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By: Renaissance Recovery

Medically Reviewed by: Diana Vo, LMFT

Last Updated: 7/1/2021

An image of an Ip 109 pill

Authored By: Joe Gilmore

Table of Contents

IP 109 pill, also known as IP 109 white pill, is a combination medication containing the powerful opioid hydrocodone.

Like all opioid-based medications, long-term use of IP 109 pill is associated with addiction in the form of opioid use disorder and liver damage.

What Is IP 109 Pill?

IP 109 pill is a white oblong tablet measuring 15mm long. Manufactured by Amneal, the tablets are stamped with the legend IP 109.

The most common branded versions of this medication include:

  • Vicodin
  • Lortab
  • Norco
  • Lorcet

Each tablet is a combination medication containing:

  • Hydrocodone bitartrate (5mg)
  • Acetaminophen (325mg)

Hydrocodone is a narcotic analgesic and acetaminophen is a painkiller. The combination medication that is IP 109 pill is prescribed to relieve moderate or severe pain. If the medication is prescribed for the relief of chronic pain, this can easily lead to addiction developing.

Combination acetaminophen/hydrocodone products like IP 109 pill are only available on prescription. The medication is typically prescribed for pain relief and RA (rheumatoid arthritis). IP 109 pill can also help suppress coughs.

As an opioid heavily implicated in the U.S. opioid epidemic, hydrocodone is a painkiller and cough suppressant. Acting to depress the CNS (central nervous system), hydrocodone targets naturally occurring opioid receptors in the brain.

Acetaminophen is an analgesic effective for alleviating mild or moderate pain. The mechanism of action of this medication interferes with pain signaling in the brain. Taken as directed, acetaminophen is considered safe and effective. High doses of acetaminophen can cause acute liver failure and allergic reactions.

The following symptoms indicate a hypersensitivity to this medication:

  • Rash
  • Hives
  • Facial swelling
  • Throat swelling
  • Vomiting
  • Breathing difficulties

The most common side effects associated with IP 109 pill are:

  • Nausea and vomiting
  • Dizziness
  • Fatigue brain fog
  • Anxiety
  • Mood swings
  • Skin rash
  • Impaired focus
An image of an Ip 109 pill

IP 109 Pill: Uses

Combination products like IP 109 pill that contain hydrocodone and acetaminophen are used to relieve pain that is sufficiently severe to warrant opioid treatment. IP 109 pill can be effective where other pain medications were ineffective or not tolerated.

Acetaminophen is prescribed to reduce fever and relieve pain. Although acetaminophen is not habit-forming even if taken long-term, high doses of the medication can trigger severe liver damage.

Addiction to IP 109 Pills

Hydrocodone is a schedule II controlled substance due to its strong potential for both abuse and addiction. NIH (National Institutes of Health) states that the abuse potential of hydrocodone is less than oxycodone, but similar to morphine.

Long-term use of hydrocodone can lead to physical and psychological dependence forming.

Most people who abuse hydrocodone products do not initially intend to misuse the medication. Tolerance to opioids quickly builds, though, prompting many patients to use more hydrocodone or to increase the frequency of doses. This abusive pattern of consumption is likely to accelerate the formation of physical dependence. If you become physically dependent on the IP 109 pill, you will need medication so you can function normally. Intensely uncomfortable withdrawal symptoms will present as the effects of opioids wear off, provoking a vicious cycle of abuse.

Both tolerance and withdrawal symptoms are diagnostic criteria for addiction. Opioid use disorder is diagnosed as mild, moderate, or severe depending on the number of symptoms present from APA’s DSM-5-TR (updated edition of Diagnostic and Statistical Manual of Mental Disorders).

If you are physically dependent on opioids like the IP 109 pill, you should not suddenly discontinue use without medical guidance. Rapid detox in non-clinical setting can trigger the following acute withdrawal symptoms:

  • Increased heart rate
  • Muscle aches
  • Restlessness
  • Abdominal cramps
  • Insomnia
  • Cravings

While there is no cure for opioid use disorder, the condition typically responds positively to a personalized array of research-backed therapies.

IP 109 Pill: Overdose

An overdose on products containing hydrocodone and acetaminophen should be treated as a medical emergency. Call 911 immediately if you notice the following signs:

  • Slow heart rate
  • Depressed breathing
  • Low blood pressure
  • Difficulty staying awake
  • Falling unconscious
  • Disorientation
  • Cold, clammy skin
  • Slurred speech
  • Nausea
  • Vomiting

Without medical intervention, respiratory depression and cardiac arrest could develop.

Treatment for Opioid Addiction at Renaissance Recovery

If you have been abusing IP 109 pills or any other opioid, we can help you address the physical and psychological sides of addiction here at Renaissance Recovery.

We offer a variety of outpatient programs and virtual therapy for addiction, mental health disorders, and co-occurring disorders, including:

In almost all cases, it is advisable to detox from opioids under medical supervision. We can connect you with licensed medical detox centers throughout Orange County.

All our treatment programs for opioid addiction offer you access to MAT (medication-assisted treatment). The FDA approves three medications to alleviate the intensity of opioid withdrawal and to promote ongoing abstinence. You can also take advantage of these evidence-based and holistic interventions:

  • Individual counseling
  • Group counseling
  • Family therapy
  • Psychotherapy (CBT and DBT)
  • Holistic therapy

Whether you step down to a less intense treatment program or you return home after rehab, your treatment team will equip you with strategies to prevent and manage relapse, along with a comprehensive aftercare plan. 

Move beyond opioid addiction by building a solid base for sustained recovery at Renaissance in Orange County. Call admissions at 866.330.9449 for immediate assistance.

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Pat C

“I owe my life and my happiness to these people. October 8th, 2019 marked two years of sobriety for me, and prior to finding Renaissance I hadn’t had 24 hours sober in nearly 20 years.”

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“They truly cared for me and the other people that I served with! From this group, I have made 8 new brothers and friends for life! We have continued on, after the program, to take care of each other”

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Courtney S

“Great staff who took the time to get to know me. They have a lot of experience in this field and have first hand experience with what I was going through. IOP is outstanding and really built up a ton of great relationships and found this program to be a ‘breath of fresh air’.”

Diana Vo, LMFT

Diana is an addiction expert and licensed marriage and family therapist who has been in the field of mental health for over 10 years.

Joseph Gilmore

Joseph Gilmore has been in the addiction industry for three years with experience working for facilities all across the country

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