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How Long Does Hydrocodone Stay In Your System?

Medically Reviewed by Dr. Bryon McQuirt

February 6, 2025

Last Updated:
February 6, 2025

Table of Contents

Hydrocodone, also prescribed as Lortab or Vicodin, is one of the most frequently prescribed opioids in the U.S., and has severe potential for misuse and addicion.

Many ask, “how long does hydrocodone stay in my system?” 

If you’re taking If you’re struggling with hydrocodone use, understanding how this medication affects your body is crucial for recovery. Let’s explore what hydrocodone is, how it works, and most importantly, how long it stays in your system.

Learn more about our Georgia detox programs.

What Is Hydrocodone?

Hydrocodone is a powerful prescription opioid painkiller used to treat moderate to severe pain. It’s often combined with acetaminophen (Vicodin, Norco) or ibuprofen for enhanced pain relief. While effective for pain management, hydrocodone carries a significant risk of dependence and addiction.

How Does Hydrocodone Work?

Hydrocodone binds to opioid receptors in the brain and nervous system, blocking pain signals and triggering dopamine release. 

This creates both pain relief and feelings of euphoria, which contributes to hydrocodone’s addictive potential.

The drug affects multiple body systems, including:

  • Central nervous system – Hydrocodone profoundly affects the central nervous system by reducing pain perception through nerve signal blockage. The drug triggers substantial dopamine release, leading to intense feelings of euphoria. Users often experience significant cognitive impairment, including difficulty with concentration and memory formation. Many people report feeling drowsy and confused, with noticeable decreases in physical coordination during use.

  • Respiratory system –Hydrocodone significantly slows breathing rates by suppressing the respiratory drive center in the brain. Users typically experience reduced cough reflex sensitivity and develop shallow breathing patterns. In cases of higher doses, the risk of dangerous respiratory depression increases substantially, and in overdose situations, complete respiratory failure becomes a critical concern.

  • Digestive system – Hydrocodone has a powerful impact on digestive function by dramatically slowing gastrointestinal motility. This slowdown frequently results in severe constipation, which is one of the most common side effects. The drug reduces stomach acid production, often leading to digestive discomfort.

  • Cardiovascular system – can cause notable drops in blood pressure and may lead to irregular heart rhythms in some users. Heart rate often slows, and blood vessel function can be significantly altered. These changes frequently result in compromised circulation, particularly noticeable in the body’s extremities, which can lead to additional health complications.

How Long Does Hydrocodone Stay In Your System?

The duration hydrocodone remains detectable varies by testing method:

  • Blood: 24 hours
  • Saliva: 12-36 hours
  • Urine: 2-4 days
  • Hair: Up to 90 days

Several factors influence detection time:

  • Dosage and frequency of use
  • Metabolism rate
  • Age and overall health
  • Body mass and hydration
  • Liver and kidney function

Understanding Hydrocodone Withdrawal: How Long Does Hydrocodone Stay In Your System?

Hydrocodone withdrawal occurs when someone who has developed physical dependence stops or significantly reduces their use. 

Hydrocodone withdrawal can be both physically and psychologically challenging, but understanding what to expect can help prepare you for the journey ahead.

Timeline of Hydrocodone Withdrawal

Early Symptoms (6-12 hours after last dose):

  • Anxiety and agitation
  • Muscle aches and twitching
  • Excessive yawning
  • Runny nose and watery eyes
  • Increased sweating
  • Sleep disturbances

Peak Symptoms (24-72 hours):

  • Intense muscle and bone pain
  • Severe nausea and vomiting
  • Diarrhea and stomach cramps
  • Cold sweats and chills
  • High blood pressure
  • Rapid heartbeat
  • Depression and mood swings
  • Intense drug cravings

Post-Acute Symptoms (1-2 weeks):

  • Fatigue and weakness
  • Difficulty concentrating
  • Irritability
  • Insomnia or irregular sleep patterns
  • Reduced appetite
  • Ongoing anxiety
how long does hydrocodone stay in your system

Treatments Available for Hydrocodone Withdrawal

Sobriety from hydrocodone withdrawal requires a comprehensive treatment approach tailored to your specific needs.

Recovery success rates increase significantly when proper medical supervision and support are provided throughout the withdrawal process.

At Peachtree Detox, we offer several evidence-based treatment options designed to address both the physical and psychological aspects of addiction:

Medical Detox

Medically-assisted detox provides 24/7 medical supervision during withdrawal. 

Medical staff monitor vital signs and manage symptoms with appropriate medications, ensuring safety and comfort throughout the process. This structured environment removes access to substances and provides immediate medical intervention if needed.

Residential Rehab

Following detox, inpatient rehab offers intensive treatment in a residential setting. Programs typically last 30-90 days and include:

  • Individual and group therapy
  • Behavioral modification techniques
  • Life skills training
  • Relapse prevention strategies
  • Family therapy sessions

Dual Diagnosis Treatment

Dual diagnosis treatment addresses both addiction and co-occurring mental health conditions simultaneously. Treatment includes:

  • Psychiatric evaluation and medication management
  • Trauma-informed therapy
  • Cognitive behavioral therapy
  • Stress management techniques
  • Ongoing mental health support

Find Treatment for Hydrocodone Dependence Today

Understanding how long hydrocodone stays in your system can be just the beginning of your journey. 

At Peachtree Detox, our experienced medical team provides comprehensive, personalized opioid detox to help you safely navigate withdrawal and begin your recovery journey.

Contact us today to speak with our admission specialists. We’re available 24/7 to answer your questions and help you start your path to lasting recovery. Insurance verification and confidential consultations are always free.