something like atropine). It is possible that we'll see a major paradigm shift and a lot of people on real narcotics getting bumped down to tramadol or up to C-II formulations. Honestly, from the perspective of a concerned, foolish politician I can understand supporting this move. A lot of people (myself included) were introduced to opiates via these C-III formulations that often take up space in medicine cabinets of responsible folks who don't use the whole script.

Of course there are a much greater volume of better quality arguments for keeping the meds on the market.

One thing's for sure, it would violate the Hippocratic oath in a big way to just pull those all off the shelf and make all of those people suffer without anything to replace it.

EDIT: This is the era of partial agonists (they've got 'em for alcohol now too!) and novel "less abusable" forms of analgesia. I'd expect this push to fail and another one similar to it to succeed in a decade or so when we have more reasonable alternatives for people who are already dependent AND need the powerful analgesia to function.
 
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smackem said:
Holy shit this is HUGE
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It's been the big talk around the E.R. I work in the last couple of days. Im prepared to see the "Frequent Flyers" in the E.R. probably go home with NO pain killer scripts for an injury now then possibly going home with CII scripts. It's going to be crazy to see how this one turns out for the good ol' U.S.
 
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