It appears you have not yet Signed Up with our community. To Sign Up for free, please click here....



Pain Management Message Board

  • Question about Vicodin ES/Acemetaphine

  • Post New Thread   Closed Thread
    Thread Tools Search this Thread
    Old 12-27-2007, 09:46 PM   #1
    rtd2112
    Junior Member
    (male)
     
    rtd2112's Avatar
     
    Join Date: Aug 2007
    Location: Los Angeles, CA
    Posts: 13
    rtd2112 HB User
    Question about Vicodin ES/Acemetaphine

    I take 2 Vicidon ES at once/IE 1500 mg of Tylenol at once for Migraines. This is what works. I take NO MORE during the 24 hour period so am well below the 3000MG per day.....but I do this maybe 5-6 days per week.

    Is this too much acemetaphine at once? I see the limit for 24 hour periods as 2-4 Grams but never see it for HOW MUCH IN ONE SETTING. I have shared it with the pharmacist and doctors seem fine with it, but just wondering what anyone else's feedback/experiences with this?

     
    Sponsors Lightbulb
       
    Old 12-27-2007, 10:12 PM   #2
    Fabrashamx
    Senior Veteran
    (female)
     
    Fabrashamx's Avatar
     
    Join Date: Apr 2005
    Location: Gresham, Oregon
    Posts: 1,341
    Fabrashamx HB User
    Re: Question about Vicodin ES/Acemetaphine

    You should be fine, but it's always good to be aware of what youre putting into your body and what it can do.

    I am in the same boat, and I make sure to drink at least 4 8oz. glasses of water a day, avoid all alcohol, and I also take milk thistle, its an herbal suppliment that is great for the liver. I take 2 a day, you can get it at walmart or anywhere herbal suppliments are sold for around $5 a bottle. Make sure you check with your doctor and/or pharmacist before adding any med to your regimine, including herbal suppliments and over the counter medications.

    HTH, Fabby

     
    Old 12-27-2007, 10:23 PM   #3
    ms_west
    Senior Veteran
    (female)
     
    ms_west's Avatar
     
    Join Date: Dec 2006
    Location: western us
    Posts: 7,265
    ms_west HB User
    Re: Question about Vicodin ES/Acemetaphine

    I believe the max is 4000 not 3000. I will say that my GP thinks you should keep it at 2,500 below a day -- his feels that you liver needs to last you a life time. Best not to push the limit every day.

     
    Old 12-27-2007, 10:34 PM   #4
    Fabrashamx
    Senior Veteran
    (female)
     
    Fabrashamx's Avatar
     
    Join Date: Apr 2005
    Location: Gresham, Oregon
    Posts: 1,341
    Fabrashamx HB User
    Re: Question about Vicodin ES/Acemetaphine

    RT,

    You can also have your doctor write your prescriptions for hydrocodone only, you'll have to look around to find a compounding pharmacy (one that makes up some of their own pills) and the cost is a little more, but you can get hydro without the apap in it.

    They also make hydro with ibuprophin (spelling?) and I think with aspirin. You might want to ask your doctor about that.

    HTH!
    Fabby

     
    Old 12-28-2007, 04:57 AM   #5
    badoldback
    Senior Member
    (male)
     
    badoldback's Avatar
     
    Join Date: May 2006
    Location: Deland, FL USA
    Posts: 148
    badoldback HB User
    Re: Question about Vicodin ES/Acemetaphine

    Hey rtd,
    Fabby is right on about trying to protect your liver. You may want to consider getting N-Acetyl-Cysteine from the health food store. This is the precursor to the enzyme that safely breaks down the acetaminophen, and is what is given in the ER for acetaminophen overdose. One thing Fabby, asking for Hydrocodone without acetaminophen makes sense from our point of view, but is a "red-flag" for drug seeking behavior, and needs to be approached with caution.

     
    Old 12-28-2007, 05:22 AM   #6
    cajunboy
    Member
    (male)
     
    cajunboy's Avatar
     
    Join Date: Mar 2005
    Posts: 82
    cajunboy HB User
    Re: Question about Vicodin ES/Acemetaphine

    Generic norco, which has the same ingredients as vicodin (hydrocodone and acetaminophen) has a lower amount of acetaminophen (generic tylenol).... 325 mg. It comes in 5/325 or 10/325. I was using the 10/325 for BT and breaking them in half, so I was only getting 162.5 mg of acetaminophen per dose.

