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Lortab is a prescription medication that contains the opioid hydrocodone and the painkiller acetaminophen. It is similar to other drugs like Norco, Vicodin and Lorcet.
Lortab is typically prescribed for acute pain following a surgery or injury. It can also be prescribed long-term for patients with chronic pain, though this is not as common. With any opioid pain relief medication, there is a potential for abuse and addiction. Lortab is no different.
What Is Lortab Used For?
Lortab isFDA-approvedto treat moderate to severe pain that requires an opioid. It is a short-acting medication usually prescribedas neededinstead of around the clock. Together with other acetaminophen-hydrocodone combination drugs, Lortab is a common medication and is the15th most commonly prescribedmedication in the United States as of 2019, reaching more than 10 million Americans in 2019 alone.
How Long Does Lortab Stay in Your System?
Lortab peaks in your system aroundan hour and a halffollowing the last dose but keeps working for around4–6 hours.
However, the drug can be detected in your system for much longer than that, depending on what is being tested:
- Urine:Lortab can be found in your urine forup to 3 daysfollowing the last dose.
- Blood:Lortab is detectable in blood forup to 8.8 hoursafter the last dose.
- Saliva:Lortab can be found in saliva forup to 2 daysafter the last dose.
- Hair:A 1.5-inch hair sample can show if Lortab has been used in the prior90 days.
Whether or not a drug test finds Lortab in your system depends on several factors, whichinclude:
- The Lortab dose you were taking
- How often you took Lortab
- Your age
- Your sex
- Any other medical conditions you have
- Any other medications you are taking
- Your overall hydration and nutrition status
Lortab Dosage
Because Lortab is a short-acting opioid combination drug, it is meant to only be dosedas needed. This is in contrast to long-acting opioids, which are typically supposed to be taken once or twice a day.
It is important to take Lortab only as prescribed by your doctor and not take more of the drug or more often than prescribed. The usualmax recommended dosefor Lortab is:
Lortab dose | Max recommended dose |
5 mg hydrocodone/325 mg acetaminophen | 1 to 2 tablets every 4 to 6 hours as needed, to a max of 12 tablets a day |
7.5 mg hydrocodone/325 mg acetaminophen | 1 tablet every 4 to 6 hours as needed, to a max of 6 tablets a day |
10 mg hydrocodone/325 mg acetaminophen | 1 tablet every 4 to 6 hours as needed, to a max of 6 tablets a day |
What Does Lortab Look Like?
Lortab comes as orally administered tablets only. Although generic versions are available and their appearance can vary widely depending on the manufacturer, brand-name Lortab has aspecific appearance. This makes it easy to identify Lortab tablets that you may find:
Lortab dose | Appearance |
5 mg hydrocodone/325 mg acetaminophen | White oval tablet with a line for tablet-splitting on one side and G 035 imprinted on the other |
7.5 mg hydrocodone/325 mg acetaminophen | White oval tablet with a line for tablet-splitting on one side and G 036 imprinted on the other |
10 mg hydrocodone/325 mg acetaminophen | White oval tablet with a line for tablet-splitting on one side and G 037 imprinted on the other |
Is Lortab Addictive?
As aSchedule IIcontrolled substance, Lortab carries a high risk of abuse, addiction and dependence.Hydrocodoneis the opioid ingredient in Lortab that carries these risks. Acetaminophen, which is also contained in the drug, is not an addictive drug.
Lortab vs. Norco
Lortab and Norco are nearly identical drugs. They both contain the same ingredients — hydrocodone and acetaminophen — in the same doses and are used to treat the same conditions. The main difference between Lortab and Norco is the manufacturer: Norco ismade bythe pharmaceutical company Allergan while Lortab ismade byTris Pharma.
