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Acetaminophen 325 mg/Hydrocodone Bitartrate 5 mg Rectal Suppository

FDA-approved generic
Dose form
Suppository
Active ingredients
Acetaminophen
Hydrocodone Bitartrate

The Acetaminophen 325 mg/Hydrocodone Bitartrate 5 mg Rectal Suppository is a solid dosage form designed for insertion into the rectum. Upon insertion, the suppository dissolves or melts, releasing the active ingredients for local or systemic absorption. This formulation combines the analgesic properties of Acetaminophen and the opioid pain reliever Hydrocodone Bitartrate. The rectal administration route provides an alternative for patients who may have difficulty swallowing oral medications or for whom oral administration is not suitable.

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For prescribers
Prescription details
RxThis formula
Dose formSee below
Quantity____
SigAs directed by prescriber
Refills____
PharmacyBayview Pharmacy, Warwick RI, NCPDP 4106882
Copy prescription detailsOrder form
Controlled substance: e-prescribe (EPCS) from your EHR. Faxed and phoned prescriptions cannot be accepted for this preparation.
Send it from your EHR, or fax to (401) 284-4506. How to e-prescribe this formula
Licensed to fill prescriptions for patients in RI, MA, CT, NJ, NH, FL, ME and PA. New York patients are served on a limited basis while nonresident registration is pending.
To prescribe, you must be a verified prescriber.
To prescribe, you must be in a state where we hold an active out-of-state pharmacy license.
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This medication requires a prescription from your doctor
Ships within 1 to 2 business days after pharmacist verification
HSA and FSA eligible
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Licensed to fill prescriptions for patients in RI, MA, CT, NJ, NH, FL, ME and PA. New York patients are served on a limited basis while nonresident registration is pending.

For prescribersSign in for prescription details and order forms.
Compounded preparations are prepared by Bayview pursuant to a prescription for an individual patient. They are not FDA-approved and have not been evaluated by FDA for safety or effectiveness.
Acetaminophen
Hydrocodone Bitartrate
Suppository
652efe4df75fa04b09360f52
Service area

Can we ship this formula to your state?

Bayview fills prescriptions for patients in Connecticut, Florida, Maine, Massachusetts, New Hampshire, New Jersey, Pennsylvania and Rhode Island. New York patients are served on a limited basis while nonresident pharmacy registration is pending.

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Formula Information

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The Acetaminophen 325 mg/Hydrocodone Bitartrate 5 mg Rectal Suppository is a solid dosage form designed for insertion into the rectum. Once inserted, the suppository dissolves or melts, releasing the medication for local or systemic absorption.

Acetaminophen is a common over-the-counter medication used to relieve pain and reduce fever. It works by changing the way the body senses pain and by cooling the body. Hydrocodone, on the other hand, is an opioid pain medication that works in the brain to change how your body feels and responds to pain. The combination of these two medications in a suppository form allows for direct, localized delivery, which can be beneficial for patients who have difficulty swallowing pills or for whom oral administration is not suitable.

This formulation is typically used to treat moderate to severe pain, including conditions such as post-surgical pain, injury-related pain, and chronic conditions like cancer or severe arthritis. It's important to note that this medication should be used under the supervision of a healthcare provider, as hydrocodone has the potential for addiction, abuse, and misuse, which can lead to overdose and death. Patients should follow their healthcare provider's dosing instructions carefully and report any side effects or concerns immediately.

As with any medication, there are potential side effects to be aware of. These can include constipation, nausea, sleepiness, vomiting, tiredness, headache, dizziness, abdominal pain. Serious side effects can include breathing problems, addiction, abuse, or misuse. It's important to discuss these potential risks and benefits with your healthcare provider before starting this medication.

If you have any questions about this formulation, its uses, or its potential side effects, please don't hesitate to reach out to us at Bayview Pharmacy. Our team of knowledgeable compounding pharmacists is here to help ensure you have the information you need to make informed decisions about your healthcare.

Drug Interactions

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This formulation combines Acetaminophen, a pain reliever and fever reducer, with Hydrocodone Bitartrate, an opioid analgesic, in a rectal suppository form. It is designed to treat moderate to severe pain conditions, and can be particularly useful for patients who have difficulty swallowing oral medications or for whom other routes of administration are not suitable.

Acetaminophen can interact with certain medications such as warfarin, a blood thinner, potentially increasing the risk of bleeding. It can also interact with certain seizure medications, potentially reducing their effectiveness. If you are taking any of these medications, please inform your healthcare provider.

Hydrocodone Bitartrate can interact with a number of medications, including other opioids, benzodiazepines, alcohol, and certain antidepressants, potentially leading to serious side effects such as respiratory distress, sedation, coma, and even death. It's crucial to inform your healthcare provider of all medications you are currently taking, including over-the-counter drugs and herbal supplements, before starting this treatment.

