If you get side effects your dose may go down. How long will I take it for? You might only need to take codeine for a few days. What if I forget to take it? Never take 2 doses at the same time to make up for a forgotten one. What will happen if I stop taking it? If you stop taking it suddenly it can cause unpleasant withdrawal symptoms such as: feeling agitated feeling anxious shaking sweating.
Important If you have been taking codeine for more than a few weeks do not stop taking it without speaking to your doctor first. What if I take too much? Taking too much codeine can be dangerous. Urgent advice: Contact for advice now if:. Storing codeine If you've been prescribed codeine, it's particularly important that you: store it properly and safely at home keep it out of the sight and reach of children never give your medicine to anyone else Return any unused codeine to your pharmacist.
They will dispose of it. Common 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: constipation feeling or being sick nausea or vomiting feeling sleepy confusion, feeling dizzy and vertigo a sensation of spinning dry mouth headaches Serious side effects Serious side effects happen in less than 1 in people.
Serious allergic reaction In rare cases, it's possible to have a serious allergic reaction anaphylaxis to codeine. Information: You can report any suspected side effect using the Yellow Card safety scheme. Visit Yellow Card for further information. What to do about: constipation - try to get more fibre into your diet such as fresh fruit and vegetables and cereals. Try to drink several glasses of water or other non-alcoholic liquid each day. If you can, it may also help to do some gentle exercise.
It's safe to use a laxative if your constipation doesn't go away. Usually, lactulose is best but check with a pharmacist or doctor first. If you're being sick, try small frequent sips of water. This side effect should normally wear off after a few days. Talk to your doctor about taking an anti-sickness medicine if it carries on for longer. Talk to your doctor if it carries on for longer. If you begin to feel dizzy, lie down so that you don't faint, then sit until you feel better. This side effect should wear off within a few days as your body gets used to codeine.
Your doctor can also prescribe an artificial saliva substitute to keep your mouth moist. This comes as a spray, gel or lozenge. Talk to your doctor if the headaches get worse or last longer than a week. Codeine isn't recommended during pregnancy and while breastfeeding. Codeine and breastfeeding Codeine isn't usually recommended if you're breastfeeding. Non-urgent advice: Tell your doctor if you're:. Tell your doctor if you're taking any medicines: to help you sleep for depression - some types can't be taken with codeine for high blood pressure to help stop you feeling or being sick to treat symptoms of an allergy to reduce tension or anxiety for mental health problems Mixing codeine with herbal remedies and supplements It's not possible to say that complementary medicines and herbal remedies are safe to take with codeine.
Important: Medicine safety Tell your doctor or pharmacist if you're taking any other medicines, including herbal medicines, vitamins or supplements. How does codeine work? Codeine is from a group of medicines called opiates, or narcotics. How long will it take to work? This depends on the type of codeine you take. Can I become addicted to codeine? How will I know if I'm addicted to it? Talk to your doctor if you're worried about addiction.
Can I drink alcohol with it? Is there any food or drink I need to avoid? You can eat and drink normally while taking codeine. Can children take codeine? Do not give codeine to babies and children under 12 years old. Will it affect my fertility? Are there other painkillers I can try? As a result of these new measures: Use of codeine for cough and cold is now contraindicated in children below 12 years. This means it must not be used in this patient group. Use of codeine for cough and cold is not recommended in children and adolescents between 12 and 18 years who have breathing problems.
Expand section Collapse section. Following an EU-wide review of codeine when used for cough and cold, changes have been made to the way the medicine is used to ensure that the benefits continue to outweigh the risks in children and adolescents.
Codeine-containing medicines for cough and cold must not be used in children below 12 years of age because of the risk of serious side effects, including breathing problems. In children and adolescents between 12 and 18 years who have problems with their breathing, codeine is not recommended as this population may be more susceptible to breathing problems due to codeine.
Patients of all ages who are known to be 'ultra-rapid metabolisers', which means that they convert codeine into morphine very rapidly, must not use codeine for cough and cold as they are more at risk of serious side effects with codeine. Mothers who are breastfeeding must not take codeine as codeine can harm the baby because it passes into breast milk. Parents and caregivers who notice any of the following symptoms in a patient given codeine should stop giving the medicine and seek medical attention immediately: slow or shallow breathing, confusion, sleepiness, small pupils, feeling or being sick, constipation and lack of appetite.
If you or your child are being treated with codeine and have any questions or concerns about your treatment, speak to your doctor or pharmacist. Codeine for cough and cold is now contraindicated in children below 12 years, and not recommended in children between 12 and 18 years with compromised respiratory function.
Codeine is also contraindicated in women during breastfeeding and patients known to be CYP2D6 ultra-rapid metabolisers. Key facts. Seek emergency medical attention or call the Poison Help line at A codeine overdose can be fatal, especially in a child or other person using the medicine without a prescription. Overdose symptoms may include slow breathing and heart rate, severe drowsiness, confusion, hallucinations, cold and clammy skin, pinpoint pupils, and fainting.
This medicine may impair your thinking or reactions. Avoid driving or operating machinery until you know how this medicine will affect you. Dizziness or severe drowsiness can cause falls or other accidents. Do not drink alcohol while you are taking medicine that contains codeine. Dangerous side effects or death could occur.
Ask a doctor or pharmacist before using any other cold, allergy, or cough medicine. Many combination medicines contain decongestants or cough suppressants. Taking certain products together can cause you to get too much of a certain drug. Get emergency medical help if you have signs of an allergic reaction : hives; difficult breathing; swelling of your face, lips, tongue, or throat.
Like other narcotic medications, codeine can slow your breathing. Death may occur if breathing becomes too weak. A person caring for you should seek emergency medical attention if you have slow breathing with long pauses, blue colored lips, or if you are hard to wake up. Serious side effects may be more likely in older adults and those who are overweight, malnourished, or debilitated.
This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. Ask a doctor or pharmacist before using this medicine if you are also using any other drugs, including prescription and over-the-counter medicines, vitamins, and herbal products. Some medicines can cause unwanted or dangerous effects when used together. Not all possible interactions are listed in this medication guide.
Taking codeine, guaifenesin, and pseudoephedrine with other drugs that make you sleepy or slow your breathing can cause dangerous side effects or death.
Ask your doctor before taking a sleeping pill, narcotic pain medicine, prescription cough medicine, a muscle relaxer, or medicine for anxiety, depression, or seizures.
Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed. Every effort has been made to ensure that the information provided by Cerner Multum, Inc. New digital tools should be taken into consideration for further social and medical evaluations of this phenomenon. Keywords: Purple Drank; codeine abuse; opioids; promethazine abuse; social subgroups.
Abstract In the early s, several studies reported the misuse of codeine and promethazine hydrochloride cough syrup.
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