Lortab no longer going to be made?

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Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 24345
   Posted 10/21/2013 9:30 AM (GMT -7)   
Was just e-mailing my oncologist's nurse to get a new refill of Lortabs.  She called it in for me with no problem, of course.  However, she said as of January, 2014, they will no longer be making Lortabs, so he is switching over all his patients to Norco.
 
I have never had that before.  Is it available as a generic?  Does it work the same or in a similar way?  Kind of put a scare into me after being on it for over 3 years, just want to make sure that this Norco will be at least equivalent in pain control.
 
Had any of you heard about them doing away with Lortab?
 
David

tidalmouse
Veteran Member


Date Joined May 2013
Total Posts : 588
   Posted 10/21/2013 10:31 AM (GMT -7)   
Hey David Norco has 325mg of tylenol instead of 500 like Lortab.They work very similar but Lortab seems to be a little stronger.

I've got a good friend that's prescribed Lortab 10,4 times a day.For several months she's been unable to find a pharmacy with the pink Lortabs that she swears are stronger.

I figured they were stopping production and were getting rid of all the inventory before they quit prescribing it.

There's a generic Norco and it seems just as strong as the name-brand.

Have a good day,
Rick
52 yr old male.SSDI since 2009.Bulges at L1-L2------L4-L5.Spinal Stenosis.Arthritic,Degenerative Rt Knee.Scoped x2.Current Meds...Oxycontin 30mg x2,Xanax 1mg x3,Zanaflex,Mobic,Celexa,Phenergan,2 BP Meds.....

Post Edited (tidalmouse) : 10/22/2013 4:32:54 AM (GMT-6)


MrJNT
Regular Member


Date Joined Jul 2013
Total Posts : 352
   Posted 10/21/2013 10:42 AM (GMT -7)   
How is lortab stronger?

They both are supposed to have 10mg of Hyrdocodone(well...if it is the lortab 10).

If you really need the extra tylenol...can't you just take some extra tylenol?

Do the inactive ingredients help?

Honestly, your friend sounds like those that swear up and down that generic is weaker than name brand.

I've taken both...and I like the Norco, because I flipping hate tylenol. Makes me feel nasty on some days.

But overall, they both have helped manage my pain.
Je t'adore

Josh from Alabama.

tidalmouse
Veteran Member


Date Joined May 2013
Total Posts : 588
   Posted 10/21/2013 10:49 AM (GMT -7)   
I really don't know and it doesn't make sense to me.But I think when tylenol is mixed with hydrocodone it boosts the hydrocodone.

I have nothing to back this up.I've always wondered why they put tylenol in them at all.

Yeah,you're spot on about my friend.She thinks the generic white Lortabs they give you in the hospital are worthless.

MrJNT
Regular Member


Date Joined Jul 2013
Total Posts : 352
   Posted 10/21/2013 10:58 AM (GMT -7)   
I'm sure they are adjunctive in a way...

Personally(slightly off topic...kinda), and I'm sure everyone is different, I prefer taking two naproxen, as naproxen helps muscle pain more than Ibuprofen. Prefer Motrin, ibuprofen, naproxen, any nsaids really, more so than Tylenol.

I was always under the impression that the tylenol was in it to stop people from abusing them(of course many addicts don't care about their liver giving out).

The 325mg of tylenol, with 440mg of naproxen in the morning, works wonders for me.

I personally did not see a negative difference going from 500mg of Tylenol to 325(think I actually had less bloating..lol).
Je t'adore

Josh from Alabama.

rocckyd
Veteran Member


Date Joined May 2012
Total Posts : 530
   Posted 10/21/2013 12:01 PM (GMT -7)   
Tylenol does help when used with pain meds. The last few times I've been inpatient I've had IV tylenol along with pain meds. Somehow the combo provides more relief. Of course-you need to be careful with the acetaminophen.
Single mom to my little man (9yrs old)
36yrs old. JRA since a kid. Chronic Uveitis, pleurisy, pericarditis, intersticial lung disease, sjorgrens syndrome, Cushing's Syndrome, gastroparisis
Bilateral TMJ replacements due to bone fusion, port-a-cath, NJ tube

Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 24345
   Posted 10/21/2013 1:26 PM (GMT -7)   
She wrote me back, and said, yes, it's nationwide. She said one benefit will be the lesser amount of Tylenol in each pill, that sounds like a plus for me. she said the strength should be the same.

A long time ago, my doctor said the Tylenol component isn't for pain, its helps the body metabolize the main ingredient. Never have checked to see if it makes sense.

