Actavis Co-Codamol 8/500 Tablets
Used for the short term treatment of acute moderate pain, which is not relieved by paracetamol, ibuprofen or aspirin alone. You should only take this product for a maximum of three days at a time. If you need to take it for longer than three days you should see your pharmacist or doctor for advice.
Each tablet contains: 8mg of the active ingredient Codeine Phosphate and 500mg of the active ingredient Paracetamol. Tablets also contain: colloidal anhydrous silica, maize starch, stearic acid.
Adults: 1-2 tablets, which may be repeated every 4-6 hours. Do not take more than 8 tablets in any 24 hour period.
Children (6-12 years): half - 1 tablet. Do not give your child more than 4 doses in any 24 hour period.
- If you are elderly and have a damaged liver your doctor will usually prescribe you a lower dose. Do not give to children under 6 years unless your doctor has told you to.
- Swallow these tablets with water. This medicine should be taken for as long as your doctor tells you to, it may be dangerous to stop without their advice.
- If you forget to take a dose, take one as soon as you remember as long as it is not within four hours of the last dose taken. Then go on as before. DO NOT take two doses at the same time. If you are worried ask your pharmacist or doctor for advice.
- Immediate medical advice should be sought in the event of an overdose, even if you feel well, because of the risk of delayed, serious liver damage. Contact your nearest hospital casualty department, or tell your doctor, immediately. Take any remaining tablets and the container with you.
- are sensitive to paracetamol, codeine, any of the ingredients in the product or other opioids
- have diarrhoea caused by poisoning or associated with antibiotics
- have difficulty breathing, or other chronic lung disease.
- are pregnant, plan to become pregnant or are breast feeding
- suffer from asthma or allergies
- have liver problems including alcoholic liver disease
- have kidney or adrenal glands problems (Addison’s disease or phaeochromocytoma)
- have inflammatory bowel disease, gall bladder disease or gall stones
- have had recent gastro-intestinal surgery or surgery on your urinary system
- are male and have difficulty urinating
- have epilepsy or head injury
- have an underactive thyroid gland
- have myasthenia gravis (muscle weakness)
- have low blood pressure, are dehydrated or have lost a lot of fluid (shock)
- have ever suffered from alcoholism, drug abuse or dependence or mental illness
- are taking other medicines, especially:
- antibacterial medicines (eg ciprofloxacin)
- water tablets (diuretics eg spironolactone, furosemide
- medicines to prevent blood clotting (eg warfarin)
- acetazolamide used to treat increased pressure in the eye (glaucoma), epilepsy
- medicines to treat high blood pressure (eg guanethidine
- medicines to treat diarrhoea (eg loperamide, kaolin)
- medicines to treat epilepsy (eg phenytoin)
- anticholinergic medicines (eg atropine, hyoscine)
- medicines which cause mental depression (eg sleeping tablets, diazepam, hydroxyzine and medicines to treat mental illness)
- medicines to treat depression (eg tranylcypromine, amitriptyline)
- medicines which affect the liver (eg primidone and rifampicin)
- barbiturates (eg phenobarbital)
- opioid antagonists (eg buprenorphine, naloxone, naltrexone)
- Monoamine Oxidase Inhibitors (MAOIs, eg moclobemide)
- oral contraceptives (the “pill”)
- mexiletine used to treat irregular heart beats
- selegiline used to treat Parkinson’s disease
- cimetidine used to treat stomach ulcers
- cisapride used to treat heartburn
- metoclopramide, domperidone and cyclizine used to prevent sickness
- colestyramine used to reduce cholesterol in the blood
- do not take for longer than 3 days
- taking codeine regularly for a long time can lead to addiction, which might cause you to feel restless and irritable when you stop the tablets
- taking a painkiller for headaches too often or for too long can make them worse.
- If your diet is poor or you have a low protein intake, you may be at risk of increased drug interactions with Co-codamol.
- DO NOT drink alcohol whilst taking Co-codamol Tablets. Discuss with your doctor if you have any questions.
- Co-codamol Tablets may make you feel drowsy, if so, do not drive a car or operate machinery.
- If you need to have an operation including having teeth removed or need a blood or urine test, tell your doctor or dentist which medicines you are taking.
- If you see another doctor or go into hospital, let them know what medicines you are taking.
This medicine sometimes causes unwanted effects in some people. These effects may include:
Allergic Reactions - runny nose, rash, skin rash or itchy skin, swelling, difficulty breathing, worsening of asthma, increased sweating, redness or flushed face, drug fever, heart inflammation and severe or sudden kidney failure.
Effects on the gastrointestinal system - stomach irritation (mild stomach pain, heartburn and feeling sick), constipation, feeling or being sick, loss of appetite, dry mouth, difficulty in passage of food through guts, abdominal pain (may be caused by spasm of the bile ducts) and inflammation of the liver or pancreas.
Effects on the heart – inflammation of the heart, slow heart rate, palpitations, low blood pressure.
Effects on the blood - anaemia, changes in numbers and types of blood cells. If you have an increase in number of nose bleeds or notice that you bruise more easily or have more infections talk to your doctor.
Effects on the urinary system - needing to pass urine frequently or difficulty in passing urine, low abdominal pain (may be caused by spasm of the urinary system).
Effects on the nervous system – hallucinations (seeing things that are not there), depression, confusion, drowsiness, dizziness, mood changes, restlessness, excitation, fits, headache, difficulty sleeping, nightmares, mental dullness, tolerance (medicine has less effect) or dependence (suffer from withdrawal symptoms eg tremor, sweating, increased heart rate, increased breathing rate, raised blood pressure and feeling or being sick if the medicine is stopped too quickly).
Effects on the eyes – narrowing of the pupil, blurred or double vision.
You should consult your doctor if these are troublesome or continue.
Other effects - trembling, unusual tiredness or weakness, malaise, low body temperature or sweating.
Do not be alarmed, most people experience few problems when taking this medicine.If you are concerned about any of these effects or get any other unusual effects, tell your doctor immediately.
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