When it comes to strong pain meds, there’s a careful balance to strike because they can be addictive. That’s why organizations like the FDA and DEA watch over how these drugs are given out. M367 is one of those strong painkillers, and it’s got some tight rules to stop it from being misused.

Doctors can only write a prescription for up to 100 of these pills at a time, and you can’t get more than five refills in six months. Also, you have to use the prescription within six months, or it won’t be good anymore. These rules are here to keep things in check and make sure that M367 is used the right way, just for managing pain and not for anything else.

What is M367?

M367 is a painkiller that’s a mix of two different drugs: hydrocodone bitartrate and acetaminophen. Acetaminophen is common in over-the-counter pain relief, but it’s not an opioid. On the other hand, hydrocodone bitartrate is an opioid, which means it’s really strong and is what can make this medication addictive. The usual dose in an M367 pill is 10 mg of hydrocodone paired with 325 mg of acetaminophen.

You can spot an M367 from its look—it’s a white pill, shaped like an oval, kind of like a capsule. It’s got “M367” stamped on one side and a line on the other side so you can split it if needed.
While the misuse of the drug, people tend to crush it to snort or inject it, and once it’s crushed, it’s tough to tell apart from other powders.

 

What is M367 for?

M367’s unique composition serves various purposes. Hydrocodone acts as both a pain reliever and a cough suppressant. It interacts with the brain stem respiratory center to prevent coughing and binds with opioid receptors to alter pain signal processing. Acetaminophen, or paracetamol, assists with pain relief and fever reduction. In M367, it enhances the pain-relieving properties of hydrocodone.

 

What are the effects of M367?

Hydrocodone interacts with opioid receptors in various parts of the central nervous system, effectively blocking pain signals. This leads to pain relief from ailments and suppresses cough reflexes. Excessive consumption, however, can lead to respiratory depression, hindering the lungs’ ability to properly take in oxygen and expel carbon dioxide. Conversely, acetaminophen is generally considered safe. It operates by inhibiting prostaglandin production in the brain, reducing pain and fever.

M367 Dependency and Addiction

While acetaminophen doesn’t induce tolerance or addiction, hydrocodone does pose a significant risk for abuse. If taken as prescribed for chronic pain, M367 doesn’t usually lead to addiction. However, deviating from the prescribed amount or duration can lead to dependence.

The DEA classifies M367 as a Schedule III controlled substance, imposing strict regulations due to its opioid content, indicating a moderate to low potential for physical and psychological dependence.

 

Can M367 Induce a High?

Yes, especially in high doses. M367 can produce a euphoria reminiscent of other opioids like codeine and morphine. Small doses might induce feelings of warmth and sociability, while larger amounts can cause significant sedation, muscle relaxation, and even risk of overdose.

Overdose Symptoms of M367

M367 tablets contain both hydrocodone and acetaminophen. In cases of overdose, symptoms associated with either of these components may manifest simultaneously. These symptoms signal a critical need for prompt medical intervention to prevent serious health complications.

Hydrocodone Overdose

In the case of a hydrocodone overdose, which typically becomes critical around 90mg, urgent medical assistance is necessary due to severe symptoms that can arise. These include:

  • An extremely pale and clammy skin tone.
  • Lack of responsiveness.
  • A dangerously slow heart rate, often dipping below 50 beats per minute.
  • Unconsciousness, leading to an inability to respond.
  • Difficulty in speech or slurred speech.
  • Pupils becoming very small, often referred to as pinpoint pupils.
  • Vomiting or making gurgling noises, sometimes accompanied by saliva bubbling at the mouth.

The most severe risks of overdosing on hydrocodone are associated with its effects on respiratory and cardiovascular functions. The drug can significantly slow down breathing, impeding proper oxygen intake. This lack of oxygen can cause critical damage to the brain, heart, and other organs, and may even lead to brain death. It’s crucial to seek immediate medical care to mitigate these risks and prevent possible fatal outcomes.