She did fill the Lortab script so that I will still be on till the first of the year.

Thanks for those that have replied, if anyone knows anything else on this subject, feel free to add it.

David
Age: 60, 56 at PC dx, PSA 16.3
3rd Biopsy: 9/8 7 of 7 Positive, 40-90%, 4+3
Open RP: 11/8, Catheter in 63 days
Path Rpt: 3+4, pT2c, 42g, 20% tumor, 1 pos margin
Incontinence & ED: None
Surgery Failed, recurrence within 9 months
Salvage Radiation 10/9-11/9, SRT failed within 9 months, PSA: Too High
Spent total of 1 ½ years on 21 catheters, Ileal Conduit Surgery 9/10,
7 other PC-related surgeries 2009-2012

MrJNT
Regular Member


Date Joined Jul 2013
Total Posts : 352
   Posted 10/22/2013 11:03 AM (GMT -7)   
Is vicoprofen or whatever lesser than when it is with Tylenol?
Je t'adore

Josh from Alabama.

Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 24345
   Posted 10/22/2013 1:03 PM (GMT -7)   
Just went to pick up my Lortabs at CVS, and they already switched it over to Norco 10/325. Will try the
first ones tomorrow, pharmacist said I should not be able to tell any difference, just getting less Tylenol component. Plus they were 6 bucks cheaper for the same amount of the Lortabs.

David
Age: 60, 56 at PC dx, PSA 16.3
3rd Biopsy: 9/8 7 of 7 Positive, 40-90%, 4+3
Open RP: 11/8, Catheter in 63 days
Path Rpt: 3+4, pT2c, 42g, 20% tumor, 1 pos margin
Incontinence & ED: None
Surgery Failed, recurrence within 9 months
Salvage Radiation 10/9-11/9, SRT failed within 9 months, PSA: Too High
Spent total of 1 ½ years on 21 catheters, Ileal Conduit Surgery 9/10,
7 other PC-related surgeries 2009-2012

nvrthesame98
Forum Moderator


Date Joined Jun 2008
Total Posts : 5060
   Posted 10/22/2013 1:13 PM (GMT -7)   
I can say as far as addicts go they prefer the Norco! When I was working at the shelter it was the drug of choice as far as hydrocodone went. From what I've seen David they seem to know what works!!

If they're cheaper well that's a real deal!

Be sure and let us know! Im waiting to see the release of the SR hydro and how that's going to turn out.
———————————————-————————

Vickie
Moderator Chronic Pain
?**?**?**?**?**?**?**?**?**?**?**?*
At the end of the day all you need is HOPE&STRENGTH!
Hope that it will get better
Strength to hold on until it does
?**?**?**?**?**?**?**?**?**?**?**?*
Disabled since 1998 on SSD/lumbar spine issues, multiple knee problems.
Chronic pain meds:
(Methadone, lyrica,lexapro,Indocin)

Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 24345
   Posted 10/22/2013 6:01 PM (GMT -7)   
Vickie, curious with what you said. Why would the addicts prefer it, if both contain the same amount of codeine?

David

Did read an article on line that compared Lortab 10/500 and Norco 10/325 and it indicated that the Norco was slightly better for pain control. However, it didn't explain why.
Age: 60, 56 at PC dx, PSA 16.3
3rd Biopsy: 9/8 7 of 7 Positive, 40-90%, 4+3
Open RP: 11/8, Catheter in 63 days
Path Rpt: 3+4, pT2c, 42g, 20% tumor, 1 pos margin
Incontinence & ED: None
Surgery Failed, recurrence within 9 months
Salvage Radiation 10/9-11/9, SRT failed within 9 months, PSA: Too High
Spent total of 1 ½ years on 21 catheters, Ileal Conduit Surgery 9/10,
7 other PC-related surgeries 2009-2012

opnwhl4
Forum Moderator


Date Joined Dec 2008
Total Posts : 4869
   Posted 10/22/2013 9:18 PM (GMT -7)   
I switched from 10/650 to 10/325 hydrocodone about 2 years ago and I didn't notice any difference. MY switch was to reduce the amount of tylenol I took everyday since I was maxed out every day.

Take care,
Bill
opnwhl4
Moderator: GERD/Heartburn, Kidney disease

Nissen 6/06 and 5/09
#3 8/24/11

Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 24345
   Posted 10/22/2013 9:22 PM (GMT -7)   
Thanks, Bill for the info. I start on the Norco in the morning, not expecting any issues.

