It may help to take co-codamol if everyday painkillers, such as aspirin , ibuprofen or paracetamol on their own, have not worked. For children under 16 years of age, read our information on co-codamol for children. Take our survey. Adults and children aged 12 years or over can take co-codamol. However, it is only recommended for unders if other painkillers have not worked. Co-codamol is not suitable for some people.
Tell your doctor before starting the medicine if you:. It's important to take co-codamol as your doctor has asked you to. This is particularly important because co-codamol can be addictive.
Co-codamol comes as tablets and capsules. Swallow them whole with a drink of water. Co-codamol also comes as soluble tablets that dissolve in water to make a drink. All 3 strengths contain mg of paracetamol — the same as in a standard paracetamol tablet or capsule.
The strength of co-codamol appears as 2 numbers on the packet. Adults and young people aged 16 years and older can take 1 or 2 tablets of any strength up to 4 times in 24 hours. Always leave at least 4 to 6 hours between doses. The maximum dose is 8 co-codamol tablets in 24 hours. It's important to leave a gap between doses of co-codamol. Taking too much co-codamol can be very dangerous. That's because the paracetamol in it can cause liver damage.
Do not increase the dose of co-codamol or take a double dose even if your pain is very bad. The maximum dose of co-codamol for adults and young people aged 16 years and over is 8 tablets in 24 hours. If your doctor has prescribed co-codamol for you, take it as you've been advised. If you've bought co-codamol from a pharmacy, do not use it for more than 3 days.
If you still have pain, talk to your pharmacist or doctor. If you have been taking co-codamol for more than a few weeks do not stop taking it without speaking to your doctor first. If you take 1 or 2 extra tablets of co-codamol by accident on a single occasion, it's unlikely to be harmful. If this happens, wait at least 24 hours before you take any more.
Go to If you need to go to hospital, take the co-codamol packet or leaflet inside it plus any remaining medicine with you. It's safe to take co-codamol with ibuprofen and aspirin.
Do not take co-codamol with paracetamol , or other medicines that contain paracetamol. Co-codamol already contains paracetamol so you could be at risk of paracetamol overdose.
Medicines that have paracetamol in them include painkillers like Tramacet and co-dydramol , migraine remedies, and some cough and cold remedies Lemsip and Night Nurse. Before taking co-codamol with any other medicines, check the label to see whether they contain paracetamol. Like all medicines, co-codamol can cause side effects although not everyone gets them.
Many people have no side effects or only minor ones. You're more likely to have side effects if you take the higher strengths of co-codamol. In rare cases, it's possible to have a serious allergic reaction anaphylaxis to co-codamol.
You could be having a serious allergic reaction and may need immediate treatment in hospital. These are not all the side effects of co-codamol. For a full list, see the leaflet inside your medicine packet.
You can report any suspected side effect to the UK safety scheme. While co-codamol can be taken in pregnancy, other painkillers may be more suitable. Co-codamol contains paracetamol and codeine. Paracetamol is safe to take in pregnancy, however codeine can affect your baby, particularly towards the end of pregnancy. Your baby may get used to having codeine and may have withdrawal symptoms when they're born. There is a slightly higher risk of your baby having breathing problems.
These are usually temporary, but your baby may need extra monitoring. For these reasons, co-codamol is not generally recommended. However, if you have pain that requires stronger pain relief than paracetamol, talk to your doctor. They might prescribe co-codamol if they think this is the best option for you. Small amounts of the codeine in co-codamol get into breast milk and can cause breathing problems in your baby.
If you are taking co-codamol and want to breastfeed, discuss this with your doctor first. They can advise you on other pain relief options.
Some medicines affect the way co-codamol works. Equally co-codamol can stop some medicines working as well as they should. It's not possible to say whether complementary medicines and herbal remedies are safe to take with co-codamol. They're not tested in the same way as pharmacy and prescription medicines.
They're generally not tested for the effect they have on other medicines. Tell your pharmacist or doctor if you're taking any other medicines, including herbal remedies, vitamins or supplements.
These 2 painkillers work in different ways to relieve pain. Paracetamol seems to work by blocking "chemical messengers" in the brain that tell us we have pain. This national hotline will let you talk to experts in poisoning. They will give you further instructions. This is a free and confidential service. All local poison control centers in the United States use this national number. You should call if you have any questions about poisoning or poison control.
It does NOT need to be an emergency. You can call for any reason, 24 hours a day, 7 days a week. The health care provider will measure and monitor the person's vital signs, including temperature, pulse, breathing rate, and blood pressure.
Codeine is usually combined with other medicines, such as acetaminophen. Because of this, the harmful effects of these other medicines must also be treated. Shock, severe pneumonia, brain damage, and death are possible. Aronson JK. Long-term liver damage is possible because toxins are released into your system when acetaminophen is broken down into other chemicals by your liver.
Long-term use can cause dependency and addiction to the drug. Codeine and hydrocodone both treat pain, but one may be better suited for you depending on the severity of your pain.
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