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Generic Name: aspirin and hydrocodone (AS pir in/hye droe KOE done)
Brand Names: Alor 5/500, Azdone, Damason-P, Lortab ASA, Panasal 5/500

What is aspirin and hydrocodone?

Hydrocodone (related to codeine) is in a class of drugs called narcotic analgesics. It is a pain reliever. Aspirin is also a pain reliever, as well as an anti-inflammatory and a fever reducer. Aspirin increases the effects of hydrocodone.

Together, aspirin and hydrocodone, are used to treat moderate-to-severe pain.

Aspirin and hydrocodone may also be used for purposes other than those listed in this medication guide.

What is the most important information I should know about aspirin and hydrocodone?

Do not take other over-the-counter and prescription products that contain aspirin. Too much aspirin could be dangerous. Talk to your doctor or pharmacist before taking any over-the-counter preparations.

Drowsiness or dizziness caused by aspirin and hydrocodone may be increased by other drugs such as antidepressants, alcohol, antihistamines, sedatives (used to treat insomnia), other pain relievers, anxiety medicines, and muscle relaxants. Together, these medicines may cause dangerous sedation, possibly resulting in unconsciousness or death. Tell your doctor about all medicines that you are taking, and do not take any medicine without first talking to your doctor.

What should I discuss with my healthcare provider before taking aspirin and hydrocodone?

Before taking this medication, tell your doctor if you have

• kidney disease;
• liver disease;

• a bleeding or blood clotting disorder;

• a stomach ulcer;

• asthma;

• urinary retention;

• an enlarged prostate;

• hypothyroidism;

• seizures or epilepsy;

• gallbladder disease;

• a head injury;

• Addison's disease; or

• a history of drug or alcohol addiction.

You may not be able to take aspirin and hydrocodone, or you may require a dosage adjustment or special monitoring during treatment if you have any of the conditions listed above.

If you are older than 60 years of age, you may be more likely to experience side effects from aspirin and hydrocodone. Your doctor may prescribe a lower dose of the medication.

How should I take aspirin and hydrocodone?

Take aspirin and hydrocodone exactly as directed by your doctor. If you do not understand these directions, ask your pharmacist, nurse, or doctor to explain them to you.

Do not share this medication with anyone else.

What happens if I miss a dose?

Take the missed dose as soon as you remember. Do not take a double dose of this medication. Wait the prescribed amount of time before taking the next dose.

What happens if I overdose?

Symptoms of an aspirin and hydrocodone overdose include slow breathing, seizures, dizziness, weakness, loss of consciousness, coma, confusion, tiredness, cold and clammy skin, ringing in the ears, and small pupils.

What should I avoid while taking aspirin and hydrocodone?

Do not take other over-the-counter and prescription products that contain aspirin. Too much aspirin could be dangerous. Talk to your doctor or pharmacist before taking any over-the-counter preparations.

Drowsiness or dizziness caused by aspirin and hydrocodone may be increased by other drugs such as antidepressants, alcohol, antihistamines, sedatives (used to treat insomnia), other pain relievers, anxiety medicines, and muscle relaxants. Together, these medicines may cause dangerous sedation, possibly resulting in unconsciousness or death. Tell your doctor about all medicines that you are taking, and do not take any medicine without first talking to your doctor.

Aspirin and hydrocodone side effects

• an allergic reaction (difficulty breathing; closing of the throat; swelling of the lips, tongue, or face; or hives);

• slow, weak breathing;

• seizures;

• cold, clammy skin;

• severe weakness or dizziness;

• unconsciousness; or

• black, bloody, or tarry stools or blood in urine or vomit.

Other, less serious side effects may be more likely to occur. Continue to take aspirin and hydrocodone and talk to your doctor if you experience

• constipation;

• dry mouth, nausea, vomiting, or decreased appetite;

• dizziness, tiredness, or lightheadedness;

• muscle twitches;

• sweating;

• itching or rash;

• decreased urination;

• decreased sex drive; or

• ringing in the ears.

Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.

What other drugs will affect aspirin and hydrocodone?

Do not take aspirin and hydrocodone if you have taken a monoamine oxidase inhibitor (MAOI) such as isocarboxazid (Marplan), phenelzine (Nardil), or tranylcypromine (Parnate) in the last 14 days. Dangerous side effects could result.

Drowsiness or dizziness caused by aspirin and hydrocodone may be increased by other drugs such as antidepressants, alcohol, antihistamines, sedatives (used to treat insomnia), other pain relievers, anxiety medicines, and muscle relaxants. Together, these medicines may cause dangerous sedation, possibly resulting in unconsciousness or death. Tell your doctor about all medicines that you are taking, and do not take any medicine without first talking to your doctor.

Do not take other over-the-counter and prescription products that contain aspirin. Too much aspirin could be dangerous. Talk to your doctor or pharmacist before taking any over-the-counter preparations.

Drugs other than those listed here may also interact with aspirin and hydrocodone. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines, including herbal products.

Where can I get more information?

• Your pharmacist has additional information about aspirin and hydrocodone written for health professionals that you may read.

What does my medication look like?

Aspirin and hydrocodone is available with a prescription under the brand names Azdone and Lortab. Other brand or generic formulations may also be available. Ask your pharmacist any questions you have about this medication, especially if it is new to you.

Aspirin/hydrocodone strengths are as follows:

• Azdone 500 mg/5 mg--flat, truncated, bisected, mottled-pink tablets

• Lortab ASA 500 mg/ 5 mg--capsule-shaped, mottled-pink tablets

• Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.
• Every effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.