Lortab | Norco | |
Contains hydrocodone and acetaminophen | ✓ | ✓ |
Available as an oral tablet only | ✓ | ✓ |
Available in strengths of 5/325mg, 7.5/325, and 10/325mg only | ✓ | ✓ |
Prescribed every 4 to 6 hours as needed | ✓ | ✓ |
FDA-approved to treat pain | ✓ | ✓ |
Schedule II controlled substance | ✓ | ✓ |
Made by Allergan | ✓ | |
Made by Tris Pharma | ✓ |
Lortab Side Effects
Like all drugs, Lortab has some side effects. The most common onesinclude:
- Lightheadedness
- Dizziness
- Sedation
- Nausea
- Vomiting
Lortab and Alcohol
You shouldavoid alcoholwhen taking Lortab for a couple of different reasons. First, both alcohol and hydrocodone are central nervous system depressants. Taking them together may increase the risks of side effects or overdose.
Second, Lortab contains acetaminophen, which can be toxic to the liver, especially when combined with alcohol. For this reason, it is important not to drink if you are taking Lortab.
Lortab Overdose
During a Lortab overdose, the opioid slows your breathing and heart rate, which can be fatal. For this reason, it’s important to be aware ofoverdose symptoms, which can include:
- Small pupils
- Falling asleep
- Losing consciousness
- Slow or shallow breathing
- Choking or gurgling sounds
- Limp muscles
- Pale, blue, clammy or cold skin
If you suspect someone is having a Lortab overdose, give naloxone (Narcan) if available and call 911 immediately. Do NOT be afraid to seek help — you will not get in trouble for saving a life.
Lortab contains acetaminophen as well as hydrocodone, and it is possible to overdose on both substances. However, the symptoms of an acetaminophen overdosemay not occur for over a dayafter you take a too-high Lortab dose. In contrast, the symptoms of ahydrocodone overdosecan be evident within a few minutes.
Signs of an acetaminophen overdoseinclude:
- Nausea
- Vomiting
- Dark urine
- Abdominal pain
- Liver damage, including liver failure
Lortab Withdrawal
If you take Lortab on a regular basis and suddenly stop taking the drug, you will often begin to have withdrawal symptoms. These occur because your body has adapted to the presence of Lortab. You can enter withdrawal within8–24 hoursafter the last Lortab dose, and withdrawal can lastup to ten days.
Lortab withdrawalsymptoms resemblethose of other opioidsandinclude:
- Muscle aches
- Sleep problems
- Increased tear production
- Sweating
- Runny nose
- Yawning
- Large pupils
- Abdominal cramps
- Goosebumps
- Nausea and vomiting
- Agitation
- Anxiety
- Diarrhea
Lortab Detox
Opioid withdrawalcan be very difficult to manage on your own without help. Quitting cold turkey can lead to intense symptoms, which can increase the risk of relapse and make long-term sobriety more difficult.
For this reason, medical detox centers are a good alternative to help you quit Lortab for good. Inmedical detox, you undergo around-the-clock care from a team of doctors and nurses who can treat your withdrawal symptoms as they arise. This leads to a more comfortable withdrawal and a greater chance of staying Lortab-free. We also offermedication-assisted treatmentwith methadone and buprenorphine to help curb Lortab cravings as you recover.
Are you or a loved one struggling with addiction?
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Lortab Addiction Treatment
The Recovery Village Ridgefield offers a variety of treatment options if you struggle with a Lortab addiction. Ourdetox centeroutside Portland, Oregon has 16 beds and around-the-clock medical care. Our personalized treatment plans include nutritional counseling and treatment for anyco-occurring disorderslike mental health issues.
Following detox,experts agreethat rehab is an important part of remaining Lortab-free over the long term. The Recovery Village Ridgefield offers bothinpatientandoutpatienttreatment options for rehab, includingteletherapy. In the Cascade Mountains of Southwest Washington, our recovery center offers robust services to help keep you off Lortab over the long term.
If you or a loved one struggles with Lortab, you are not alone.Contactour knowledgeable intake experts today to learn how we can help.