If you are:
Only When Necessary: NEONATAL WITHDRAWAL/RESP.DEPRESS. W/CHRONIC OR HIGH DOSE; SMALL TERATOGENIC RISK
Precaution: MONITOR FOR CHANGES IN RESPIRATION, GI EFFECTS, SEDATION, FEEDING PATTERNS
Precaution: MAY INHIBIT LACTATION. AVOID CHRONIC USE.
An adult over 60:
management or monitoring precaution: Pulmonary-Respiratory depression is more likely to occur in elderly, as they may have altered pharmacokinetics due to poor fat stores, muscle wasting, or altered clearance. Neuro/Psych-Risk for confusion, delirium and falls. Avoid treatment with 3 or more CNS active agents. Gastrointestinal-Constipation risk. Renal-Impaired function may lead to increased toxicity due to accumulation of parent compound and metabolites. Cardiovascular-Monitor for hypotension with high doses.
management or monitoring precaution: Neuro/Psych-Avoid in older adults with or at high risk for delirium because of inducing or worsening delirium. Avoid in elderly with dementia or cognitive impairment because of possible worsening.
Giving hydrocodone-homatropine MBR to a child under 12:
Contraindication: Possible risk of amblyopia associated with cycloplegia. Not to be used in first 3 months of life.
Contraindication: Risk of respiratory depression, breathing problems. Not for cough suppressant use age < 6 years.
Severe Precaution: Risk of respiratory depression. Caution with use. Weigh risk:benefit.
management or monitoring precaution: Safety and effectiveness in children have not been established.