Hydrocodone and Lactulose interaction

Hydrocodone and Lactulose: the Hydrocodone prescribing label flags this combination with the strongest language, such as a contraindication, a boxed warning, or an instruction to avoid it.

Major

Do not combine without a prescriber's guidance. The label language below is the strongest FDA uses.

What the FDA labels say

From the Hydrocodone (Hysingla ER) label · effective 2026-05-29

Major

Example: lactulose Serotonergic Drugs : Concomitant use may result in serotonin syndrome.

Drug interactionsnames LactuloseView label on DailyMed
Moderate

Strong Laxatives Clinical Impact: Concomitant use of HYSINGLA ER with strong laxatives that rapidly increase gastrointestinal motility, may decrease hydrocodone absorption and result in decreased hydrocodone plasma levels.

Drug interactionsby drug classView label on DailyMed

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Not medical advice. Interaction Checker quotes FDA label text and NIH fact sheets. Whether an interaction matters for you depends on doses, timing, kidney and liver function, and other conditions. Confirm with a pharmacist or prescriber.