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Table listed at http://www.rxlist.com/script/main/srchcont_rxlist.asp?src=acetaminophen&cat=rx-desc&page=8
“APAP”
means contains acetaminophen
There
are 161 drugs listed contain acetaminophen at http://www.rxlist.com/script/main/srchcont_rxlist.asp?src=acetaminophen
Darvon:
dextropropoxyphene. In the UK, dextropropoxyphene and
co-proxamol are now discouraged from general use; and, since 2004, preparations
containing only dextropropoxyphene have been discontinued. Darvon is still available in the U.S.
Darvocet-n
(n for acetaminophen). 30mg / 600mg to 100mg / 650mg,
respectively
Both propoxyphene
and its metabolite
norpropoxyphene, have
local anesthetic
effects at concentrations about 10 times those necessary for opioid effects
[resemble lidocane]. In this respect, norpropoxyphene is
more potent than propoxyphene, and they are both more potent than lidocaine.
Low rate of side
effects, the mole wt of davocet is 35% greater than darvon because it is a
sulphate vs an HCl. Peak plasma levels
at 2-2.5 hours & is absorbed slower than the HCl. Half-life of 6-12 hours, whereas
norphopoxyphene is 30-36 hours. Norpropoxyphene
has substantially less central-nervous-system-depressant effect than
propoxyphene but a greater local anesthetic effect, which is similar to that of
amitriptyline and antiarrhythmic agents, such as lidocaine
and quinidine.
Propoxyphene is a mild
narcotic analgesic structurally related to methadone.
Opioid effect of lowering blood
pressure through vasodilatation (should not be administered to patients with
circulatory shock). The respiratory
depressant effect includes carbon dioxide retention and secondary elevation of
cerebrospinal fluid pressure, which may be markedly exaggerated in the presence
of head injury.
Angiotensin Converting Enzyme (ACE) Inhibitors: The hyponatremic and hypotensive effects of ACE inhibitors may be diminished by the concomitant
administration of aspirin due to its indirect effect on the renin-angiotensin
conversion pathway.
Acetaminophen containing drugs (total of 161 on RXLIST.COM 7/11
up from 144 on 8/10 http://www.rxlist.com/script/main/srchcont_rxlist.asp?src=acetaminophen&cat=rx-desc&page=8
Endocet with Oxycodone, Roxicodone, Oxycontin
|
Darvocet-n with propoxyphene
|
Tylenol
Tylenol & Codeine
|
vicodine with hydrocodone
Lortab Elixir, Lortab 10; Narco,
Zydone
|
Avinza with morphine sulfate,
Kadian, MS-Contin
|
Percocet, Roxicet, Tylox
|
Duragesic with fentanyl transdermal
|
|
|
DRIXORAL PLUS .500 grams
EXCEDRINE MIGRAINE .250 grams
EXTRA STRENGTH TYLENOL .500 grams
FIORICET .325 grams
|
|
|
LORTAB .500 grams
PERCOCET .325 grams
REGULAR STRENGTH TYLENOL .325 grams
TAVIST ALLERGY/SINUS/HEADACHE .500
grams
|
|
|
TYLENOL CAPLETS .650 grams
TYLENOL GELTABS .650 grams
TYLOX .500 grams
|
|
|
VICKS DAYQUIL MULTISYMPTOM COLD/
FLU RELIEF .325 grams
VICKS NYQUI L .500 grams
VICODIN .500 grams
|
|
|
Common combination are with Oxycodone, hydrocodone
bitartrate, codeine, estradiol, ethinyl estradiol, morphine sulfate,
interferon,
Over 20 estrogen products listed among the 161: Estrostep
with Norethindrone and ethinyl estradiol, Fermcon; Demulen with ethinyl estradiol and ethynodiol
diacelate; Alesse with levonorgestrel and ethinyl estradiol, Lybrel, Seasonate;
Ortho Tri-cyclen with norgestimate and ethinyl estradiol, Lo Ovral; NuvaRing
with estonogestrel and ethinyl estradiol ring; Desogen with desogestrel and
ethinyhl estradiol
Dr. Cleveland cited a multi-institutional study [of cancer patients] that
showed pain at a level of three interferes with a patient’s enjoyment of life.
At level four, it interferes with work. At five and six, it affects activity,
mood, and sleep. At seven, it hinders a patient’s ability to walk. At eight,
pain makes it difficult for a patient to relate to loved ones. A study of 527
patients at M. D. Anderson showed that one in five outpatients rated their
pain as seven or higher. A lot of these symptoms that occur together seem to be
related to an inflammatory response to the therapy for cancer,” Dr. Cleeland
said. The insult of therapy generates cytokines, which appear to cause not only
pain but also lethargy, loss of interest, diminished learning capacity, and other
problems in animal models. If these results translate to clinical studies, as
expected, the treatment of symptoms could be simplified. “Patients with seven
or eight symptoms may not need to take seven or eight drugs,” Dr. Bruera said.
Analgesic
Agonist: a drug that
binds to a receptor of a cell and triggers a response by that cell. Agonist often mimics the action of a
naturally occurring substance.
Dysphoria (dysphoric):
an emotional state characterized by anxiety, depression, or unease.
Myalgia: Pain in a muscle; or pain in multiple muscles. Myalgia
means muscle pain
Percodan, 4.8355
mg oxycodone HCl + 325
aspirin
Wikipedia acetaminophen
The efficacy of paracetamol when used in a
combination form with weak opioids (such as codeine) has been questioned by
recent data studies; the small amount of data available have made reaching a
conclusion difficult. Combination drugs of paracetamol and strong opioids like
morphine have been shown to reduce the amount of opioid used and improve
analgesic effect as well as discouraging overuse of addictive opioids due to APAP's
potentially toxic effects.[20]
Paracetamol use for fever
in the first year of life was
associated with an increase in the incidence of asthmatic symptoms at 6–7
years, and that paracetamol use, both in the first year of life and in children
aged 6–7 years, was associated with an increased incidence of rhinoconjunctivitisand eczema.[32] Paracetamol
hepatotoxicity is, by far, the most common cause of acute liver failure in both
the United States and the United Kingdom.[10][42]Paracetamol overdose results in more calls to poison control centers in the US than
overdose of any other pharmacological substance.[43]