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"First of all , if you go to a doctor and request this medicine, he/she will see this as drug seeking behavior. It is an opiate . The only difference between Tussionex and Vicodin is the antihistamine in the Tussionex. It is highly addictive. I should know ...I have been to drug treatment two times for my addiction to Tussionex. I didn't take it as prescribed though - worked my way up to 3oz. Each day - sometimes twice a day. Be very careful."