Hi Drenee,
Welcome to the Pain Management forum.... where someone wisely moved your post. You are in the right place and we will try to help with suggestions.
There are multiple medications that do not include the "Tylenol" that makes up part of the Hydrocodone that you currently take. However this decision should be between you and your Physician. Opiates (narcotics) must be prescribed carefully when liver enzymes are elevated.
Much will depend on the cause and level of your pain as to what medication is right for you.... and more importantly your liver enzymes. I would assume your Physician already is contemplating alternatives.
I found this on one site: " Narcotic (opioid) analgesic agents are extensively metabolized by the liver, and several of them (e.g., codeine, hydrocodone, meperidine, methadone, morphine, propoxyphene) have active metabolites that are further converted to inactive substances....."
Opiates can cause liver damage, some more than others. I wish I had better information for you. I encourage you to discuss this with your physician. .... and Please let us know how you are doing and what you discover.
Feel free to post again and ask additional questions. We are Chronic Pain Patients... and get it!
Take Care,
~Tuck