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VICODIN
ADDICTION

WHITE HOUSE RECOVERY & DETOX

Vicodin is a brand name of hydrocodone, an opioid used to provide cough suppression and relief for people living with chronic pain. Vicodin also contains acetaminophen. The Drug Enforcement Administration (DEA) lists hydrocodone as the second most common street drug and the most prescribed opioid for pain relief. In addition, the Centers for Disease Control and Prevention (CDC) reported: “prescription opioids were involved in over 28% of all opioid overdose deaths in 2019.” Fortunately, despite the continued prevalence of Vicodin, prescriptions have declined steadily over the past several years. 

Medical professionals only prescribe hydrocodone for individuals who experience extreme pain 24/7, and other medications have had no effect. Even though use has declined, hydrocodone remains significantly overprescribed in the United States. According to information provided by the National Library of Medicine, “Americans, constituting only 4.6% of the world’s population, have been consuming 80% of the global opioid supply, and 99% of the global hydrocodone supply.”

HOW TO AVOID SEVERE WITHDRWAWL SYMPTOMS

Daily doses are designed to be slow-released to work over a period of time. Most last for twelve or more hours. The nature of the drug impacts how you transition off before or during rehabilitation. Your doctor will taper you slowly off Vicodin. Experts recommended against quitting “cold turkey” because of the severe withdrawal side effects, which include:

  • Muscle, joint, and back pain
  • Shakiness
  • Swelling in lower extremities
  • Irritability and restlessness
  • Flu-like symptoms like runny nose, teary eyes, excessive sweating, cold flashes, stomach discomfort, nausea, vomiting, and diarrhea
  • Unusually large pupils
  • Anxiety
  • Increased heart rate
  • Fast breathing or hyperventilating
  • Sleep disturbances
  • Change in appetite
  • More rare symptoms of Vicodin withdrawal include chest pain, hallucinations, swelling of the face, sexual dysfunction, hives, and heart palpitations

You can avoid severe withdrawal symptoms by working with an experienced medical care team.

COMPLICATIONS WITH OTHER MEDICATIONS

Hydrocodone may cause shallow breathing or other serious medical problems with the potential to cause severe injury, illness, or death. Evidence shows that a wide variety of medications can cause complications when taken with Vicodin. Your doctor and care team need to know all the prescription, over-the-counter, and illicit drugs you take. Medicines you should not use with Vicodin include, but are not limited to:

  • Sedatives, sleep aids, or tranquilizers
  • Nausea medication
  • Some medications for treating mental health disorders
  • Antifungal medications including itraconazole (Onmel and Sporanox), ketoconazole (Extina, Nizoral, and Xolegel), or voriconazole (Vfend)
  • Benzodiazepines including alprazolam (Xanax), chlordiazepoxide (Librium), clonazepam (Klonopin), diazepam (Diastat and Valium), estazolam, flurazepam, lorazepam (Ativan), oxazepam, temazepam (Restoril), or triazolam (Halcion)
  • Carbamazepines including Carbatrol, Epitol, Equetro, or Tegretol 
  • Cimetidine
  • Clarithromycin (Biaxin and Prevpac)
  • Erythromycin
  • Opioid pain medications
  • Some HIV medications, including ritonavir (Norvir, Kaletra, and Viekira Pak)
  • Muscle relaxants
  • Phenytoin (Dilantin and Phenytek)
  • Rifampin (Rifadin, Rimactane, Rifamate, and Rifater) 


Illegally obtained hydrocodone is sometimes combined with one or more of the substances listed above, making their effects unpredictable and potentially lethal. Therefore, always disclose anything you are taking when you start a treatment program. 

RISK FACTGORS FOR DEVELOPING VICODIN ADDICTION

The risk factors of Vicodin addiction are very similar to those of most other opioids. You can learn more about general opioid risk factors by visiting our Opiate Addiction page.

A 2004 Michigan State University study concluded the following risk factors were especially relevant to Vicodin abuse:

  • Past diagnosed substance use disorder 
  • Taking any prescribed or illicit opioids
  • Medical patients with dual diagnosis

VERIFY YOUR INSURANCE TODAY

MIXING VICODIN WITH ALCOHOL

Never mix Vicodin or other opioids with alcohol. Even drinking alcohol hours after taking hydrocodone is dangerous because of the slow-release nature of the drug. Both substances are depressants which means they cause slow reactions and decreased cognition. Shallow breathing is one of the most significant results of mixing alcohol and Vicodin. Slow, shallow breathing can lead to unconsciousness or death. Severe liver damage is also typical when people combine these two substances. Other physical effects of mixing alcohol and Vicodin include:

  • Seizures
  • Alcohol poisoning
  • Coma

TREATMENT AND THERAPY OPTIONS

Opioids often require an expertly tailored mixture of psychotherapy, behavioral modification, and medication-assisted treatment (MAT). Talk therapies have some of the best results, and they include:

  • Cognitive-Behavioral Therapy (CBT)
  • Motivational Interviewing (MI)
  • Contingency Management (CM)
  • Matrix Model
  • Mindfulness Therapy

 

Alternative therapy can increase the effectiveness of primary treatments. A few common alternatives include:

  • Animal-assisted Therapy
  • Massage therapy
  • Art Therapy
  • Music Therapy
  • Meditation-based Therapy

DANGEROUS HEALTH EFFECTS TO WATCH OUT FOR

According to MedlinePlus, “hydrocodone may cause slowed or stopped breathing, especially during the first 24 to 72 hours of your treatment and any time your dose is increased.” The most deadly aspect of Vicodin use is the change in breathing. If you or a loved one takes Vicodin in a way not prescribed and experiences the following symptoms get immediate medical assistance:

  • Slowed or difficult breathing
  • Sudden dizziness or lightheadedness
  • Sudden extreme sleepiness
  • Unconsciousness or unresponsiveness

The pills are designed to be slow-releasing and should never be broken, chewed, or crushed because too much of the drug would be released into the system at once, leading to dangerous side effects.

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