Hydrocodone is a strong narcotic typically prescribed for acute pain relief. The drug is an opiate, like codeine, and has similar effects on the body as morphine. When combined with acetaminophen, it is known as Vicodin®, which is a powerful pain killer often prescribed in pill form.

Vicodin® includes the non-steroidal anti-inflammatory drug (NSAID) acetaminophen. This makes Vicodin® a less potent medicine than straight hydrocodone. Both hydrocodone and Vicodin® are considered controlled substances in the United States, but Vicodin® is a class III drug while hydrocodone is a class II narcotic. Most doctors refrain from prescribing pure hydrocodone because of the serious classification level.

Hydrocodone and Vicodin® where created to alleviate pain. Scientists found that combinations of acetaminophen and codeine have a longer lasting effect on pain than codeine alone. The pain-reducing qualities of this combination drug quickly established Vicodin® as a good medicine for pain management.

Patients taking Vicodin® should stay clear of any additional NSAID medicines. This includes aspirin, Tylenol® and naproxen. These drugs may put additional strain on the liver, which could lead to an overdose of acetaminophen.

There are several side effects associated with hydrocodone and Vicodin®. These include dizziness, insomnia, loss of appetite, and nervousness. These effects are more acute in larger doses and are attributed to the opiates found in codeine. Serious side effects can include breathing problems and swelling of the mouth. If these symptoms occur, medical treatment should be obtained immediately.

Large doses of hydrocodone and Vicodin® can cause serious liver and kidney problems. This is because Vicodin® includes a mixture of acetaminophen with each pill. If acetaminophen is taken in excess of 3,200 milligrams per day, it can cause life-threatening organ failure, which may be irreversible.

Most opiate-based drugs can be difficult to quit after long-term usage. Hydrocodone and Vicodin® are no exception. A typical person will require a weaning-off period, which is known as tapering. This helps the body manage the side effects of withdrawal that are typically associated with these drugs.

Vicodin® should never be taken with any alcoholic beverages. These drugs contain NSAIDs, which are difficult for the liver to process. Adding alcohol into this mixture can cause premature liver failure, which can be terminal. A patient should inform his doctor if he is a habitual drinker before accepting this pain medication.