What is Lortab® (acetaminophen and hydrocodone) used for?
Lortab® is used to relieve moderate to severe pain. Lortab® may also be used for purposes not listed in this medication guide.
How should I take Lortab® (acetaminophen and hydrocodone)?
Take Lortab® exactly as prescribed. Follow all directions on your prescription label. Never take this medicine in larger amounts, or for longer than prescribed. An overdose can damage your liver or cause death. Tell your doctor if the medicine seems to stop working as well in relieving your pain.
Hydrocodone may be habit-forming, even at regular doses. Never share this medicine with another person, especially someone with a history of drug abuse or addiction. Misuse of narcotic medicine can cause addiction, overdose, or death, especially in a child or other person using the medicine without a prescription. Selling or giving away Lortab® is against the law.
Measure liquid Lortab® with the dosing syringe provided, or with a special dose-measuring spoon or medicine cup. If you do not have a dose-measuring device, ask your pharmacist for one.
If you need surgery or medical tests, tell the doctor ahead of time that you are using Lortab®. You may need to stop using the medicine for a short time.
Do not stop using Lortab® suddenly after long-term use, or you could have unpleasant withdrawal symptoms. Ask your doctor how to safely stop using this medicine.
How do I store Lortab® (acetaminophen and hydrocodone)?
Lortab® is best stored at room temperature away from direct light and moisture. To prevent drug damage, you should not store Lortab® in the bathroom or the freezer. There may be different brands of Lortab® that may have different storage needs. It is important to always check the product package for instructions on storage, or ask your pharmacist. For safety, you should keep all medicines away from children and pets.
You should not flush Lortab® down the toilet or pour them into a drain unless instructed to do so. It is important to properly discard this product when it is expired or no longer needed. Consult your pharmacist for more details about how to safely discard your product.
Precautions & warnings
What should I know before using Lortab® (acetaminophen and hydrocodone)?
Before using this drug, tell your doctor if:
- You are pregnant or breastfeeding. This is because, while you are expecting or feeding a baby, you should only take medicines on the recommendation of a doctor.
- You are taking any other medicines. This includes any medicines you are taking which are available to buy without a prescription, such as herbal and complementary medicines.
- You have allergy with any of active or inactive ingredients of Lortab® or other medications.
- You have any other illnesses, disorders, or medical conditions.
You should not use Lortab® if you are allergic to acetaminophen (Tylenol) or hydrocodone, or if you have recently used alcohol, sedatives, tranquilizers, or other narcotic medications.
Do not use Lortab® if you have taken a MAO inhibitor in the past 14 days. A dangerous drug interaction could occur. MAO inhibitors include isocarboxazid, linezolid, phenelzine, rasagiline, selegiline, and tranylcypromine.
Some medicines can interact with hydrocodone and cause a serious condition called serotonin syndrome. Be sure your doctor knows if you also take medicine for depression, mental illness, Parkinson’s disease, migraine headaches, serious infections, or prevention of nausea and vomiting. Ask your doctor before making any changes in how or when you take your medications.
To make sure Lortab® is safe for you, tell your doctor if you have:
- Liver disease, cirrhosis, or if you drink more than 3 alcoholic beverages per day
- A history of alcoholism or drug addiction
- Diarrhea, inflammatory bowel disease, bowel obstruction, severe constipation
- Kidney disease
- Low blood pressure, or if you are dehydrated
- A history of head injury, brain tumor, or stroke
- Asthma, COPD, sleep apnea, or other breathing disorders
- If you use a sedative like Valium (diazepam, alprazolam, lorazepam, Ativan, Klonopin, Restoril, Tranxene, Versed, Xanax, and others)
Lortab® is more likely to cause breathing problems in older adults and people who are severely ill, malnourished, or otherwise debilitated.
Is it safe during pregnancy or breastfeeding?
There are no adequate studies in women for determining risk when using Lortab® during pregnancy or while breastfeeding. Please always consult with your doctor to weigh the potential benefits and risks before taking Lortab®. Lortab® is pregnancy risk category C, according to the US Food and Drug Administration (FDA).
FDA pregnancy risk category reference below:
- A=No risk
- B=No risk in some studies
- C=There may be some risk
- D=Positive evidence of risk
What side effects can occur from Lortab® (acetaminophen and hydrocodone)?
