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Vicodin vs. Lortab vs. Norco for Pain

Just your average apothecary (pharmacist), feet firmly planted behind the pharmacy counter, whose mortar and pestle are hitched to a star.


Note: This article has been completely updated to reflect the new dosages of Vicodin, Lortab, and Norco.

As a pharmacist I probably receive more questions about pain than about any other symptom or condition. In this article I want to provide a brief comparison of three useful and widely prescribed prescription medications for short-term or breakthrough pain: Vicodin, Lortab, and Norco.

One would think that practical information on these important medications would abound. It doesn't. There is, for example, no official "Lortab" or "Norco" website maintained by the manufacturers to help patients obtain answers to commonly asked questions. This is mostly due to the fact that all these products are available generically, and therefore the brand manufacturers receive very little revenue from them anymore.

In this article I intend to try to fill in this information gap by providing relevant and accurate information about these three medications.

Below you will find the following information about these commonly prescribed prescription pain killers:

  • Ingredients: Hydrocodone and Acetaminophen
  • Comparison: How Do These Products Compare?
  • Frequently Asked Questions

Important Note: Part of the reason I am writing this article is that these medications, although very useful, have been involved in more drug-related fatalities than any other medications on the market. When used appropriately, these medications can be a valuable resource in regaining a reasonable quality of life for those who suffer from acute or chronic pain. But when abused or misused, they are very dangerous.


All three of these pain relievers contain the same two ingredients in varying amounts: hydrocodone and acetaminophen.

Hydrocodone is a synthetic narcotic pain reliever, similar to codeine. It was first discovered in the 1920s and has been used in the U.S. since 1943. Hydrocodone is a "controlled substance" and is regulated by the DEA. This means, among other things, that it has some potential for addiction and abuse. Patients should always carefully follow the advice and directions of their physician and not use more than prescribed. Hydrocodone is generally considered to be "less" potent and addictive than oxycodone (the ingredient found in Oxycontin).

Acetaminophen in varying amounts (also commonly known by the brand name Tylenol) is included to help treat pain in Vicodin, Norco, and Lortab. The inclusion of acetaminophen makes it especially important that daily dosages are NOT exceeded. Too much of this ingredient will create serious problems for your liver. Additionally, NEVER use any alcohol while taking these medications, as this makes the possibility of liver damage far more likely.

Why two ingredients? Together these two ingredients create a synergy in which combined they are more effective than either are alone. Also, the combination deters the abuse of hydrocodone, as it cannot safely be taken at higher doses (due to the acetaminophen component).


So which is best? As mentioned above, they all contain the same two ingredients. The differences between them are the amounts and the ratio of hydrocodone to acetaminophen. Look at the chart below:

Comparison Chart

Note: All are also available as generic medications.

 Hydrocodone AmountAcetaminophen Amount




Vicodin ES



Vicodin HP



























As you can see from the above chart, all of these products are not created equal.

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Read More From Healthproadvice

  • Vicodin comes in three different varieties known as Vicodin, Vicodin ES and Vicodin HP. If a prescriber just writes "Vicodin" then they are referring to the 5mg/300mg strength.
  • Lortab comes in three strengths and the strength must be indicated on the prescription.
  • Norco comes in two strengths and, like Lortab, the strength must be written on the prescription to be valid.

Let's compare them in this way:

The strongest: The product from the above chart with the highest amount of Hydrocodone and acetaminophen is Lortab.

The weakest: Vicodin 5/300 has the lowest amount of hydrocodone and acetaminophen per tablet.

The best: For serious pain, my opinion is that Norco 10mg/325mg is the best. Because it has the highest amount of hydrocodone and lowest amount of acetaminophen it will allow for a slightly higher total daily tablet count.

The most popular By far, the most frequently prescribed version of these products is Vicodin.

