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Medical Forum / General / Pharmacy / October 2003

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2 pharmacy questions,please

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moonbeam@home.com - 28 Sep 2003 21:33 GMT
My pain management Dr has me on Percodan X 2 and Hydrocodone X 3 and I
have 2 questions
1. Is it really hard to find generic Percodan ? For the past 3 months my
CVS pharmacy tells me they can't get it .. evidently from their supply
house. Since I pay out of pocket for meds, it's a big question ! there
is a $55 difference.
2. I know that 4 grams of Tylenol are max amount you can have in 24
hours. So, how many hydrocodone is that ? I know it has 325 (mg ?) of
Tylenol. I don't know how to figure it out !
       many,many thanks !
Glenn Gilbreath Jr. - 01 Jan 2002 06:00 GMT
>From: moonbeam@home.com
>Subject: 2 pharmacy questions,please
>Date: Sun, 28 Sep 2003 20:33:05 GMT

>x-no-archive: yes
>My pain management Dr has me on Percodan X 2 and Hydrocodone X 3 and I
[quoted text clipped - 7 lines]
>Tylenol. I don't know how to figure it out !
>        many,many thanks !

Well, Moonbeam,
The amount of "Tylenol" (acetaminophen, APAP, etc.) in "hydrocodone"
is actually none.  Hydrocodone and acetaminophen is a very common
combination analgesic, known by various brand names in the USA...
Vicodin, Lortab, Anexsia D to name a few.  Also, it is going to
depend upon which strength the doctor has prescribed that will
inform you how much acetaminophen is contained per tablet.
For example, Lortab 7.5/500 contains 500 mg APAP and 7.5 mg
hydrocodone.  There's another brand used in my locality some,
called Norco...it is available in "5/325", "5/500", "7.5/325",
"10/325"...the first number refers to amount of hydrocodone,
the second to the amount of acetaminophen.
I don't know if this answered your question or not in regards to
how much Tylenol is in your particular med.
Regarding problems with stocking generic Percodan...I don't at
the moment keep any on hand.  It isn't used too often, been some
time since I ordered even the brand name.  This is in my particular
town.  Other towns and cities will vary.
C U L8R!
Wiz  <{;-)
Wizard57M
Glenn Gilbreath Jr.
Registered Pharmacist
http://members.surfbest.net/wizard57m@surfbest.net/index.htm
-- DOS Internet, Close Windows and Keep the Internet Open! --
Bob G - 29 Sep 2003 14:22 GMT
.
> Regarding problems with stocking generic Percodan...I don't at
> the moment keep any on hand.  It isn't used too often, been some
[quoted text clipped - 4 lines]
> Wizard57M
> Glenn Gilbreath Jr.
====================================================
Wow...a town where a Percodan script is rare.... !!!!!

I am semi retired (work one 6 hr shift a week) and the last report I saw
had Percodan (5-325)and its generic listed right up there in the top 5
drugs dispensed... and if they still only manufactured that single
strenght It would be number one on the list...

We have absolutely no problem getting "somebodys" generic..although the
manufacturer seems to change every other day...

Bob Griffiths
Glenn Gilbreath Jr. - 01 Jan 2002 06:00 GMT
>From: Bob G <R327_remove_@Adelphia.net>
>Subject: Re: 2 pharmacy questions,please
>Date: Mon, 29 Sep 2003 13:22:08 GMT

>.
>> Regarding problems with stocking generic Percodan...I don't at
[quoted text clipped - 7 lines]
>====================================================
>Wow...a town where a Percodan script is rare.... !!!!!

>I am semi retired (work one 6 hr shift a week) and the last report I saw
>had Percodan (5-325)and its generic listed right up there in the top 5
>drugs dispensed... and if they still only manufactured that single
>strenght It would be number one on the list...

>We have absolutely no problem getting "somebodys" generic..although the
>manufacturer seems to change every other day...

