nausea/vomiting. The effects of methadone may be intensified by alcohol, and the
patient also should be cautioned about drowsiness. The injection, 10 mg/ml, and the
tablets, 5 and 10 mg, are all Note R.
g. Percodan. Percodan is a popular semisynthetic narcotic intended for the
relief of moderate pain that contains two salts of oxycodone, combined with aspirin. It
is, of course, a fixed combination and is given in a usual dose of one tablet every 6
hours. In addition to the side effects of drowsiness and nausea/vomiting, pruritis is also
a fairly frequent complaint. Patient cautionary statements regarding drowsiness and
alcohol apply to this agent. It is a Note R product even though it is a combination.
Percodan is available in tablet form, and a half-strength product called Percodan-
Demi is also produced.
NOTE: Combination products of acetaminophen with oxycodone are Tylox and
Percocet.
h. Combination Products. Codeine is combined with aspirin or acetaminophen
(Tylenol) to produce products that are used to treat mild to moderate pain. Common
side effects of these combination products include nausea, vomiting, and drowsiness.
Patients who are taking these products should be cautioned about the drowsiness.
Further, patients should be warned against taking these with alcohol. These
combination products are handled as Note Q items.
(1) Empirin with codeine. Empirin with codeine is a combination of aspirin
and codeine. The usual dosage of these products is from one to two tablets every four
hours. The various products are numbered based upon the amount of codeine
contained in each product as noted below:
Empirin with Codeine #2 - 15 mg of codeine per tablet.
(a)
(b) Empirin with Codeine #3 - 30 mg of codeine per tablet (most
widely used of these products).
Empirin with Codeine #4 - 60 mg of codeine per tablet.
(c)
(2) Tylenol with codeine. Tylenol with codeine is a combination
acetaminophen with codeine. The usual dosage of these products is from one to two
tablets every four hours. As with Empirin with codeine, the products are numbered
based upon the amount of codeine contained in each tablet as noted below:
Tylenol with Codeine #1 - 7.5 mg of codeine per tablet.
(a)
Tylenol with Codeine #2 - 15 mg of codeine per tablet.
(b)
(c) Tylenol with Codeine #3 - 30 mg of codeine per tablet (most
widely used of these products).
MD0804
11-7