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Norco

Last reviewed on RxList: 8/12/2020
Norco Side Effects Center

What Is Norco?

Norco (hydrocodone bitartrate and acetaminophen) is an opioid analgesic and antitussive (cough suppressant) combined with a pain reliever (analgesic) used to treat moderate to fairly severe pain. Norco is available as a generic.

What Are Side Effects of Norco?

Common side effects of Norco are:

Dosage for Norco

Norco is supplied in tablet forms with strengths of 7.5 or 10 mg of hydrocodone bitartrate combined with 325 mg of acetaminophen. The daily dose for both strengths is one tablet every 4 to 6 hours as needed for pain. No more than 6 tablets should be taken over 24 hours.

What Drugs, Substances, or Supplements Interact with Norco?

Norco may interact with alcohol, other narcotic pain medications, sedatives, tranquilizers, sleeping pills, muscle relaxers, other medicines that can make you sleepy or slow your breathing, antidepressants, MAO inhibitors, atropine, benztropine, dimenhydrinate, glycopyrrolate, mepenzolate, methscopolamine, scopolamine, bladder or urinary medications, bronchodilators, or irritable bowel medications. Tell your doctor all medications and supplements you use.

Norco During Pregnancy and Breastfeeding

There are no studies that suggest Norco is safe to use in pregnancy or in pediatric patients; however, pregnant women taking Norco regularly will produce an infant likely to be opioid dependent and may have respiratory depression. Both medications in Norco (acetaminophen and hydrocodone) pass into breast milk and may harm a nursing baby. Consult your doctor before breastfeeding. Although the above is written about Norco, readers should be aware that over 250 different drugs are available that have the same two (or more) combinations of drugs as Norco and thus have a similar drug profile. Short treatment (less than a week) usually does not cause patient's to become dependent on the drug, develop tolerance, or develop an opioid withdrawal syndrome. Longer constant use may allow these serious side effects to develop.

Additional Information

Our Norco Side Effects Drug Center provides a comprehensive view of available drug information on the potential side effects when taking this medication.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

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Norco Consumer Information

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Get emergency medical help if you have signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.

Opioid medicine can slow or stop your breathing, and death may occur. A person caring for you should seek emergency medical attention if you have slow breathing with long pauses, blue colored lips, or if you are hard to wake up.

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 this medicine and call your doctor right away if you have skin redness or a rash that spreads and causes blistering and peeling.

Call your doctor at once if you have:

  • noisy breathing, sighing, shallow breathing, breathing that stops during sleep;
  • a light-headed feeling, like you might pass out;
  • liver problems--nausea, upper stomach pain, tiredness, loss of appetite, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes); or
  • 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.

Serious side effects may be more likely in older adults and those who are overweight, malnourished, or debilitated.

Long-term use of opioid medication may affect fertility (ability to have children) in men or women. It is not known whether opioid effects on fertility are permanent.

Common side effects include:

  • dizziness, drowsiness, feeling tired;
  • nausea, vomiting, stomach pain;
  • constipation; or
  • headache.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

Read the entire detailed patient monograph for Norco (Hydrocodone Bitartrate and Acetaminophen)

QUESTION

Medically speaking, the term "myalgia" refers to what type of pain? See Answer
Norco Professional Information

SIDE EFFECTS

The most frequently reported adverse reactions are lightheadedness, dizziness, sedation, nausea and vomiting. These effects seem to be more prominent in ambulatory than in nonambulatory patients, and some of these adverse reactions may be alleviated if the patient lies down.

Other adverse reactions include:

Central Nervous System

Drowsiness, mental clouding, lethargy, impairment of mental and physical performance, anxiety, fear, dysphoria, psychic dependence, mood changes.

Gastrointestinal System

Prolonged administration of NORCO may produce constipation.

Genitourinary System

Ureteral spasm, spasm of vesical sphincters and urinary retention have been reported with opiates.

Respiratory Depression

Hydrocodone bitartrate may produce dose-related respiratory depression by acting directly on the brain stem respiratory center (see OVERDOSAGE).

Special Senses

Cases of hearing impairment or permanent loss have been reported predominantly in patients with chronic overdose.

Dermatological

Skin rash, pruritus.

The following adverse drug events may be borne in mind as potential effects of acetaminophen: allergic reactions, rash, thrombocytopenia, agranulocytosis. Potential effects of high dosage are listed in the OVERDOSAGE section.

Drug Abuse And Dependence

Controlled Substance

NORCO is classified as a Schedule II controlled substance.

Abuse And Dependence

Psychic dependence, physical dependence, and tolerance may develop upon repeated administration of narcotics; therefore, this product should be prescribed and administered with caution. However, psychic dependence is unlikely to develop when NORCO tablets are used for a short time for the treatment of pain.

Physical dependence, the condition in which continued administration of the drug is required to prevent the appearance of a withdrawal syndrome, assumes clinically significant proportions only after several weeks of continued narcotic use, although some mild degree of physical dependence may develop after a few days of narcotic therapy. Tolerance, in which increasingly large doses are required in order to produce the same degree of analgesia, is manifested initially by a shortened duration of analgesic effect, and subsequently by decreases in the intensity of analgesia. The rate of development of tolerance varies among patients.

Read the entire FDA prescribing information for Norco (Hydrocodone Bitartrate and Acetaminophen)

Related Resources for Norco

Read the Norco User Reviews »

© Norco Patient Information is supplied by Cerner Multum, Inc. and Norco Consumer information is supplied by First Databank, Inc., used under license and subject to their respective copyrights.

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