I had what I think is a paradoxical reaction to Norco (hydrocodone + acetaminophen). Granted, the dosage was only 5/325, but one night last week when I took one, I didn't sleep a wink all night long.

I've had to go off all NSAIDs (anti-inflammatories) since I'm having surgery in two days. So I would take the occasional Norco at night. I had never used them, but I believe they are the same as Vicodin, which I've had success with in the past. The first couple if times I tried the Norco, it didn't seem to do anything. Then came the Night of No Sleep from it.

I called my psych because frankly I think he is probably more drug-savvy than an orthopedist, but he says he has never heard of an opioid not making someone drowsy. He told me to discuss it with the surgeon, which of course I plan to do, but that won't be until the day of surgery, so I'm not sure what solutions or advice they will give me for managing post-surgical pain.

Does anyone know what are normal Norco / Vicodin doses for an adult, for occasional use for pain? And if I could safely take Xanax with it in case I get that paradoxical reaction again? I really trust this surgeon, but the practice as a whole leaves a lot to be desired in terms if communication, and I have a feeling I may be out on my own here a bit.