Lortab vs. norco

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keepingthefaith
Regular Member


Date Joined Aug 2006
Total Posts : 331
   Posted 10/4/2007 9:51 AM (GMT -6)   
I have been taking lortab 7.5/500 x4x daily, of course, I'm getting tolerant to it.  I asked the gi to prescrib something else, he gave me Norco 10/325.  The lortab gives me energy, the norco not as much and kind of relaxed.  I need to report in on tuesday how I'm doing on the norco, Is there a lortab 10/325? or is that what the norco is?  I need something that not only takes the aches & pain away, but, gives me a little energy or at least doesn't knock me out.  I have enough fatigue to deal with.  Any suggestions?  Also, can I alternate the 2 drugs, meaning taking lortab during the day & for my night dose take norco to sleep better? 
Dx with CD 1987, 3 resections, 3 abcess sx, OA back & hips, bulging disk, Major depression/anxiety, kidney stones & sx to remove, now 44 yrs old.  Still trying to figure this disease out & of course all the little extra complications that come with this rollarcoaster of a life with CD. 
 
Meds:  Hurmira every other week 40 mg, Imuran .75 daily, cymbalta 60 mg daily, Lortab 7.5/500 x 4x, fish oil, fovia,vit e,folic acid,Vit B12,inject monthly,
 
         
 
 


Chutz
Veteran Member


Date Joined Jan 2005
Total Posts : 9090
   Posted 10/4/2007 12:16 PM (GMT -6)   
Hi hun,

Norco is the generic name and Lortab is a brand name for the same medication. All your doc did was up your dosage. That's why you're feeling sleepy. There aren't supposed to be any differences between name brands and generics but many people will tell you that they can feel a difference. That might be what you're experiencing.

I have no idea what will give you an energy boost. If I did I'd be gulping it down. Seems you can't have both with pain meds. Talk to your doc about it and keep us posted.

