The white, elliptical / oval pill with imprint IP 204 has been identified as containing Acetaminophen 325 mg and Oxycodone Hydrochloride 10 mg. It is supplied by Amneal Pharmaceuticals. Acetaminophen/oxycodone is used in the treatment of chronic pain; pain and belongs to the drug class narcotic analgesic combinations. The drug is classified as a Schedule 2 controlled substance under the Controlled Substance Act (CSA).
Acetaminophen is used to relieve pain and reduce fever in patients. It does not become habit-forming when taken for a long time. But acetaminophen may cause other unwanted effects when taken in large doses, including liver damage. Oxycodone belongs to the group of medicines called narcotic analgesics (pain medicines). It acts on the central nervous system (CNS) to relieve pain.
When oxycodone is used for a long time, it may become habit-forming, causing mental or physical dependence. However, people who have continuing pain should not let the fear of dependence keep them from using narcotics to relieve their pain. Mental dependence (addiction) is not likely to occur when narcotics are used for this purpose. Physical dependence may lead to withdrawal side effects if treatment is stopped suddenly. However, severe withdrawal side effects can usually be prevented by gradually reducing the dose over a period of time before treatment is stopped completely.
- This drug is a strong pain drug that can put you at risk for addiction, abuse, and misuse. Misuse or abuse of this drug can lead to overdose and death. Talk with your doctor.
- You will be watched closely to make sure you do not misuse, abuse, or become addicted to this drug.
- This drug may cause very bad and sometimes deadly breathing problems. Call your doctor right away if you have slow, shallow, or trouble breathing.
- The chance of very bad and sometimes deadly breathing problems may be greater when you first start this drug or anytime your dose is raised.
- Even one dose of this drug may be deadly if it is taken by someone else or by accident, especially in children. If this drug is taken by someone else or by accident, get medical help right away.
- Keep all drugs in a safe place. Keep all drugs out of the reach of children and pets.
- Using this drug for a long time during pregnancy may lead to withdrawal in the newborn baby. This can be life-threatening. Talk with the doctor.
This drug has an opioid drug in it. Severe side effects have happened when opioid drugs were used with benzodiazepines or other drugs that may make you drowsy or slow your actions. This includes slow or troubled breathing and death. Benzodiazepines include drugs like alprazolam, diazepam, and lorazepam. Benzodiazepines may be used to treat many health problems like anxiety, trouble sleeping, or seizures. If you have questions, talk with your doctor.
Many drugs interact with this drug and can raise the chance of side effects like deadly breathing problems. Talk with your doctor and pharmacist to make sure it is safe to use this drug with all of your drugs.
Do not take with alcohol or products that have alcohol. Unsafe and sometimes deadly effects may happen.
Get medical help right away if you feel very sleepy, very dizzy, or if you pass out. Caregivers or others need to get medical help right away if the patient does not respond, does not answer or react like normal, or will not wake up.
This drug has acetaminophen in it. Liver problems have happened with the use of acetaminophen. Sometimes, this has led to a liver transplant or death. Most of the time, liver problems happened in people taking more than 4,000 mg (milligrams) of acetaminophen in a day. People were also often taking more than 1 drug that had acetaminophen.
What are some things I need to know or do while I take this drug?
- Tell all of your health care providers that you take this drug. This includes your doctors, nurses, pharmacists, and dentists.
- Avoid driving and doing other tasks or actions that call for you to be alert until you see how this drug affects you.
- To lower the chance of feeling dizzy or passing out, rise slowly if you have been sitting or lying down. Be careful going up and down stairs.
- Long-term or regular use of opioid drugs like this drug may lead to dependence. Lowering the dose or stopping this drug all of a sudden may cause a greater risk of withdrawal or other severe problems. Talk to your doctor before you lower the dose or stop this drug. You will need to follow your doctor’s instructions. Tell your doctor if you have more pain, mood changes, thoughts of suicide, or any other bad effects.
- Avoid taking other products that have acetaminophen in them. Check labels closely. Too much acetaminophen may cause liver problems.