>Bob Griffiths

Yes, it is sort of odd...we seem to make up for it in the number
of hydrocodone plus acetaminophen prescriptions though!
Oh, the last "generic" I did order, for Percodan, was one named
Endodan...yes, the same manufacturer as the brand name!  Even
looked the same, just different number and imprint.
C U L8R!
Wiz  <{;-)
Wizard57M
Glenn Gilbreath Jr.
Registered Pharmacist
http://members.surfbest.net/wizard57m@surfbest.net/index.htm
-- DOS Internet, Close Windows and Keep the Internet Open! --
anonymous - 29 Sep 2003 22:16 GMT
Having no shortage here--- CVS may have some concern over filling the
prescription so they are saying they can't get it ---- ethical,no---however
very commonplace

Joe-- Mass Rph
moonbeam@home.com - 30 Sep 2003 22:55 GMT
why on earth would any pharmacy have to make that up ? goodness, this was for
a legitimate script, written by a local Pain Management Dr, for a legitimate
patient. ( DDD, cervical spine stenois etc ) CVS has filled this before for
me.. the first time it WAS the generic and following 2 months  I have  had to
get the brand name ,,, major expense for me ! I'll have to ck the other near by
pharmacies and see if they carry it..
         thanks !

> Having no shortage here--- CVS may have some concern over filling the
> prescription so they are saying they can't get it ---- ethical,no---however
> very commonplace
>
> Joe-- Mass Rph
moonbeam@home.com - 30 Sep 2003 22:50 GMT
> >From: moonbeam@home.com
> >Subject: 2 pharmacy questions,please
[quoted text clipped - 15 lines]
> The amount of "Tylenol" (acetaminophen, APAP, etc.) in "hydrocodone"
> is actually none.

*** HI
        and my script is for just plain "hydrocodone" .. that written out is
a lot less than Viocodan , Lortab, Norco etc..and it's 10/325 ..and you are
saying that there is NO Tylenol in the Hydrocodone ? none ? what is the
325,then ? I sure thought it was Tylenol and that is what killed more people
than anything else ! and you could not exceed 4 GRAMS in 24 hours. and I
needed to know what measurement the "325" was .. millegrams ? and how that
translated into Grams . My math is sure lacking here !
        thanks a lot !

> Hydrocodone and acetaminophen is a very common
> combination analgesic, known by various brand names in the USA...
[quoted text clipped - 19 lines]
> http://members.surfbest.net/wizard57m@surfbest.net/index.htm
> -- DOS Internet, Close Windows and Keep the Internet Open! --
Brad - 30 Sep 2003 23:30 GMT
> *** HI
>          and my script is for just plain "hydrocodone" .. that written out is
[quoted text clipped - 5 lines]
> translated into Grams . My math is sure lacking here !
>          thanks a lot !

What they meant was literally there is no Tylenol in hydrocodone.
They are 2 different substances.
The product you are taking is hydrocodone and acetaminophen (tylenol)
combined.
To get 4 grams of acetaminophen you would hafta take 12.3 tablets.
If you're prescription is indeed filled with hydrocodone alone it would be a
compounded prescription because in the US, hydrocodone alone is not
available in a manufactured tablet or capsule.

Brad
INVALID@invalid.com - 01 Oct 2003 04:13 GMT
Oh for sure :)
that is really so funny .. of course I know that hydrocodone isn't one
substance ! what I was trying to find out was How Much Tylenol the hydrocodone
had in the ".325" part.. and thanks for the reply .. and I only take 4 tabs ,if
that many, a day.. so that's a far cry from the 12.3 tabs for 4 grams .. that's
what I needed to know :)
      thanks ..

> > *** HI
> >          and my script is for just plain "hydrocodone" .. that written out
[quoted text clipped - 19 lines]
>
> Brad
Brad - 01 Oct 2003 14:15 GMT
> Oh for sure :)
>  that is really so funny .. of course I know that hydrocodone isn't one
[quoted text clipped - 3 lines]
> what I needed to know :)
>        thanks ..