What about the cost? Another way to compare them is by cost. Typically Vicodin (the generic form) is the least expensive of the bunch. Why? Because it is prescribed so much pharmacies buy it in bulk and thus get better pricing than on the other varieties. However, if you have an insurance and pay the same amount for any generic, your copay should be the same for any of these.

Frequently Asked Questions

Question: How are Vicodin, Norco, or Lortab typically taken?

Answer: These products are usually taken as a single tablet every 4-6 hours as needed for pain. For severe pain, and only under the direction of your physician, 2 tablets are used in some instances. NEVER take more than prescribed.

Question: How often can these products be refilled?

Answer: Sometimes a doctor will allow 1 or more refills. However, be sure to have a talk with your doctor about how often he/she expects this prescription to be refilled. Just because you are allowed to take 1 or 2 tablets ever 4-6 hours as needed does NOT mean the doctor expects you will use that many every single day. Sometimes you will, but this must be discussed, especially if you find yourself needing them that often.

Question: What side effects do these medications have?

Answer: The most common side effects associated with these medications are nausea, vomiting, dizziness and drowsiness. Taking them with food will help reduce stomach upset. More serious side effects which require medical attention would be things like a rash or hives or difficulty breathing (very rare).

Question: Are these products addictive?

Answer: Many patients are concerned about addiction while using these medications. Continual daily use over a prolonged period will typically create some dependence, meaning a "weaning" process will be required. This is not usually needed for short-term use (meaning 1-2 weeks of treatment). "Addiction" however tends to also vary by patients and personalities, and many people use these products without creating long-term dependence.

Question: Do you have a question? Feel free to ask it below and I will do my best to give you a helpful answer.

This content is for informational purposes only and does not substitute for formal and individualized diagnosis, prognosis, treatment, prescription, and/or dietary advice from a licensed medical professional. Do not stop or alter your current course of treatment. If pregnant or nursing, consult with a qualified provider on an individual basis. Seek immediate help if you are experiencing a medical emergency.


Donnadwilliams on April 08, 2019:

I am a chronic pain patient and the pharmacy recently changed my hydrocodone pills to a different manufacturer. The problem is they just don't seem to work as well. I'm wondering is they have less active ingredient. I have look online and can't seem to find info on the active ingredients in the different manufacturers. Is that something that is not available to patients? Do you have to be a pharmacist to have access to this time of information?

Punkylu on January 23, 2018:

I've been on Vicodin for 15 yrs. Do you think that is why I have a fatty liver. I have frybromyalgia

John Callender on January 10, 2018:

Hydrocodone.5/325 Is 29mg./ mL. Considered to be high on a blood draw test? 3

JJ on September 10, 2017:

Renee. When my daughter was a young teenager, she was prescribed Lortab after knee surgery. It had the same effect on her. It hyped her up and she would be wide open. When I was younger, they would knock me out. I just woke up long enough to take my meds and then sleep more. Now that I'm older, and I'm taking meds for chronic pain, they no longer make me sleepy. I sure wish they did. I would rather sleep at night instead of being wide awake.

MJ on August 26, 2017:

Taking Norco 5-325, since Thursday, it's now Sat. 7:30pm.

I am having itching on my head, neck, what can I do?

Or should I do?

Linda on December 02, 2016:

I just started taking generic for Norco 5-325 for pain and am sneezing a lot. Also runny nose and feeling like I'm getting a cold. What should I do?

Renee on November 20, 2016:

