40 vicodin is equivalent to the hydrocodone in 20 lortabs. That is ten mg of hydrocodone per tablet. Take two tablets at a time, every four hours, and you get a normal, high end perscribed dose of hydrocodone to be 12 lortabs in a 24 hour day. So, if you don't care about your acetaminaphen intake, thats equal to 24 vicodin in a day as a PERSCRIBED dose. The truth is, with vicodin and lortab, it is the acetaminophen that is the limiting drug in those two medications, not the hydrocodone. She's destroying her liver with acetaminophen, but really hasn't increased the codiene level that significantly. She would have done better to step up to a more effective codiene family drug, but she did what she could get, obviously. It's just a shame that she could actually get a hold of that much stuff.
Anyway, I'm sure that people end up on more than 40 a day of these things. I mean, I take four ms contin and 12 percocet every day and it doesn't really kill the pain, but I don't want to escalate it until I'm completely immobile again and require yet another surgery. Chronic pain sucks, but at least I have a valid reason for using this stuff.
Cam