Get emergency medical help if you have signs of an allergic reaction to Lortab®: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.
In rare cases, acetaminophen may cause a severe skin reaction that can be fatal. This could occur even if you have taken acetaminophen in the past and had no reaction. Stop taking Lortab® and call your doctor right away if you have skin redness or a rash that spreads and causes blistering and peeling. If you have this type of reaction, you should never again take any medicine that contains acetaminophen.
Call your doctor at once if you have:
- Shallow breathing, slow heartbeat
- A light-headed feeling, like you might pass out
- Confusion, unusual thoughts or behavior
- Seizure (convulsions)
- Easy bruising or bleeding
- Infertility, missed menstrual periods
- Impotence, sexual problems, loss of interest in sex
- Liver problems – nausea, upper stomach pain, itching, loss of appetite, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes)
- Low cortisol levels – nausea, vomiting, loss of appetite, dizziness, worsening tiredness or weakness
Seek medical attention right away if you have symptoms of serotonin syndrome, such as: agitation, hallucinations, fever, sweating, shivering, fast heart rate, muscle stiffness, twitching, loss of coordination, nausea, vomiting, or diarrhea.
Common side effects include:
- Drowsiness, headache
- Upset stomach, constipation
- Blurred vision
- Dry mouth
Not everyone experiences these side effects. There may be some side effects not listed above. If you have any concerns about a side-effect, please consult your doctor or pharmacist.
What drugs may interact with Lortab® (acetaminophen and hydrocodone)?
Lortab® may interact with other drugs that you are currently taking, which can change how your drug works or increase your risk for serious side effects. To avoid any potential drug interactions, you should keep a list of all the drugs you are using (including prescription drugs, nonprescription drugs, and herbal products) and share it with your doctor and pharmacist. For your safety, do not start, stop, or change the dosage of any drugs without your doctor’s approval.
Products that may interact with this drug are:
- Other narcotic medications – opioid pain medicine or prescription cough medicine
- Drugs that make you sleepy or slow your breathing – a sleeping pill, muscle relaxer, sedative, tranquilizer, or antipsychotic medicine
- Drugs that affect serotonin levels in your body – medicine for depression, Parkinson’s disease, migraine headaches, serious infections, or prevention of nausea and vomiting
Does food or alcohol interact with Lortab® (acetaminophen and hydrocodone)?
Lortab® may interact with food or alcohol by altering the way the drug works or increase the risk for serious side effects. Please discuss with your doctor or pharmacist any potential food or alcohol interactions before using this drug.
What health conditions may interact with Lortab® (acetaminophen and hydrocodone)?
Lortab® may interact with your health condition. This interaction may worsen your health condition or alter the way the drug works. It is important to always let your doctor and pharmacist know all the health conditions you currently have.
The information provided is not a substitute for any medical advice. You should ALWAYS consult with your doctor or pharmacist before using Lortab® (acetaminophen and hydrocodone).
What is the dose of Lortab® (acetaminophen and hydrocodone) for an adult?
5 mg/325 mg: One or two tablets every four to six hours. The total daily dosage should not exceed 12 tablets.
7.5 mg/325 mg: One tablet every four to six hours. The total daily dosage should not exceed 6 tablets.
10 mg/325 mg: One tablet every four to six hours. The total daily dosage should not exceed 6 tablets.
What is the dose of Lortab® (acetaminophen and hydrocodone) for a child?
The dosage has not been established in pediatric patients. It may be unsafe for your child. It is always important to fully understand the safety of the drug before using. Please consult with your doctor or pharmacist for more information.
How is Lortab® (acetaminophen and hydrocodone) available?
Lortab® is available in the following dosage forms and strengths:
- Tablet: hydrocodone bitartrate 5mg, acetaminophen 325mg
What should I do in case of an emergency or overdose?
In case of an emergency or an overdose, call your local emergency services or go to your nearest emergency room.
What should I do if I miss a dose?
If you miss a dose of Lortab®, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and take your regular dose as scheduled. Do not take a double dose.
Hello Health Group does not provide medical advice, diagnosis or treatment.
Review Date: August 15, 2017 | Last Modified: August 25, 2017