Follow the directions exactly. Do not take more acetaminophen in a day than directed. If you do not know how much acetaminophen you can take in a day, ask your doctor or pharmacist. Some people may take up to 4,000 mg (milligrams) in a day if told to do so by the doctor. Some people (like people with liver problems and children) should take less acetaminophen. Call your doctor right away if you have taken too much acetaminophen in a day, even if you feel well.
A severe and sometimes deadly problem called serotonin syndrome may happen if you take this drug with certain other drugs. Call your doctor right away if you have agitation; change in balance; confusion; hallucinations; fever; fast or abnormal heartbeat; flushing; muscle twitching or stiffness; seizures; shivering or shaking; sweating a lot; severe diarrhea, upset stomach, or throwing up; or severe headache.
Long-term use of an opioid drug may lead to lower sex hormone levels. Call your doctor if you have a lowered interest in sex, fertility problems, no menstrual period (women), or change in sex ability (men).
This drug may raise the chance of seizures in some people, including people who have had seizures in the past. Talk to your doctor to see if you have a greater chance of seizures while taking this drug.
If you are 65 or older, use this drug with care. You could have more side effects.
This drug may cause harm to the unborn baby if you take it while you are pregnant. If you are pregnant or you get pregnant while taking this drug, call your doctor right away.
Tell your doctor if you are breast-feeding or plan to breast-feed. This drug passes into breast milk and may harm your baby.
How To Spot an IP 204 fake
Detecting substandard drugs is not an easy task. Some are entirely fake while some are potentially dead (does not produce a desired result or ineffective). Consumption of fake medicines can lead to consequences ranging from delayed treatment to dangerous side effects. Consumers do not have testing equipment at home, but there are ways by which counterfeit medicines can be identified and avoided. Fake pills containing Fentanyl contaminated pills are responsible for most of the reported fatalities related to prescription drugs. Fentanyl is a synthetic opioid that is 80-100 times stronger than morphine.
Unfortunately, counterfeit fentanyl pills are showing up on the streets of most countries. Their use can be deadly. DO NOT buy any drugs from street dealers or from online dealers; you have no idea what might be in the pills. Here is how to spot an IP 204 fake:
1) Check the Packaging of the IP 204: This is the simplest and the easiest method to check the authenticity of an IP 204 pill. Check the packaging for details like unusual fonts, print color, and spelling errors. Analyze whether it appears the same or different from the one you have used before.
2) No Breakage in the Seal: The security seal (especially in bottled medicines) should not be damaged. Look for a crack or breaks in the sealing tape.
3) Check the IP 204 Pill: Look for dissimilarities in physical appearance of the pill like its color, size, uniformity, consistency, shape, etc.( IP 204 is white, elliptical / oval pill with imprint IP 204).
4) Physical Attributes of Pill: As stated by World Health Organization, the common physical attributes that need to be looked out in medicine tablets are:
- Small pieces of tablets or excessive powder at the bottom of the medicine container.
- Cracks in the tablets.
- The appearance of crystal on the container walls or on the medicine tablets.
- Softening or hardening of the medicines.
- Swelling, spots or discoloration of the tablets.
5) Allergies / Unexpected Side Effects: Most of the medicines have mild side effects. It is important to consult your doctor before the usage to keep a check on allergies arising from it. If you notice certain unexpected or harmful side effects after taking an IP 204 pill report to your doctor immediately.
6) Price: If the price of an IP 204 pill is suddenly far cheaper than the usual rate, double check the product as there may be a chance that the fake companies wanted to lure customers by providing medicines at much cheaper rates.
7) Verify Medicines by Online or SMS: Public health authorities are working with manufacturers to protect against counterfeits. Unique Identification Code along with a barcode is printed on medicine packages or strips. Consumers can send the unique “Authentication code” by SMS to receive an authentication message from the pharmaceutical manufacturer to confirm the authenticity of the drug being purchased. ALSO READ: How To Spot a WATSON 932 Fake