Hydrocodone combined with Acetaminophen

(hye-dro-koe-done, ah-seet-a-min-a-fen)
Category: Narcotic Combination Analgesic (pain reliever)
Other Names for this Medication: Vicodin®, Lortab®, Norco®
Common Dosage Forms: Veterinary: None. Human: Hydrocodone/Acetaminophen Tablets: 5 mg/300 mg, 5 mg/325 mg, 7.5 mg/300 mg, 7.5 mg/325 mg, 10 mg/300 mg, & 10 mg/325 mg. There are many more combinations of this drug available.

This information sheet does not contain all available information for this medication. It is to help answer commonly asked questions and help you give the medication safely and

effectively to your animal. If you have other questions or need more information about this medication, contact your veterinarian or pharmacist.

Key Information

X Must NEVER be used in cats.

X This drug can give with or without food. If your pet vomits or acts sick after receiving the drug on an empty stomach, try giving the next dose with food or a small treat. If vomiting continues, contact your veterinarian.

X Sedation (sleepiness, fatigue) and constipation are the most likely side effects. Watch for adverse effects and contact your veterinarian immediately if your animal stops eating, if the whites of the eyes become yellowish, if there is persistent vomiting or diarrhea, or if blood is seen in vomit (looks like coffee grounds) or stool (black or tarry).

X Do NOT give more than your veterinarian has prescribed. Unless your veterinarian instructs, do NOT give with other pain or fever-reducing medicines.

X Hydrocodone in combination with acetaminophen is a controlled substance in the USA. It is a federal offense to give or sell this medication to others than for whom it was prescribed.

How is this medication useful?

Hydrocodone is a narcotic that can be useful for treating pain in dogs. This drug is often combined with acetaminophen.

The FDA (U.S. Food & Drug Administration) has approved this drug for use in humans, but it is not officially approved for use in ani- mals. The FDA allows veterinarians to prescribe products contain- ing this drug in different species or for other conditions in certain situations. You and your veterinarian can discuss why this drug is the most appropriate choice.

What should I tell my veterinarian to see if this medication can be safely given?

Many things might affect how well this drug will work in your animal. Be sure to discuss the following with your veterinarian so together you can make the best treatment decisions.

XXOther medications that can interact with this drug, so be sure to tell your veterinarian and pharmacist what medications (including vitamins, supplements, or herbal therapies) you give your animal, including the amount and time you give each.

XXTell your veterinarian about any conditions or diseases your pet may have now or has had in the past.

XXIf your animal has been treated for the same disease or condition in the past, tell your veterinarian about the treatment and how well it did or didn’t work.

XXIf your animal is pregnant or nursing, talk to your veterinarian about the risks of using this drug.

XXTell your veterinarian and pharmacist about any medication side effects (including allergic reactions, lack of appetite, diarrhea, itching, hair loss) your pet has developed in the past.

When should this medication not be used or be used very carefully?

No drug is 100% safe in all patients, but your veterinarian will discuss with you any specific concerns about using this drug in your animal.

Hydrocodone/acetaminophen (eg, Vicodin®; Lortab®, Norco®) products must never be used in cats.

This drug SHOULD NOT be used in dogs:
XXThat are allergic to either hydrocodone, acetaminophen, or other

opiate (eg, morphine) drugs.

XXThat have diarrhea caused by a toxic substance.

This drug should be used WITH CAUTION in dogs:

XXDogs that are old, weak, or frail

XXWith a head injury.

XXDogs with thyroid, heart, lung, liver, kidney, or adrenal gland diseases.

XXWorking or service dogs (eg, guide dogs, search dogs, hunting dogs, sled dogs, rescue dogs) as they may become overly sedated (sleepy) and unable to perform their duties.

If your pet has any of these conditions or signs, talk to your veteri- narian about the potential risks versus benefits.

What are the side effects of this medication?

Side effects that usually are not serious include:

XXSedation (sleepiness), constipation, itching, reduced appetite, or vomiting.

You don’t have to be overly concerned if you see any of these unless they are severe, worsen, or continue to be a problem. Contact your veterinarian if this happens.

Side effects that may be serious or indicate a serious problem:

XXLoss of appetite.

XXYellowing of the whites of the eyes.

XXPersistent vomiting or diarrhea.

XXBlood in vomit (looks like coffee grounds) or stools (black or tarry).

If you see any of these, contact your veterinarian immediately.

©2017 PharmaVet, Inc. ALL RIGHTS RESERVED. Plumb’s® Veterinary Medication Guides have not been reviewed by FDA Center for Veterinary Medicine.

If my pet gets too much of this medication (an overdose), what should I do?

If you witness or suspect an overdose, contact your veterinarian or an animal poison control center for further advice. Animal poi- son control centers that are open 24 hours a day include: ASPCA Animal Poison Control Center (888-426-4435) and Pet Poison HELPLINE (855-764-7661); a consultation fee is charged for these services.

How should this medication be given?

