ACETAMINOPHEN AND CODEINE

(a SEET a MIN o fen and KOE deen) Brand: Capital and Codeine Suspension, Cocet Plus, EZ III, Tylenol with Codeine #3, Tylenol with Codeine #4, Vopac

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What is the most significant information I must know about acetaminophen and codeine?

• You must not use this medication if you have recently used alcohol, sedatives, tranquilizers, or another narcotic medications.

• Medicines that contain codeine must not be given to a baby just after surgery to remove the tonsils or adenoids.

Do not use this medication if you have taken an MAO inhibitor in the past 14 days. A dangerous drug interaction could occur. MAO inhibitors include isocarboxazid, linezolid, phenelzine, rasagiline, selegiline, and tranylcypromine.

• Do not take more of this medicine than is recommended. An overdose of acetaminophen can hurt your liver or reason death. Call your doctor if this medicine causes upper stomach pain, dark urine, jaundice (yellowing of the skin or eyes), severe drowsiness, weakness, or very slow breathing.

• In rare cases, acetaminophen may reason a severe skin reaction. Stop taking this medication and call your doctor right away if you have skin redness or a rash that spreads and causes blistering and peeling.

What is acetaminophen and codeine?

Codeine is an opioid pain medicine. An opioid is sometimes called a narcotic. Acetaminophen is a smaller potent pain reliever that increases the effects of codeine.

Acetaminophen and codeine is a combination medication used to relieve temperate to severe pain.

Acetaminophen and codeine may also be used for another purposes not listed in this medicine guide.

What must I discuss with my healthcare provider till taking acetaminophen and codeine?

• You must not use this medication if you are allergic to acetaminophen or codeine, or if you have recently used alcohol, sedatives, tranquilizers, or another narcotic medications.

• Medicines that contain codeine must not be given to a baby just after surgery to remove the tonsils or adenoids.

Do not use this medication if you have taken an MAO inhibitor in the past 14 days. A dangerous drug interaction could occur. MAO inhibitors include isocarboxazid, linezolid, phenelzine, rasagiline, selegiline, and tranylcypromine.

Codeine may be habit forming. Never share this medication with other face, especially somebody with a history of drug abuse or addiction. Hold the medicine in a seat where others can't get to it.

• To create certain this medication is safety for you, speak your doctor if you have:

· liver malady, cirrhosis, or if you drink more than 3 alcoholic beverages for day;

· a history of alcoholism or drug addiction;

· diarrhea, inflammatory bowel disease;

· bowel obstruction, severe constipation;

· a colostomy or ileostomy;

· kidney disease;

· low blood pressure, or if you are dehydrated;

· a history of head injury, brain tumor, or stroke; or

· asthma, COPD, sleep apnea, or another breathing disorders.

• FDA pregnancy category C. It is not known whether this medicine is deleterious to an unborn child, but it could reason breathing problems or addiction/withdrawal symptoms in a newborn. Speak your doctor if you are pregnant or plan to become pregnant while using this medication.

Acetaminophen and codeine can pass into breast milk and may harm a nursing child. The use of codeine by some nursing mothers may lead to life-threatening side effects in the child. Do not breast-feed while taking this medicine.

How must I take acetaminophen and codeine?

• Follow all directions on your prescription label. Never take this medication in larger amounts, or for longer than predesigned. An overdose can hurt your liver or reason death. Speak your doctor if the medication seems to stop working as well in relieving your pain.

• In some people, codeine breaks down rapidly in the liver and reaches higher than usual levels in the body. This can reason dangerously slow breathing and may reason death, especially in a baby.

• Take this medication with food or milk to ease stomach upset.

• Measure liquid medication with a particular dose-measuring spoon or medication cup. If you do not have a dose-measuring device, ask your pharmacist for one.

• Drink 6 to 8 full glasses of water daily to help prevent constipation while you are taking acetaminophen and codeine. Do not use a stool softener (laxative) without first asking your doctor.