David
Age: 60, 56 at PC dx, PSA 16.3
3rd Biopsy: 9/8 7 of 7 Positive, 40-90%, 4+3
Open RP: 11/8, Catheter in 63 days
Path Rpt: 3+4, pT2c, 42g, 20% tumor, 1 pos margin
Incontinence & ED: None
Surgery Failed, recurrence within 9 months
Salvage Radiation 10/9-11/9, SRT failed within 9 months, PSA: Too High
Spent total of 1 ½ years on 21 catheters, Ileal Conduit Surgery 9/10,
7 other PC-related surgeries 2009-2012

nvrthesame98
Forum Moderator


Date Joined Jun 2008
Total Posts : 5060
   Posted 10/22/2013 9:46 PM (GMT -7)   
Im not sure David but am figuring they got a better "buzz " from it and for us that may not factor into equaling better pain control. It will be interesting to see if you can spot any difference.

Personally I tend to get more of that nauseous feeling with meds that contain less other ingredients . I can handle 15mgs of percocet but if I take 15mgs of oxy ir Im toilet hugging within the hour.

You would think the tylenol would be the nauseating factor.
———————————————-————————

Vickie
Moderator Chronic Pain
?**?**?**?**?**?**?**?**?**?**?**?*
At the end of the day all you need is HOPE&STRENGTH!
Hope that it will get better
Strength to hold on until it does
?**?**?**?**?**?**?**?**?**?**?**?*
Disabled since 1998 on SSD/lumbar spine issues, multiple knee problems.
Chronic pain meds:
(Methadone, lyrica,lexapro,Indocin)

Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 24345
   Posted 10/22/2013 11:13 PM (GMT -7)   
Other than the Tylenol component in the Lortabs I have been using for over 3 years, I never normally use Tylenol. However, when I have taken Advil, I always have slight nausea, even from a single tablet.

After I have been on the Norco a few days, I will report back on how I feel with them, if there is any change at all.

David
Age: 60, 56 at PC dx, PSA 16.3
3rd Biopsy: 9/8 7 of 7 Positive, 40-90%, 4+3
Open RP: 11/8, Catheter in 63 days
Path Rpt: 3+4, pT2c, 42g, 20% tumor, 1 pos margin
Incontinence & ED: None
Surgery Failed, recurrence within 9 months
Salvage Radiation 10/9-11/9, SRT failed within 9 months, PSA: Too High
Spent total of 1 ½ years on 21 catheters, Ileal Conduit Surgery 9/10,
7 other PC-related surgeries 2009-2012

Mercy&Grace
Veteran Member


Date Joined Jun 2013
Total Posts : 1108
   Posted 10/22/2013 11:17 PM (GMT -7)   
I don't believe that Lortab itself (Hydrocodone and Tylenol) are being discontinued. But, the change is with the Tylenol and it is mandatory by Jan 2014. So in a way the "old Lortab" which contained 500 mg Tylenol is being discontinued. It's not just in Lortab it's in all Tylenol containing prescription meds. If you've been taking Lortab Brand and you switch to generic you may or may not notice any difference. The reason is because with generics their is a acceptable variations of mg. For example, with 10 mg hydrocodone, you may get 8-12 mg hydrocodone. With the Lortab Brand it's basically 10 mg.

Upcoming  Changes to Acetaminophen‐Containing Opioid Products-
http://www.hospiscript.com/docs/press-releases/prescription-combination-hydrocodone-apap-product-alert-may-2013.pdf

nvrthesame98
Forum Moderator


Date Joined Jun 2008
Total Posts : 5060
   Posted 10/23/2013 5:00 AM (GMT -7)   
Here's something strange. I've been on methadone as you know for pretty much 13 yrs and at this time there's only 2 manufacturers, 2 distinct pills. Use to be a 3rd but its been gone for years!

I picked up my new prescription Monday and the pills thicker then usual. Same manufacturer, same exact pill just thicker. At first I thought I was imagining it but they're scored and even with my arthritic hands I've always been able to break them easily but not these, not at all. Had to use scissors since I had no clue where the splitter was.

I even handed it to my son to try and he commented on "what's wrong " with your medicine, it looks different?

When I went to fill my 7 day thing all the days meds fit fine and I could tell in the hole it was fuller looking.

The thing is I should have gotten this script filled Thursday last week but couldn't because Walgreens didn't get any in their last 2 shipments and they said it was something to do with manufacturing not them. Thats strange so I called Walgreens and he checked and so happened he had 2 pills in a bottle and then the new batch. Compared he said he noticed a difference yet he hadn't gotten anything telling them of any changes.

