What exactly is a "black box" warning? Simply put, it's the strongest warning that the U.S. Food and Drug Administration (FDA) can require on a drug's packaging. The FDA requires the black box warning when studies suggest a drug can cause a serious or life-threatening side effect. The text of the warning is set apart from other information in a black box, so that doctors, pharmacists, and patients can easily see it. What did the FDA advisory panel recommend? The FDA itself hasn't made a decision about acetaminophen, but an FDA advisory panel has made 10 recommendations concerning the drug. Among those recommendations, the panel voted to remove acetaminophen-containing painkillers such as Vicodin, Tylenol 3, and Percocet from the nation's formularies. It also voted in favor of removing all acetaminophen-containing prescription drugs from the market. But the panel voted to keep over-the-counter (OTC) pills that combine acetaminophen and other ingredients, su...
Getting off of pain medications usually requires an exit strategy. Anyone who has tried to abruptly discontinue a regularly used opioid (a pain medication which is chemically similar to opium that binds to opioid receptors in the body) can attest to the severe discomfort of withdrawal syndrome. The symptoms of withdrawal include: nausea, vomiting, aches, sweating, diarrhea, yawning, insomnia, irritability and gooseflesh. These symptoms indicate that the body is physically dependent on the chemical. Chemical dependency is difficult to overcome without a good strategy. That strategy should reduce the occurrence of withdrawal syndrome, the risk of relapse, and the risk of toxicity. Suboxone can help someone get off pain medications because it reduces withdrawal symptoms, cravings, and the risk of overdose.
Because Suboxone contains buprenorphine (an opioid), it serves as a substitute for other opioids and satisfies the body's need for the chemical. One advantage in converting from...
Can you take Naproxen along with Vicodin for pain? Are there any side effects? Sean.
This type of question can be safely answered only by your own physician because he or she needs to answer it in the context of your full medical history and all medications you may be using, both prescription and over-the-counter. Combining NSAIDs such as naproxen with the acetaminophen in Vicodin can increase the risk of kidney problems, so this combination should be used only under the supervision of your physician.
Good luck, John Claude Krusz and Teri Robert
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