Hydrocodone/ibuprofen (By mouth)
Hydrocodone Bitartrate (hye-droe-KOE-done bye-TAR-trate), Ibuprofen (eye-bue-PROE-fen)
Treats pain. This medicine contains a narcotic and an NSAID.
Ibudone, Reprexain, Vicoprofen, Xylon 10There may be other brand names for this medicine.
When This Medicine Should Not Be Used:This medicine is not right for everyone. Do not use it if you had an allergic reaction to hydrocodone, ibuprofen, aspirin, or similar pain medicines, or if you have heart surgery (such as CABG), severe breathing problems, or stomach or bowel blockage (including paralytic ileus).
How to Use This Medicine:
- Your doctor will tell you how much medicine to use. Do not use more than directed.
- Drink plenty of liquids to help avoid constipation.
- This medicine should come with a Medication Guide. Ask your pharmacist for a copy if you do not have one.
- Missed dose: Take a dose as soon as you remember. If it is almost time for your next dose, wait until then and take a regular dose. Do not take extra medicine to make up for a missed dose.
- Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Store the medicine in a safe and secure place. Drop off any unused narcotic medicine at a drug take-back location right away. If you do not have a drug take-back location near you, flush any unused narcotic medicine down the toilet. Check your local drug store and clinics for take-back locations. You can also check the DEA web site for locations. Here is the link to the FDA safe disposal of medicines website: www.fda.gov/drugs/resourcesforyou/consumers/buyingusingmedicinesafely/ensuringsafeuseofmedicine/safedisposalofmedicines/ucm186187.htm
Drugs and Foods to Avoid:
Ask your doctor or pharmacist before using any other medicine, including over-the-counter medicines, vitamins, and herbal products.
- Some medicines can affect how ibuprofen/hydrocodone works. Tell your doctor if you are using any of the following:
- Aspirin, carbamazepine, cyclosporine, diflunisal, digoxin, erythromycin, ketoconazole, lithium, methotrexate, mirtazapine, pemetrexed, phenytoin, rifampin, ritonavir, salsalate, tramadol, or trazodone
- Blood pressure medicine
- Blood thinner (including warfarin)
- Diuretic (water pill)
- Medicine to treat depression, anxiety, or mental health problems
- Phenothiazine medicine
- Steroid medicine
- Triptan medicine to treat migraine headaches
- Avoid using this medicine and an MAO inhibitor within 14 days of each other.
- Tell your doctor if you use anything else that makes you sleepy. Some examples are allergy medicine, narcotic pain medicine, and alcohol. Tell your doctor if you are using buprenorphine, butorphanol, nalbuphine, pentazocine, or a muscle relaxer.
- Do not drink alcohol while you are using this medicine.
Warnings While Using This Medicine:
- Tell your doctor if you are pregnant or breastfeeding. Do not use this medicine during the later part of your pregnancy.
- Tell your doctor if you have kidney disease, liver disease, anemia, asthma or other lung disease, bleeding problems, high blood pressure, heart failure or other heart problems, lupus, Addison disease or other thyroid problems, trouble urinating, prostate disorder, or a history of head injury, brain tumor, or digestive problems.
- This medicine might cause the following problems:
- High risk of overdose, which can lead to death
- Respiratory depression (serious breathing problem that can be life-threatening)
- Serotonin syndrome (when used with certain medicines)
- Higher risk of heart attack or stroke
- Stomach bleeding and ulcers
- High blood pressure
- Kidney or liver damage
- Aseptic meningitis
- Serotonin syndrome (when used with certain medicines)
- This medicine may make you dizzy or drowsy. Do not drive or do anything else that could be dangerous until you know how this medicine affects you. Sit or lie down if you feel dizzy. Stand up carefully.
- This medicine can be habit-forming. Do not use more than your prescribed dose. Call your doctor if you think your medicine is not working.
- This medicine may cause constipation, especially with long-term use. Ask your doctor if you should use a laxative to prevent and treat constipation.
- This medicine could cause infertility. Talk with your doctor before using this medicine if you plan to have children.
- Keep all medicine out of the reach of children. Never share your medicine with anyone.
Possible Side Effects While Using This Medicine:
Call your doctor right away if you notice any of these side effects:
- Allergic reaction: Itching or hives, swelling in your face or hands, swelling or tingling in your mouth or throat, chest tightness, trouble breathing
- Anxiety, restlessness, fast heartbeat, fever, sweating, muscle spasms, twitching, nausea, vomiting, diarrhea, seeing or hearing things that are not there
- Blistering, peeling, red skin rash
- Change in how much or how often you urinate
- Chest pain that may spread, trouble breathing, nausea, unusual sweating, fainting
- Chest pain, trouble breathing, or coughing up blood
- Dark urine or pale stools, nausea, vomiting, loss of appetite, yellow skin or eyes
- Extreme dizziness or weakness, shallow breathing, slow or uneven heartbeat, sweating, cold or clammy skin, seizures
- Fever, neck pain or stiff neck
- Lightheadedness, dizziness, fainting
- Numbness or weakness in one side of your body, sudden or severe headache, problems with vision, speech, or walking
- Rapid weight gain, swelling in your hands, ankles, or feet
- Severe constipation, stomach pain, vomiting blood, bloody or black, tarry stools
- Unusual bleeding, bruising, or weakness
If you notice these less serious side effects, talk with your doctor:
- Blurred vision, changes in vision
- Mild constipation, diarrhea, heartburn, stomach upset
- Mild drowsiness and sleepiness
If you notice other side effects that you think are caused by this medicine, tell your doctor
Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088
Last Updated: 1/7/2020