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This medicine contains an opioid painkiller codeine. There is a serious risk of addiction when taking this medicine, especially if used long-term. If you have any questions or concerns about taking opioids safely please speak with your doctor or a pharmacist.

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Co-codamol is a type of painkiller. You might have it as a treatment for moderate pain. Co-codamol contains paracetamol. Paracetamol controls pain by interfering with substances that the body makes in response to injury. These substances are called prostaglandins. Prostaglandins make nerves more sensitive, so you feel pain.

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It is written for patients and gives information about taking or using a medicine.

It is possible that the leaflet in your medicine pack may differ from this version because it may have been updated since your medicine was packaged. Below is a text only representation of the Patient Information Leaflet. The original leaflet can be viewed using the link above.

The text only version may be available in large print, Braille or audio CD. For further information call emc accessibility on Read all of this leaflet carefully before you start taking this medicine because it contains important information for you. This medicine contains codeine which is an opioid, which can cause addiction.

You can get withdrawal symptoms if you stop taking it suddenly. What is in this leaflet:.

What co-codamol is and what it is used for 2. What you need to know before you take co-codamol 3. How to take co-codamol 4. Possible side effects 5. How to store co-codamol 6. Contents of the pack and other information.

1. about co-codamol for adults

This medicine has been prescribed for you for the relief of severe pain. Co-codamol contains two different medicines called codeine and paracetamol. Codeine belongs to a class of medicines called opioids, which are 'pain relievers'. This medicine has been prescribed to you and should not be given to anyone else.

Opioids can cause addiction and you may get withdrawal symptoms if you stop taking it suddenly. Your prescriber should have explained how long you will be taking it for and when it is appropriate to stop, how to do this safely. Co-codamol can be used in children over 12 years of age for the short-term relief of moderate pain that is not relieved by other painkillers such as paracetamol or ibuprofen alone.

Taking this medicine regularly, particularly for a long time, can lead to addiction. Rarely, increasing the dose of this medicine can make you more sensitive to pain. If this happens, you need to speak to your prescriber about your treatment. Addiction can cause withdrawal symptoms when you stop taking this medicine.

Withdrawal symptoms can include restlessness, difficulty sleeping, irritability, agitation, anxiety, feeling your heartbeat palpitationsincreased blood pressure, feeling or being sick, diarrhoea, loss of appetite, shaking, shivering or sweating.

Your prescriber will discuss with you how to gradually reduce your dose before stopping the medicine.

Before taking co-codamol

It is important that you do not stop taking the medicine suddenly as you will be more likely to experience withdrawal symptoms. Opioids should only be used by those they are prescribed for. Do not give your medicine to anyone else. Taking higher doses or more frequent doses of opioid, may increase the risk of addiction. Do not take co-codamol if any of the above apply to you.

If you are not sure, talk to your doctor or pharmacist before taking co-codamol. Take special care and check with your doctor before taking co-codamol if:. Codeine is transformed to morphine in the liver by an enzyme. Morphine is the substance that produces pain relief. Some people have a variation of this enzyme and this can affect people in different ways. In some people, morphine is not produced or produced in very small Is co codamol 30 500 strong, and it will not provide enough pain relief.

Active ingredient

Other people are more likely to get serious side effects because a very high amount of morphine is produced. If you notice any of the following side effects, you must stop taking this medicine and seek immediate medical advice: slow or shallow breathing, confusion, sleepiness, small pupils, feeling or being sick, constipation, lack of appetite.

Co-codamol should not be used for pain relief in children and adolescents after removal of their tonsils or adenoids due to Obstructive Sleep Apnoea Syndrome. Co-codamol is not recommended in children with breathing problems, since the symptoms of morphine toxicity may be worse in these children.

If you are not sure if the above apply to you, talk to your doctor or pharmacist before taking this medicine. Tell your doctor or pharmacist if you are taking or have recently taken any other medicines. This includes medicines obtained without a prescription, including herbal medicines.

This is because co-codamol can affect the way some other medicines work. Also, some other medicines can affect the way co-codamol works. Concomitant use of co-codamol and sedative medicines such as benzodiazepines or related drugs increases the risk of drowsiness, difficulties in breathing respiratory depressioncoma and may be life-threatening. Because of this, concomitant use should only be considered Is co codamol 30 500 strong other treatment options are not possible. However if your doctor does prescribe co-codamol together with sedative medicines the dose and duration of concomitant treatment should be limited by your doctor.

Please tell your doctor about all sedative medicines you are taking, and follow your doctor's dose recommendation closely.

It could be helpful to inform friends or relatives to be aware of the s and symptoms stated above. Contact your doctor when experiencing such symptoms.

While taking co-codamol you should not take any other medicines which contain paracetamol. This includes some painkillers, cough and cold remedies. It also includes a wide range of other medicines available from your doctor and more widely in shops.

Do not take this medicine, and tell your doctor, if you are taking:. Tell your doctor or pharmacist if you are taking any of the following medicines, or have taken them in the past two weeks:.

Tell your doctor or pharmacist if you are taking any other medicines:. If you are not sure if any of the above apply to you, talk to your doctor or pharmacist before taking co-codamol. Driving and using machines.

Talk to your doctor or pharmacist if you are not sure whether it is safe for you to drive whilst taking this medicine. Your prescriber should have discussed with you, how long the course of tablets will last. They will arrange a plan for stopping treatment. This will outline how to gradually reduce the dose and stop taking the medicine. Always take co-codamol exactly as your doctor has told you.

Check with your doctor or pharmacist if you are not sure. Adults: 2 tablets every 4 to 6 hours up to a maximum of 8 tablets in 24 hours. Elderly people may be prescribed a lower dose.

How co-codamol works

Use in children aged 16 to 18 years: tablets every 6 hours when necessary up to a maximum of 8 tablets in 24 hours. Use in children aged 12 to 15 years: 1 tablet every 6 hours when necessary to a maximum of 4 tablets in 24 hours. This medicine should not be taken for more than 3 days. If the pain does not improve after 3 days, talk to your doctor for advice. Co-codamol should not be given to children under 12 years of age due to the risk of severe breathing problems.

If you forget to take co-codamol. If you forget to take a dose at the right time, take it as soon as you remember.

How you have co-codamol

However do not take a double dose to make up for a forgotten dose. Remember to leave at least 4 hours between doses. Do not suddenly stop taking this medicine. If you want to stop taking this medicine, discuss this with your prescriber first. They will tell you how to do this, usually by reducing the dose gradually so that any unpleasant withdrawal effects are kept to a minimum.