Hydrocodone binds to the mu-opioid receptor, a transmembrane protein consisting of seven alpha-helical domains that is coupled to G proteins. Hydrocodone binds within the transmembrane domain of the mu-opioid receptor, inducing a conformational change that activates downstream signaling pathways. This activation inhibits adenylate cyclase, reducing cyclic AMP levels and ultimately inhibiting neurotransmitter release and reducing pain perception.