    My pain doc strongly believes in limiting the acetaminophen due to potential liver and kidney damage, not because of exceeding daily maximum dosage, but because we take them for years. I have heard the same thing from several docs over the years. If I recall correctly, some labels state you should not take for more than two weeks, so it would seem that the problem for chronic pain patients is more related to having to take this for years and the possible consequences to our livers.

    I know that there has been some previous discussion on this issue on these boards, you may want to try and find those as there seemed to be a good bit of info. and experience from members.

    Merry Christmas!

    cb

     
    Old 12-28-2007, 06:12 AM   #7
    zach88
    Junior Member
    (male)
     
    zach88's Avatar
     
    Join Date: Dec 2007
    Location: New York
    Posts: 41
    zach88 HB User
    Re: Question about Vicodin ES/Acemetaphine

    This is a really good idea actually. I had my doctor switch me to Norco too. There is also a 7.5/325 Norco, which is what I was taking.

     
    Old 12-28-2007, 11:18 AM   #8
    rtd2112
    Junior Member
    (male)
     
    rtd2112's Avatar
     
    Join Date: Aug 2007
    Location: Los Angeles, CA
    Posts: 13
    rtd2112 HB User
    Re: Question about Vicodin ES/Acemetaphine

    Hey Fab

    First off, thanks for the feedback. I do drink a ton of water (more than you stated), dont drink alcohol much, and live a pretty healthy lifestyle otherwiseand take milk thistle occasionally, not reguarly. I had a couple Naturalpaths tell me that milk thistle loses it's effectiveness after a while and your liver build up an immunity to it, so I dont know what 2 a day are doing for you now. I got my enzymes checked last year and doing it again in a couple weeks...but so far everything is normal.

    It's funny how much I sweat this stuff as a hypochondriac, but I'm probably not doing nearly as much damage to my liver as I would be by having, say 2-3 martinis a day as so many people I know do right?

     
    Old 12-29-2007, 09:35 AM   #9
    feelbad
    Senior Veteran
    (female)
     
    Join Date: Dec 2003
    Posts: 10,122
    feelbad HB Userfeelbad HB Userfeelbad HB Userfeelbad HB Userfeelbad HB Userfeelbad HB Userfeelbad HB Userfeelbad HB Userfeelbad HB Userfeelbad HB Userfeelbad HB User
    Re: Question about Vicodin ES/Acemetaphine

    hey DDD,just an FYI here for ya.when taken on an occasional basis and not a daily or chronic basis,that max amount IS 4000mgs BUT when taken on a constant basis to try and manage chronic pain that max level does go down a bit to only 3000mgs.it all comes down to the chemical needed to actually metabolize the apap.it gets and stays more depleted when it gets used up on a consistant basis,much moreso than if you were just taking the occasional tylenol here and there.just thought you might like to know that.

    i was going to suggest to you rtd,what someone already did,trying norco instead of the vicodin ES.its just alot of tylenol all in one shot.when there actually is something else availiable that naturally has a much lower amount of tylenol as an option,its just a much better way to go.you are taking this regularly enough that a change realistically should be made.when you don't have to actually take tylenol on a consistant basis,it just should be done that way.tylenol is just not the little innocuous med that it was thought to be all these years.it causes total liver and renal failure to some people who never ever thought about the toxic effects it actually can have on the liver and the kidneys as well.believe me,there are many people sitting on the 'list' right now,waiting for new organs who are only there because of too much tylenol.when other analgesics are brought in to the picture,that risk becomes even higher for what is called analgesic nephropathy.the kidneys can take just as big of a hit as the liver can,alot of people don't even know this.anyone who takes any amount of tylenol on a consistant basis should be totally aware of the possible risks and or complications of using it this way.