For this medication to work, give it exactly as your veterinarian has prescribed. It’s a good idea to always check the prescription label to be sure you are giving the drug correctly.

XXThis drug may be given either with food or on an empty stomach. If your pet vomits or acts sick after receiving the drug on an empty stomach, try giving the next dose with food or a small treat. If vomiting continues, contact your veterinarian.

XXCompounded liquid forms of this medication must be measured carefully. Your veterinarian or pharmacist can help by providing special measuring spoons or syringes.

XXIf you have difficulty getting your animal to take the medicine, contact your veterinarian or pharmacist for tips to help with dosing and reducing the stress of medication time.

XXThis medication can be given for various lengths of time. Be sure you understand how long the veterinarian wants you to continue giving this medication. Prescription refills may be necessary before the therapy will be complete. Before stopping this medication, talk to your veterinarian, as there may be important reasons to continue its use. If this drug is used for a long period, dogs could become addicted (dependent) to it and suffer physical withdrawal symptoms if it is stopped suddenly so first talk to your veterinarian before stopping the drug.

What should I do if I miss giving a dose of this medication?

If you miss a dose, give it when you remember and then wait the amount of time between doses recommended by your veterinarian before giving another dose. Do not double-up or give extra doses.

How should I store this medication?

XXStore this medication in the original prescription bottle or an approved dosage reminder container (ie, pill minder) at room temperature and protected from light.

XXIf your veterinarian or pharmacist has made (compounded) a special formulation for your animal, follow the storage recommendations and expiration date for the product.

XXKeep away from children and other animals.
XXMany humans abuse hydrocodone/acetaminophen. Keep secure.

Can handling this medication be hazardous to me, my family, or other pets?

There are no specific precautions required when handling this med- ication unless you are allergic to it. Wash your hands after handling any medication.

How should I dispose of this medication if I don’t use it all?

XXDo not flush this medication down the toilet or wash it down the sink. If a community drug “take-back” program is available, use this option. If there is no take-back program, mix the drug with coffee grounds or cat litter (to make it undesirable to children and animals and unrecognizable to people who might go through your trash), place the mixture in a sealable plastic bag to keep it from leaking out, and throw the bag out with the regular trash.

XXDo not save left over medication for future use or give it to others to use.

What other information is important for this medication?

XXHydrocodone/acetaminophen is a controlled substance in the USA. It is a federal offense to give or sell this medication to others than for whom it was prescribed.

XXUse of this drug may not be allowed in certain animal competitions. Check rules and regulations before entering your animal in a competition while this medication is being administered.

If you have any other questions or concerns about this medica- tion, contact your veterinarian or pharmacist.

©2017 PharmaVet, Inc. ALL RIGHTS RESERVED. Plumb’s® Veterinary Medication Guides have not been reviewed by FDA Center for Veterinary Medicine.

Hydrocodone with Homatropine

(hye-droe-koe-done with hoe-ma-tro-peen)
Category: Opiate/Anticholinergic; cough suppressant
Other Names for this Medication: Hycodan®, Tussigon®, Hydromet®
Common Dosage Forms: Veterinary: None. Human: Oral tablets: Hydrocodone 5 mg and Homatropine 1.5 mg; Oral syrup: Hydrocodone 5 mg/5 mL (1 mg/mL) with Homatropine 1.5 mg/5 mL (0.3 mg/mL).

This information sheet does not contain all available information for this medication. It is to help answer commonly asked questions and help you give the medication safely and

effectively to your animal. If you have other questions or need more information about this medication, contact your veterinarian or pharmacist.

Key Information

X Can give with or without food. If your pet vomits or acts sick after receiving the drug on an empty stomach, try giving the next dose with food or a small treat. If vomiting continues, contact your veterinarian.

X Sedation (sleepiness/fatigue) and constipation are the most likely side effects. Watch for adverse effects and contact your veterinarian immediately if the animal stops eating, if the whites of the eyes become yellowish, persistent vomiting or diarrhea, or blood is seen in vomit (looks like coffee grounds) or stool (black or tarry).

X Do NOT give more than your veterinarian prescribes. Unless your veterinarian instructs, do NOT give other pain or fever reducing medicines while your animal is on this medication.

X Hydrocodone with homatropine is a controlled substance in the USA. It is a federal offense to give or sell this medication to others than for whom it was prescribed.

How is this medication useful?

Hydrocodone (narcotic, opiate) with homatropine is used in dogs to treat coughing.

The FDA (U.S. Food & Drug Administration) has approved this drug for use in humans but it is not officially approved for use in animals. The FDA allows veterinarians to prescribe products containing this drug in different species or for other conditions in certain situa- tions. You and your veterinarian can discuss why this drug is the most appropriate choice.

What should I tell my veterinarian to see if this medication can be safely given?

Many things might affect how well this drug will work in your animal. Be sure to discuss the following with your veterinarian so together you can make the best treatment decisions.
XXOther medications can interact with this drug, so be sure to tell

your veterinarian and pharmacist what medications (including vitamins, supplements, or herbal therapies) you give your animal, including the amount and time you give each.