CHutz
Co-Mod Fibromyalgia & Chronic Pain Forums
~~~
Fibromyalgia, Ulcerative Colitis, Insulin dependent diabetic, collapsed disk, dermatitis herpetiformus, osteo arthritis in spine and other locations.
***************

The only difference between genius and stupidity is that genius has it's limits. Albert Einstein: (1879-1955)


HephaistionRNBSN
New Member


Date Joined Oct 2007
Total Posts : 4
   Posted 10/4/2007 1:28 PM (GMT -6)   
I am a RN and the difference between the norco and lortab are as follows. Norco and Lortab are both Brand Names for the Compounds :

Hydrocodone (Narcotic/Opiate) / Acetaminophen (NSAID/Tylenol).

Lortab is 7.5mg Hydrocodone / 500mg Acetaminophen

Norco is 10mg Hydrocodone / 325mg Acetaminophen

Most docs will usuallys switch to Norco overtime because it has less Acetaminophen which is a NSAID(Non-Steriodal Anti-inflammatory Drug) and it has more of the Narcotic/Opiate - Hydrocodone. The Acetaminophen is harmful to the Liver if taken daily at high doses, that is the benifit to the Norco. Opiates taken longterm or daily as prescribed do not do much harm to the body physically except cause youre body/brain to become used to it and then your brain needs more to keep the pain down, whereas when you started you only took smaller doses.

The usual max dose of Norco daily is 12 tablets because that reaches the maximum Acetaminophen Daily Dose for an Adult.
 
I am a 36y/o male 6'4" 310lbs and been dealing with chronic pain for 14yrs now.  All I can say is it is tough.  When I was on huge amounts of Oxycontin and Norco I could function, Work, Go out with my Wife, but I had constant Withdrawal Symptoms, But I could live a normal Life.   Now I am only on Methadone 30mg BID and I have had 8 jobs in last 2yrs, can't keep them d/t pain, I can't go out with my wife, so she is constantly frustrated with me, and I feel as though there is no reason to keep on going as I can't live normally anymore, and I am tired of the pain.  Unfortunately, I know it is wrong for me, but along with my Neurontin, Skelaxin, Methadone, Ativan, Celebrex and assort of Anti-depressent/Allergy/BP meds I still take 800mg Ibuprofen 3xday and 1500mg Tylenol 2-4xday.  Fortunatly I am a big person and my Liver/Kidneys are doing fine.  
My wife is pressuring me to find a doc to put me back on Oxycontin/Norco/Soma again so I can function, but I just don't know.  I would love to live again normally, except for hot/cold flashes, but I just don't know.
 
What is lousy though is I had to put my nursing license on Retired Status at 24y/o b/c I am on so many meds I felt it unethical to practice nursing, and I knew the consequences if I did work even per our state board you can work while on the meds if your physician feels your are able to function unimpaired and you have valid prescriptions.
 
Anyway, Enough of my rambling, you got your answer up top, but if feels good to vent.  I just signed up Last Night to the Forum, I used to be on the forum long time ago, but forgot my info and lost track over the years. 
 
I hope I did not waste your time reading this.
Have a great <insert here>,    (Day, Evening, Night, Weekend, Holiday)
 
HephaistionRNBSN
 
"I'm okay with being unimpressive.  I sleep better" 
      Peter Sarsgaard playing "Mark"
      Movie "Garden State"
      Written/Directed = Zach Braff

Post Edited (HephaistionRNBSN) : 10/4/2007 1:43:41 PM (GMT-6)


kman78
Regular Member


Date Joined Jul 2006
Total Posts : 74
   Posted 10/4/2007 1:47 PM (GMT -6)   
Although it is true that Norco and Lortab are both brand names for hydrocodone/acetominophen, acetominophen is not a NSAID. Examples of NSAIDS are aspirin, ibuprofen, ketoprofen, and tordol. Acetominophen/tylenol is in a completely different class of medications. This is an important distinction. NSAIDS are harmful to your kidneys and GI tract, and acetominophen/tylenol is more toxic to your liver. NSAIDS also reduce inflammation, whereas tylenol will not. Typically tylenol is safe up to 1000mg/dose, and 4000mg/4g per day. However in chronic administration the safe level is probably under 4grams per day. Also if you have liver disease the safe limit would be reduced.

keepingthefaith
Regular Member


Date Joined Aug 2006
Total Posts : 331
   Posted 10/4/2007 4:32 PM (GMT -6)   
Thanks everyone for your replies, I'm not sure what to do.  I need the energy during the day, but, at night it would be ok to be sleepy.  So, do you think its ok to take the lortab during the day & my night doses with the norco?  Thanks in advance.  God Bless!

Dx with CD 1987, 3 resections, 3 abcess sx, OA back & hips, bulging disk, Major depression/anxiety, kidney stones & sx to remove, now 44 yrs old.  Still trying to figure this disease out & of course all the little extra complications that come with this rollarcoaster of a life with CD. 
 
Meds:  Hurmira every other week 40 mg, Imuran .75 daily, cymbalta 60 mg daily, Lortab 7.5/500 x 4x, fish oil, fovia,vit e,folic acid,Vit B12,inject monthly,
 
         
 
 


TexasJen
Veteran Member


