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Hydrocodone

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From Pharmacopedia
Opioid, Analgesic
Hydrocodone
Vicodin

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Titration strategies

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Effects

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Interactions

Pharmacogenomic + mechanism interactions4 edges
Pharmacogenomic guideline recommendationsCPIC and Dutch Pharmacogenetics Working Group clinical guidelines
Phenotype:CYP2D6 normal metabolizer monitor CPIC Strong 70 / 100
CPIC rec 8094288 [Strong]: Use hydrocodone label recommended age- or weight-specific dosing. CPIC pair-level B (CYP2D6, OPRM1, COMT, and Opioids) [PMID 33387367]
Phenotype:CYP2D6 intermediate metabolizer monitor CPIC B 20 / 100
CPIC rec 8094284 [Optional]: Use hydrocodone label recommended age- or weight-specific dosing. If no response and opioid use is warranted, consider non-codeine or non-tramadol opioid. CPIC pair-level B (CYP2D6, OPRM1, COMT, and Opioids) [PMID 33387367]
Phenotype:CYP2D6 poor metabolizer monitor CPIC B 20 / 100
CPIC rec 8094293 [Optional]: Use hydrocodone label recommended age- or weight-specific dosing. If no response and opioid use is warranted, consider non-codeine and non-tramadol opioid. CPIC pair-level B (CYP2D6, OPRM1, COMT, and Opioids) [PMID 33387367]
Phenotype:CYP2D6 ultrarapid metabolizer monitor CPIC B 5 / 100
CPIC rec 8094298 [No Recommendation]: No recommendation for hydrocodone therapy because of minimal evidence regarding adverse events or analgesia. CPIC pair-level B (CYP2D6, OPRM1, COMT, and Opioids) [PMID 33387367]

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Summary
Classes
Opioid, Analgesic
Common uses
Pharmacy
Pharmacology
Purported mechanism
Mu-opioid receptor agonist