I don't know if you are still answering questions about these different forms of Hydrocodone, but here goes. I have been prescribed Hydrocodone in various forms several times on and off for many years. Since I was 12 when they were planning surgery on my knee. Without going into too much unnecessary information, suffice it to say I have never been one for medicines. From day one (when they first gave me a pain killer which was I believe Darvocet) it has always had a strange effect on me. I do not get dizzy, nauseous, or even sleepy on these narcotics. I actually "speed up" on these pills. It works the same for varying hours depending on the dosage. 6 years ago after abdominal surgery, I was prescribed Norco 10/325. Speeds me up for 6 hours at least. 16 years ago I was prescribed Lorcet after my C-Section (not sure what that dose would've been) but same thing. Speeds me up for 7-9 hours at a time. 2 years ago after tripping over a parking barrier in the hospital parking lot (yes I'm clumsy) I was prescribed 5/500. That wonderful (sarcasm) drug had the lovely effect of speeding me up for 10-12 hours! Likewise about a week later (2 years ago) my husband dropped a plow blade on my shoulder. The dr prescribed 7.5/500. Same issue, yes. Speeding for 6-8 hours, but with a slight change which made me decide to just "deal" with pain and only take my 5/500 as needed when it got completely unbearable. On the 7.5/500 I was absolutely HORRIBLE when the med started to wear off. I mean yelling at my kids for offering to make me a glass of tea, awful. (My kids are teens so it isn't too bad) but nevertheless, I could not stand myself on those. I'm usually a laid back type person and laugh at everything. So when I yelled at my kids for doing something nice, I couldn't take that. My question is, why would I have that reaction to the mid-range dose but not the others? I'm so confused.

Mister Word from Californiaaah on November 18, 2016:

You mention codeine. How do, say, #2's compare to hydrocodone for pain relief?

Donna on November 08, 2016:

I suffered a Tbi 4 years ago that resulted in occiptipal neuralgia I underwent surgery in 2013. I suffer in daily pain levels never less than 6 and several days at a time over 10. I have fought through staying off pain mess due to they another helped much so I didn't want to filter my body with them. I finally have gone to pain mgmt and willing to try them on my non function days. Perocets 7.5 they make me very nauseous and sometimes my pain intensifies nowctgey want me to try norco 7.5 I declined bc I remembered hydrocondone never helped at all. Should I have tried them? Any recommendations or advice?

stealth on March 25, 2016:

In a situation where the patient takes 4-6 Norco 10/325 daily 2-4 hours apart how long will the Norco provide quality pain relief before it melts down to be of no appreciable help - on its own, not when combined with others?

Jason Poquette (author) from Whitinsville, MA on July 04, 2015:

The picture is an antique...that strength no longer exists

Lindsey on July 01, 2015:

What is is the picture posted for this article? 7.5/750. I don't see that strength on your chart.

karen on February 10, 2015:

What is

hydrocodon-apap 10-325 ? I was getting hydrocodone 10-325

Nancy on October 23, 2014:

What and how should I be taking in form of pain medication. I have osteopenia and my L5-S1 collapsed and had artificial disc surgery to avoid fusion. Good result, no pain meds needed. Then bursitis, osteoarthritis, fibromyalgia, myoclonus (everywhere) and rotator cuff tears. Tumors in different areas removed as changing. Had thyroidectomy and hysterectomy. Fell and burst fracture to T12 with top shard 7 mm into spinal canal. tried to heal naturally given 10/325 norco 10 of them per day. Spine became unstable and 5 level fusion done. Pain slowly worsened (severe pain 7-10 daily basis) and rods were moving so had hardware removed and now have level fusion T9-L3. Now pain worsening and new pain in ribs, CT showed compression fractures above fusion with compromised disc (50%). Before last surgery I had been on Fentanyl 50mg and Norco and Valium. Since surgery DEA scaring all doctors. Surgeon released me to pain doctor (no clinics would take someone needing chronic pain meds, I was guided thru by my general doctor but told they will be taking me off). I am only on Norco 10/325 getting 6 per day. I do not feel anything taking 1 or 2 at a time. TENS no longer works, Injections no longer help. I have CNS problems (familial essential myoclonus) so may be why pain meds not helping with pain. Anti depressant/Anxiety meds give me crazy heart/eye side effects. Have Sjogrens so dryness is an issue. I cannot exercise or do anything basically without having 8-10 pain ensue and nothing to help. I'm at wits end. DEA said that chronic pain patients are to be protected which is a joke. My pharmacist said that thinking chronic pain patients are getting care. They are only seeing patients lucky enough to get a doctor to write! I wish people who judge me when I discuss issue could link into my body to feel what I deal with daily. Hardly any sleep last 3 years. I sometimes go days without any sleep. They want me to see psychiatrist when I already see therapist, because I want life to end. I say, take care of my pain and if I am still suicidal I will go to a psychiatrist! Is there any trick as to how to take? I think I have tried everything. I'm afraid if I tell new Pain doctor that 6 Norco a day don't touch pain that she will just stop altogether. I feel like I have been fighting a life or death fight for 3 1/2 years with pain. Now I have to concurrently fight a battle with pain pills every day. When to take, what to do, how to prevent being without at end of month. I know Norco does help some if taking round the clock because when I run out at end of month pain is unbearable. Help please with any advise.

