Tylenol 4 question - Pain Management Message Board

Pdawg · 01-06-2006, 11:18 AM

I was wondering......

My PM doc just switched me to Tylenol 4. I never knew there was such a thing. I knew about 3.

But anyway.....I was taking Norco 10/325 x6/day and was feeling tolerant and advised my doc. He switched me to T4. Can anyone tell me is this going to be a comparable med to the Norco? He has me on 6 per day. Anyone have any wierd side effects or anything.

Just wondering

thanks in advance

pd

catnap · 01-06-2006, 01:44 PM

I believe tylenol 4 is 60 mgs. codeine and 325 acetanimophen. Codeine is hard on the stomach. Metabolized in the liver to morphine.

RetiredDirector · 01-06-2006, 02:42 PM

Pdawg: Catnap is right. Tylenol #4 has 60 mg of codeine and 300 of Acetaminophen in it. They actually make it as Tylenol #1, 2, 3, and 4. In Canada you can buy Tylenol #1 over the counter. I believe it has 8 mg of codeine. In the US the most prescribed is Tylenol #3, that's why you hadn't heard of T-4.

To answer your question, I believe it's a step backwards, going from Norco 10/325. Now if you were taking Hydrocodone 5/325, it would be fairly close, but you were taking 10 mg of Hydro, which is quite a bit more potent than the codeine.

If anyone knows differently, please let us know.

Pdawg · 01-06-2006, 04:26 PM

Thanks you guys

I talked with my PM doc about maybe me becoming tolerant to the Norco because I have been feeling more pain than normal. He said he wanted to stay away from the Schedule 2's because I am so young. I am 34 and dont feel that young LOL. I have have a herniated disc that is hitting a nerve and have sciatica lower back pain and spasms etc etc etc. No history of Narcotic abuse or anything like that.

My appt was at 9 this morning and around 10 I took my first Tylenol 4. At 2pm I took another and now it is 3:30. No relief, Its actually worse now than it was yesterday with the Norco. I am completely out of my Norco and want to kick myself for asking for a change. Anyway Thanks for the info, Maybe this stuff will just kick in or something later tonight.

catnap · 01-06-2006, 07:08 PM

10 to 15 mg of hydrocodone or oxycodone
2 to 4 mg of hydromorphone
30 to 60 mg of codeine
15 to 30 mg of morphine

These starting doses are equal to each other. As you can see it takes more codeine than hydrocodone to have the same effect. So it looks like he gave you a little more when he changed you to the tylenol #4.