Hydrocodone or dihydrocodeinone is a semi-synthetic opioid derived from two of the naturally occurring opiates codeine and thebaine. Hydrocodone is an orally active narcotic analgesic and antitussive. It is commonly available in tablet, capsule, and syrup form, and is often compounded with other analgesics like paracetamol or ibuprofen. It is marketed, in its varying forms, under a number of trademarks, including Vicodin, Symtan, Anexsia, Dicodid, Hycodan (or generically Hydromet), Hycomine, Hycet, Lorcet, Lortab, Norco, Novahistex, Hydrovo, Duodin, Kolikodol, Orthoxycol, Mercodinone, Synkonin, Norgan, and Hydrokon. Hydrocodone was first synthesized in Germany in 1920 and was approved by the FDA on 23 March 1943 for sale in the United States under the brand name Hycodan. The particular niche in which hydrocodone is most commonly used is as an intermediate-strength centrally acting analgesic and strong cough suppressant, especially in those for whom histamine release and attendant itching from codeine is a problem. For the latter indication, at the 5- to 10-mg dose range, hydrocodone is more powerful than most cough suppressants, being roughly equal to its derivative


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