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Uses
Acetaminophen/hydrocodone is used in the treatment of pain; back pain; cough and belongs to the drug class narcotic analgesic combinations.

How To Take
Take this medication exactly as it was prescribed for you. Do not take it in larger amounts, or use it for longer than recommended by your doctor. Follow the directions on your prescription label. Tell your doctor if the medicine seems to stop working as well in relieving your pain. Drink 6 to 8 full glasses of water daily to help prevent constipation while you are taking hydrocodone and ibuprofen. Ask your doctor about ways to increase the fiber in your diet. Do not use a stool softener (laxative) without first asking your doctor.

If you need to have any type of surgery, tell the surgeon ahead of time that you are using hydrocodone and ibuprofen.
Side Effects
Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Call your doctor at once if you have any of these serious side effects:

chest pain, weakness, shortness of breath, slurred speech, problems with vision or balance;

sudden numbness or weakness, headache, confusion, or problems with vision, speech, or balance;

black, bloody, or tarry stools, coughing up blood or vomit that looks like coffee grounds;

swelling or rapid weight gain;

shallow breathing, slow heartbeat;

confusion, feeling light-headed, fainting;

easy bruising or bleeding;

nausea, stomach pain, loss of appetite, itching, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes);

severe blistering, peeling, and red skin rash; or

fever, headache, neck stiffness, chills, increased sensitivity to light, purple spots on the skin, and/or seizure (convulsions).

Precautions
Do not use this medication if you are allergic to hydrocodone or ibuprofen (Advil, Motrin). Hydrocodone may be habit-forming and should be used only by the person this medicine was prescribed for. This medication should never be shared with another person, especially someone who has a history of drug abuse or addiction. Keep the medication in a secure place where others cannot get to it.

Drug Interactions
buprofen can increase your risk of heart attack or stroke. Do not use this medicine just before or after having heart bypass surgery (also called coronary artery bypass graft, or CABG). Seek emergency medical help if you have chest pain, weakness, shortness of breath, slurred speech, or problems with vision or balance.

Ibuprofen can also increase your risk of serious effects on the stomach or intestines. These conditions can be fatal and can occur without warning at any time while you are taking ibuprofen. Call your doctor at once if you have black, bloody, or tarry stools, or if you cough up blood or vomit that looks like coffee grounds.
Hydrocodone may be habit-forming and should be used only by the person this medicine was prescribed for. Keep the medication in a secure place where others cannot get to it. Avoid drinking alcohol while taking hydrocodone and ibuprofen. Alcohol may increase your risk of stomach bleeding while taking ibuprofen.

Storage
Store at 20° to 25°C (68° to 77°F) [see USP Controlled Room Temperature]. Protect from light.