ASPIRIN, CAFFEINE, AND DIHYDROCODEINE

(AS pir in, KAF een, and paint HYE dro KOE deen) Brand: Synalgos-DC

What is the most significant information I must know about aspirin, caffeine, and dihydrocodeine?

• Aspirin may reason stomach or intestinal bleeding, which can be fatal.

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

• Get abnormal medical help if a baby taking this medicine has breathing problems, blue lips, or severe drowsiness, or if you can't wake the baby up from sleep.

What is aspirin, caffeine, and dihydrocodeine?

• Aspirin is a salicylate (sa-LIS-il-ate). It works by reducing substances in the body that reason pain, fever, and inflammation.

• Caffeine is a central nervous system stimulant. It relaxes muscle contractions in blood vessels to improve blood flow.

• Dihydrocodeine is related to codeine. It is an opioid pain medicine. An opioid is sometimes called a narcotic.

• Aspirin, caffeine, and dihydrocodeine is a combination medication used to treat temperate to severe pain.

• Aspirin, caffeine, and dihydrocodeine may also be used for purposes not listed in this medicine guide.

What must I discuss with my healthcare provider till taking aspirin, caffeine, and dihydrocodeine?

• Aspirin may reason stomach or intestinal bleeding, which can be fatal. These conditions can occur without warning while you are taking aspirin.

• You must not use this medicine if you are allergic to aspirin, caffeine, or dihydrocodeine.

• In some people, codeine (dihydrocodeine) 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.

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

• Dihydrocodeine 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:

· a bleeding or blood clotting disorder;

· stomach ulcer or bleeding;

· severe constipation, blockage in your stomach or intestines;

· liver or kidney disease;

· asthma or another breathing disorder;

· a history of head injury or brain tumor; or

· a history of drug or alcohol addiction.

• Dihydrocodeine may reason addiction or withdrawal symptoms in a newborn if the mother takes the medicine during pregnancy. Taking aspirin during late pregnancy may reason bleeding in the mother or the child during delivery. Speak your doctor if you are pregnant or plan to become pregnant while using this medication.

• This medicine 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. Aspirin use while breast-feeding could reason bleeding in the infant. Do not breast-feed while taking this medicine.

• Serious side effects may be more likely in older adults and those who are ill or debilitated.

• Do not give this medicine to a baby or teenager with a fever, flu symptoms, or chicken pox. Salicylates can reason Reye's syndrome, a serious and sometimes fatal condition in children.

How must I take aspirin, caffeine, and dihydrocodeine?

• Follow all directions on your prescription label. Never take this medication in larger amounts, or for longer than prescribed. Speak your doctor if the medication seems to stop working as well in relieving your pain.

• Do not stop using this medication suddenly, or you could have unpleasant withdrawal symptoms. Ask your doctor how to safely stop using aspirin, caffeine, and dihydrocodeine.

• 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.

• Store at room temperature away from moisture and heat.

• Hold track of the amount of medication used from every new bottle. Dihydrocodeine 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 dihydrocodeine can be fatal.

• Overdose symptoms may include extreme drowsiness or insomnia, tremors, quick heart course, pinpoint pupils, ringing in your ears, fainting, weak pulse, seizure (convulsions), blue lips, shallow breathing, or no breathing.

What must I avoid while taking aspirin, caffeine, and dihydrocodeine?

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

• Ask a doctor or pharmacist till using any cough, cool, allergy, or pain medicine. Aspirin and caffeine are contained in much combination medicines. Taking determined commodity together can reason you to get too many of a determined drug. Check the label to see if a medication contains aspirin or caffeine.

• Avoid drinking alcohol. It may magnify your risk of stomach bleeding.

What are the possible side effects of aspirin, caffeine, and dihydrocodeine?

• Get abnormal medical help if you have any of these signs of an allergic reaction: hives; difficult 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.

• Call your doctor at once if you have:

· shallow breathing, slow heart rate;

· quick or pounding heart course, muscle twitching;

· confusion, unusual thoughts or behavior;

· symptoms of stomach bleeding--bloody or tarry stools, coughing up blood or vomit that looks like coffee grounds.

• General side effects may include:

· dizziness, drowsiness;

· nausea, vomiting, constipation;

· sleep problems (insomnia); or

· itching or mild rash.

• 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 aspirin, caffeine, and dihydrocodeine?

• 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 this medication with a sleeping pill, narcotic pain medication, muscle relaxer, or medication for anxiety, depression, or seizures.

• Speak your doctor about all medicines you use, and those you start or stop using during your treatment with aspirin, caffeine, and dihydrocodeine, especially:

· medication to prevent blood clots--dalteparin, desirudin, enoxaparin, fondaparinux, tinzaparin, warfarin, Coumadin; or

· an NSAID (nonsteroidal anti-inflammatory drug)--ibuprofen (Advil, Motrin), ketorolac.

• This list is not complete. Another drugs may interact with aspirin, caffeine, and dihydrocodeine, including prescription and over-the-counter medicines, vitamins, and herbal commodity. Not all possible interactions are listed in this medicine manual.

Where can I get more information?

• Your pharmacist can provide more information about aspirin, caffeine, and dihydrocodeine.

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.