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Medical Forum / General / Pharmacy / December 2005Hydrocodone vs Codeine
Just a quick question: (I know this is on the web *somewhere* but I can't seem to find it right now) I went to the dentist yesterday and I have a bad infection and need a root canal (scheduled for Jan 4). He prescribed Tylenol 3 which isn't doing *anything* for the pain (and an antibiotic). I called and of course couldn't get past the receptionist. She said that he couldn't prescribe anything that would be stronger than the T3. (Said she has worked there longer enough to know) The last time I had a tooth problem, I was given Hydrocodone (40mgs I think). That seemed to work as I remember. Is T3 "stronger" than Hydrocodone? Thanks On 12/22/05 12:54 PM, in article n54mq1lp8ecldvhcu65gsevai0on54bm2s@4ax.com, > Just a quick question: > [quoted text clipped - 16 lines] > > Thanks It sounds like the receptionist is practicing dentistry. One way or another, her employer should know about it. Bill -- Ferme le Bush >On 12/22/05 12:54 PM, in article n54mq1lp8ecldvhcu65gsevai0on54bm2s@4ax.com, > [quoted text clipped - 21 lines] >It sounds like the receptionist is practicing dentistry. One way or another, >her employer should know about it. Oh, believe me - he will! > The last time I had a tooth problem, I was given Hydrocodone (40mgs I > think). That seemed to work as I remember. > > Is T3 "stronger" than Hydrocodone? (This is off the top of my head): T3 has 30mg of codeine per pill. Pills with hydrocodone usually have 5mg, 7.5mg or 10mg per pill. If you have a script of 3-4T3s per day, then that isn't alot different from 3-4 5mg hydrocodones per day (except it is possible that the hydrocodone could give slighly better pain relief). It is likely that the hydrocodone at 3-4 5mg will do more to mitigate pain than 3-4 T3s. (assuming equal amounts of tylenol and ignoring the small amount of caffeine in T3s.) Again, off the top of my head, codeine tends to have more side effects than hydrocodone for the same amount of pain relief. Also, hydrocodone is supposedly better optimized for cough-type issues than other narcotics (e.g. oxycodone.) So, if I was really worried about pain relief, I'd probably prefer 7.5mg hydrocodone QID than 30mg codeine QID. You can always take less of the hydrocodone if you don't really need it. The codeine is probably more likely to cause itchies and might take longer to give pain relief. (Again, this is off the top of my head, and might not be 100% accurate.) John (assuming > equal amounts of tylenol and ignoring the small amount of caffeine > in T3s.) Caffeine in Tylenol #3? You should qualify your response to patients' medication questions in this forum with a disclaimer that your advice does not come from a pharmacist. Rich > (assuming >> equal amounts of tylenol and ignoring the small amount of caffeine [quoted text clipped - 3 lines] > medication questions in this forum with a disclaimer that your advice > does not come from a pharmacist. I have qualified my comments as by 'from my memory'. Please be as competent as you try to imply by understanding my disclaimer. There is ABSOLUTELY no implication of a patient/doctor,pharmacist relationship given the casual interaction herein. There is also ABSOLUTELY no implication that I am a pharmacist. There is however an implication by you that I had made assertions much more strongly than I did. An apology (from you) is in order. However, if you are practicing pharmacy through Usenet, perhaps your qualifications need to be reviewed by your local board, think about it. Your odd concern about caffeine being a constituent of T3s seems to 'interesting' to say the least (wrt your own competency.) John > (assuming >> equal amounts of tylenol and ignoring the small amount of caffeine [quoted text clipped - 4 lines] > does not come from a pharmacist. > Rich Please refer to the monograph. John >> (assuming >>> equal amounts of tylenol and ignoring the small amount of caffeine [quoted text clipped - 6 lines] >> > Please refer to the monograph. Sorry for the multiple posting -- I did double check, and there is (15mg AFAIR) caffeine in real T3s. John >> Please refer to the monograph. >> > Sorry for the multiple posting -- I did double check, and there > is (15mg AFAIR) caffeine in real T3s. > > John Double checked with whom? You're just yanking everyone's chain, right? http://www.ortho-mcneil.com/active/janus/en_US/assets/common/company/pi/tylenol_ codeine.pdf | >> Please refer to the monograph. | >> [quoted text clipped - 4 lines] | | Double checked with whom? You're just yanking everyone's chain, right? http://www.ortho-mcneil.com/active/janus/en_US/assets/common/company/pi/tylenol_ codeine.pdf I have been a pharmacist for 30+ years - MY Tylenol #3 has ALWAYS and STILL has caffeine as well as acetaminophen + codeine. Please remember that the USA is not the only country that uses mediction. A Canadian Pharmacist > Please remember that the USA is not the only country that uses > mediction. This is why it would - especially in international groups such as sci.* - be a good idea to use generic names unless one is specifically discussing a brand. Thor  Signaturehttp://www.anta.net/OH2GDF > I have been a pharmacist for 30+ years - MY Tylenol #3 has ALWAYS and > STILL has caffeine as well as acetaminophen + codeine. Well, what do ya know? Believe it or not, I actually thought about the other poster possibly being from somewhere outside the US, but correct me if I'm wrong, iquest, from whence the post I responded to was posted, is a US-only ISP. > Please remember that the USA is not the only country that uses > mediction. You may mean that in the best possible way, but I seem to sense a touch of sarcasm, to which my only response would be... 8-| (That's supposed to be a lame emoticon representing me rolling my eyes, just in case that is different on the other side of the border too.) > A Canadian Pharmacist >> I have been a pharmacist for 30+ years - MY Tylenol #3 has ALWAYS and >> STILL has caffeine as well as acetaminophen + codeine. [quoted text clipped - 4 lines] > being from somewhere outside the US, but correct me if I'm wrong, iquest, > from whence the post I responded to was posted, is a US-only ISP. The sad thing is that the whiners have obscured the actual facts about the differences between hydrocodone and codeine. I happen do do both sides of the USA/Canada border. John >> The last time I had a tooth problem, I was given Hydrocodone (40mgs I >> think). That seemed to work as I remember. [quoted text clipped - 25 lines] >(Again, this is off the top of my head, and might not be 100% >accurate.) Thanks, John. I was able to get the other dentist at the practice (mine had already gone on holiday) to change the prescription and he wrote for 15 5-mg Vicodin. It has made a *huge* difference! I was finally able to almost forget about the tooth and also get some much needed sleep. The T3's didn't do *anything* except make me itch. SignatureSammi |
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