Furthermore, both Acetaminophen and Hydrocodone Bitartrate can interact with certain health conditions. For example, patients with liver disease may need to avoid Acetaminophen, while those with respiratory problems or a history of substance abuse may need to avoid Hydrocodone Bitartrate. Again, it's important to discuss your full medical history with your healthcare provider before starting this treatment.

Lastly, it's important to note that this formulation should be used exactly as directed by your healthcare provider. Misuse can lead to addiction, overdose, or death, particularly in children or other individuals using the medication without a prescription. If you have any questions or concerns about this medication, its potential interactions, or its proper use, please don't hesitate to reach out to us at Bayview Pharmacy. We're here to help.

How Does it Work

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The Acetaminophen 325 mg/Hydrocodone Bitartrate 5 mg Rectal Suppository is a unique formulation that combines two potent medications for pain relief. This formulation is designed as a solid dosage form that is inserted into the rectum, where it dissolves or melts to release the medication. The medication is then absorbed locally or systemically to provide pain relief.

Acetaminophen is a widely used over-the-counter analgesic (pain reliever) and antipyretic (fever reducer). It works by elevating the pain threshold so that only more significant pain is felt. It also reduces fever by acting on the heat-regulating center of the brain to lower the body's temperature when it is elevated.

Hydrocodone Bitartrate, on the other hand, is a semi-synthetic opioid derived from codeine. It is a narcotic analgesic that provides its pain-relieving effects by binding to opioid receptors in the brain and spinal cord. This binding blocks the transmission of pain signals sent by the nerves to the brain, thereby reducing the sensation of pain.

The combination of Acetaminophen and Hydrocodone in this rectal suppository formulation provides a synergistic effect.

The rectal route of administration allows for the medication to be absorbed directly into the bloodstream, bypassing the digestive system. This can result in a faster onset of action and potentially fewer gastrointestinal side effects compared to oral administration. However, it's important to note that this route of administration may not be suitable for everyone and should be used under the guidance of a healthcare provider.

This formulation can be used to treat various disease states that involve moderate to severe pain, such as post-surgical pain, cancer pain, or pain from severe injuries. However, due to the potential for abuse and dependence, it should be used with caution and only under the supervision of a healthcare provider.

If you have any questions about this formulation or its use, please don't hesitate to reach out to us at Bayview Pharmacy. Our team of knowledgeable compounding pharmacists is always here to help.

Other Uses

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Acetaminophen 325 mg/Hydrocodone Bitartrate 5 mg Rectal Suppository can have multiple uses besides its primary purpose. This suppository formulation provides an alternative route of administration in patients who can't take oral pain medications due to vomiting, nausea, or swallowing difficulties. It may also be beneficial for patients who have undergone surgery or dental procedures, post-trauma cases, moderate to severe osteoarthritis, and other acute or chronic pain conditions.

Moreover, this combination of Acetaminophen/Hydrocodone may be a suitable solution for treating severe cases of discomfort or pain not manageable by other pain relief medications. In palliative care or end-of-life care, this formulation can provide essential pain relief, significantly enhancing the quality of life. It's also employed post-operatively, particularly in cases where oral administration might be prohibited.

The Acetaminophen component of the suppository helps increase the pain-relieving effects of hydrocodone. While using this formulation, it's important that patients understand that Hydrocodone can cause dependency and should be used under close medical supervision. Common side effects from this formulation include constipation, nausea, sleepiness, vomiting, dizziness, and lightheadedness.

It should also be noted that this form of medication delivery might be preferable when quick absorption of the medication is desired, due to the rich vascularization of the rectal area, which enables the fast uptake of the medication into the bloodstream, bypassing the first-pass metabolism in the liver. However, this formulation is can not be used as an alternative to treat migraines due to the slow onset of action compared to other available routes.

If you have any questions or need further clarification about this or other formulations, don't hesitate to reach out to us. We are here to provide important insight and guidance, aiming to ensure maximum patient safety and therapeutic effectiveness of the treatments.

Frequently Asked Questions

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What is an Acetaminophen 325 mg / Hydrocodone Bitartrate 5 mg rectal suppository?

This is a solid dosage formulation that carries a combined dose of Acetaminophen and Hydrocodone Bitartrate. It is typically inserted into the rectum, where it dissolves or melts to release the medication for absorption within the body.

How does the suppository work?

Once inserted into the body cavity, typically the rectum, the suppository melts or dissolves. The medication is then released and absorbed into the body locally or systematically.

Why rectal suppository instead of oral medication?

Some medications may cause stomach upset or not be absorbed well through the stomach. In these cases, a suppository may be a better option. It also provides an alternative for those who have difficulty swallowing pills.

What is the medication in the suppository used for?

Together, they provide significant pain relief for different conditions as directed by a healthcare professional.

How should I store these suppositories?

