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Codeine is approved to treat pain and cough, and tramadol is approved to treat pain. These medicines carry serious risks, including slowed or difficult breathing and death, which appear to be a greater risk in children younger than 12 years, and should not be used in these children. These medicines should also be limited in some older children. Single-ingredient codeine and all tramadol-containing products are FDA-approved only for use in adults.

Description

Codeine may be habit forming. Take codeine exactly as directed.

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Do not take more of it, take it more often, or take it in a different way than directed by your doctor. While taking codeine, discuss with your healthcare provider your pain treatment goals, length of treatment, and other ways to manage your pain. Tell your doctor if you or anyone in your family drinks or has ever drunk large amounts of alcohol, uses or has ever used street drugs, or has overused prescription medications, or has had an overdose, or if you have or have ever had depression or another mental illness.

There is a greater risk that you will overuse codeine if you have or have ever had any of these conditions. Talk to your healthcare provider immediately and Codeine pain medication for guidance if you think that you have an opioid addiction or call the U. Codeine may cause serious or life-threatening breathing problems, especially during the first 24 to 72 hours of your treatment and any time your dose is increased. Your doctor will monitor you carefully during your treatment. Tell your doctor if you have or have ever had slowed breathing or asthma. Your doctor will probably tell you not to take codeine.

Also tell your doctor if you have or have ever had lung disease Codeine pain medication as chronic obstructive pulmonary disease COPD; a group of diseases that affect the lungs and airwaysa head injury, brain tumor, or any condition that increases the amount of pressure in your brain.

The risk that you will develop breathing problems may be higher if you are an older adult or are weak or malnourished due to disease. If you experience any of the following symptoms, call your doctor immediately or get emergency medical treatment: slowed breathing, long pauses between breaths, or shortness of breath. When codeine was used in children, serious and life-threatening breathing problems such as slow or difficulty breathing and deaths were reported.

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Codeine should never be used to treat pain or a cough in children younger than 18 years of age. If your child is currently prescribed a cough and cold medicine containing codeine, talk to your child's doctor about other treatments.

Acetaminophen and codeine

Taking certain medications during your treatment with codeine may increase the risk that you will experience breathing problems or other serious, life-threatening breathing problems, sedation, or coma. Tell your doctor if you are taking or plan to take any of the following medications: certain antibiotics Codeine pain medication as erythromycin Erytab, Erythrocin ; certain antifungal medications including ketoconazole; benzodiazepines such as alprazolam Xanaxdiazepam Diastat, Valiumestazolam, flurazepam, lorazepam Ativanand triazolam Halcion ; carbamazepine Carbatrol, Epitol, Equetro, Tegretol, Teril ; certain medications for human immunodeficiency virus HIV including indinavir Crixivannelfinavir Viraceptand ritonavir Norvir, in Kaletra ; medications for mental illness or nausea; other medications for pain; muscle relaxants; phenytoin Dilantin, Phenytek ; rifampin Rifadin, Rimactane, in Rifamate ; sedatives; sleeping pills; or tranquilizers.

Your doctor may need to change the dosages of your medications and will monitor you carefully. If you take codeine with any of these medications and you develop any of the following symptoms, call your doctor immediately or seek emergency medical care: unusual dizziness, lightheadedness, extreme sleepiness, slowed or difficult breathing, or unresponsiveness.

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Be sure that your caregiver or family members know which symptoms may be serious so they can call the doctor or emergency medical care if you are unable to seek treatment on your own. Drinking alcohol or using street drugs during your treatment with codeine also increases the risk that you will experience these serious, life-threatening side effects. Do not drink alcohol, take prescription or nonprescription medications that contain alcohol, or use street drugs during your treatment. Tell your doctor if you are pregnant or plan to become pregnant.

If you take codeine regularly during your pregnancy, your baby may experience life-threatening withdrawal symptoms after birth.

U.s. food and drug administration

Tell your baby's doctor right away if your baby experiences any of the following symptoms: irritability, hyperactivity, abnormal sleep, high-pitched cry, uncontrollable shaking of a part of the body, vomiting, diarrhea, or failure to gain weight. Do not allow anyone else to take your medication. Codeine may harm or cause death to other people who take your medication, especially children. Your doctor or pharmacist will give you the manufacturer's patient information sheet Medication Guide when you begin treatment with codeine and each time you refill your prescription.

Read the information carefully and ask your doctor or pharmacist if you have any questions.

