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4. medication in a place where others cannot get to it. MISUSE OF OPIOID MEDICINE CAN CAUSE ADDICTION, OVERDOSE, OR DEATH. Keep the medication in a place where others cannot get to it. We’re offering classes and courses at beginner and advanced levels, as well as special limited edition sessions of prenatal yoga, children’s yoga, meditation, and mindfulness. Tell your doctor if you are pregnant. Hydrocodone may cause life-threatening withdrawal symptoms in a newborn if the mother has taken this medicine during pregnancy. Fatal side effects can occur if you use opioid medicine with alcohol, or with other drugs that cause drowsiness or slow your breathing. Buy Hydrocodone online

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6. drug or alcohol addiction, or mental illness; urination problems; liver or kidney disease; problems with your gallbladder, pancreas, or thyroid; or a heart rhythm disorder called long QT syndrome. If you use opioid medicine while you are pregnant, your baby could become dependent on the drug. This can cause life-threatening withdrawal symptoms in the baby after it is born. Babies born dependent on opioids may need medical treatment for several weeks. Side effects requiring immediate medical attention Along with its needed effects, hydrocodone may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention. Check with your doctor immediately if any of the following side effects occur while taking hydrocodone: 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

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11. More common Difficulty having a bowel movement Less common Back pain dry mouth heartburn muscle spasms stomach pain or discomfort Buy hydrocodone online without prescription Applies to the following strengths: 10 mg; 15 mg; 20 mg; 30 mg; 40 mg; 50 mg; 60 mg; 80 mg; 100 mg; 120 mg Usual Adult Dose for: Chronic Pain Additional dosage information: Renal Dose Adjustments Liver Dose Adjustments Dose Adjustments Precautions Dialysis

12. Other Comments Usual Adult Dose for Chronic Pain The following dosing recommendations can only be considered suggested approaches to what is actually a series of clinical decisions over time; each patient should be managed individually. How to buy hydrocodone online without prescription. As First Opioid Analgesic and For Patients who are NOT Opioid Tolerant: Extended-Release Capsules (Zohydro(R) ER): Initial dose: 10 mg orally every 12 hours Extended-Release Tablets (Hysingla(R) ER): Initial dose: 20 mg orally every 24 hours Comments: Use of higher starting doses in patients who are not opioid tolerant may cause fatal respiratory depression; monitor patients closely for respiratory depression, especially during the first 24 to 72 hours. An opioid tolerant patient is one who has been receiving for 1-week or longer at least: oral morphine 60 mg/day, fentanyl transdermal patch 25 mcg per hour, oral oxycodone 30 mg/day, oral hydromorphone 8 mg/day, oral oxymorphone 25 mg/day, or an equianalgesic dose of another opioid. TITRATION AND MAINTENANCE:

13. Individually titrate to a dose that provides adequate analgesia and minimizes adverse reactions. Dose adjustments to hydrocodone extended-release capsules should be made in 10 mg increments every 12 hours, every 3 to 7 days. Dose adjustments to hydrocodone extended-release tablets should be made in 10 to 20 mg increments every 24 hours, every 3 to 5 days. If unacceptable side effects occur, the dose may be reduced. Breakthrough Pain: If the level of pain increases after dose stabilization, attempt to identify the source before increasing dose; rescue medication with appropriate immediate-release analgesia may be helpful DOSE CONVERSIONS: Dose conversions should be done carefully and with close monitoring due to large patient variability in regards to opioid analgesic response. Discontinue all other around the clock opioid drugs when initiating therapy with extended- release hydrocodone. Hydrocodone Extended-Release (ER) CAPSULES: The 50 mg capsules, a single dose greater than 40 mg, or a total daily dose greater than 80 mg are reserved for opioid tolerant individuals. CONVERSION FROM OTHER ORAL OPIOIDS:

14. Published potency tables can be used to estimate a patient’s 24-hour oral hydrocodone requirement; however, due to substantial inter-patient variability, it is best to underestimate a patient’s 24-hour requirement and provide rescue medication as the dose is titrated. Alternatively, the following conversion factors (CF) may be used to convert selected oral opioids to the hydrocodone extended-release capsule: Hydrocodone, CF=1; Oxycodone, CF=1; Methadone, CF= 1, Oxymorphone, CF=2; Hydromorphone, CF=2.67; Morphine, CF=0.67; Codeine, CF=0.1. These CFs cannot be used to convert from hydrocodone extended-release to the selected oral opioid as doing so will result in overestimation of the oral opioid dose and may result in fatal respiratory depression. Example: Sum the total daily dose of prior oral opioid; multiply that sum by the CF to obtain 24-hour oral hydrocodone requirement; divide 24-hour requirement by 2 (round down, if necessary ) and give 1 dose orally every 12 hours. CONVERSION FROM TRANSDERMAL FENTANYL: Remove the transdermal fentanyl patch and 18 hours later initiate hydrocodone extended- release capsules at 10 mg every 12 hours for each 25 mcg/hr fentanyl transdermal patch; monitor closely as there is limited documented experience with this conversion. Hydrocodone Extended-Release (ER) TABLETS: Daily dose greater than or equal to 80 mg are reserved for use in opioid tolerant individuals.

15. CONVERSION FROM ORAL HYDROCODONE FORMULATIONS: Administer patient’s total daily oral hydrocodone dose as extended-release tablet orally once a day. CONVERSION FROM OTHER ORAL OPIOIDS: Published potency tables can be used to estimate a patient’s 24-hour oral hydrocodone requirement; however, due to substantial inter-patient variability, it is best to underestimate a patient’s 24-hour requirement and provide rescue medication as the dose is titrated. To obtain the initial hydrocodone extended-release tablet dose, use the following conversion factors (CF) to convert selected oral opioids and then reduce that dose by 25%. Tramadol, CF=0.1; Oxycodone, CF=1; Methadone, CF= 1.5, Oxymorphone, CF=2; Hydromorphone, CF=4; Morphine, CF=0.5; Codeine, CF=0.15. These CFs cannot be used to convert from hydrocodone extended-release to the selected oral opioid as doing so will result in overestimation of the oral opioid dose and may result in fatal respiratory depression. Example: Sum the total daily dose of prior oral opioid; multiply that sum by the CF to obtain 24-hour oral hydrocodone requirement; reduce that hydrocodone requirement by 25% to account for interpatient variability, round down, if necessary; administer calculated dose orally once a day. CONVERSION FROM TRANSDERMAL FENTANYL: Remove the transdermal fentanyl patch and 18 hours later initiate hydrocodone extended-release tablets at 20 mg every 24 hours for each 25 mcg/hr fentanyl transdermal patch; monitor closely as there is limited documented experience with this conversion.

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