XXTell your veterinarian about any conditions or diseases your pet may have now or has had in the past.

XXIf your animal has been treated for the same disease or condition in the past, tell your veterinarian about the treatment and how well it did or didn’t work.

XXIf your animal is pregnant or nursing, talk to your veterinarian about the risks of using this drug.

XXTell your veterinarian and pharmacist about any medication side effects (including allergic reactions, lack of appetite, diarrhea, itching, hair loss) your pet has developed in the past.

When should this medication not be used or be used very carefully?

No drug is 100% safe in all patients, but your veterinarian will discuss with you any specific concerns about using this drug in your animal.

This drug SHOULD NOT be used in patients:
XXThat are allergic to either hydrocodone or other opiate (eg,

morphine) drugs

XXThat are allergic to homatropine or atropine-like (eg, Centrine®) drugs.

XXThat have diarrhea caused by a toxic substance. This drug should be used WITH CAUTION in patients:

XXWhen the cause of the cough has not been determined.

XXThat are old, weak, or frail.

XXWith a head injury.

XXWith severe thyroid, heart, lung, kidney, or adrenal gland diseases.

XXThat are working or service animals (eg, guide dogs, search dogs, hunting dogs, sled dogs, rescue dogs) as they may become overly sedated (tired) and unable to perform their duties.

If your pet has any of these conditions or signs, talk to your veteri- narian about the potential risks versus benefits.

What are the side effects of this medication?

Side effects that usually are not serious include:

XXSedation (sleepiness/fatigue), constipation, itching, reduced appetite, or vomiting.

You don’t have to be overly concerned if you see any of these unless they are severe, worsen, or continue to be a problem. Contact your veterinarian if this happens.

If my pet gets too much of this medication (an overdose), what should I do?

If you witness or suspect an overdose, contact your veterinarian or an animal poison control center for further advice. Animal poi- son control centers that are open 24 hours a day include: ASPCA Animal Poison Control Center (888-426-4435) and Pet Poison HELPLINE (855-764-7661); a consultation fee is charged for these services.

©2017 PharmaVet, Inc. ALL RIGHTS RESERVED. Plumb’s® Veterinary Medication Guides have not been reviewed by FDA Center for Veterinary Medicine.

How should this medication be given?

For this medication to work, give it exactly as your veterinarian has prescribed. It’s a good idea to always check the prescription label tobe sure yotinues, contact your veterinarian.

XXThe drug may be given either with food or on an empty stomach. If your pet vomits or acts sick after receiving the drug on an empty stomach, try giving the next dose with food or a small treat. If vomiting continues, contact your veterinarian.

XXLiquid forms of this medication must be measured carefully. Your veterinarian or pharmacist can help by providing special measuring spoons or syringes.

XXIf you have difficulty getting your animal to take the medicine, contact your veterinarian or pharmacist for tips to help with dosing and reducing the stress of medication time.

XXThis medication can be given for various lengths of time. Be sure you understand how long your veterinarian wants you
to continue giving this medication. Prescription refills may be necessary before the therapy will be complete. Before stopping this medication, talk to your veterinarian, as there may be important reasons to continue its use.

What should I do if I miss giving a dose of this medication?

If you miss a dose, give it when you remember and then wait the amount of time between doses recommended by your veterinarian before giving another dose. Do not double-up or give extra doses.

How should I store this medication?

XXStore this medication in the original prescription bottle or an approved dosage reminder container (ie, pill minder) at room temperature and protected from light.

XXIf your veterinarian or pharmacist has made (compounded) a special formulation for your animal, follow the storage recommendations and expiration date for the product.

XXKeep away from children and other animals.

Can handling this medication be hazardous to me, my family, or other pets?

There are no specific precautions required when handling this med- ication unless you are allergic to it. Wash your hands after handling any medication.

How should I dispose of this medication if I don’t use it all?

XXDo not flush this medication down the toilet or wash it down the sink. If a community drug “take-back” program is available, use this option. If there is no take-back program, mix the drug with coffee grounds or cat litter (to make it undesirable to children and animals and unrecognizable to people who might go through your trash), place the mixture in a sealable plastic bag to keep it from leaking out, and throw the bag out with the regular trash.

XXDo not save left over medication for future use or give it to others to use.

What other information is important for this medication?

XXHydrocodone with homatropine is a controlled substance in the USA. It is a federal offense to give or sell this medication to others than for whom it was prescribed.

XXUse of this drug may not be allowed in certain animal competitions. Check rules and regulations before entering your animal in a competition while this medication is being administered.

If you have any other questions or concerns about this medica- tion, contact your veterinarian or pharmacist.

©2017 PharmaVet, Inc. ALL RIGHTS RESERVED. Plumb’s® Veterinary Medication Guides have not been reviewed by FDA Center for Veterinary Medicine.