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Tablets with codeine in them

The Coordination Group for Mutual Recognition and Decentralised Procedures — Human CMDh has endorsed by consensus a series of risk-minimisation measures to address safety concerns with codeine-containing medicines when used for the management of pain in children. Codeine is an opioid that is authorised as a painkiller in adults and children. The effect of codeine on pain is due to its conversion into morphine in the patient's body.

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Back to Medicines A to Z. Codeine is a painkiller. It's used to treat pain, for example after an operation or an injury.

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It's also used for long-standing pain when everyday painkillers, such as paracetamolibuprofen and aspirin have not worked. Codeine is also used to treat diarrhoea. Codeine is available on prescription. It comes as tablets, a liquid to swallow and as an injection. Codeine injections are usually only given in hospital. You can buy lower-strength codeine from a pharmacy. It comes mixed with paracetamol co-codamol or with aspirin co-codaprin or with ibuprofen Nurofen Plus. You can also buy codeine from a pharmacy as a syrup linctus to treat dry coughs.

Only give codeine to children aged 12 to 18 years if everyday painkillers such as paracetamol and ibuprofen haven't worked. Codeine is not suitable for some people.

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Tell your doctor before starting the medicine if you have:. Do not give codeine to children who are under 18 years old and have had their tonsils or adenoids removed because of a sleep problem called obstructive sleep apnoea.

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Codeine is not generally recommended in pregnancy. Tell your doctor before taking codeine if you're trying to get pregnant, are already pregnant or if you are breastfeeding. Follow your doctor's instructions about how to use this medicine. This is particularly important because codeine can be addictive.

Take codeine with, or just after, a meal or snack so it's less likely to make you feel sick. You can take codeine at any time of day but try to take it at the same times every day and space your doses evenly. If you're codeine codeine as a liquid, it will come with a plastic spoon or syringe to help you measure the correct amount. Ask your pharmacist for one if you don't have it.

Do not measure the liquid with a kitchen teaspoon because it won't give the right amount. If your tablets don't go away, your dose might go up or you may be prescribed a different medicine. Talk to your doctor if your pain or diarrhoea isn't relieved by the with of codeine prescribed for you, or if side effects bother you or don't go away. Sometimes, them may need to take codeine for longer. But usually a different medicine will be prescribed for long term pain or diarrhoea, especially if you have side effects like constipation.

Paracetamol and codeine

If you forget to take a dose, check the information on the patient information leaflet inside the packaging or ask your pharmacist or doctor for advice on what to do. If you often forget doses, it may help to set an alarm to remind you. You could also ask your pharmacist for advice on other ways to remember your medicine. If you need to take codeine for a long time your body can become tolerant to it. This isn't usually a problem but you could get unpleasant withdrawal symptoms if you stop taking it suddenly.

If you want to stop taking codeine, talk to your doctor first.

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Your dose can be reduced gradually so you don't get unpleasant withdrawal symptoms. If you stop taking it suddenly it can cause unpleasant withdrawal symptoms such as:. If you have been taking codeine for more than a few weeks do not stop taking it without speaking to your doctor first.

It's important not to take more than your prescribed dose, even if you think it's not enough to relieve your pain.

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Speak to your doctor first, if you think you need a different dose. If you've taken an accidental overdose you may feel very sleepy, sick or dizzy. You may also find it difficult to breathe. In serious cases you can become unconscious and may need emergency treatment in hospital.

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The amount of codeine that can lead to an overdose varies from person to person. Take the codeine box or leaflet inside the packet plus any remaining medicine with you. If you've been prescribed codeine, it's particularly important that you:.

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It's safe to take codeine with paracetamolibuprofen or aspirin aspirin is suitable for most people aged 16 years and over. Some painkillers that you can buy without a prescription from pharmacies contain codeine. They include co-codamolibuprofen and codeine such as Nurofen Plus and Solpadeine. Do not take painkillers that you buy with codeine in alongside prescribed codeine. You'll be more likely to get side effects.

Common conditions

Like all medicines, codeine can cause side effects in some people - but many people have no side effects or only minor ones. The higher the dose of codeine the more chance that you will get side effects. Common side effects happen in more than 1 in people. Talk to your doctor or pharmacist if the side effects bother you or don't go away:. Serious side effects happen in less than 1 in people.

Active ingredient

Call a doctor straight away if you:. In rare cases, it's possible to have a serious allergic reaction anaphylaxis to codeine. These are not all the side effects of codeine.

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For a full list see the leaflet inside your medicine packet. In early pregnancy, it's been linked to problems in the unborn baby. If you take codeine at the end of pregnancy there's a risk that your newborn baby may get withdrawal symptoms or be born addicted to codeine.

However, it's important to treat pain in pregnancy. For some pregnant women with severe pain, codeine might be the best option. Your doctor is the best person to help you decide what's right for you and your baby. Codeine isn't usually recommended if you're breastfeeding.

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Small amounts of codeine pass into breast milk and can cause breathing problems in the baby. Speak to your doctor as they may be able to recommend a different painkiller. Some medicines and codeine interfere with each other and increase the chances of you having side effects. It's not possible to say that complementary medicines and herbal remedies are safe to take with codeine.

They're not tested in the same way as pharmacy and prescription medicines.

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They're generally not tested for the effect they have on other medicines. Tell your doctor or pharmacist if you're taking any other medicines, including herbal medicines, vitamins or supplements. It works in the central nervous system and the brain to block pain als to the rest of the with. It also reduces the anxiety and stress caused by pain. When codeine blocks the pain, there are other unwanted effects - for example slow or shallow breathing. It also slows down digestion, which is why codeine can cause constipation. A codeine injection into a vein gives the quickest pain relief.

It tablet almost straight away. Codeine tablets, liquid and cough syrup all work in 30 to 60 them, but they wear off after a few hours. Yes, codeine is addictive. For this reason, your dose will be reviewed to make sure you are only taking the codeine you need to control your pain, or diarrhoea.