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NORCO (HYDROCODONE/ACETAMINOPHEN) TABLETS: WITHDRAWAL

Neonatal Opioid Withdrawal Syndrome

Prolonged use of Norco (Hydrocodone and Acetaminophen) tablets during pregnancy can result in withdrawal in the neonate. Neonatal opioid withdrawal syndrome, unlike opioid withdrawal syndrome in adults, may be life-threatening if not recognized and treated, and requires management according to protocols developed by neonatology experts. Observe newborns for signs of neonatal opioid withdrawal syndrome and manage accordingly. Advise pregnant women using opioids for a prolonged period of the risk of neonatal opioid withdrawal syndrome and ensure that appropriate treatment will be available.

Withdrawal

Avoid the use of mixed agonist/antagonist (e.g, pentazocine, nalbuphine, and butorphanol) or partial agonist (e.g., buprenorphine) analgesics in patients who are receiving a full opioid agonist analgesic, including Norco. In these patients, mixed agonist/antagonist and partial analgesics may reduce the analgesic effect and/or precipitate withdrawal symptoms.

When discontinuing Norco (Hydrocodone, Acetaminophen) tablets, gradually taper the dosage.

Do not abruptly discontinue Norco in patients who have been using this drug around the clock for more than 5 days.

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