FDA Panel Votes to Eliminate Vicodin and Percocet - page 3

"Government experts say prescription drugs like Vicodin and Percocet that combine a popular painkiller with stronger narcotics should be eliminated because of their role in deadly overdoses. A Food... Read More

  1. by   VivaLasViejas
    Done.

    Thanks for pointing that out, Jolie. It does change things quite a bit.
  2. by   Jolie
    Quote from ghillbert
    They are talking about things available to the community. I doubt it will have any restriction on your ability to manage pain in the acute hospital setting. How is that "Big Brother"? The purpose of the FDA is to protect the public (sometimes from themselves).
    Either a drug is available for sale and use in the U.S. or it isn't. The FDA does not establish rules stating that a drug can be used in the hospital setting only. If the FDA panel's recommendation is accepted, these combination drugs will no longer be available for use in the U.S.

    I agree that what is needed is a massive public and professional education campaign regarding acetaminophen content and maximum safe daily dosages. I believe it is unwise and unnecessary to remove combnation drugs from the market, as they provide safe and highly effective pain relief to millions of patients.

    The purpose of combination drugs is to obtain the unique benefits of both classes of drugs while reducing the necessary dosages of both. Without mixing with acetaminophen, a higher dose of narcotic will be necessary. That is hardly without risk, either.
  3. by   shrimpchips
    Quote from kcochrane
    ITA...our MD and NP both have no problems calculating the max dose of tylenol along with any pain meds that contain them. I really don't think a ban is needed. What is needed is more education. Neither the doctor or the pharmacist told my husband that there was 500mg of tylenol in his vicodin. Imagine how shocked I was to find out he was taking 1000mg of tylenol along with 1 vicodin. Sheesh!
    :yeahthat: AGREED! A lot of patients do not know that Vicodin and Percocet contain acetaminophen in them. If they're taking that + actual Tylenol on top of that, they're more prone to overdose. Lol my patient's husband was telling me about this today during clinical saying that the FDA was going to pull this really strong pain killer off the market because of overdose...I asked him what it was and he replied "acetaminophen" - it made me smile, bceause you know, acetaminophen is just Tylenol lol. He kept asking if the Zosyn that I hung had "acetaminophen" in it...
  4. by   Wicked Wahine
    Personally, I like the idea of separating the drugs from each other. I know that acetaminophen and hydrocodone (or oxycodone) taken together work very well for moderate pain, but this can be accomplished by taking the medications separately. Even in the hospital setting, it is easy to find yourself getting close to that 4gm acetaminophen limit if you have a patient who , for example, takes both percocet and tylenol.

    So, using this example, having tylenol and immediate release oxycodone ordered could be a lot more useful and allows more wiggle room for finding the right combo for pain control.
  5. by   VivaLasViejas
    Hypo, I did read the article.

    And I still say, just because some people are stupid about using OTC meds shouldn't mean that ALL of us deserve to have them taken away.
  6. by   Just_An_Illusion
    Quote from VivaLasViejas
    Hypo, I did read the article.

    And I still say, just because some people are stupid about using OTC meds shouldn't mean that ALL of us deserve to have them taken away.

    I agree. But as they say, one bad apple can spoil the bunch.
  7. by   Pierrette
    Quote from cursedandblessed
    i really never saw the big deal about tylenol (i'm still a student) until i had a patient with liver failure from a combo of alcoholism and then taking about 6000-8000 mg of tylenol per day for his daily hangover. he was in his 30's.
    even water is harmful if too much is ingested.
  8. by   ohmeowzer RN
    when are they going off the market? any news on when they will be pulled? it's a shame because i have a pt who has osteoarthritis and takes it PRN for pain and it helps her. wonder what she will do now? poor lady..
  9. by   ohmeowzer RN
    anyone heard when vicodan and lortab and percoet will be pulled? my elderly patient takes it for her osetoarthritis , she has been on it for years and takes it twice a day. poor lady i wonder what she will do?
  10. by   ayla2004
    how limiting it must be for pain management to have to use a opiod bound up with a apap that has a daily tolerance max.
    just use the two items separately apap and whatever opiate oxycodone or hydrocodone which btw isn't common in the UK.
  11. by   kcochrane
    Quote from shrimpchips
    :yeahthat: AGREED! A lot of patients do not know that Vicodin and Percocet contain acetaminophen in them. If they're taking that + actual Tylenol on top of that, they're more prone to overdose. Lol my patient's husband was telling me about this today during clinical saying that the FDA was going to pull this really strong pain killer off the market because of overdose...I asked him what it was and he replied "acetaminophen" - it made me smile, bceause you know, acetaminophen is just Tylenol lol. He kept asking if the Zosyn that I hung had "acetaminophen" in it...
    Its amazing how many people don't equate acetaminophen with Tylenol...or ibuprofen with Advil.
  12. by   morte
    plain, unadulterated opiates, hmmm
    and you can 'script them to be given together...
    we have been doing that for Darvocet in long term care.....one darvon and 2 tylenol......
  13. by   caroladybelle
    As someonewho is anaphylactically allergic to acetaminophen - full blown throat swelling to the point of being unable to breath, hives, the full gamut, I can tell you that it is difficult to get MDs to prescribe non-acetaminophen compounds.

    I have a medic alert on at ALL TIMES, including surgery and have noted clearly on chart, and still get scripts for acetaminophen containing meds.

    Another issue is that so many combo meds get scripted that fewer and fewer places carry the noncombos. In some places, it is difficult to get plain codeine, to get darvon, etc.
    There are also medical subsidies for lower income patients that will cover percocet but not oxycodone, because of worries about abuse. I have cancer patients (who in many cases should not be taking tylenol) whose prescription plans cover percocet but not oxycodone. This may force some changes.

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