help on October 21, 2014:

They should burn the current should have been off the shelves after reformulation...poison pill

Marcus on September 11, 2014:

I went to my chronic pain doc today, he told me that Norco was going to be discontinued. So what's going to be the replacement?

Assreeka Buttstinka on September 06, 2014:

Yeah, I need every box of fentanyl patches ya got! I also need dilaudid pills & the syrup! Thanks so much.


Ed Cali on August 12, 2014:

I had fusion in2000. Was taking 6 vicodin 10/500's a day. As pain and my weight diminished I have taken less. It's taken 14 years but I can get by with 1 1/2 - 2 a day. I prefer ice and tens plus P.T. I want to quit but am scared todeath of withdrawals. When would I be able to stop and not have withdrawals?

Mary C. on August 02, 2014:

Yes sir...thank you for your info and advice...I am a very healthy 61 yr. young female suffering from sciatica (just gad MRI..thre herniated discs in lower back area) ..I have been seeing a pain medicine doctor for approx. five months...unbearable pain...first prescribed Percocet 10/ 325 four times a help because this is a continuous pain and I hated the fact that I was taking so much Tylenol then he put me on vicuprofen ...helped but not on fentynal patch,50mcg one every three or four days plus he put me back on Percocet but "I" was the one that said I wanted the dose lowered..the patch works but I see him in three days and I want to go off the Percocet all together but I would like to have the patch strength increased or what would you suggest as as another breakthrough medicine...I am scared to even mention a change because he makes you feel like a druggie to begin with even with the results of my MRI...and at any time..even though I have never had a problem with abuse, running out and having to call the office...none of that. Can you please let me know what you would do? Thank you and God Bless

pat on July 25, 2014:

I have taken vic es for my back for years. The generic used to be white watson. Now the pharmacist said they don't make them anymore. The new ones are light orange w a v on one side and 36 05 on the back. They feel different. I get sick from them. They take my energy away and i get dizzy. Someone told me i shld change to norco, same strength. The old vics were perfect. Wht should i do? Im afraid to change the prescript to norco and have it be worse.

Jason Poquette (author) from Whitinsville, MA on July 21, 2014:


Could be a different filler. Hard to say for sure.

Kevin on July 18, 2014:

I had been taking lortabs for over 15 yrs with little to no side effects . I was recently switched to norco 10/325 and they make me itch pretty badly is there a different filler in the norco that could cause this .

Jimmy on June 19, 2014:

How do explain to my Dr I have been taking hydrocodone 7.5 3 times a day for the last five plus years for two crushed disc pinching a nerve in my lower back and the medicine has quit working and I need something stronger and my pain has worsened a lot

Jason Poquette (author) from Whitinsville, MA on June 18, 2014:

Norco is not an anti-inflammatory.

Loren on June 09, 2014:

Does nor co have anti inflammatory properties

Holly on June 02, 2014:

Thank you for the info, I have severe RA and because of the drue drealers in my area , I suffer, no one writes these drug any longer due to the dea. It is sad because I have i had 1/15 of a. 30 day supply of my scrip left on a monthly basis so that proves there is no abuse on my part, I cry when I do run out because of this. The ones that really need it are turned down. Thank you for the information !!

