Discussions that mention tylenol

Pain Management board


Hi Louise,

Hydrodocone is just simply the base, main ingredient in all of these things: Vicodin 5/500; Lorcet 10/650; Norco 10/325; Lortab 10/500; Vicodin HP 10/500, etc... there are a few more too. They're all just varied brand name types. Whatever of these the doc gives you, if the pharmacy gives you generic (which you should request if you've got half a brain ;), because there's no difference in quality), the bottle's going to say Hydrocodone "# of mgs"/ Apap (tylenol) # of mgs". It just depends on the amount or strength you get per pill, combined with how much tylenol in each dose (ultimately, the best combination you can have is 10/325... it's max dose of hydrocodone in one pill (I don't think there's a 15) and it's the least amount of tylenol - good for the liver :). That is, just talking about the opioid/tylenol combinations, of course there's quite a few tylenol free relievers out there too. Hope this helps :)
You got it Hockey Crystal,

Hydrocodone is generic for Lortab, Lorcet, Vicodin, Norco, That's the only difference and they all come in 5, 7.5, and 10 Hydrocodone, and 325, 500, 650, and 750 acetaminiphin. Why any one would want the higher tylenol is beyond me since it is so harsh on the liver, but that is how high it goes. That I am aware of anyway. So I just wanted to say you were right!!
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Take Care
Less Pain Wishes
Sonya
Louise,

I think maybe you mean to say it's 7.5/750 you have there, which is generic Vicodin ES. (Personally, I'd feel that's unfortunate for you, Vicodin ES is my least favorite short acting med, only because it's the one that comes with the most tylenol per pill). I'm not sure how many a day you're taking, but be careful, as you don't want to take more than 4000mgs of tylenol in 24hrs (well taking that in a day won't kill you obviously, but doing that much continuously will harm your liver, or even taking as much as 3500mgs or so continuously too). So, as a rule, you really only want to be taking 5 of those a day at most to be in a safer range.

And you may have heard this before, and you'll most certainly hear it again - everyone reacts differently to everything (in response to your ? about being knocked out). I used to work with a guy, he is 6-1, about 190 and two regular Vicodins would have him pretty much down for the count. I'm a mere 5-9, 160, and they have the reverse effect on me, they actually kind of energize me.

And finally in regards to why you're so tolerant, that's completely dependant upon how long you've been on these meds, which that I don't think you've mentioned. Obviously the longer it is, the higher tolerance you have.... Aye there's the rub, when it comes to opiate analgesics, there's no ceiling to the dosage. Hope this helps
I'm reading this old thread, trying to educate myself on the difference in all the pain meds. I obviously want the least amount of Tylenol (which I have with Norco 10/325), but will more Tylenol help with pain relief any? And where does Percocet come into all of this? This thread was enormously helpful, thank you.
I personally don't think taking a hydrocodone pill with more apap (tylenol) will offer any more pain relief than a pill with a lower apap and the same amount of hydrocodone. In addition, increasing your apap intake will greatly increase your chances of long term liver damage that can be very serious. If you truely want more pain relief, you will have to increase your hydrocodone intake. For example, if you are taking vicodin 5/325, and it is inadequate, increase to vicodin 7.5/325 or to 10/325, rather than changing to vicodin 5/500. I hope that example helps you to understand what i mean. Percocet fits into the picture in that it is a preparation much like vicodin with tylenol and a narcotic. The difference being that the narcotic is oxycodone instead of hydrocodone. Oxycodone is generally somewhat stronger than hydrocodone, between 20-40% stronger milligram for milligram (however the difference can vary greatly from person to person). Oxycodone is also a schedule II narcotic, while hydrocodone is a schedule III narcotic (in most states) This means that for products containing oxycodone, including percocet, you are not allowed refills without a written perscription, the doctor cannot call the script in, you must fill the script within seven days of the date it was written, but not within 30 days of a prior prescription for the same product, or it is invalid; and it is just generally more regulated. Percocet comes in generic, and it comes in preparations similiar to vicodin including, 2.5/325, 2.5/500, 5/325, 5/550, 7.5/325, 7.5/650, 10/325, 10/650. Don't let the schedule II status of the drug scare you, it is more of a minor inconvenience than anything else, and many people find percocet to be more effective than vicodin. In fact percocet is the next logical step, once vicodin has failed. Take care.
Hi all; wirry1422 explained it very well. Hydrocodone and Oxycodone are the "killers" in the painkiller. The number after the slash is merely the amount of tylenol.

My pharmacist recommended a med to me when I was wondering about taking the tylenol,I only take 10/325 4x daily of Perc for bt pain, but was still wondering. He told me about a med called "Vicoprofen" which is like Vicodin but with Ibuprofen in it instead. So that may be something you may want to inquire about.

Don't we have some "smart sallies" on this board? Oh, and not to leave out the guys: "smart sam's" !!!!! :)

Pain stinks, but for most of us here, it seems to have made itself at home in our bodies!

tk