This website provides educational information about medicines and active ingredients. It does not replace medical advice, diagnosis or treatment from a qualified healthcare professional.
Pill Identifier

Acetaminophen/Hydrocodone Pill Images and Identification

Quick summary: Acetaminophen/hydrocodone is a prescription pain medicine that combines hydrocodone and acetaminophen. This page focuses on pill identification, including the white oval IP 109 tablet, and on general safety points to verify with...

Educational content Use this article as a starting point for understanding the topic.
Check with a professional Ask a doctor or pharmacist before changing any medicine.
Safety first Side effects, interactions and risks depend on each person.
Medical disclaimer

This content is for educational purposes only and does not replace medical advice, diagnosis or treatment from a qualified healthcare professional.

Quick summary: Acetaminophen/hydrocodone is a prescription pain medicine that combines hydrocodone and acetaminophen. This page focuses on pill identification, including the white oval IP 109 tablet, and on general safety points to verify with a pharmacist or official medication leaflet.

Important: Pill appearance can vary by manufacturer, strength, and country. Always confirm any unknown tablet before taking it.

Medical disclaimer: This article is for general information only and is not a substitute for professional medical advice, diagnosis, or treatment. If you are unsure about a pill, symptoms, or medication use, speak with a pharmacist, prescriber, or poison control service right away.

What is acetaminophen/hydrocodone?

Acetaminophen/hydrocodone is a prescription combination medicine used for pain management. It contains hydrocodone, an opioid analgesic, and acetaminophen, a non-opioid pain reliever.

The original content describes it as a medicine used for moderate to severe pain, including pain that may not be controlled by acetaminophen alone.

How does acetaminophen/hydrocodone work?

According to the original content, hydrocodone acts on opioid receptors in the central nervous system to change how pain is perceived. Acetaminophen works mainly in the brain to help relieve pain and reduce fever.

Together, the two ingredients can provide stronger pain relief than either ingredient alone. The medicine is taken by mouth, and the original content notes that effects may be felt within about an hour.

Common side effects mentioned in the original content

Like other medicines, acetaminophen/hydrocodone can cause side effects. The original content lists these common ones:

  • Drowsiness
  • Dizziness
  • Nausea
  • Constipation

More serious reactions can also happen. The original content mentions allergic reaction symptoms such as rash, itching, or difficulty breathing, and it also notes the risk of addiction, dependence, and liver damage.

How to identify the IP 109 white oval pill

The original content identifies IP 109 as a white oval acetaminophen/hydrocodone tablet containing hydrocodone 5 mg and acetaminophen 325 mg.

Its identifying features in the source content are:

  • Color: White
  • Shape: Oval
  • Imprint: IP 109

If a tablet does not match these details exactly, do not assume it is the same medicine. Pill appearance can differ between manufacturers and strengths.

Acetaminophen/hydrocodone pill images: what to look for

When comparing pill images, focus on the details that are visible on the tablet itself:

  • Imprint text or numbers
  • Color
  • Shape
  • Any score line
  • Whether both sides are marked

Images can help with identification, but they should not replace a pharmacist’s review or the official packaging and leaflet.

Identifier What the original content says Why it matters
IP 109 White oval tablet Helps distinguish it from other tablets
Strength Hydrocodone 5 mg / acetaminophen 325 mg Strength should match the prescription label
Verification Use a pharmacist or reliable pill identifier Reduces the risk of medication errors

What are the risks of using acetaminophen/hydrocodone?

The original content highlights several important risks:

  • Potential for addiction and dependence because of the opioid component
  • Liver damage if too much acetaminophen is taken
  • Respiratory problems, especially in vulnerable people

It also states that alcohol should be avoided while taking this medicine because of liver-related risk.

What the original content says about cost and discounts

The source text mentions that finding affordable prices can be difficult and refers to discount cards, insurance coverage, and pharmacy price comparison tools as possible ways people check costs.

For the most accurate pricing, readers should confirm options with their pharmacy, insurer, or prescriber’s office.

Safety reminder

Do not rely on pill appearance alone to identify a medicine. If a tablet is unknown, damaged, or does not match the prescription label, ask a pharmacist to verify it before use. If someone may have taken the wrong pill or is having trouble breathing, seek urgent help immediately.

Frequently asked questions

▸ What does a hydrocodone acetaminophen pill look like?

It can look different depending on the manufacturer and strength. The original content gives IP 109 as one example: a white oval tablet with the imprint IP 109.

▸ How do I figure out what pill this is?

Check the imprint, color, and shape, then compare those details with a reliable pill identifier or ask a pharmacist. If the pill is unknown, do not take it until it is verified.

▸ What brand of hydrocodone has acetaminophen in it?

The original content names Vicodin, Lortab, and Norco as well-known brands that combine hydrocodone with acetaminophen.

▸ How do you identify a Vicodin pill?

The source content says Vicodin pills have specific imprints and gives L484 as one example of a white oval pill. Always confirm the exact tablet with a pharmacist or official reference.

▸ Why is acetaminophen/hydrocodone considered risky?

The original content notes risks such as dependence, addiction, liver damage from excess acetaminophen, and breathing problems.

▸ Can pill images confirm the exact medicine?

Pill images can help, but they are not enough on their own. Imprints, packaging, and professional verification are still important.

Final note: For any medication question, the safest next step is to check the prescription label, the official patient leaflet, or a pharmacist’s advice.

Editorial note Active Ingredients Online Editorial Team This article is prepared as educational medicine information for general readers. It is written to support understanding of active ingredients, medicine uses, possible side effects, precautions and safety-related questions.
Published: January 14, 2025 Updated: June 5, 2026 Educational content

Medical disclaimer

This content is for educational purposes only. It should not be used as a substitute for professional medical advice, diagnosis or treatment. Always ask a doctor, pharmacist or qualified healthcare professional before starting, stopping or changing any medicine.

Sources and verification

The following sources or official references are listed to support verification of the medicine information discussed in this article.

Final note

Medicine information can change and may vary depending on country, product formulation, patient history and professional guidance. Always check official medicine information and ask a healthcare professional for personal medical questions.

See also...
Ask a Doctor Online medical questions