For those using Vicodin genuinely, then they have been counseled on the dangers of overdose of Acetaminophen. For those abusing Vicoden, I’m sure they have been warned at one point or another, but ignore the warnings because of their addiction to the drug. Vicodin, being a highly habit-forming drug, can easily lead to abuse, even amongst well-meaning users. But for most people, the idea that abusing it highly will lead to liver damage helps persuade them from abusing the drug. Then there are those in society who are going to abuse this drug and others no matter what the consequences. These people are killing their bodies regardless, likely with other drugs. So I feel that the good of including acetaminophen with hydrocodone in Vicodin far outweighs what really amounts to zero negatives, because those abusing the drug and harming their livers are going to follow abusive, body-damaging behaviors anyways.

That being said, combos of the drugs with far less acetaminophen have been made for precisely your argument. And doctors worried about prescribing to potential abusers should use these formulations instead.

Dave – I agree addicts are of course entirely responsible for their actions, but poisoning addicts deliberately is an irresponsible act in itself.

I also do not agree all prescription drug users should be responsible for researching their drugs – thats what doctors are for. Pharmacology is an extremely complex and moving target even doctors must stay on top of.

Yes if you are otherwise healthy and able you should research, but many Vicodin patients are eldery, very sick, have no resources or family, some are illiterate – they should be able to rely on the FDA and doctors acting in their best interest.

As it stands, addicts have made access to pharmaceuticals an growing logistical burden for the elderly and sick.