Date Joined Dec 2006
Total Posts : 649
   Posted 10/4/2007 5:46 PM (GMT -6)   
kman - that's interesting. I've always heard docs and nurses lump tylenol into the NSAID category and prescribe it for inflammation. My own experience with it is that it is utterly useless. Long before my chronic pain years, I tried it a few times when I had nothing else available and it did nothing for menstrual cramps, headache or fever; whereas plain old aspirin or ibuprofen always helped. I so wish vicoprofen (hydrocodone + ibuprofen) was manufactured with the same dosage variances as vicodin/ lortab. For that matter, why throw in the toxic tylenol at all? Even better, how about a ong-acting, time-released preparation of hydrocodone? Oh well, I'm fantasizing again! :-)
Living in the Republic of Texas minus a gallbladder, a couple of cervical discs, appendix, uterus, and 18" of colon; but living with my wonderful husband, 2 dogs, 1 cockatiel, and 2 gold fish. 


kman78
Regular Member


Date Joined Jul 2006
Total Posts : 74
   Posted 10/4/2007 9:53 PM (GMT -6)   
HI Jen,
Tylenol is often used for fever, pain, and Headache, but it has no antiinflammatory ability. Doctors really should know better than to suggest it to treat inflammation. Usually NSAIDS such as ibuprofen, aspirin, or naproxen work better for menstrual symptoms.

The tylenol is added to the hydrocodone and other opiates, because it often will have a synergistic effect with the opiate. The help control the pain in different ways, so they have an additive effect when together, at least in theory.

I do believe there is a long-acting hydrocodone in some countries. Although it is often talked about in the US, I don't think it has ever been available.

HephaistionRNBSN
New Member


Date Joined Oct 2007
Total Posts : 4
   Posted 10/5/2007 4:53 PM (GMT -6)   
Thank You - Kman78

    I was tired when I typed my response regarding Acetaminophen being an NSAID.  I was tired and not firing on all cylinders, had been up for about 30hrs when I typed the reply.  I feel extremely stupid now, especially since I have a Bachelor of Science in Nursing and I am a RN.  I feel so dumb and humiliated. 

 

Everything you said is exactly what I remember from my Pharmacology class, regarding the difference between Tylenol and NSAIDS, the fact that it does not help with inflammation.

 

I sincerely hope that you will forgive my mistake, because the internet has enough of a reputation for giving bad advice that I do not want feed into that reputation.

 

Thank you Kman78 for fixing my mistake.


Have a great <insert here>,    (Day, Evening, Night, Weekend, Holiday)
 
HephaistionRNBSN
 
"I'm okay with being unimpressive.  I sleep better" 
      Peter Sarsgaard playing "Mark"
      Movie "Garden State"
      Written/Directed = Zach Braff

Post Edited (HephaistionRNBSN) : 10/5/2007 4:56:27 PM (GMT-6)


kman78
Regular Member


Date Joined Jul 2006
Total Posts : 74
   Posted 10/5/2007 5:28 PM (GMT -6)   
No need to apologize. We all have those days, including myself. When you have to learn a bunch of medications, it is pretty easy to jumble some of them once in a while.

Best wishes,
kurt

Khupe
New Member


Date Joined Oct 2007
Total Posts : 13
   Posted 10/10/2007 12:53 AM (GMT -6)   
On a better note , u are ingesting much less acetaminophin per day. If u ask me alot of the narcotic's are increased in there danger's of long term use when the ( tylenol) is present in the medication , i have been researching the actual damaging effect's of narcotics/opiate med's lately , Honestly i wouldnt recommend Nsaids/tylenol to my dog for long term use , so many complication's and (tylenol) toxicity level's. I did this research because i believe the best medication's to turn to is what history show's us , opiate's being used for about 3500+ year's and even though people don't like to hear it ( marijuana) for probably longer then that. I think the new med's there making are great , such as lyrica. But the side effect's to these newfound drug's are so indiviulized.

karol

Kate413
Regular Member


Date Joined May 2005
Total Posts : 44
   Posted 10/11/2007 10:54 AM (GMT -6)   
Keeping the faith,
There shouldn't be any problem using the lower dose vicodin during the day and the norco at night as long as your happy with the pain control. I use the same dose of vico daily but I also suppliment it with ibuprofen as well.
Good luck
Herniated disc L4-L5 1992, Lamenectomy L4-L5 1992 (foot drop/sciatica post op), Fx right ankle and 3 torn ligiments repaired (due to above mentioned foot drop...yes I tripped over my own foot...)1994, Goiter 1995, Major Depressive Disorder 1999, IBS 2002, Arthritis (general diagnosis, subclinical) 2004, Migraines 2006, reciently diagnosed with Fibromyalgia 2006.... GO ME!!

Meds:
Effexor 75mg, Synthroid 75mcg, Topamax 50mg, Benedryl 25mg, Nasacort spray, Vicodin 7.5mg as needed Inderal 20mg, ultram 1 tab, ambien at bedtime.


TuuTuu
New Member


Date Joined Apr 2012
Total Posts : 1
   Posted 4/25/2012 8:44 PM (GMT -6)   
