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Hydrocodone , Hilo Hawaii

Hydrocodone is a semi-synthetic opioid produced from codeine, an opioid found in opium poppy plant. The drug falls under the narcotic analgesics or pain killer medicines. Commonly comes in a liquid form, doctors prescribed the drug to relieve pain, stops and even prevents a cough.  The drug is considered as an opioid which affects the nervous system and used as a pain medication to alleviate moderate to severe pain.

The drug proved as more helpful than codeine for suppressing cough but more deadly that morphine.

History of Hydrocodone

In 1920 Carl Mannich and Helene Lowenheim first synthesized hydrocodone in Germany.  The Food and Drug Administration approved the use of the drug on March 23, 1943. The Health Canada also approved hydrocodone under the brand name, hycodan.

The two added oxygen to codeine to solve the common side effect of it such as stomach discomfort and high level of toxicity.

Knoll first marketed hydrocodone as Dicodid in Germany on February 1924. Within a few years, several drugs came out in the market such as Dilaudid, Dihydrin, Dinarkon and Dimorphan.

Reports of addiction from the drug did not become apparent until 1961, more than 30 years since it first marketed.

How it is abused

As a painkiller, hydrocodone acts in the thousands of opioid receptors on the body. It does not cure the pain through its source, it only changes the patient’s perception of the pain. The feeling can be habit-forming particularly to people who seek the sensation. Some of the sought after sensation includes, numbness, sleepiness, reduced stress even increased the sense of one’s self.


According to the International Narcotics Control Board, hydrocodone is prescribed mainly in the United States. Reports stated that the US consumed about 99% of the international supply in 2007. The prescribed name of Hydrocodone includes Vicodin, Norco, and Lortab.


In a study of the National Institute of Health or NIH, it estimated that 20% of Americans consumed the drug such as Vicodin for non-medical reasons. An increasing number of people abused the drug. A more alarming report came from the Drug Enforcement Administration or DEA in 2013. The report shows that in the US alone, 24 million over the 21 years of age used hydrocodone for no apparent reasons.


One key factor that made hydrocodone as one highly addictive drug is its availability. The DEA reported that 136 hydrocodone dispensed prescription were made in 2013. Numbers continues to rise with an added increase of 20 million of prescription each year since 2006.


Hydrocodone use resulted to an estimated 100,000 abuse-related hospital emergency related in the US for the year 2011. To decrease the numbers, the US government created stricter prescribing rules for the drug in 2014.

Signs and symptoms

Addiction to hydrocodone usually starts with a prescription which leads to its dependence. It then gradually rises for the need to consume hydrocodone in spite of its side effects. The effects of hydrocodone can be deadly like that of morphine and heroin.

The drug works in the reward system of the brain which fortifies for its dependence. Prolonged abuse of the drug can result in the short and long term damage in both physical and mental state.

Mild Side Effects

Patients taking hydrocodone may experience some mild effects which gradually wears off. These may include:

  •    Dizziness
  •    Drowsiness
  •    Headache
  •    Nausea
  •    Muscle weakness
  •    Itchiness
  •    Trouble sleeping

Severe Side Effects of Hydrocodone

Long-term exposure to hydrocodone can lead to irreversible outcomes. The drug can affect the normal function of the brain reward system, thus making it hard to find pleasure in most activities.

Hydrocodone contains depressant quality and can result to some of the serious side effects listed. The drug can slow down the heart rate which may stop the beating of the heart. It is important to seek immediate medical attention when these symptoms are noticed or felt:

  •    Trouble urinating
  •    Slowed or erratic heartbeat
  •    breathing problems
  •    bowel obstruction
  •    severe itching, hives or swelling
  •    vomiting

Problem with Hydrocodone Addiction

The most difficult about hydrocodone addiction will be the intervention. The drug’s availability made it impossible to stop a user since their perception is that they are following a legitimate doctor’s order. It is important to consider the options for the overall treatment of the patient. RehabNear.Me is dedicated to providing insightful articles and the best addiction treatment centers near you!

