Discussions that mention vicodin

Pain Management board

I am getting ready for a PM appointment Monday. I have been on Vicodin for two years and only take 3 -4 a day. I think they are 7.5/750.
Stupid question but what is stronger?
Vicodin (Lortab)

The oxy kinda scares me. I have heard alot of negative and it being the last resort drug and stuff.

I want to go informed-help!
Percocet is Oxycodone wuth Tylenol
Oxycodone does not have tylenol
Lortab is Vicodin
People react different to different meds

lifeaftr40 has offered good info.

Hydrocodone is one of the active ingredients in Vicodin, LorTab, Norco, etc. It also has tylenol mixed in.

Oxycodone is one of the active ingredients in Percocet, which also has tylenol. Oxycodone is the sole active ingredient in OxyIR, OxyContin, etc. It is the same oxycodone that is in Percocet.

Oxycodone is 50% stronger than hydrocodone.

Morphine is relatively equal in potency to hydrocodone, but is prescribed alone w/o tylenol mixed in. Many think of it as stronger than hydrocodone, but clinical studies show otherwise.

Above morphine and oxycodone are even more potent opioids.

For you, if you are in need of something stronger, I would recommend Norco, which is hydrocodone 10mg and tylenol. This is stronger than your Vicodin, but uses ingredients that have worked for you at some point at least, right?

If absolutely necessary, the next step up is probably Percocet with 5mg oxycodone and tylenol.

You want to be careful going up in potency with short acting opioids because tolerance develops very quickly, leaving you in need of ever stronger meds. If you have chronic pain then it is good to get on a long acting med. This helps keep your blood level of opioid stable and avoids the ups and downs of short acting meds.

What kind of pain do you have and how bad is it?

In general, oxycodone is a bit stronger than hydrocodone -- but some people prefer hydrocodone. For me hydrocodone seems to have a "warmer" quality and oxycodone has a speedier quality, and hydrocodone feels better on my pain. But all commercial hydrocodone preparations contain Tylenol, which limits the dose, whereas most pure opioids due to not have a ceiling dose once tolerance to respiratory depression has been achieved.


[INDENT]Vicodin: contains 5 mg hydrocodone and 500 mg APAP (acetaminophen, aka Tylenol)

Vicodin ES: contains 7.5 mg hydrocodone and 750 mg APAP

Norco (10/325): contains 10 mg hydrocodone and 325 mg APAP[/INDENT]


[INDENT]Percocet: contains 5 mg oxycodone and 500 mg APAP

Oxy IR: contains 5 mg oxycodone (no APAP) -- IR stand for immediate release

Roxicodone 15 and 30: oxycodone that comes in 15 and 30 mg strengths (no APAP)

Oxycontin: Extended-release oxycodone (no APAP)[/INDENT]

Generally in order of strength, it would go like this (from lesser to greater):

Vicodin, Percocet, Oxy IR (because it does not have Tylenol, can be prescribed in higher doses than Percocet), then Oxycontin.


Edit to add: I was posting at same time as Steve (I kept the window open for a while) -- so sorry to duplicate info. Steve had really good advice, especially the bit about morphine being equipotent to hydrocodone -- that is true -- and of course, there will be individual preferences finding one "better" than the other -- that is relative.