Jason Poquette (author) from Whitinsville, MA on June 02, 2014:

Hi Ann,

Norco and Vicodin have exactly the same 2 active ingredients. But it is possible that you had a reaction to some other inactive ingredient in the Norco.....or it is possible that the rash was due to something else (and the Norco was just a coincidence).

Jason Poquette (author) from Whitinsville, MA on June 02, 2014:

Hi LisakH,

The best approach is always to talk to friends and family about doctors that they have had a good experience with. Also, if you have a primary care physician, talk to him/her about other options. It is understandable that your pain specialist wants to be conservative, but at the same time they need to listen to you and offer help and options. Best wishes.

Jason Poquette (author) from Whitinsville, MA on June 02, 2014:

Angela - Neuropathy can be quite painful, and the available options that would be right for you is something to discuss with your physician. Possibilities (though not necessarily recommended in your case) could be things like gabapentin, Lyrica or Cymbalta. Definitely talk more to your doctor or request to see a specialist.

Ann on May 29, 2014:

Had a tooth pulled out.. Couldn't take norco 5 mg.. Broke out in rash and madee sick... I ask him to give me vicodin ... Never had problem with that... He said it's exactly the same.. So they gave me Ty 3 ... Needless to say that doesn't work... I know there are some differences in norco in vicodin .. They told me to research it

sad Momma on May 18, 2014:

I just had surgery. In the hospital, I took Lortab and felt pretty good with it. Now discharged I'm taking Norco. It is horrible!! I hate it. Nausea, dizzy, shortness of breath......and I feel really weird too. I called my doc and she called in Lortab. The pharmacy just called and said it's the same thing and my insurance won't cover it. How terrible there is all this confusion. Now I will have to take OTC Tylenol. So much for pain management.

LisakH on May 18, 2014:

I was sent to a pain management specialist about 4 years ago because of an injury at work. I had multiple ruptured disc and a torn rotator cuff. I had been treated prior to this for sciatica. I have had many test and tried the other options to narcotic medications. I had the ACDF surgery. I was forced to return to work 8 days post op. The first specialist that had treated me for sciatica did several injections and prescribed 10mg methadone 3 times daily. I had to change doctors due to insurance. I asked them not to prescribe methadone because it made me a zombie, it also caused family problems. The doctor ordered vicodin 10/660(I remember it was 10 something), I have taken it for over 5 years. I asked my doctor if I could change to something else because put was not effectively helping with the pain. He told me he wants me off it because I'm addicted. I asked if he meant dependent or had developed a tolerance, he replied no, everyone on narcotic pain meds become addicted. I know that there's a difference and what it is. Sadly, he may not. I'm not a medical person but studied psychology for many years and worked with many people with sub abuse issues. I am still trying to deal with the sciatica issue and the disc above my fusion is ruptured. I don't want to get high, I've never had any questionable issues that might give reason to suspect a problem. Their office however ignored my retiring telling them that I was having issues with pain, feeling of something in my throat and other problems telling me that just because I'm saying I'm in pain the doctor won't give me more meds. I replied, I didn't ask for meds, I asked to find out what is wrong. After this had gone on for over a year they ordered an MRI. They found a 2 1/2 growth on my thyroid and another ruptured disc. I just need direction. Is there a way to make my medications more effective. They did order 15 mg. Ms contin twice daily after the MRI incident. This is a pain management specialist and him showing lack of knowledge regarding the difference between addiction and dependence is frightening. I know there is a big problem with these drugs right now, but there's also real pain patients who deserve to have some relief.

Angela on May 05, 2014:

I recently had colon cancer. During the chemo treatment I began to have symptoms of peripheral neuropathy. My oncologist is very wary of giving me pain meds. I'm already on Hydrocodone 10/325 for various other problems. The hydrocodone worked fine until the neuropathy. What should I request from my oncologist for the neuropathy around the cl0ck severe pain?

