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Uses: This medication is a combination of a
narcotic (codeine) and a non- narcotic (
acetaminophen ) drug used to relieve mild to
moderate pain. Codeine works by binding to
opioid receptors in the brain and spinal cord,
and acetaminophen decreases the formation of
prostaglandins , therefore relieving pain. This
medication may also be used to suppress a cough.
How to take this Medication ?
Take this medication by mouth, as directed by
your doctor. You may take this drug with or
without food. If you have nausea, you may take
this drug with food, although doing so may
decrease its effectiveness. Consult your doctor
or pharmacist about alternatives for decreasing
nausea ( e.g., antihistamines ,lying down for
1-2 hours with minimal head movement). The
dosage is based on your medical condition and
response to therapy. Pain medications work best
in relieving pain before it becomes severe. Once
the pain becomes intense, the medication is not
as effective in relieving it. Use this
medication exactly as prescribed. Do not
increase your dose, take it more frequently or
use it for a longer period of time than
prescribed because this drug can be
habit-forming. Also, if used for an extended
period of time , do not suddenly stop using this
drug without your doctor’s approval. When used
for an extended period, this medication may not
work as well and may require different dosing.
Talk with your doctor if this medication stops
working well. Your child’s dose of this
medication is based on weight. This medication
contains acetaminophen. Do not take more
acetaminophen than recommended ( see Side
Effects section ).
Indications :
Acetaminophen codeine tablet is indicated for
the relief of mild to moderate pain.
Contraindication :
This tablet should not be administered to
patients who have previously exhibited
hypersensitivity to any component.
Precautions :
Allergic- type reactions to this product are
probable.
The respiratory depressant effects and elevation
of cerebrospinal fluid pressure of codeine must
be evaluated in related cases.
Acetaminophen-codeine should be used during
pregnancy only if the potential benefit
justifies the potential risk to the fetus. It is
also detectable in breast milk. This medication
should not be used if you have certain medical
conditions , such as severe breathing problems (
e. g. , respiratory depression, hypercapnia ),
severe diarrhea ( e.g, pseudomembranous colitis,
infectious diarrhea due to toxins).Before using
this medication tell your doctor or pharmacist
your medical history, especially of : liver
disease, kidney disease,difficulty urinating
(e.g., enlarged prostate, urethral
stricture),alcohol use, drug dependency, heart
problems (e.g. , slow/irregular heartbeat,very
low blood pressure), abdominal/stomach problems
(e.g.,gallbladder disease), lung disease (e.g.,asthma,
chronic obstructive pulmonary disease ), seizure
disorders, serious head injury or brain disease,
spinal problems( kyphoscoliosis ),low thyroid
disease (hypothyroidism),adrenal gland problems
(Addison’s disease),psychiatric problems(toxic
psychosis),any allergies(especially to codeine
or codeine-like medications, sulfites).This drug
may make you dizzy or drowsy: use caution
engaging in activities requiring alertness such
as driving or using machinery. Avoid alcoholic
beverages because they may increase the risk of
side effects of this drug.ACETAMINOPHEN may
cause liver damage. Daily use of
alcohol,especially when combined with
ACETAMINOPHEN , may increase your risk for liver
damage. To minimize dizziness and
lightheadedness , get up slowly when rising from
a seated or lying position. Caution is advised
when using this drug in the elderly because they
may be more sensitive to the side effects of the
drug , especially the possible decreased
breathing and drowsiness effects.It is not
recommended for use for long periods or in high
doses near the expected delivery date because of
the potential for fetal harm. Discuss the risks
and benefits with your doctor.
Side effects :
Nausea, vomiting,constipation , lightheadedness,
dizziness, drowsiness, flushing, vision changes,
or mental/mood changes may occur. If any of
these effects persist or worsen,notify your
doctor or pharmacist promptly. Tell your doctor
immediately if any of these unlikely but serious
side effects occur:slow/irregular breathing,
slow/irregular heartbeat, change in the amount
of urine.If you do not have liver problems,the
adult maximum dose of acetaminophen is 4 grams
(4000 milligrams ). If you take more than the
maximum daily amount,it may cause
serious(possibly fatal) liver disease. Tell your
doctor immediately if you have any of the
following symptoms of liver damage : severe
nausea, yellowing eyes or skin, dark urine,
stomach pain, extreme fatigue. An allergic
reaction to this drug is unlikely,but seek
immediate medical attention if it occurs.
Symptoms of an allergic reaction
include:rash,itching,swelling,severe dizziness,
trouble breathing. If you notice other effects
not listed above, contact your doctor or
pharmacist.
Interactions:
This drug should not be used with the following
medications because very serious interactions
may occur : naltrexone . Before using this
medication , tell your doctor or pharmacist of
all prescription and nonprescription products
you may use,especially of :other medications for
pain , cimetidine , isoniazid , MAO inhibitors (
e . g ., furazolidone ,
Linezolid,moclobemide,phenelzine,procarbazine,selegiline,isocarboxazid,
tranylcypromine),anti-seizure drugs ( e.g.,
carbamazepine , phenobarbital,
phenytion),anticholinergic drugs/antihistamines(e.g.,hydroxyzine,oxybutynin
, scopolamine ), quinine. Also report drugs that
cause drowsiness such as : medicine for sleep
(e. g., sedatives) , tranquilizers , anti -
anxiety drugs (e. g. , diazepam ) psychiatric
medicines ( e.g. , phenothiazines such as
chlorpromazine , or tricyclics such as
amitriptyline ) , muscle relaxants ,
antihistamines that cause drowsiness (e.g.,diphenhydramine).
ACETAMINOPHEN is an ingredient in many
nonprescription products and in some combination
prescription medications . Read the labels
carefully before taking other pain
relievers,fever reducers,or cold products to see
if they also contain acetaminophen . Consult
your pharmacist if you are uncertain if your
other prescription or nonprescription products
contain acetaminophen . (Also see adult maximum
daily dose information in Side Effects section).
Do not start or stop any medicine without doctor
or pharmacist approval.
Patient Information:
Symptoms of overdose may include : persistent
nausea or vomiting , stomach pain, slow
breathing , slow heartbeat , cold/clammy skin,
unusual sweating , loss of consciousness ,
severe nausea , yellowing eyes or skin, dark
urine, stomach pain, extreme fatigue. Do not
share this medication with others.This
medication has been prescribed for your current
condition only . Do not use it later for another
condition unless told to do so by your doctor .
A different medication may be necessary in those
cases. To prevent constipation, maintain a diet
adequate in fiber ,drink plenty of water, and
exercise. If you become constipated while using
this drug, consult your pharmacist for help in
selecting a laxative(e. g. stimulant – type). If
you miss a dose, use it as you remember. If it
is near the time of the next dose, skip the
missed dose and resume your usual dosing
schedule. Do not double the does to catch up.
Store at room temperature between 59 and 86
degrees F ( 15-30 degrees C ) away from light
and moisture. Do not store in the bathroom. Keep
all medicines away from children and pets.
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