My doctor put me on a new pain med Opana ER 20mg every 12 hours, and Norco 10/325 prn for breakthrough pain and I am still in a lot of pain. Any suggestions?

AngMichelle
Veteran Member


Date Joined Apr 2006
Total Posts : 671
   Posted 4/25/2012 9:21 PM (GMT -6)   
My doctor told me that they actually put ACAP in Hydrocodone, etc for the sole fact of it would keep people from abusing it as much. Knowing what it can do to the liver somehow keeps people from just taking more and more aparently. Especially people who try to inject pills. The "cook down" process or what it is , is so much people are less likely to do it. I dunno, just what one of my docs saids. I found it interesting.
27 years old
Dx's: Depression/anxiety, Non-Epileptic Seizures, Migraines, repeat joint dislocations, suppressed immune system
14 Major surgeries
Meds: Cymbalta, Vyvanse, Valium, Trazadone, Ambien, Loratab

Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 23531
   Posted 4/25/2012 10:23 PM (GMT -6)   
I am on the generic form of Loratabs. Been using the 10/500 variant since July of 2009. They don't make me sleepy at all (wished they did sometime), and I have no problem with nausea, and much to my doctor's surprise, absolutely no constipation efffect whatsoever. Each body handles prescription meds so differently.

David in SC
Age: 59, 56 dx, PSA: 7/07 5.8, 10/08 16.3
3rd Biopsy: 9/08 7 of 7 Positive, 40-90%, Gleason 4+3
open RP: 11/08, original catheters 63 days
Path Rpt: Gleason 3+4, pT2c, 42g, 20% cancer, 1 pos margin
Incont & ED: None
Post Surgery PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Post SRT PSA: 1/10 .12, 4/8 .04, 8/6 .06, 2/11 1.24, 4/11 3.81, 6/11 5.8, 12/11 14.0
Other: Spent total of 1 ½ years on 21 catheters, had Ileal Conduit Surgery 9/10
Member of Prostate Cancer & Chronic Pain HW Communities

spinal soldier
Veteran Member


Date Joined Dec 2009
Total Posts : 594
   Posted 4/26/2012 12:33 PM (GMT -6)   
Hello, K. T. Faith, i hope your having a good day. it is so common to hear Vicodin or Vicodin ES, Lortab 7.5/500 or 10/500, and Norco 5-10/325 give people a sense of mild alertness or energy and i have heard many times when dose changes happen to Percocet or Tylox or Morphine that it knocks you on your butt and you have zero energy. your dose raise from 7.5 of hydrocodone to 10mg four times per day(10mg/24hrs.) after a few weeks may go back to the way it was with the 7.5mg dose. HephastionRNBSN's run down of the products and the generic equivalents was perfect by the way. the thing that popped into my head quickly was a. you should look into mild stimulants to add to your chronic pain cocktail and b. the amino acid L-Glutamine is the most common amino acid in your body but can become deficient, L-Glutamine has a CNS stimulant effect because in the brain it converts to Glutamic-Acid another exicitory amino acid. also L-Glutamine is converted to GABA (gamma-amino-butyric acid), a calming or "inhibitory amino acid". so both L-Glutamine and GABA are both directly implicated in the chronic pain cycle and can give you a little pep and clarity. the great thing here is L-Glutamine is also major metabolic fuel for intestinal cells and targets CD, it increases nutrient bioavailability. that is two flies with one swat. some other mild energizing with no adverse effect supplements are: N-Acetyl-L-Tyrosine, DL-Phenylalanine, Ashwagandha (a Ayurvedic herb), Rhodiola Rosea root, !B-Complex!, Chia seeds have a good report and the few times i tried them i liked it, modafinil, bupropion, dextroamphetamine, inositol and choline, L-Carnitine, ect. there are many things you can talk with your doctor about, (sorry i missed TUES.), try googling "Nootropis". all the best and i hope you can get pain free.

Snowbunny21
Veteran Member


Date Joined Jan 2010
Total Posts : 3541
   Posted 4/26/2012 12:36 PM (GMT -6)   
Just FYI this post was started in 2007....

It looks like TuuTuu is new (welcome to the boards:)) and accidentally posted on an old thread...

So...maybe a Mod can help move this to a new thread?
SB and "the pup who snores loudly" 
 
ACDF C5-C7, (no hardware), with autograft bone Nov. 2001
(reabsorption of bone 2 years later...still lost in body..expect to burp it out at anytime..haha")) 
ACDF with hardware, allograft bone Nov. 2005 
Anterior and Posterior CDF, allograft bone with BMP, removal of old hardware, use of titanium plates, rods, screws, & kitchen sink (lol) Oct 2006
 
 

spinal soldier
Veteran Member


Date Joined Dec 2009
Total Posts : 594
   Posted 4/26/2012 1:09 PM (GMT -6)   
wow, your right
L4,L5,S1 bilateral Laminectomies, Foraminotomies 2002
L4-S1 PLIF with instumentation 2008,

current Rx: MScontin 100mg q8hrs. , dilaudid 8mg q6hrs. prn, oxymorphone IR 10mg q6 ,vistaril 50mg prn nausea, Lyrica 150mg 2x,Adderall 20mgs 1x A.M. 10mg PM prn, Soma 350 mg 3X, Elavil 25 HS, diazepam 10mg bid prn, Supplements: CO-Q10 100mg, Vitamin D 1000IU, Fish-Oil1000mg EFA, B-Complex50 3x/day, ALA
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