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hydrocodone/APAP w placebo PRN

VA Office of Research and Development · FDA-approved active Small molecule

Hydrocodone is an opioid agonist that binds to mu opioid receptors in the central nervous system to reduce pain perception, while acetaminophen (APAP) inhibits prostaglandin synthesis to provide additional analgesic and antipyretic effects.

Hydrocodone is an opioid agonist that binds to mu opioid receptors in the central nervous system to reduce pain perception, while acetaminophen (APAP) inhibits prostaglandin synthesis to provide additional analgesic and antipyretic effects. Used for Moderate pain (marketed combination indication).

At a glance

Generic namehydrocodone/APAP w placebo PRN
Also known asLortab
SponsorVA Office of Research and Development
Drug classOpioid analgesic combination
TargetMu opioid receptor (hydrocodone); cyclooxygenase enzymes (acetaminophen)
ModalitySmall molecule
Therapeutic areaPain Management
PhaseFDA-approved

Mechanism of action

Hydrocodone acts as a mu opioid receptor agonist, modulating pain signals in the brain and spinal cord. Acetaminophen works through a separate mechanism involving inhibition of cyclooxygenase enzymes and prostaglandin production. The combination provides synergistic pain relief. The 'w placebo PRN' notation indicates this is a formulation used in a clinical trial or research setting with placebo control and as-needed dosing.

Approved indications

Common side effects

Key clinical trials

Primary sources

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SourceUsed for
ClinicalTrials.govTrial enrolment, design, endpoints, results

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