I cant find anything about changes and wonder if they've got to tell anyone when they change something if it doesn't alter the active med in any way?
———————————————-————————

Vickie
Moderator Chronic Pain
?**?**?**?**?**?**?**?**?**?**?**?*
At the end of the day all you need is HOPE&STRENGTH!
Hope that it will get better
Strength to hold on until it does
?**?**?**?**?**?**?**?**?**?**?**?*
Disabled since 1998 on SSD/lumbar spine issues, multiple knee problems.
Chronic pain meds:
(Methadone, lyrica,lexapro,Indocin)

Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 24345
   Posted 10/23/2013 1:16 PM (GMT -7)   
UPDATE WEDNESDAY

I took the first dose of Norco today at noon. Still took about an hour to kick in, as did the Lortabs.
Can honestly say I really felt a difference when it kicked in. Felt a bit light headed, not so much dizzy, and felt like I use to feel when I first started taking Lortabs in 2010.

I realize that there is an equal amount of codeine in each, but wondering if the lower amount of Tylenol in the Norco (325), compared to Lortab (500) is making me feel the codeine more. Perhaps the extra Tylenol in the Lortab somehow is buffering the effect of the Codeine? Just guessing here.

It's been nearly 3 1/2 hours since I took it, and can still feel the effect of it. Usually, in the last hour of a four hour Lortab cycle, its quickly fading away.

I mostly suspect my body is simply getting use to the difference in the two meds. I will see how I feel after I have made the switch for a couple of days.

Kind of reminds me when I went from 50 mgm of Fentanyl to 75 mgm, kind of felt a jolt the first of the higher patch. That feeling only lasted a day. I didn't notice anything when I went from 75 mgm to 100 mgm.

David
Age: 60, 56 at PC dx, PSA 16.3
3rd Biopsy: 9/8 7 of 7 Positive, 40-90%, 4+3
Open RP: 11/8, Catheter in 63 days
Path Rpt: 3+4, pT2c, 42g, 20% tumor, 1 pos margin
Incontinence & ED: None
Surgery Failed, recurrence within 9 months
Salvage Radiation 10/9-11/9, SRT failed within 9 months, PSA: Too High
Spent total of 1 ½ years on 21 catheters, Ileal Conduit Surgery 9/10,
7 other PC-related surgeries 2009-2012

Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 24345
   Posted 10/23/2013 10:50 PM (GMT 0)   
Final update on this subject:

Took second dose later this afternoon, and was glad it was nap time, definitely had a sedating effect, something I never got from the long term Lortab use.

As far as pain control, too soon to really know, but can say it's at least equal to the Lortabs, not less.

David
Age: 60, 56 at PC dx, PSA 16.3
3rd Biopsy: 9/8 7 of 7 Positive, 40-90%, 4+3
Open RP: 11/8, Catheter in 63 days
Path Rpt: 3+4, pT2c, 42g, 20% tumor, 1 pos margin
Incontinence & ED: None
Surgery Failed, recurrence within 9 months
Salvage Radiation 10/9-11/9, SRT failed within 9 months, PSA: Too High
Spent total of 1 ½ years on 21 catheters, Ileal Conduit Surgery 9/10,
7 other PC-related surgeries 2009-2012

