Hydrocodone/Homatropine

DEA Class; Rx

Common Brand Names; Tussigon

Semisynthetic opiate agonist antitussive combined with a subtherapeutic amount of homatropine, an anticholinergic agent, to deter abuse
Used as an antitussive for the treatment of cough in adults
Not indicated in pediatric patients under 18 years of age; contraindicated in neonates, infants and children less than 6 years of age

Children <6 years

Significant respiratory depression

Acute or severe bronchial asthma in an unmonitored setting or in the absence of resuscitative equipment

Known or suspected gastrointestinal obstruction, including paralytic ileus

Hypersensitivity to hydrocodone, homatropine, or any of inactive primary glaucoma or a predisposition to glaucoma

Hydrocodone

• Bradycardia, anticholinergic effects (dry mouth, palpitation, tachycardia)

• Angina, arrhythmias, cardiac arrest, myocardial infarction, QT-interval prolongation, pectoris, syncope, severe cardiac ST segment elevation, ventricular tachycardia

• Agitation, coma, dizziness, mental clouding/depression, dysphoria, euphoria, faintness, restlessness, nervousness, weakness, sedation, seizures, visual disturbances

• Flushing, sweating, pruritus, urticaria, warmness of the face/neck/upper thorax

• Constipation, nausea, vomiting

• Urinary retention, oliguria

• Respiratory/circulatory depression, respiratory arrest, shock, cardiac arrest

Homatropine

• Edema

• Vascular congestion

• Exudate

• Eczematoid dermatitis

• Increased IOP

• Follicular conjunctivitis

The hydrocodone in the medication may increase the frequency of seizures in patients with seizure disorders, and may increase risk of seizures occurring in other clinical settings associated with seizures; monitor patients with a history of seizure disorders for worsened seizure control during therapy

Not recommended for use in pregnant women, including during or immediately prior to labor; prolonged use of opioids during pregnancy may cause neonatal opioid withdrawal syndrome

Because of potential for serious adverse reactions, including excess sedation, respiratory depression, and death in a breastfed infant, advise patients that breastfeeding is not recommended during treatment