• This medication can reason unusual results with determined urine trials. Speak any doctor who treats you that you are using acetaminophen and codeine.

• If you need surgery, speak the surgeon onward of time that you are using this medication. You may need to stop using the medication for a short time.

• Do not stop using this medication suddenly after long-term use, or you could have unpleasant withdrawal symptoms. Ask your doctor how to avoid withdrawal symptoms when you stop using acetaminophen and codeine.

• Store at room temperature away from moisture and heat.

• Hold track of the amount of medication used from every new bottle. Codeine is a drug of abuse and you must be aware if anyone is using your medication improperly or without a prescription.

What happens if I miss a dose?

• Since this medication is used when needed, you may not be on a dosing schedule. If you are on a schedule, use the missed doze as soon as you remember. Skip the missed doze if it is nearly time for your following scheduled doze. Do not use extra medication to create up the missed dose.

What happens if I overdose?

• Search abnormal medical attention or call the Poison Help line at 1-800-222-1222. An overdose of acetaminophen and codeine can be fatal.

• The first signs of an acetaminophen overdose include loss of appetite, nausea, vomiting, stomach pain, sweating, and confusion or weakness. Later symptoms may include pain in your upper stomach, dark urine, and yellowing of your skin or the whites of your eyes.

• Overdose symptoms may also include extreme drowsiness, pinpoint pupils, confusion, cool and clammy skin, weak pulse, shallow breathing, fainting, or breathing that stops.

What must I avoid while taking acetaminophen and codeine?

• This medicine may impair your thinking or reactions. Avoid driving or operating machinery before you know how acetaminophen and codeine will affect you.

• Ask a doctor or pharmacist till using any another cool, allergy, pain, or sleep medicine. Acetaminophen (sometimes abbreviated as APAP) is contained in much combination medicines. Taking determined commodity together can reason you to get too many acetaminophen which can lead to a fatal overdose. Check the label to see if a medication contains acetaminophen or APAP.

• Avoid drinking alcohol. It may magnify your risk of liver hurt while taking acetaminophen.

What are the possible side effects of acetaminophen and codeine?

• Get abnormal medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your person, lips, tongue, or throat.

Seek abnormal medical attention if a baby taking this medicine has any of the next life-threatening side effects: noisy breathing, sighing, slow breathing with long pauses between breaths; being unusually sleepy or heavy to wake up; blue colored lips.

In rare cases, acetaminophen may reason a severe skin reaction that can be fatal. This could occur even if you have taken acetaminophen in the past and had no reaction. Stop taking this medication and call your doctor right away if you have skin redness or a rash that spreads and causes blistering and peeling. If you have this type of reaction, you must never again take any medication that contains acetaminophen.

• Call your doctor at once if you have:

· shallow breathing, slow heartbeat;

· a light-headed feeling, like you might pass out;

· confusion, unusual thoughts or behavior;

· seizure (convulsions);

· light bruising or bleeding; or

· nausea, upper stomach pain, itching, loss of appetite, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes).

• General side effects include:

· drowsiness;

· upset stomach, constipation;

· blurred vision; or

· dry mouth.

• This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may message side effects to FDA at 1-800-FDA-1088.

What another drugs will affect acetaminophen and codeine?

Taking this medication with another drugs that create you sleepy or slow your breathing can reason dangerous or life-threatening side effects. Ask your doctor till taking acetaminophen and codeine with a sleeping pill, narcotic pain medication, muscle relaxer, or medication for anxiety, depression, or seizures.

• Another drugs may interact with acetaminophen and codeine, including prescription and over-the-counter medicines, vitamins, and herbal commodity. Speak every of your health care providers about all medicines you use now and any medication you start or stop using.

Where can I get more information?

• Your pharmacist can provide more information about acetaminophen and codeine.

Remember, hold this and all another medicines out of the reach of children, never share your medicines with others, and use this medicine only for the indication prescribed.

Disclaim: Each effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses external of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way must be construed to indicate that the drug or drug combination is safety, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the help of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.

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