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A REFORMULATED VICODIN IS NOW AVAILABLE

AbbVie (formerly Abbott) has reduced the amount of acetaminophen in the Vicodin brand. This is because of a request by the U.S. Food and Drug Administration (FDA). The FDA has asked drug companies to limit the amount of acetaminophen in prescription medications.1

  • Vicodin®, Vicodin ES®, and Vicodin HP® have been reformulated to contain less acetaminophen.
  • The newly reformulated Vicodin is now available at your local pharmacy as a branded generic product. This means that patients will pay a generic co-pay at the pharmacy.
  • AbbVie (formerly Abbott) has discontinued manufacturing and distribution of its original formulations of Vicodin, Vicodin ES, and Vicodin HP, which contained higher amounts of acetaminophen.
  • Please visit the tab entitled Patient Frequently Asked Questions to learn more about the reformulation.
  • Information about the risks of taking too much acetaminophen can be found on the FDA website at http://www.fda.gov/ForConsumers/ConsumerUpdates/ucm168830.htm.2

VICODIN USE AND IMPORTANT SAFETY INFORMATION3

USE

VICODIN® 5 mg/300 mg, VICODIN ES® 7.5 mg/300 mg, and VICODIN HP® 10 mg/300 mg are used for the relief of moderate to moderately severe pain. VICODIN, VICODIN ES, and VICODIN HP contain two different ingredients: hydrocodone (an opioid pain medicine) and acetaminophen (a non-aspirin pain medicine).

IMPORTANT SAFETY INFORMATION

Warning for liver damage: One ingredient in this product is acetaminophen. Acetaminophen has been associated with cases of acute liver failure, at times resulting in liver transplant and death. Most of the cases of liver injury are associated with the use of acetaminophen at doses that exceed 4000 milligrams per day, and often involve more than one acetaminophen-containing product.

  • VICODIN, VICODIN ES, and VICODIN HP should not be used if you are allergic to hydrocodone or acetaminophen. Tell your health care provider if you are allergic to any other opioid pain medicine before taking this drug, as you may exhibit cross-sensitivity to hydrocodone.
  • VICODIN, VICODIN ES, and VICODIN HP should not be used if you have breathing problems or a blocked bowel. These drugs can cause breathing problems at high doses or in sensitive patients. Talk with your healthcare provider if you have had a recent head injury, if your breathing slows down, or if you feel faint, dizzy, or confused. If you get a skin rash, especially a rash with blisters and a fever, have trouble breathing, or your face or throat swells, immediately contact your healthcare provider.
  • One ingredient in VICODIN, VICODIN ES, and VICODIN HP is hydrocodone, a controlled substance that can be habit-forming and/or abused. You should take this drug only for the condition for which it is prescribed, for as long as it is prescribed, in the amount prescribed, and no more frequently than prescribed. Do not give this drug to others, even if they have similar symptoms. Unused tablets should be thrown away with household waste.
  • Taking VICODIN, VICODIN ES, and VICODIN HP can make you drowsy and impair your ability to drive a car, operate machinery, or perform other potentially dangerous activities. Do not drive or operate heavy machinery until you know how you react to this medicine.
  • VICODIN, VICODIN ES, and VICODIN HP should be used with caution if you are elderly or disabled, or if you have any of the following medical conditions: heart, liver, or kidney problems, adrenal or thyroid gland problems, enlarged prostate or difficulty urinating, lung disease, difficulty swallowing, stomach problems, or current or past problems with alcohol and drug abuse.
  • Avoid taking VICODIN, VICODIN ES, and VICODIN HP with alcohol or other depressants. To avoid possible serious drug interactions, be sure to tell your healthcare provider about all prescription and non-prescription medicines, vitamins and herbal supplements you take. Also tell your healthcare provider if you are already using medicines to treat depression or allergic reactions, other pain medicines, or medicines that make you sleepy, including those to treat anxiety or seizures, or for muscle relaxation.
  • VICODIN, VICODIN ES, and VICODIN HP contain acetaminophen, an ingredient in many other prescription and non-prescription medicines. Do not take other medicines containing acetaminophen unless your healthcare provider recommends it. Taking too much acetaminophen can be harmful to your liver.
  • Do not take VICODIN, VICODIN ES, or VICODIN HP if you are pregnant or plan to become pregnant, unless you are directed to do so by your health care provider. Drug dependence and breathing problems have occurred in newborns when the mother has taken this drug before delivery.
  • If you are breast-feeding (nursing), you should be aware that the medicines in VICODIN, VICODIN ES, and VICODIN HP might pass into your breast milk. Ask your healthcare provider for advice before taking any medicine while breast-feeding.
  • If you stop taking VICODIN, VICODIN ES, or VICODIN HP suddenly after taking it for a few days to weeks, you may experience signs of withdrawal, such as irritability, sweating, racing heart, and faster breathing. Contact your healthcare provider if you experience these withdrawal signs to learn how to safely stop taking this medication.
  • Keep VICODIN, VICODIN ES, and VICODIN HP out of the reach of children and keep your tablets in a secure place where they will not be stolen.
  • If you take too much VICODIN, VICODIN ES, or VICODIN HP or overdose, call your local emergency or poison control center right away.
  • The most common side effects of VICODIN, VICODIN ES, and VICODIN HP are lightheadedness, dizziness, drowsiness, nausea, vomiting, and constipation.

Please see Full Prescribing Information for Vicodin.

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch, or call 1-800-FDA-1088 (1-800-332-1088).

If you cannot afford your medication, contact: www.pparx.org or call the toll-free phone number (1-888-4PPA-NOW) (1-888-477-2669) for assistance.

References : 1. United States Department of Health and Human Services. FDA drug safety communication. Food and Drug Administration Web site. http://www.fda.gov/Drugs/DrugSafety/ucm239821.htm. Accessed July 16, 2012. 2. United States Department of Health and Human Services. Acetaminophen and liver injury: Q & A for consumers. Food and Drug Administration Web site. http://www.fda.gov/ForConsumers/ConsumerUpdates/ucm168830.htm. Accessed July 16, 2012. 3. VICODIN, VICODIN ES, VICODIN HP 5, 7.5, 10 mg (hydrocodone)/300 mg (acetaminophen) [package insert].

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