About Hilo

Hilo (Hawaiian pronunciation: [ˈhilo]) is the largest settlement in Hawaii County, Hawaii, United States, which encompasses the Island of Hawaii, and is a census-designated place (CDP). The population was 44,186 according to the 2020 census. It is the fourth-largest settlement in the state of Hawaii and largest settlement in the state outside of Oahu. Hilo is the county seat of the County of Hawaiʻi and is in the District of South Hilo. The city overlooks Hilo Bay and has views of two shield volcanoes, Mauna Loa, an active volcano, and Mauna Kea, a dormant volcano. The Hilo bay-front has been destroyed by tsunamis twice. The majority of human settlement in Hilo stretches from Hilo Bay to Waiākea-Uka, on the flanks of the volcanoes. Hilo is home to the University of Hawaiʻi at Hilo, ʻImiloa Astronomy Center, as well as the Merrie Monarch Festival, a week-long celebration, including three nights of competition, of ancient and modern hula that takes place annually after Easter. Hilo is also home to the Mauna Loa Macadamia Nut Corporation, one of the world's leading producers of macadamia nuts. Hilo is served by Hilo International Airport.

About Hawaii

Hawaii ( hə-WY-ee; Hawaiian: Hawaiʻi [həˈvɐjʔi, həˈwɐjʔi]) is an island state of the United States, in the Pacific Ocean about 2,000 miles (3,200 km) southwest of the U.S. mainland. It is the only state not on the North American mainland, the only state that is an archipelago, and the only state in the tropics. Hawaii consists of 137 volcanic islands that comprise almost the entire Hawaiian archipelago (the exception, which is outside the state, is Midway Atoll). Spanning 1,500 miles (2,400 km), the state is physiographically and ethnologically part of the Polynesian subregion of Oceania. Hawaii's ocean coastline is consequently the fourth-longest in the U.S., at about 750 miles (1,210 km). The eight main islands, from northwest to southeast, are Niʻihau, Kauaʻi, Oʻahu, Molokaʻi, Lānaʻi, Kahoʻolawe, Maui, and Hawaiʻi, after which the state is named; the latter is often called the "Big Island" or "Hawaii Island" to avoid confusion with the state or archipelago. The uninhabited Northwestern Hawaiian Islands make up most of the Papahānaumokuākea Marine National Monument, the largest protected area in the U.S. and the fourth-largest in the world. Of the 50 U.S. states, Hawaii is the eighth-smallest in land area and the 11th-least populous; but with 1.4 million residents, it ranks 13th in population density. Two-thirds of Hawaii residents live on O'ahu, home to the state's capital and largest city, Honolulu. Hawaii is among the country's most diverse states, owing to its central location in the Pacific and over two centuries of migration. As one of only six majority-minority states, it has the only Asian American plurality, the largest Buddhist community, and largest proportion of multiracial people in the U.S. Consequently, Hawaii is a unique melting pot of North American and East Asian cultures, in addition to its indigenous Hawaiian heritage. Settled by Polynesians sometime between 1000 and 1200 CE, Hawaii was home to numerous independent chiefdoms. In 1778, British explorer James Cook was the first known non-Polynesian to arrive at the archipelago; early British influence is reflected in the state flag, which bears a Union Jack. An influx of European and American explorers, traders, and whalers soon arrived, leading to the decimation of the once-isolated indigenous community through the introduction of diseases such as syphilis, tuberculosis, smallpox, and measles; the native Hawaiian population declined from between 300,000 and one million to less than 40,000 by 1890. Hawaii became a unified, internationally recognized kingdom in 1810, remaining independent until American and European businessmen overthrew the monarchy in 1893; this led to annexation by the U.S. in 1898. As a strategically valuable U.S. territory, Hawaii was attacked by Japan on December 7, 1941, which brought it global and historical significance, and contributed to America's entry into World War II. Hawaii is the most recent state to join the union, on August 21, 1959. In 1993, the U.S. government formally apologized for its role in the overthrow of Hawaii's government, which had spurred the Hawaiian sovereignty movement and has led to ongoing efforts to obtain redress for the indigenous population. Historically dominated by a plantation economy, Hawaii remains a major agricultural exporter due to its fertile soil and uniquely tropical climate in the U.S. Its economy has gradually diversified since the mid-20th century, with tourism and military defense becoming the two largest sectors. The state attracts visitors, surfers, and scientists with its diverse natural scenery, warm tropical climate, abundant public beaches, oceanic surroundings, active volcanoes, and clear skies on the Big Island. Hawaii hosts the United States Pacific Fleet, the world's largest naval command, as well as 75,000 employees of the Defense Department. Hawaii's isolation results in one of the highest costs of living in the U.S. However, Hawaii is the third-wealthiest state, and residents have the longest life expectancy of any U.S. state, at 80.7 years.
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