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Codeine is used to relieve mild to moderate pain. It is also used, usually in combination with other medications, to reduce coughing. Codeine will help relieve symptoms but will not treat the cause of symptoms or speed recovery. Codeine belongs to a class of medications called opiate narcotic analgesics and to a class of medications called antitussives. When codeine is used to treat pain, it works by changing the way the brain and nervous system respond to pain.

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When codeine is used to reduce coughing, it works by decreasing the activity in the part of the brain that causes coughing. Codeine is also available in combination with acetaminophen Capital and Codeine, Tylenol with Codeineaspirin, carisoprodol, and promethazine and as an ingredient in many cough and cold medications. This monograph only includes information about the use of codeine. If you are taking a codeine combination product, be sure to read information about all the ingredients in the product you are taking and ask your doctor or pharmacist for more information.

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Codeine alone or in combination with other medications comes as a tablet, a capsule, and a solution liquid to take by mouth. It is usually taken every 4 to 6 hours as needed. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. If you have taken codeine for several weeks or longer, do not stop taking the medication without talking to your doctor.

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Your doctor may decrease your dose gradually. If you suddenly stop taking codeine, you may experience withdrawal symptoms such as restlessness, widened pupils black circles in the center of the eyesteary eyes, irritability, anxiety, runny nose, difficulty falling asleep or staying asleep, yawning, sweating, fast breathing, fast heartbeat, chills, hair on your arms standing on end, nausea, loss of appetite, vomiting, diarrhea, stomach cramps, muscle aches, or backache.

Shake the solution well before each use to mix the medication evenly. Do not use a household spoon to measure your dose. Use the measuring cup or spoon that came with the medication or use a spoon that is made especially for measuring medication. This medication is sometimes prescribed for other uses; ask your doctor or pharmacist for more information.

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Codeine is usually taken as needed. If your doctor has told you to take codeine regularly, take the missed dose as soon as you remember it. However, if it is almost time for the next dose, skip the missed dose and continue your regular dosing schedule.

Why is this medication prescribed?

Do not take a double dose to make up for a missed one. Codeine may cause other side effects. Call your doctor if you have any unusual problems while you are taking this medication. Keep this medication in the container it came in, tightly closed, and out of reach of children. Store it at room temperature and away from excess heat and moisture not in the bathroom. It is important to keep all medication out of sight and reach of children as many containers such as weekly pill minders and those for eye drops, creams, patches, and inhalers are not child-resistant and young children can open them easily.

To protect young children from poisoning, always lock safety caps and immediately place the medication in a safe location — one that is up and away and out of their sight and reach. Unneeded medications should be disposed of in special ways to ensure that pets, children, and other people cannot consume them. However, you should not flush this medication down the toilet. Instead, the best way to dispose of your medication is through a Codeine pain medication take-back program. In case of overdose, call the poison control helpline at If the victim has collapsed, had a seizure, has trouble breathing, or can't be awakened, immediately call emergency services at While taking codeine, you should talk to your doctor about having a rescue medication called naloxone readily available e.

Codeine/acetaminophen/caffeine - oral

Naloxone is used to reverse the life-threatening effects of an overdose. It works by blocking the effects of opiates to relieve dangerous symptoms caused by high levels of opiates in the blood. Your doctor may also prescribe you naloxone if you are living in a household where there are small children or someone who has abused street or prescription drugs. You should make sure that you and your family members, caregivers, or the people who spend time with you know how to recognize an overdose, how to use naloxone, and what to do until emergency medical help arrives.

Your doctor or pharmacist will show you and your family members how to use the medication. Ask your pharmacist for the instructions or visit Codeine pain medication manufacturer's website to get the instructions. If symptoms of an overdose occur, a friend or family member should give the first dose of naloxone, call immediately, and stay with you and watch you closely until emergency medical help arrives.

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Your symptoms may return within a few minutes after you receive naloxone. If your symptoms return, the person should give you another dose of naloxone. Additional doses may be given every 2 to 3 minutes, if symptoms return before medical help arrives. Keep all appointments with your doctor and laboratory. Your doctor will order certain lab tests to check your body's response to codeine. Before having any laboratory test especially those that involve methylene bluetell your doctor and the laboratory personnel that you are taking codeine.

Selling or giving away this medication may cause death or harm to others and is illegal. Your prescription might not be refillable. Ask your pharmacist any questions you have about refilling your prescription.

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