GimmemyLoretabz
New Member


Date Joined Jan 2014
Total Posts : 2
   Posted 1/8/2014 4:32 PM (GMT -7)   
I hate to admit that I have been taking Lotabs on and off (mostly on) for over 10 years. There are differences depending on the manufacturer and Norco is NOT as "good" or strong as Lortab. I was told by my Dr. the same thing about stopping them jan 1st 2014 bcz FDA says they amount of tylenol is too high and causes liver damage, as if we didn't know this! I am only hoping that Watson or all the other manufacturer's start making lortab 10/325 because I am not getting the same relief from my chronic pain. Maybe I should try taking Tylenol with my new Norcos but they never worked for me and have a hernia and a duodenol ulcer, I take phenergan regularly for my stomach and will have to for the rest of my life, that should intensify the pain med, I still don't find that with Norco. I do notice it when I'm in the hospital (which has been often) and had been told they try not to push it when you're on dilaudid iv bcz it definitely increases the intensity. That's another drug that basically is 10 times stronger than morphine or like heroin and works in the hospital but in pill form, I still prefer lortab. I have no idea why, bcz it's should be more intense, but I don't want anything in pill form other than Lortab and maybe bc I don't feel all doped up and pass out. I actually feel so much better and can get things done that I otherwise can't on anything else. For anyone who thinks there are no differeces, well, you maybe the lucky ones and have not been on them as long as people with chronic severe pain. I also take MS Contin (Morphine for those who don't know, I didn't either, till I filled it) believe it or not, I prefer my Lortabs. I don't feel quick relief from them as I do with Lortab. I will say this though, I may not feel the relief but realize after the fact how messed up they can make you and forget days and conversations. Not a fan. But even with ms contin I notice a difference in potency, usually they are very small blue pills that look similar to Ambien but on one occasion (a Walgreens) they were larger light blue about the size of a round excedrine, they were much stronger than the small ones. Good luck if you are trying to get those. Drs. prescribe it but most pharmacies refuse to fill it or run out very early in the month and it's so strict bcz of DEA restrictions apparently, so you better have a good standing relationship with one pharmacy and hope that pharmacy even opts to carry it, most Walmarts don't. What sucks is what the DEA has done has made life very difficult for those suffering chronic pain because of some bad apples. People on these meds are usually disabled (like myself) fixed income and not a lot of money to drive around to 10 different pharmacies to find one who will fill it. I don't know about you, but I can't afford all that gas and driving also is one of my triggers for my pain, so it defeats the purpose. I really hope things get better, but then again, I'm in Florida and I guess that explains a lot! We must have the strictest policies for pain meds and I hate all you dope heads making the seriously ill suffer! Oh and the DEA can't bite me!!

GimmemyLoretabz
New Member


Date Joined Jan 2014
Total Posts : 2
   Posted 1/8/2014 4:34 PM (GMT -7)   
p.s. I forgot to mention, I just got out of the hospital on 1/4/14 and they were giving me Lortab, AFTER jan 1st. Go figure....

Mercy&Grace
Veteran Member


Date Joined Jun 2013
Total Posts : 1108
   Posted 1/8/2014 4:44 PM (GMT -7)   
Lortab and Norco are both hydrocodone combination products products. Later on this year these products will go from a Schedule III to a Schedule II. Schedule II meds can't be called in and cannot have refills and you must have a new rx written by the dr. I believe that due to this many drs that have prescribed these meds in the past will either stop prescribing them or cut back drastically on the amount they write for as well as the number of prescriptions.

The FDA asked the DHH to make these meds a Schedule med in Dec. Now DHH will ask the DEA and then the Code Of Federal Regulations will be changed to move these meds from Schedule III to Schedule II.

Tylenol has been reduced to 325 mg effective Jan 2014. The Tylenol has nothing to do with drs not writting for these meds.

anniesez
New Member


Date Joined Jan 2014
Total Posts : 12
   Posted 1/13/2014 3:59 PM (GMT -7)   
Lortab/Norco have hydrocodone and acetomenophen. There is no Codeine in them to my knowledge. It is a drug and would have to be listed. Maybe some have that added..?..
I am floored that people with chronic pain are going to be subjected to regulations because of drug addicts. I also live in Florida and was a little confused when my prescription said Norco. I have had chronic pain and attempted to stop taking pain medications a couple of months ago. Nightmare is the only description. I took Lortab for 9 months after my ACD&F surgery because I woke up with a new excruciating pain that the surgeon dismissed as "muscle pain that will pass". I recently went to my Internal Med doc and got a script for what I thought was Lortab. He said it was only a temporary pain reliever and that I needed to follow up with my pain management docs. The PM would only give me muscle relaxers and said that if I did not want any more injections that they could not help me. hmm.

Mercy&Grace
Veteran Member


Date Joined Jun 2013
Total Posts : 1108
   Posted 1/13/2014 4:04 PM (GMT -7)   
Lortab/Norco do not have codeine in them. Regarding the addicts preventing those with chronic pain being able to get proper meds, it has been this way for a while and it will only get worse. And Florida seems to be worse than other places.

Enigma08
New Member


Date Joined Jan 2014
Total Posts : 1
   Posted 1/20/2014 12:21 PM (GMT -7)   
Always the last to get the memo. I went to re-fill my prescription of Lortab 10/500 (generic Watson) at Walgreen's last night and they told me that they were being discontinued. A little warning from my doctor would have been nice. I've been taking these for over 10 years and they seem to be the only thing that works AND allow me to still function.

I was able to call a few other Walgreen's and find one that had enough to fill the script but I'm sure they'll all be gone in 28 days when I go to get another re-fill.

I hope Norco works but are there any others being offered that are as good as Lortab 10/500?

I understand the reduction of acetaminophen and think that's a good idea.

Thanks...
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