Presentation
Sinus bradycardia is a characteristic presentation of the vasovagal response; examples of other presentations include arrest or atrioventricular block. [ncbi.nlm.nih.gov]
In this study, we describe the clinical characteristics of 5 patients presenting with progressive hearing loss and a history of hydrocodone use. [web.archive.org]
Entire Body System
- Fatigue
[…] prescribing of these drugs for use in patients for whom alternative treatment options are inadequate Cases of adrenal insufficiency reported with opioid use, more often following greater than one month of use; symptoms may include nausea, vomiting, anorexia, fatigue [reference.medscape.com]
Like most prescription narcotics, hydrocodone cessation can spark withdrawal symptoms, which may include: Muscle aches Runny nose Sweating Chills Goosebumps Vomiting Diarrhea Anxiety Headaches Mood swings Depression Fatigue Drug cravings Symptoms last [americanaddictioncenters.org]
The most common side effects are constipation, nausea, drowsiness, fatigue, headache, dizziness, dry mouth, vomiting and itching. [cbsnews.com]
When someone abuses these drugs, he may initially feel euphoric and relaxed, but this can turn into fatigue. Hydrocodone has more of a sedative effect than codeine, and it’s more effective for severe pain. [destinationsforteens.com]
The most common side effects reported in company trials included constipation, nausea, drowsiness, fatigue, dizziness, dry mouth, vomiting and itching. [nydailynews.com]
- Unconsciousness
This is when an unconscious or semi-conscious user who is lying on their back vomits into their mouth and unknowingly suffocates. [psychonautwiki.org]
A cuffed endotracheal tube should be inserted before gastric lavage of the unconscious patient and, when necessary, to provide assisted respiration. Meticulous attention should be given to maintaining adequate pulmonary ventilation. [rxlist.com]
The DEA notes that a doctor from New York, one of the States that has already scheduled HCPs as schedule II controlled substances under State law, asserted in his comment that up-scheduling “has reduced unconscious (or conscience-less) prescribing without [federalregister.gov]
- Developmental Delay
Fatal opioid toxicity occurred in a developmentally delayed child aged 5 years 9 months who was inadvertently administered high doses of hydrocodone for a respiratory tract infection. [ncbi.nlm.nih.gov]
Lauwers, Gideon Koren Abstract Fatal opioid toxicity occurred in a developmentally delayed child aged 5 years 9 months who was inadvertently administered high doses of hydrocodone for a respiratory tract infection. [doi.org]
- Male Hypogonadism
CONTEXT: Multiple morning testosterone levels are needed to establish the presence of male hypogonadism and to justify its replacement therapy. Any influence on these levels by short-term opioid ingestion has not, however, been reported. [ncbi.nlm.nih.gov]
Respiratoric
- Throat Tightness
tightness in the chest tingling of the hands or feet unusual tiredness or weakness unusual weight gain or loss Incidence not known Agitation darkening of the skin diarrhea difficulty swallowing fast heartbeat hives, itching, skin rash loss of appetite [drugs.com]
Gastrointestinal
- Nausea
The patient's pain and nausea were quantified using a 100-mm visual analog scale (VAS) at baseline prior to drug administration and following doses of hydrocodone, oxycodone, or ondansetron. [ncbi.nlm.nih.gov]
The first signs of an acetaminophen overdose include loss of appetite, nausea, vomiting, stomach pain, sweating, and confusion or weakness. [drugs.com]
If you have nausea, you may take this drug with food, although doing so may decrease its effectiveness. [psyweb.com]
- Vomiting
Symptoms of withdrawal include restlessness, muscle and bone pain, insomnia, diarrhea, vomiting, cold flashes with goose bumps involuntary leg movements, watery eyes, runny nose, loss of appetite, irritability, panic, nausea, chills, and sweating. [web.archive.org]
The most common side effects with hydrocodone/acetaminophen are light-headedness; dizziness; sedation; and nausea and vomiting. [everydayhealth.com]
Hydrocodone can also cause nausea and vomiting; a significant number of deaths attributed to opioid overdose are caused by aspiration of vomit by an unconscious victim. [psychonautwiki.org]
Common hydrocodone side effects may include: constipation, nausea, vomiting; dizziness, drowsiness, feeling tired; headache; or cold symptoms such as stuffy nose, sneezing, sore throat. [drugs.com]
Jaw & Teeth
- Lip Numbness
Endodontic access was begun 15 minutes after completion of the block, and all patients used for data analysis had profound lip numbness. Success was defined as no or mild pain (visual analog scale recordings) on pulpal access or instrumentation. [ncbi.nlm.nih.gov]