 

Acetaminophen Overdose 

Acetaminophen, when taken as directed, typically has a low risk of overdose. However, this risk escalates with the use of M367 tablets, which contain a higher concentration of acetaminophen. Overdosing on acetaminophen while trying to achieve the desired effects of hydrocodone is a possibility. Symptoms of an acetaminophen overdose might include:

  • General weakness
  • Confusion or disorientation
  • Pain in the abdomen
  • Reduced appetite
  • Nausea and vomiting
  • Jaundice, characterized by yellowing of the skin and eyes

The most alarming effect of an acetaminophen overdose is the risk of fatal liver damage, known as hepatic necrosis. This severe liver damage can lead to organ failure and is often indicated by sudden nausea, abdominal pain, and general weakness.

Side Effects of M367 Pills

Individuals should be aware of several side effects associated with M367, and some may even experience allergic reactions to the drug’s components. Here are the common and serious side effects of M367:

Common Side Effects:

  • Drowsiness
  • Nausea and vomiting
  • Constipation
  • Dizziness
  • Dry mouth
  • Sweating

Serious Side Effects:

  • Respiratory Depression: Opioids, affecting the central nervous system, can lead to respiratory depression, characterized by difficult and shallow breathing. In such cases, immediate medical attention is essential.

 

  • Liver Toxicity: Prolonged use of M367, which contains acetaminophen, may result in liver damage. Signs of liver toxicity include jaundice (yellowing of the skin or eyes), abdominal pain, dark urine, and nausea or vomiting.

 

  • Dependency: Since M367 is an opioid, extended use can lead to both psychological and physical dependence, necessitating caution and medical supervision.

 

According to Mayo Clinic;

When hydrocodone 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.

Long-Term Effects of M367

Prolonged use of M367, even in non-lethal doses, can lead to significant and potentially harmful long-term effects on the body. Here are some of the adverse consequences associated with M367 dependence:

 

Breathing Problems: M367’s impact on the respiratory system can result in irregular and shallow breathing with prolonged use. This can lead to various physiological issues due to insufficient oxygen intake.

 

Immunosuppression: M367 and similar opioids can suppress the immune system, increasing the vulnerability to infections like pneumonia. Injection-based administration of hydrocodone elevates the risk of acquiring HIV and AIDS, both of which profoundly affect immune function.

 

Addiction: While dependence refers to the physiological need for the drug, addiction or substance abuse disorder is a neurological compulsion to continue using the drug despite awareness of its harmful effects. Addiction can lead to detrimental consequences in physical health, relationships, and overall life functioning.

 

GI Tract Issues: Opioids, including hydrocodone, can cause long-term gastrointestinal problems. These may include abdominal pain, cramps, vomiting, and severe constipation.

Bowel obstruction, a potentially life-threatening condition, can also occur as a result of opioid abuse.

 

Mood Disorders: Opioids like hydrocodone can alter brain chemistry, leading to mental health disorders such as depression and anxiety. Treating these invisible effects often requires a combination of therapy and medication as individuals work toward recovery.

Severe Withdrawal: Stopping M367 suddenly can trigger severe withdrawal symptoms because of dependence on the drug. These symptoms often make recovery difficult, leading some individuals to relapse to ease the discomfort. People with a substance abuse disorder must seek proper help early in their recovery to manage these withdrawal symptoms and prevent relapse.

M367 Withdrawal Symptoms:

When an individual stops taking M367, they may experience a range of withdrawal symptoms, including:

  • Restlessness
  • Insomnia
  • Muscle cramps
  • Fatigue
  • Irregular heartbeat
  • Intense drug cravings

Withdrawal from M367 can begin a few hours to several days after the last dose, depending on the individual’s usage pattern and duration. While M367 withdrawal is generally not fatal, it can be extremely challenging and uncomfortable, posing a significant hurdle in the recovery process.

Professional medical assistance is crucial during this time to safely manage the withdrawal and to reduce the risk of relapse.