Jason Poquette (author) from Whitinsville, MA on May 01, 2014:


Pain management after surgery can be challenging. Talk to your doctor. You may just need a lower dose.

Jason Poquette (author) from Whitinsville, MA on May 01, 2014:

That's basically the same thing - but you just have to be careful with the Tylenol. Too much is very dangerous.

Jason Poquette (author) from Whitinsville, MA on May 01, 2014:


Sorry for the delayed reply. Hoping you made it through the worst of it.

Jason Poquette (author) from Whitinsville, MA on May 01, 2014:


The key is SMALL decreases. Lower you daily dose by just 1/4 tablet - with your doctor's permission. Go slow.

frankie on April 30, 2014:

i recently had surgery & the dr prescribed oxycodone for pain well after about 2-3 days i noticed i was duing a lot of itching then i asked my husband to look at my back nd i had broken out n a rash n several spots so i called my dr nd he switched my pain med. sayin i was "probably" having an allergic reaction.well now hes got me on hydrocodone, and by all means its taking the pain away but giving me very intense headaches so im taking 500 mg over the counter acetometaphen for that and its also making me feel really WEIRD.almost like a scary weird. im gunna start taking half starting today nd c if that helps. bt idk?

katie on April 26, 2014:

I was on 10 / 650 hydrocodone for years they just stop making it so they put me on 10 / 325 and its just not working the 10 6 / 50 BlazBlue and for some odd reason I know they're the same so I've been taking a half a Tylenol with it is there anything that's exactly like the old 10 650

Araxie Calder on April 24, 2014:

I just had a tonsilectomy and I was prescribed 5mg of a generic Norco prescription. It does nothing to relieve the pain, and I have another week of this healing process. Can I safely take another tab?

Jason Poquette (author) from Whitinsville, MA on April 13, 2014:

Bobbie Smith,

No. Gum disease is a side effect of some medications. But this is not a common problem with narcotics.

Jason Poquette (author) from Whitinsville, MA on April 13, 2014:


Ideally you should try as many non-narcotic options as possible. Ask about some NSAID options, or even tramadol. Try to limit the use of hydrocodone as much as possible.

Jason Poquette (author) from Whitinsville, MA on April 13, 2014:

Hi Joeydickens,

Fioricet is a non-narcotic combination often used for headaches. It contains acetaminophen, caffeine and butalbital. That last ingredient can sometimes cause some drowsiness, but not usually in this combination, due to the caffeine.

Jason Poquette (author) from Whitinsville, MA on April 13, 2014:

Hello Val,

Switching to the 10/325 probably had nothing to do with the pain. Lower back pain is often progressive and many things can cause a temporary increase in pain. I would look into other alternatives such as muscle relaxants or lidocaine patches. Talk to your MD. Hang in there.

Bobbi Smith on April 08, 2014:

A friend says her teeth are crumbling due to taking a narcotic painkiller. Is this a common reaction to the medication?

Marianna on April 08, 2014:

I am allergic to MOST pain medication. The only one that allowed my body free of pain and not have s medal post put into my neck is WATSON brand formula ONLY. 5/500. Never abused & taken for 17 years now at age 71. Recently I had hip replacement. Could not handle morphine well at all & not Norco of which my long term Dr. Agreed. They made this formula for people sensitive to codine & narcotics in general. If they take this exact formula not generic fillers I will be fine. If not I will have to have the medal post surgery that I have been able to avoid with WATSON ONLY BRAND. If people abuse, they should go to prison, not take it away from a person in my case.

Laurie on April 03, 2014:

I've been taking Hydrocodone 5/500 (Lortab) for chronic pelvic pain for the last year and it worked really well for me. Because of the current changes in the medications I've now been prescribed Vicodin 5/300. I find the Vicodine does not give me any relief with my pain and It also gives me a pounding headache. Any suggestions?