    just an FYI about labs?the only time you will see any real changes in the numbers is when the actual damage reaches a certain point,only then will the numbers change.believe me, my kidneys and liver(from polycystic kidney and liver disease)espescially my kidneys are about four times the normal size and covered inside and out with huge globs of cysts.if my son had not gone into total liver failure back in 99,i never would have found out that i had been living my whole life with a kidney and liver disease.it was only then that his GI doc told us that his type of liver failure came from the polycystic inherited disease that had to come from either me or my husband.it was me.he recieved some sort of mutation of this that actually started forming these nasty fibers in his liver when he was actually in the womb.never knew he was even sick since the liver and other organs just compensate for each other so well for quite a very long time.believe it or not,all of my kidney and liver labs are still totally within the normal ranges,despite the very visable damage to them.they just have not reached that "magic' level of damage yet,but they will eventually.but it just absolutely floors me to look at what my ultrasounds actually show(it looks horrid really) and then looking at my totally normal lab sheets.you just really don't know for certain what is really going on within your body in any area til you take that look inside with some level of scan.it still freaks me out that my labs are actually right in the middle of normal with all that has changed in them.don't mean to freak you out here or anything.but this is how the body will actually compensate and what really causes those numbers to change.by the time your labs show actual changes,in some cases,the damage can be quite severe in some people.its just the way the organs show damage and the way the labs are done.if you really want the best possible overall look at how the organs are,getting at least an ultrasound along with the labs is really the best possible way to go.if my kidneys weren't as big as a freaking house right now and my son hadn't gotten sick,i would be totally assuming that i actually had totally normal kidneys and liver.just some factoids for you.

    okay,i will get off my box now.you just need to understand the way labs are and the possibilities that can occur with too much tylenol.that med really scares me,alot.hopefully you can get your doc to place you on norco.it really would be the best med for you at this point.or even trying something that does not actually contain any tylenol could be a possible option too.what have you actually tried before that didn't work?Marcia
    __________________
    3-22-01,herniated C-6-7
    11-20-01,placement of hardware for failed fusion
    9-22-03,removal of cavernous hemangioma that was inside spinal cord. Neuro damage to L hand L leg and R leg.

     
    Old 12-29-2007, 12:42 PM   #10
    Fabrashamx
    Senior Veteran
    (female)
     
    Fabrashamx's Avatar
     
    Join Date: Apr 2005
    Location: Gresham, Oregon
    Posts: 1,341
    Fabrashamx HB User
    Re: Question about Vicodin ES/Acemetaphine

    Hey rdt!

    Thank you for the heads up about the Milk Thistle! I learn so much on this board, I give thanks for having you all in my life every day.

    Thanks again!
    Fabby

    :::::Waving at my girl Marcia

     
    Old 12-29-2007, 04:25 PM   #11
    rtd2112
    Junior Member
    (male)
     
    rtd2112's Avatar
     
    Join Date: Aug 2007
    Location: Los Angeles, CA
    Posts: 13
    rtd2112 HB User
    Re: Question about Vicodin ES/Acemetaphine

    hey feelbad

    thanks for all that feedback. good stuff. sounds like you're very weary of tylenol. what about regular drinkers? does that affect the liver as much (or more) than the regular consumers of tylenol?

     
    Closed Thread

    Related Topics
    Thread Thread Starter Board Replies Last Post
    I have a question about taking percocet's & vicodin's. How many is to many? tracypatzold Addiction & Recovery 3 02-16-2009 05:36 PM
    suboxone question.... aquarius72 Addiction & Recovery 4 04-04-2008 11:44 AM
    Another Tylenol question Toonces1 Pain Management 11 03-28-2008 07:52 AM
    Question about liver/elevated enzymes rtd2112 Liver & Pancreas Disorders 7 03-11-2008 04:38 PM
    Vicodin and 'hyper' question.... Queenneeee Pain Management 11 07-17-2007 01:26 PM
    Have A Question? no patience Addiction & Recovery 10 05-17-2004 06:01 AM




    Thread Tools Search this Thread
    Search this Thread:

    Advanced Search

    Posting Rules
    You may not post new threads
    You may not post replies
    You may not post attachments
    You may not edit your posts

    BB code is On
    Smilies are On
    [IMG] code is Off
    HTML code is Off
    Trackbacks are Off
    Pingbacks are Off
    Refbacks are Off




    Sign Up Today!

    Ask our community of thousands of members your health questions, and learn from others experiences. Join the conversation!

    I want my free account

    All times are GMT -7. The time now is 04:27 PM.





    © 2020 MH Sub I, LLC dba Internet Brands. All rights reserved.
    Do not copy or redistribute in any form!