Psychiatrical
- Suicidal Ideation
ideation caused by withdrawal symptoms and untreated pain. [doi.org]
Urogenital
- Cloudy Urine
Check with your doctor immediately if any of the following side effects occur: Less common Bladder pain bloating or swelling of the face, arms, hands, lower legs, or feet bloody or cloudy urine body aches or pain chills cough depression difficult or labored [drugs.com]
- Bladder Pain
Check with your doctor immediately if any of the following side effects occur: Less common Bladder pain bloating or swelling of the face, arms, hands, lower legs, or feet bloody or cloudy urine body aches or pain chills cough depression difficult or labored [drugs.com]
Neurologic
- Stupor
Toxicity Symptoms of overdose include respiratory depression (a decrease in respiratory rate and/or tidal volume, Cheyne-Stokes respiration, cyanosis), extreme somnolence progressing to stupor or coma, skeletal muscle flaccidity, dizziness, ringing in [druglib.com]
Symptoms of hydrocodone overdosage include respiratory depression, extreme somnolence, coma, stupor, cold and/or clammy skin, sometimes bradycardia, and hypotension. A severe overdose may involve circulatory collapse cardiac arrest and/or death. [psychology.wikia.com]
Signs And Symptoms Hydrocodone Serious overdose with hydrocodone is characterized by respiratory depression (a decrease in respiratory rate and/or tidal volume, Cheyne-Stokes respiration, cyanosis ), extreme somnolence progressing to stupor or coma, skeletal [rxlist.com]
- Poor Coordination
coordination puffiness or swelling of the eyelids or around the eyes, face, lips, or tongue restlessness shivering talking or acting with excitement you cannot control trembling or shaking twitching vomiting Get emergency help immediately if any of the [drugs.com]
Workup
Serum
- Hypercapnia
Before using this medicine, consult your doctor or pharmacist if you have: severe breathing problems (e.g., respiratory depression, hypercapnia), severe diarrhea (e.g., pseudomembranous colitis, infectious diarrhea due to toxins). [psyweb.com]
Possible dose-related respiratory depression. b c e 109 112 123 124 133 Even therapeutic doses of hydrocodone may decrease respiratory drive to the point of apnea in patients with COPD, cor pulmonale, substantially decreased respiratory reserve, hypoxia, hypercapnia [drugs.com]
Treatment
One patient receiving hydrocodone ER 30 mg twice daily experienced a severe AE of neurosensory deafness that was considered treatment related. Mean WPI and API remained steady throughout open-label treatment. [ncbi.nlm.nih.gov]
Epidemiology
“The DEA finds that the scientific, medical, and epidemiological data are robust and support rescheduling HCPs into schedule II of the CSA (Controlled Substances Act). [nationalpainreport.com]
Access is intended to spur hypothesis generation and testing, cross-cohort analysis of risk factors and outcomes, development of new signal processing tools, and to enhance training in clinical analysis, signal processing, epidemiological analysis, and [incosact.org]
CDC Wide-Ranging Online Data for Epidemiologic Research (WONDER). Available at <http://wonder.cdc.gov>. Accessed June 30, 2011. CDC. Unintentional and undetermined poisoning deaths-11 states, 1990-2001. MMWR 2004;53:233-8. [imic.or.jp]
Our findings are consistent with previous epidemiologic and ethnographic studies that suggest that oxycodone is favored over hydrocodone. [doi.org]
Pathophysiology
Useful For Suggests clinical disorders or settings where the test may be helpful Detection and quantification of hydrocodone, norhydrocodone, and hydromorphone in urine Clinical Information Discusses physiology, pathophysiology, and general clinical aspects [mayomedicallaboratories.com]
Ballas, Pathophysiology and principles of management of the many faces of the acute vaso‐occlusive crisis in patients with sickle cell disease, European Journal of Haematology, 95, 2, (113-123), (2014). [doi.org]
Prevention
This will prevent some patients from monthly doctor’s visits to obtain refills. [rehabs.com]
Coadministration of clarithromycin (a potent cytochrome P450 3A4 inhibitor) for an ear infection and valproic acid for seizures since birth further prevented drug elimination from the body. [ncbi.nlm.nih.gov]
However, severe withdrawal side effects can usually be prevented by gradually reducing the dose over a period of time before treatment is stopped completely. [mayoclinic.org]
Making Zohydro safer Zoginex, the San Diego-based manufacturer of Zohydro, has stated its interest in preventing overdoses and misuse of the medication. [livescience.com]