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Anthony Bray, MD
Anthony Bray, MD, Doctor
Category: Health
Satisfied Customers: 10337
Experience:  14 years as clinician in the field of Family Practice
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I've been taking 40mg of Vicodin and .5 mg of Xanax. Is this

Customer Question

I've been taking 40mg of Vicodin and .5 mg of Xanax. Is this safe?
Submitted: 11 months ago.
Category: Health
Expert:  Anthony Bray, MD replied 11 months ago.

Hello,

No that is not safe ! Vicodin is usually a combination of 5mg hydrocodone with 500mg acetaminophen..do you mean that you just took 40 mg of hydrocodone?? that would be a high dose of that component -- 8 tablets if the dose is 5/500 ...you should be monitored .. the 0.5 mg of Xanax would not be a problem by itself or with a low dose of Vicodin..

Now the complexity is that people with high needs for pain control could tolerate such a dose but a person with low need for pain control may not breathe normally.. so the context and the patient are key.. whay you describe so far sounds more of a dangerous overdose of the Vicodin however...

Medcal assistence is advised .. ASAP >>Clarification of your dose and timing would be potentially helpful but take care of yourself as first priority...

Expert:  Anthony Bray, MD replied 11 months ago.

The dose described also would have higher danger in a person with lung disease such as COPD ...

Expert:  Anthony Bray, MD replied 11 months ago.

The reason for your pain and the intensity of the pain are important factors...

Expert:  Anthony Bray, MD replied 11 months ago.

The bot***** *****ne is that what you describe is not generally safe and you need to be evaluated

Expert:  Anthony Bray, MD replied 11 months ago.

The daily upper limit for acetaminophen is 4000 mg per day >> excess of that is a danger to the liver...

Expert:  Anthony Bray, MD replied 11 months ago.

I see a request for phone call but this service did not clear for you...

Expert:  Anthony Bray, MD replied 11 months ago.

I could not get the phone call to clear >> you are welcome to let me know any added details here.. I would be happy to call but the live phone call did not clear ...

Customer: replied 11 months ago.
I took 2 pills around 10:00am and 1 pillar 2:00 pm and then one pill at 9:00 pm then the Xanax at 10:30pm
Expert:  Anthony Bray, MD replied 11 months ago.

OK >> we can settle down then !!

I thought that you had just taken 8 vicodin at one time!!

Customer: replied 11 months ago.
have been doing so for about 4 days
Customer: replied 11 months ago.
They where 4 10mg Vicodin total
Expert:  Anthony Bray, MD replied 11 months ago.

So your dose must be the 10/500 and you have taken four of these over the course of the day...

Then Xanax 0.5mg at 10:30

That is OK then >> you are fine in this circumstance

Expert:  Anthony Bray, MD replied 11 months ago.

I am relieved to hear the details >> that makes a huge difference!

Customer: replied 11 months ago.
Phew, but it is not safe to con this right?
Customer: replied 11 months ago.
Continue this I mean
Expert:  Anthony Bray, MD replied 11 months ago.

The small dose of the Xanax of 0.5mg along with what you have taken would be ok but not large amounts >>that would be correct...

Expert:  Anthony Bray, MD replied 11 months ago.

It is a matter of MODERATION and REASON of the DOSE to your circumstance...

The combination of an opioid such as hydrocodone PLUS a benzodiazepine do have overdose potential >YES to that BUT you can take a combination in moderation for your size...

Customer: replied 11 months ago.
Ok, and yes it is the 10mg Vicodin pills 4 times a day
Expert:  Anthony Bray, MD replied 11 months ago.

I would advise that you take only ONE of the 10mg Vicodin every 6 hours... don't take 2 of these at the same time...

one of the 0.5 mg every 8 hours may also be taken but not more I would advise you...

Customer: replied 11 months ago.
I'm 5"10 and 207 lbs
Expert:  Anthony Bray, MD replied 11 months ago.

OK so the doses that we described would be OK for you...

Expert:  Anthony Bray, MD replied 11 months ago.

Just do not exceed that dose and you will be fine !

Expert:  Anthony Bray, MD replied 11 months ago.

I hope that this is helpful for you. Let me know if you have further questions or discussion for me and I will be happy to get back with you! Sorry for the early confusion!

Expert:  Anthony Bray, MD replied 11 months ago.

Do you still wish a phone call now??

Expert:  Anthony Bray, MD replied 11 months ago.

I tried the phone request and that did not go through... I hope that we have cleared things up as to what is safe with your medication now however...

Expert:  Anthony Bray, MD replied 11 months ago.

So to recap you may take the Vicodin 10/500 ONE every six hours as you have been directed

You may also take one 0.5 mg of Xanax up to every 8 hours as needed for anxiety or as otherwise directed by your doctor

This amount would be safe for you...

Customer: replied 11 months ago.
Ok
Expert:  Anthony Bray, MD replied 11 months ago.

I hope that this has been helpful for you. Let me know if you have further questions/discussion or concerns. I will be happy to get back with you. If my answer has been helpful and to your satisfaction then please remember to leave positive feedback. Thank You and Best Regards,

I hope that you feel better soon !

Take Care!

Anthony Bray MD

Expert:  Anthony Bray, MD replied 11 months ago.

The phone request as set up did not go through... I have countered and left open to you a proposal for phone conversation at a lower rate if you still wish to converse via phone. That will be fine...

Best Regards!

Anthony Bray MD

Customer: replied 11 months ago.
Watson 853 where the pills, I just flushed them down the toilet
Expert:  Anthony Bray, MD replied 11 months ago.

OK >>>

Well let me know if you have anything further to discuss with me.

Take care >>>