Joeydickens on March 25, 2014:

I had a question...When I was in the emergency room, I was prescribed Norco for my headaches, which, of course, "knocks me out", however, at a follow-up visit with my PCP, she prescribed Fioricet. I don't experience the drowsiness with the Fioricet like I did with the Norco (which is good). What is the difference between Fioricet and Norco (or its counterparts that you reference on your website?). Also, I realize you may not have an answer, but you know how pharmacies put those "stickers" on the bottles reminding you of side effects? The Fioricet bottle has one that indicates "May cause drowsiness ." Is there a reason why I don't experience that with the Fioricet? Just curious.

Val on March 22, 2014:

Hello, I had emergency abdominal surgery (open lap) 3 weeks ago, and was prescribed Norco 5/325 which I tolerated well. I normally don't take pain meds, as I believe naproxen always worked best for me. My physicians do not want me taking naproxen, this they've prescribed the norco. They recently switched me to the 10/325, and recommended I break in half, to minimize the acetomenophen. For the past two or three days since I switched, I have horrible lower back pain, that I didn't have prior. I woke up in excruciating pain, and ended up taking the non narcotic naproxen for relief. Is there any reason that the change from the 5/325 to 1/2 the 10/325, would cause so much pain? Any advice would be helpful! Thank you, and prayers for healing for you all!

Barbi on March 22, 2014:

Please help me! Post-terrible accident and surgery, I was Rx Lortab (10/500, 2/day)----it is 3 years now---I am "addicted" (at least dependent) and also a recovering alcoholic. When I cut down the Lortab, the urge to drink is horrible. Can you suggest an at-home method to taper down and eventually remain Rx-free from Lortab? I WOULD GREATLY appreeicate your help! (I'm female; in 70's - and very concerned)

friend on March 19, 2014:

If ya need help with pain email feel better guys

Joeydickens on March 16, 2014:

I have been experiencing real bad headaches lately. I also have a VP brain shunt to help drain excess spinal fluid from the brain, however, I'm beginning to think it is malfunctioning. Of course, when I went to the ER, they did a CAT scan, but according to the doctor, everything looked ok. Personally, I think they should have done an MRI and a shunt series (series of X-Rays to make sure the shunt and shunt tubing are ok or just aren't "kinked up" in some spot.)

The Dr. did prescribe Norco 10-325, which, of course, I got in the generic, however, once I go back to work, I won't be able to take it while on the job, for fear that it will make me want to sleep anyway and I won't be as alert.

Also, my PCP has already made a referral to a new neurologist, but I'm obviously concerned that they aren't going to see the problem that could be present. I feel that adult hydrocephalus patients aren't given the same level of care as pediatric patients...And that is coming from someone who had all 5 of his surgeries at a Children's Hospital. Joey

Jason Poquette (author) from Whitinsville, MA on March 15, 2014:

Yes. Ask for Vistaril (hydroxyzine hydrochloride) instead.

Michael Massey on March 12, 2014:

I had surgery in 2008 and was prescribed Lortab 10.Within a few days I began to have constipation. Why isn't this problem talked about.The doctor took me off the Lortabs and every thing returned to normal.

Steven on March 02, 2014:

For everyone posting about injections. There are no valid studies that show injections provide any long term relief. Also steroids diminish your immune system. Injections are basically a scam so doctors can charge obscene amounts of money for an injection versus just an office visit. If you have a doctor that forces you to get injections in order to receive your pain meds, then it's time for a doctor change.

Steven on March 02, 2014:

cfd77 Absolutely you build a tolerance. I'm surprised you got relief at all in the second year of hydrocodone. Now days you have to search far and wide for a real, non-cowardly, pain management doctor. I drive 180 miles round trip to mine. I'm in no way recommending this or condoning this but I can take 10 - 10MG hydrocodones and get no relief and no side effects other than the damage to my liver from too much APAP. I don't do it at all. I'm just saying that my tolerance is such that it's possible. I take 30MG of oxycodone every 6 hours and I have a 50 Fentynal patch.