These suppositories should be stored in a cool and dry place, typically a refrigerator, to prevent them from melting. Please strictly follow packaging instructions or your pharmacist's advice on storage.

What are the potential side effects of this medication?

Side effects may include constipation, lightheadedness, or drowsiness. If you feel severe side effects like shortness of breath or allergy symptoms, please contact a healthcare professional immediately.

How often should I use the suppository?

The frequency of use for this medication will often depend on the individual and the specific pain relief needs. It is very important to strictly follow the prescription instructions by your healthcare professional.

What should I do if I miss a dose?

If you miss a dose, use it as soon as you realize it. If it's nearly time for the next dose, you may skip the missed dose and continue with your regular schedule. Do not double the dose to catch up.

Can I use other medications with these suppositories?

Always inform your healthcare provider about any other medications you might be on before starting a new medication. Certain drugs may interact with Acetaminophen / Hydrocodone Bitartrate causing unwanted side effects.

What happens if I overdose on this suppository?

Overdosing may cause serious side effects such as severe drowsiness, slow breathing, or seizures. If you suspect an overdose or experience these symptoms, seek medical help immediately.

About this compounded preparation

This formulation is compounded by Bayview Pharmacy on a prescriber's order for an individual patient. It is not an FDA-approved drug product, and the FDA has not evaluated it for safety, effectiveness, or manufacturing quality.

The conditions listed on this page are indications prescribers have ordered this preparation for. They are not FDA-approved indications, and listing them is not a statement that this preparation is effective for them.

A valid prescription is required. Availability depends on Bayview's licensure in your state. This page is general information, not medical advice — discuss your situation with a licensed healthcare provider.

This preparation is a controlled substance. Additional prescribing, refill, and shipping restrictions apply, and the states Bayview can dispense it to are narrower than for non-controlled preparations.

Formulas and/or material listed are not to be interpreted as a promise, guarantee or claim of therapeutic efficacy or safety. The information contained herein is not intended to replace or substitute for conventional medical care, or encourage its abandonment. Every patient is unique, and formulas should be adjusted to meet their individual needs.

No compounded medications are reviewed by the FDA for safety or efficacy.
For prescribers

How to e-prescribe this formula

Controlled substance: e-prescribe only (EPCS). Faxed, phoned, and handwritten prescriptions cannot be filled. Rhode Island law (R.I. Gen. Laws § 21-28-3.18) requires Schedule II to V prescriptions to be transmitted electronically.
1

Find Bayview in your EHR's pharmacy directory

Search by NCPDP 4106882, or by name and ZIP: Bayview Pharmacy, Warwick, RI 02886. Select it as the destination pharmacy and save it as a favorite. Click any value to copy it.

NCPDP4106882NPI1750455143Address3844 Post Rd, Warwick, RI 02886Phone(401) 284-4505Fax(401) 284-4506
2

Enter the formula as a compound

Compounded preparations have no NDC, so this formula will not appear in your EHR's drug search. Use your system's compound, non-formulary, or free-text prescription entry and name the preparation exactly as written in step 3. If your EHR forces you to pick a listed drug, pick the closest entry for the active ingredient and put the full formula in the prescription body (the Sig or directions field), not in Notes to Pharmacy.

Compounded preparations have no NDC and will not appear in your drug search. For EPCS to validate, select a drug entry your EHR recognizes as controlled, usually the bulk powder entry for the active ingredient (for example Ketamine (bulk) powder, not a branded product), then put the full formula from step 3 in the prescription body. A free-text entry that does not validate as controlled will be rejected by your EPCS module.

3

Copy the prescription details

RxFormula name
Dose formDose form
Quantity________
SigAs directed by prescriber
Refills____
PharmacyBayview Pharmacy, Warwick RI, NCPDP 4106882
Copy prescription details

Quantity and directions are starting points for this dose form, not treatment recommendations. Dosing remains the prescriber's responsibility.

4

Send it

Transmit from your EHR. For this non-controlled preparation we also accept fax to (401) 284-4506 and phoned orders at (401) 284-4505. Order forms are on the formulation pages and in the prescriber portal.

Transmit with two-factor authentication through your EPCS-enabled EHR. No order form is offered for this preparation; e-prescribing guides for our controlled preparations are on the formulation pages.

Do not use Notes to Pharmacy for the formula. Some EHRs keep that field internal and never transmit it. A prescription that arrives without the formula is delayed while we call your office.

Licensed to dispense in RI, MA, CT, NJ, NH, FL, ME, and PA; New York is served on a limited basis while nonresident registration is pending. Compounded preparations are not FDA-approved. A valid prescription is required. Full guide, including steps by EHR: How to e-prescribe to Bayview. Questions about this formula: call (401) 284-4505.

Acetaminophen 325 mg/Hydrocodone Bitartrate 5 mg Rectal Suppository
Suppository
30 suppositories
controlled

Insert 1 unwrapped suppository

Every 6 hours as needed