 

Counterfeit M367 Pills

The threat posed by counterfeit M367 pills is profound and alarming. These deceptively genuine-looking tablets may contain fentanyl, significantly more lethal than hydrocodone. Unwittingly consuming fentanyl-laced pills, mistaken for real M367, can lead to an immediate overdose and unexpected death.

This risk was highlighted during the 2016 counterfeit Norco poisoning incident, where it was discovered that the counterfeit pills contained fentanyl and promethazine instead of the expected hydrocodone and acetaminophen. To protect oneself from such risks, it is crucial to only obtain medication from reliable pharmaceutical sources and strictly adhere to the prescribed usage guidelines.

Learn: The Crisis of Blues Drug and Counterfeit Opioids

 

Brand names of of M367

M367 is a generic medication, similar but not identical to brands like Vicodin, Norco, and Lortab. While all these medications combine acetaminophen with hydrocodone bitartrate, they are different when it comes down to their strengths and ingredient ratios.

  • Vicodin: This brand also harnesses the combined effects of acetaminophen and hydrocodone bitrate. Vicodin’s formulation consists of 5mg of hydrocodone with 500mg of acetaminophen.
  • Norco: Another alternative, Norco merges acetaminophen with hydrocodone bitartrate for pain relief. It offers a range of dosages: 5mg hydrocodone with 325mg acetaminophen, 7.5mg hydrocodone also paired with 325mg acetaminophen, and a stronger dose containing 10mg hydrocodone with the same 325mg of acetaminophen.
  • Lortab: Lortab aligns with Vicodin and Norco, featuring a combination of hydrocodone bitartrate and acetaminophen. While Norco is provided as a tablet, Lortab distinguishes itself by being available in a liquid syrup form.

 

How Is M367 Dependence Treated?

The development of addiction to M367 can differ greatly among individuals, influenced by factors like dosage, frequency of use, personal health history, and genetic factors. Dependence on M367 can sometimes emerge within just a few weeks, particularly with higher doses or more frequent usage. However, the exact timeline varies for each person.

At Still Detox we treat M367 Addiction with several methodologies:

  • Detoxification: A medically supervised process to safely manage opioid withdrawal symptoms.
  • Behavioral Therapies: Techniques like Cognitive-Behavioral Therapy and group therapy to address behavioral aspects of addiction.
  • Medication-Assisted Treatment (MAT): Combining specific medications with counseling to ease withdrawal symptoms and treat underlying addiction.
  • Support Groups: Providing a platform for sharing experiences and gaining support from peers also on the journey to recovery.
  • Individual Counseling: Tailored therapy sessions to deal with the root causes of addiction and develop skills for long-term recovery.
  • Aftercare Programs: Ongoing support mechanisms to maintain recovery and prevent relapse.

Conclusion

While M367 pills are effective for pain relief and cough suppression, they carry significant risks including respiratory depression, liver toxicity, and overdose, particularly when combined with other substances. Prolonged use can cause complications like breathing difficulties, weakened immune system, and gastrointestinal problems. To minimize these dangers, it’s crucial to use M367 only under medical supervision and strictly follow the prescribed instructions.

Explore the potency and addiction potential of Hydrocodone compared to other drugs. Understand its effects, risks, and how it measures up against various substances in this comprehensive guide:

What Is Hydrocodone? Potency & Addiction Vs. Other Drugs

 

FAQ

What’s the maximum dosage of hydrocodone available?

The highest dosage of hydrocodone commonly prescribed is 10mg, often found in combination with acetaminophen in drugs like Vicodin or Norco. Doses above 10mg should be strictly managed by a healthcare provider due to the risk of adverse effects and addiction.

How do oxycodone and hydrocodone differ?

While both oxycodone and hydrocodone are opioid pain relievers, oxycodone is generally more potent and is used for more severe pain. Hydrocodone is often the initial choice for pain management, with oxycodone being prescribed if hydrocodone proves insufficient.