See section that is also warning.
This combination medication can be used to greatly help relieve moderate to severe pain. It contains a narcotic pain reliever (dihydrocodeine), a non-narcotic pain reliever (acetaminophen), and caffeine. Dihydrocodeine works within the mind to improve exactly how the body feels and responds to pain. Acetaminophen may also reduce a fever. Caffeine increases pain relief, specifically for certain forms of headaches.
See also Warning section.
Just take this medicine by mouth as directed by your doctor, frequently every 4 hours as needed for discomfort. You might take this drug with or without food. It may help to take this drug with food if you have nausea. Ask your doctor or pharmacist about other how to decrease nausea (such as lying down for 1 to 2 hours with very little mind movement as possible).
The dosage is based on your condition that is medical and to therapy. Do not increase your dose or use this drug more regularly or for longer than recommended because your risk of adverse effects may increase. Properly stop the medicine whenever so directed.
Pain medications work best if they are utilized as the first signs of discomfort happen. In the event that you wait until the pain sensation has worsened, the medicine may not work as well.
This medication could potentially cause withdrawal reactions, specially if it has been utilized regularly for a time that is long in high doses. In such cases, withdrawal symptoms (such as restlessness, irritability, trouble sleeping, sweating, anxiety, pounding heartbeat) may occur if you suddenly stop using this medication. To prevent withdrawal reactions, your doctor may reduce your dose gradually. Ask your pharmacist or doctor for more details, and report any withdrawal reactions appropriate away.
When this medication is useful for a long time, it may not act as well. Talk with your doctor if this medicine stops working well.
Along with its benefits, this medication may rarely cause abnormal drug-seeking behavior (addiction). This risk may be increased if you have abused alcohol or drugs into the past. Take this medicine precisely as recommended to lessen the chance of addiction.
Tell your doctor if your pain persists or worsens.
Keep this medicine in a place that is safe avoid theft, misuse, or abuse.
See section that is also warning.
Sickness, vomiting, constipation, lightheadedness, dizziness, drowsiness, headache, or sleep disorders might occur. If any of these effects persist or worsen, tell your doctor or pharmacist promptly.
To avoid constipation, eat a meal plan adequate in fiber, drink plenty of water, and exercise. Consult your pharmacist for help in picking a laxative (such as for instance a stimulant type with stool softener).
To decrease the threat of dizziness and lightheadedness, get up slowly whenever rising from a sitting or lying position.
Remember that your medical professional has prescribed this medicine because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious adverse effects.
Tell your physician right away when you have any serious side results, including: mental/mood modifications (such as for example irritability, nervousness, anxiety, hallucinations), fast/irregular heartbeat, stomach/abdominal pain, difficulty urinating, improvement in the total amount of urine, vision changes, shaking (tremor).
Get medical help right away if you have any very serious unwanted effects, including: fainting, seizure.
Dihydrocodeine is changed into a strong narcotic drug (dihydromorphine) in your body. In some people, this change happens faster and more completely than usual, which increases the risk of very serious side effects. Get help that is medical away in the event that you notice some of the after: slow/shallow breathing, unusual drowsiness/difficulty waking up, confusion.
an extremely severe reaction that is allergic this drug is rare. However, get medical help right away if you notice any outward symptoms of a serious allergic reaction, including: rash, itching/swelling (especially of the face/tongue/throat), serious dizziness, difficulty breathing.
This is not a complete list of possible adverse effects. If you notice other effects not listed above, contact your pharmacist or doctor.
In the US -
Call your physician for medical advice about adverse effects. You'll report effects that are side FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch.
In Canada - Phone your physician for medical advice about side-effects. You may possibly report adverse effects to Health Canada at 1-866-234-2345.
See section that is also warning.
Before taking this system, tell your medical professional or pharmacist if you are allergic to dihydrocodeine, acetaminophen, or caffeine; or to other narcotic pain medications (such as codeine, morphine); or if you have any other allergies. This product may contain inactive ingredients, which causes allergies or other problems. Talk to your pharmacist for lots more details.
Before by using this medication, tell your doctor or pharmacist your medical history, especially of: brain disorders (such as for example head injury, tumor, seizures), breathing problems (such as for instance asthma, snore, chronic obstructive pulmonary disease-COPD), gallbladder disease, heart disease (such as for example irregular heartbeat, present heart attack), kidney disease, liver disease, mental/mood disorders (such as confusion, depression, thoughts of suicide), personal or genealogy of regular use/abuse of drugs/alcohol, stomach/intestinal problems (such as blockage, constipation, diarrhea due to infection, paralytic ileus), disease of the pancreas (pancreatitis), difficulty urinating (such as due to enlarged prostate).
This drug might make you dizzy or drowsy. Do not drive, use machinery, or do any activity that requires alertness you can perform such activities safely until you are sure. Avoid alcoholic beverages.
Before having surgery or certain medical procedures (such as for example a heart anxiety test or a procedure to restore an ordinary heart rhythm if you have an unusually fast heartbeat), tell your doctor or dentist that you use this medication and about all the products you use (including prescription drugs, nonprescription drugs, and herbal products).
Some kids may be more sensitive to very serious side effects associated with dihydrocodeine in this product, such as extreme sleepiness, confusion, or slow/shallow/noisy breathing. (See additionally Warning section.)
Older adults may be more sensitive to the negative effects of this drug, especially confusion, dizziness, drowsiness, trouble sleeping, and breathing that is slow/shallow.
Before using this medication, women of childbearing age should talk making use of their doctor(s) about the risks and benefits. Tell your doctor if you plan to become pregnant if you are pregnant or. During pregnancy, this medication should be utilized only whenever plainly required. It may slightly increase the risk of birth defects if used during the first two months of pregnancy. Also, using it for a long time or in high doses near the expected delivery date may harm the baby that is unborn. To lessen the risk, take the littlest effective dose for the shortest possible time. Tell the physician right away if you notice any symptoms in your newborn baby such as crying that isn't normal and doesn't stop, slow/shallow breathing, irritability, vomiting, or diarrhoea.
This medication passes into breast milk and may rarely have effects that are undesirable a nursing infant. Tell the doctor right away if your baby develops unusual sleepiness, difficulty feeding, trouble breathing, or unusual limpness. Discuss the risks and benefits with your medical practitioner before breast-feeding.
Airmail: 2-3 weeks, EMS: 3-8 business days.