FDA orders major changes for narcotic/acetaminophen painkillers - page 2
by TDCHIM | 20,306 Views | 18 Comments
Today, the FDA ordered manufacturers of combination acetaminophen/narcotic painkillers like Vicodin, Lortab, and Percocet to reformulate the medications or stop producing them altogether within the next three years. The new... Read More
- 1Jan 15, '11 by azhiker96i just read an article on Medscape, 51% of acute liver failure (ALF) in the US in 2003 were due to acetaminophen. England and France have put limits on how much can be sold in a package (16g and 8g respectively). Those limits reduced their incidence of ALF to close to nil. Here we can buy it by the pound.
- 2Jan 16, '11 by PetiteOpRNOK, I for one, fail to see what the big deal is. There will still be a Hydrocodone/APAP option (Norco).
The people suffering liver failure are probably those for whom a month = 9 to 14 days (as in a 30 day supply of Vicodin only lasts that long). I have not personally seen a patient (and I work with post-ops in clinic) who needs breakthrough pain management and goes after the tylenol. They take another vicodin or two.
Plus, the world of writing prescriptions for hydrocodone/APAP just got easier. Before, I had to deal with:
- Vicodin ES
- Vicodin HP
It becomes a headache when a patient calls and says, "vicodin doesn't work for me/vicodin makes me sick/I'm allergic to vicodin" and the next statement out of their mouth is "I can only take lortab."
- 0Jan 16, '11 by TDCHIMQuote from Lil'mamaNot to get off topic, but why are you waiting for the fentanyl patches to be discontinued? All the manufacturers have already reconfigured them into the much harder to abuse adhesive matrix format, rather than the old reservoir type of patch that in rare instances leaked and could be opened and abused with relative ease. Those patches are excellent for long-term moderate to severe pain control. And IMO they're a lot less creepy than those fentanyl (Actiq) lollipops!We have been using Norco for several months now instead of Lortab. Patients get confused with the names.
I'm just waiting for the day when the FDA gets rid of Fentanyl Patches.
- 0Jan 16, '11 by ghillbert, MSN, NP GuideI can't believe the % of patients that are prescribed vicodin/lortab/percocet etc. Truly astonishing. I have come from another country so maybe I'm just not used to it, but honestly, I think 90% of my patients here are prescribed these drugs for varying "pain" issues [and they aren't pain clinic patients or anything, I work in cardiac]. I think at some point the prescribers do need to take responsibility for what they are dishing out to people... just say no or send them to specialist pain clinics.
It can only be a good thing cutting down on the combination products - it's clear that people aren't aware what they are taking or the ramifications of such.