Acetaminophen / hydrocodone Pregnancy and Breastfeeding Warnings
Acetaminophen / hydrocodone is also known as: Anexsia, Co-Gesic, Duocet, Duradyne DHC, Hy-Phen, Hycet, Hydrocet, Hydrogesic, Lorcet, Lorcet 10/650, Lorcet HD, Lorcet Plus, Lortab, Margesic H, Maxidone, Norco, Stagesic, T-Gesic, Vanacet, Verdrocet, Vicodin, Vicodin ES, Vicodin HP, Zolvit, Zydone
Acetaminophen / hydrocodone Pregnancy Warnings
FDA pregnancy category: C Acetaminophen-hydrocodone should only be given during pregnancy when benefit outweighs risk.
Babies born to mothers who have been taking opioids regularly prior to delivery will be physically dependent. Withdrawal signs include irritability and excessive crying, tremors, hyperactive reflexes, increased respiratory rate, increased stools, sneezing, yawning, vomiting, and fever. FDA pregnancy category C: Animal reproduction studies have shown an adverse effect on the fetus and there are no adequate and well-controlled studies in humans, but potential benefits may warrant use of the drug in pregnant women despite potential risks.
Acetaminophen / hydrocodone Breastfeeding Warnings
A decision should be made to discontinue breast-feeding or discontinue the drug, taking into account the importance of the drug to the mother. Excreted into human milk: Yes (acetaminophen and hydrocodone) Excreted into animal milk: Yes (acetaminophen and hydrocodone) There have been reports of rash, drowsiness, limpness, and lethargy in breastfed infants of mothers taking acetaminophen-hydrocodone.
References for pregnancy information
- Rudolph AM "Effects of aspirin and acetaminophen in pregnancy and in the newborn." Arch Intern Med 141 (1981): 358-63
- Rementeria JL, Nunag NN "Narcotic withdrawal in pregnancy: stillbirth incidence with a case report." Am J Obstet Gynecol 116 (1973): 1152-6
- Levy G, Garrettson LK, Soda DM "Evidence of placental transfer of acetaminophen." Pediatrics 55 (1975): 895
- Zelson C, Lee SJ, Casalino M "Neonatal narcotic addiction: comparative effects of maternal intake of heroin and methadone." N Engl J Med 289 (1973): 1216-20
References for breastfeeding information
- Matheson I, Lunde PK, Notarianni L "Infant rash caused by paracetamol in breast milk." Pediatrics 76 (1985): 651-2
- Anderson PO "Drug use during breast-feeding." Clin Pharm 10 (1991): 594-623
- Roberts RJ, Blumer JL, Gorman RL, et al "American Academy of Pediatrics Committee on Drugs: Transfer of drugs and other chemicals into human milk." Pediatrics 84 (1989): 924-36
- Findlay JW, DeAngelis RL, Kearney MF, et al "Analgesic drugs in breast milk and plasma." Clin Pharmacol Ther 29 (1981): 625-33
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