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  • BDD Moderators: Keif’ Richards

MFG Watson 349/Vicodin question

NoxNoctum

Bluelighter
Joined
Aug 8, 2009
Messages
77
Alright so I got prescribed this for some sort of stomach pain I'm having (really bad---doctor said it wasn't caused by anything serious cause I got a CT scan but it HURTS like crazy)... I'm going to see the specialist in a few days but he gave me "MFG Watson Hydrocodone/APAP 5MG/500MG" till then. (and I do need something cause it really hurts)

I was wondering if I should take this or if it's too bad for my liver. Also I really don't need an opiate addiction atm :P.

And if I DO take it should I do an extraction and take out the part that screws up the liver? Or is that just stupid? I was prescribed 2x 4-6 hours (so probably 6 a day)

I know next to nothing about opiates so thanks for any info.
 
If you're using it for pain relief, take it as directed. Small amounts of APAP (aka paracetamol, acetaminophen, Tylenol) are fine.

Paracetamol is a painkiller, it synergizes with the hydrocodone to provide relief. Don't do an extraction if you want effective painkilling.
 
If you are not use to opiates, 5/500's should do the trick for your pain but like mentioned above, take them as prescribed.
 
Vicodin makes my tummy hurt.. I don't take em. My friend recently got them for some crazy stomach flu. They helped her alot... Hope this helps. Get well!
 
yah apap tends to really wreck my stomach. but im assuming you have never indulged on opiates/opioids before so 1-2 pills would be fine. i think you wont have any problem at all from 500-1000mgs apap. that is like the normal dosage recommended by tylenol. how do you usually feel from 1-2 tylenols? can your stomach handle it? if yes ull be fine!

and i dont think you will have any problem with addiction, especially if you stick to the prescribed dose.

for me it started with hydro's and during that time everything was good, possibly awesome and i was loving life. then i started fucking around with roxicodone and thats where things started to go down hilll...
 
This seems to be a common theme on these forums, a lot of people seem to be paranoid about APAP and think they should do extractions when there using very low doses, which is completely pointless and actually very counterproductive.

Cold water extraction is meant for people who have a tolerance to the opioid in these pills and require like 80mg per dose to get high, and dont wanna have to take 15 pills and 10 grams of APAP and destroy there liver.

As long as your daily APAP dose stays under 4 grams, your all set
 
jasonmp321 said:
As long as your daily APAP dose stays under 4 grams, your all set

That may be true for occasionaly dosing, but if you are dosing every single day 4 grams of APAP a day for extended periods of time is still going to take it's toll on your liver
 
Actually I'm not sure that's quite right Mugz - many drugs are harmful if taken in small amounts every day over long periods, but I don't think APAP is one of them. It is only dangerous if it exceeds the liver's capacity to process it, and sticking within the daily dosing guidelines won't do that (assuming your liver is okay and you don't drink exessively or something..)

Can't find any evidence to suggest that long term use of APAP within the guidelines causes any harm, and I know it is freely prescribed to patients very long term (not that this is a guarantee of safety of course, but at the moment there is no evidence to suggest that it might not be safe)

However, even going over that amount slightly, or not spacing it out properly (1g every 4-6 hours) can definitely cause damage, especially over extended periods of time. Also, if your liver isn't in perfect condition then you won't know if it can handle 4g od APAP a day or not, and if you drink a lot of alcohol with the APAP then this could definitely cause problems.

edit: if I am wrong please let me know, would hate to be mistaken about this! Just cos I can't find any evidence on a very quick search doesn't mean there isn't any and will try to do a proper literature search at some point when I have the time :) just off out now so can't this minute!!
 
I'm sure you are probably right effie, I guess I assumed that the drug wouldn't be being taken spaced over the day and would mostly be taken all at once, 4g a day all at once is not going to be good for your liver in the long run.

Just don't take your daily dose all at once then, and you should be fine with regards to the APAP, space it out as other posters have said.
 
Ooh yeah you're right, didn't read thread properly as just about to dash out, 4g in one go is not good at all. But 4g taken as 4 x 1g in 24 hours is okay to be on very long term AFAIK. Tis a common thing to think that any drug taken daily is bad, and for most drugs inc some painkillers like ibuprofen that is most definitely the case, but paracetamol is one of the rare ones where it is okay as long as you stay within limits and have a healthy liver. Sorry Mugz :)
 
I think we were both a bit guilty of not reading the thread properly, I made an assumption after misreading the OP too that he would be taking them all at once, although he seemed to suggest he would take them as prescribed which should be fine :)

No need to apologise effie :)
 
i don't know the answer here, but i sure would not make a habit of taking 4 grams of apap a day. no matter how it was spaced out.
 
I will do the research when I get back or tomorrow so we know for sure, but yeah you're right really Hydro, best not to take anything regularly if you can help it :)


edit: ooh plus, I do remember that taking any painkillers regularly can give you analgesia-induced headaches - think that's mainly with things like codeine but could well be for APAP too
 
In terms of harm reduction I guess it doesn't really matter whether it is okay or not - far better for people to be in the habit of always doing CWEs and assuming that any APAP on a regular basis = bad than to risk damaging their liver!

I'd still like to know for sure now, am curious, but is probably best for people to not take the risk. Also if you assume that 4g a day is okay, it's only a small jump to 6g a day, then 8g a day etc, and that could be extremely dangerous indeed. Or easy to start not spacing out the doses properly and having 4g in one go.

Also, the whole "this advice only applies if your liver is working 100%" thing - who knows what the state of their liver is, I'm sure most people drink a little bit too much from time to time and it's really hard to detect liver damage without a blood test until it is severe.

All in all - CWE, peeps! Hehe :)
 
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