So 4 X .325 =  1.3 grams
Of course toxicity depends on your liver's conditions and other substances
that may be taxing to it.

Brad
Hillary Israeli - 30 Sep 2003 23:57 GMT
*x-no-archive: yes
*
*"Glenn Gilbreath Jr." wrote:
*>
*> Well, Moonbeam,
*> The amount of "Tylenol" (acetaminophen, APAP, etc.) in "hydrocodone"
*> is actually none.
*
**** HI
*         and my script is for just plain "hydrocodone" .. that written out is
*a lot less than Viocodan , Lortab, Norco etc..and it's 10/325 ..and you are
*saying that there is NO Tylenol in the Hydrocodone ? none ? what is the
*325,then ? I sure thought it was Tylenol and that is what killed more people
*than anything else ! and you could not exceed 4 GRAMS in 24 hours. and I
*needed to know what measurement the "325" was .. millegrams ? and how that
*translated into Grams . My math is sure lacking here !

I think what Glenn is saying (and far be it from me to put words in his
mouth - I'm sure he'll speak up if I'm wrong) is that hydrocodone is
hydrocodone, and acetaminophen (aka "Tylenol") is acetaminophen, which is
a separate drug, not present "in hydrocodone" per se, but sometimes
present in a combination pill sold as Vicodin, Lortab, etc. You know,
kind of like - oh, let's see - imagine your prescription is for "peanut
butter," and you know, it's usually sold as "peanut butter and jelly" and
you are asking "how much jelly is there in peanut butter?" You see? The
answer is "none," but that doesn't mean you are actually getting just
peanut butter - maybe you are still getting pb/j, who knows? I do
not think Glenn is making any comment as to your particular prescription.

Now, leaving off about what Glenn was saying and starting in with my
opinion :) - if you are taking something labelled "hydrocodone 10/325"
then odds are it is hydrocodone plus acetaminophen, because otherwise I
just don't know what the 325 would stand for.

Signature

    hillary israeli vmd  http://www.hillary.net  info@hillary.net
               "uber vaccae in quattuor partes divisum est."
                not-so-newly minted veterinarian-at-large :)

Glenn Gilbreath Jr. - 01 Jan 2002 06:00 GMT
>From: hillary@hillary.net (Hillary Israeli)
>Subject: Re: 2 pharmacy questions,please
>Date: Tue, 30 Sep 2003 22:57:04 +0000 (UTC)

>*x-no-archive: yes
>*
[quoted text clipped - 12 lines]
>*needed to know what measurement the "325" was .. millegrams ? and how that
>*translated into Grams . My math is sure lacking here !

>I think what Glenn is saying (and far be it from me to put words in his
>mouth - I'm sure he'll speak up if I'm wrong) is that hydrocodone is
[quoted text clipped - 7 lines]
>peanut butter - maybe you are still getting pb/j, who knows? I do
>not think Glenn is making any comment as to your particular prescription.

>Now, leaving off about what Glenn was saying and starting in with my
>opinion :) - if you are taking something labelled "hydrocodone 10/325"
>then odds are it is hydrocodone plus acetaminophen, because otherwise I
>just don't know what the 325 would stand for.

Hillary,
That was exactly the point I was trying to make.  If indeed the Rx has
"5/325", or "7.5/325" etc. as part of the drug name, the lower number
in this instance refers to the hydrocodone component, while the higher
number (325) refers to the acetaminophen...the measurements are in
"milligrams", denoted as mg...4 grams is same as 4000 mg, divide 4000
by 325, and you come up with the 12 tablets plus a fraction.
C U L8R!
Wiz  <{;-)
Wizard57M
Glenn Gilbreath Jr.
Registered Pharmacist
http://members.surfbest.net/wizard57m@surfbest.net/index.htm
-- DOS Internet, Close Windows and Keep the Internet Open! --
 
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