IP115 Round White Pills

IP 115 are white, oblong pills embossed with letters and numbers. The IP is an abbreviation for “Intellectual Property.” The numbers refer to the National Drug Code (NDC).

Each IP115 pill contains:

• 7.5 mg of hydrocodone
• 325 mg of acetaminophen

Type

• They are in the drug classification of narcotic-analgesic
• The generic name is hydrocodone-acetaminophen.

Brand Names

Two brand names are:

• Lortab®
• Norco®

Treatment

It is currently accepted medical use for pain treatment in the United States. They relieve moderate to severe pain such as back discomfort or rheumatoid arthritis.

NDC reference

The National Drug Code NDC is a unique 10-digit, 3-segment number. It is a product identifier for all human drugs.

The 65162-115 are the ID reference numbers in the NDC system. The last two digits refer to the number of pills in each bottle. NDC codes and amount of tablets in a bottle are as follows;

NDC codes

NDC Ref. Number Number of Pills Per Bottle

65162-115-03 30

65162-115-10 100

65162-115-50 500

65162-115-11 1,000

Side effects

• IP115 can slow or stop breathing and be habit-forming. It can trigger addiction, overdose, or death. It is true, especially in young or older adults or anyone abusing them.

Side effects may be more likely and severe in older adults. Long-term use of medication that contains opioids may affect both men’s and women’s ability to have children. The childbearing effects may or may not be permanent. Side effects can include:

• Lightheadedness
• Dizziness
• Anxiety
• Nausea and vomiting
• Upset stomach
• Drowsiness
• Constipation
• Headache
• Mood changes
• Blurred vision
• Tinnitus (ringing in the ears)
• Dry mouth
• Difficulty urinating

Warnings

The combination of hydrocodone and acetaminophen potentiate each other. Therefore, each produces additional pain relief in variety compared to either hydrocodone or acetaminophen.

Keep this medication away from children and pets, as accidental access may result in respiratory failure and a fatal overdose.

• Accidental consumption of even one dose of hydrocodone, especially by children, can result in a fatal overdose.
• According to MedlinePlus, “when a hydrocodone combination product was in children, there were serious and life-threatening breathing problems. Therefore, children younger than 18 years old should never use it.”
• Since hydrocodone can affect the ability to breathe correctly, the additive effect of taking other medications simultaneously or drinking alcohol can have serious consequences.
• Concomitant opioids with benzodiazepines or other CNS depressants, including alcohol, may result in profound sedation, respiratory depression, coma, and death. 
• Alcohol consumption may increase hydrocodone plasma levels and possible overdose (altering the drug’s release).
• Healthcare providers and pharmacists should know what prescription and nonprescription medications someone plans to take while on these meds.
• These drugs carry this warning “they may impair the mental or physical abilities needed to perform potentially hazardous activities such as driving a car or operating machinery.”
• There is a long list of possible drug interactions. In addition, other medications may also interact with hydrocodone combination products, so be sure to tell your doctor about all the medicines.
• There can be severe drug interactions. Your doctor should prescribe an alternative medication.

Adrenal

Opioid use is known to cause adrenal insufficiency. Possible symptoms may include;

• nausea
• vomiting
• anorexia
• fatigue
• weakness
• dizziness
• low blood pressure

Dependency

• Speak to a healthcare provider or a pharmacist before taking these medications.
• These medications contain hydrocodone, and users are open to the possibility of addiction, abuse, and misuse.

Hydrocodone is a Schedule II controlled substance, meaning it:

• It is an opioid agonist and a Schedule II controlled substance with a high potential for abuse like fentanyl, methadone, morphine, and oxycodone.
• If abused, the drug may lead to severe psychological or physical dependence.

Overdose

At the first sign of a possible overdose, call 911 immediately.

Any overdose can be fatal. Signs of a possible IP 115 overdose may include:

• Slow and ineffective breathing
• Sleepiness or drowsiness progressing to stupor or coma
• Skeletal muscle flaccidity
• Cold and clammy skin
• Pupils tiny under normal light
• In some cases, early overdose symptoms may include:
• Nausea
• Vomiting
• Excessive, abnormal sweating with the environment and general malaise

Liver

• Acetaminophen is associated with liver failure, alcoholism, ethanol intoxication, hepatitis, liver damage, and malnutrition.
• Clinical and laboratory evidence of liver toxicity may not be apparent until 48 to 72 hours post-ingestion.
• When calculating the maximum daily dose of acetaminophen, consider all sources of acetaminophen, including OTC.

Learn about another related drug, IP 109.