CODEINE

(KOE deen) Brand:

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

• You must not use this medicine if you are allergic to it, or if you have an uncontrolled breathing mess, a bowel obstruction called paralytic ileus, or frequent asthma attacks or hyperventilation.

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

• 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.

• Call your doctor if this medicine causes severe drowsiness, weakness, or very slow breathing.

• 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 codeine?

• Codeine is an opioid pain medicine. An opioid is sometimes called a narcotic.

• Codeine is used to treat mild to moderately severe pain.

• Codeine may also be used for purposes not listed in this medicine guide.

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

• You must not use this medicine if you are allergic to it, or if you have:

· untreated or uncontrolled asthma or another breathing disorder;

· a bowel obstruction called paralytic ileus; or

· frequent asthma attacks or hyperventilation.

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

• 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 disease;

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

· curvature of the spine that affects breathing;

· kidney disease;

· a history of head injury or brain tumor;

· low blood pressure;

· blockage in your digestive tract (stomach or intestines);

· a gallbladder or pancreas disorder;

· underactive thyroid;

· Addison's malady or another adrenal gland disorder;

· enlarged prostate, urination problems;

· mental diseases; or

· a history of drug or alcohol addiction.

• 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.

• 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.

• Older adults may be more sensitive to the effects of this medicine.

How must I take codeine?

• Take exactly as predesigned. Never take codeine in larger amounts, or for longer than recommended by your doctor. Follow the directions on your prescription label. Speak your doctor if the medication seems to stop working as well in relieving your pain.

• Take codeine with food or milk if it upsets your stomach.

• 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 codeine. Do not use a stool softener (laxative) without first asking your doctor.

• 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 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.

• After you have stopped using this medicine, flush any unused pills down the toilet.

What happens if I miss a dose?

• Since codeine is taken as needed, you may not be on a dosing schedule. If you are taking the medicine regularly, take the missed doze as soon as you remember. Skip the missed doze if it is nearly time for your following scheduled doze. Do not take 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 codeine can be fatal.

• Overdose symptoms may 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 codeine?

• Do not drink alcohol while you are taking codeine. Dangerous side effects or death can occur when alcohol is combined with a narcotic pain medication. Check your food and medication labels to be certain these commodity do not contain alcohol.

• Codeine may impair your thinking or reactions. Avoid driving or operating machinery before you know how codeine will affect you.

What are the possible side effects of 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.

• Call your doctor at once if you have:

· slow heart course, weak pulse, fainting, shallow breathing;

· feeling like you might pass out;

· confusion, agitation, hallucinations, unusual thoughts or behavior;

· feelings of extreme happiness or sadness;

· seizure (convulsions); or

· problems with urination.

• General side effects include:

· feeling dizzy or drowsy;

· nausea, vomiting, stomach pain;

· constipation;

· sweating; or

· mild itching or 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 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 codeine 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 codeine, especially:

· pentazocine;

· nalbuphine;

· butorphanol; or

· buprenorphine.

• This list is not complete. Another drugs may interact with codeine, 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 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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