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 in the mind to improve how the human body feels and responds to pain. Acetaminophen can also reduce a fever. Caffeine increases pain relief, specifically for certain forms of headaches.

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See additionally Warning section.

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Take this medicine by mouth as directed by your medical practitioner, usually every 4 hours as needed for pain. You may 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 only a small amount mind movement as you are able to).

The dosage is according to your condition that is medical and to treatment. Do not raise your dose or use this drug more frequently or for longer than prescribed because your risk of negative effects may increase. Properly stop the medication whenever so directed.

Pain medications work best if they are utilized as the very first signs of pain occur. In the event that you hold back until the pain has worsened, the medication might not act as well.

This medication might cause withdrawal reactions, specially if it has been used regularly for a long time or 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 doctor or pharmacist for more details, and report any withdrawal reactions appropriate away.

When this medication is employed for a long time, it would likely not are well. Talk with your physician if this medication prevents working well.

This medication may rarely cause abnormal drug-seeking behavior (addiction) along with its benefits. This risk may be increased if you have abused alcohol or medications within the past. Take this medication exactly as recommended to lessen the chance of addiction.

Tell your doctor if your pain persists or worsens.

Keep this medicine in a safe place to prevent theft, misuse, or punishment.

Part Effects

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Nausea, vomiting, constipation, lightheadedness, dizziness, drowsiness, headache, or trouble sleeping may occur. If any of these effects persist or worsen, tell your pharmacist or doctor promptly.

To prevent constipation, eat a diet adequate in fiber, drink plenty of water, and exercise. Consult your pharmacist for help in selecting a laxative (such as for example a stimulant type with stool softener).

To lessen the danger of dizziness and lightheadedness, get up slowly when increasing from a sitting or position that is lying.

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Keep in mind that your medical professional has prescribed this medicine she has judged that the benefit to you is greater than the risk of side effects because he or. Many people using this medication do not have side that is serious.

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Tell your physician right away if you have any severe part impacts, including: mental/mood changes (such as irritability, nervousness, anxiety, hallucinations), fast/irregular heartbeat, stomach/abdominal pain, trouble urinating, improvement in the amount of urine, vision changes, shaking (tremor).

Get help that is medical away if you have any very serious negative effects, including: fainting, seizure.

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Dihydrocodeine is turned into a strong drug that is narcoticdihydromorphine) 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 any of the after: slow/shallow breathing, uncommon drowsiness/difficulty waking up, confusion.

a really serious 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), severe dizziness, trouble respiration.

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This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.

In the US -

Call your doctor for medical advice about side effects. You may report effects that are side FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch.

In Canada - Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345.


See section that is also warning.

Before taking this product, 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 ingredients that are inactive which can cause allergy symptoms or other problems. Speak with your pharmacist to get more details.

Before using this medication, tell your physician or pharmacist your medical background, especially of: brain disorders (such as for instance head injury, tumor, seizures), difficulty in breathing (such as asthma, anti snoring, chronic obstructive pulmonary disease-COPD), gallbladder disease, heart related illnesses (such as for instance irregular heartbeat, present heart attack), kidney disease, liver disease, mental/mood disorders (such as confusion, depression, thoughts of suicide), personal or genealogy and family history of regular use/abuse of drugs/alcohol, stomach/intestinal problems (such as obstruction, constipation, diarrhoea due to infection, paralytic ileus), condition of the pancreas (pancreatitis), difficulty urinating (such as due to enlarged prostate).

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This drug may make you dizzy or drowsy. Do not drive, use machinery, or do any activity that requires alertness until you are sure you can perform such activities safely. Avoid beverages that are alcoholic.

Before having surgery or certain medical procedures (such as for instance a heart stress 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).

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Some young ones may be more sensitive to very severe unwanted effects of the dihydrocodeine in this product, such as extreme sleepiness, confusion, or breathing that is slow/shallow/noisy. (See additionally Warning area.)

Older adults may be more sensitive to your side-effects of this drug, especially confusion, dizziness, drowsiness, trouble sleeping, and breathing that is slow/shallow.

Before using this medicine, women of childbearing age should talk with their doctor(s) about the risks and benefits. Tell your doctor if you are pregnant or if you plan to become pregnant. During pregnancy, this medication should be used only whenever obviously needed. 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 reduce the risk, take the littlest effective dose for the shortest possible time. Tell the doctor appropriate away in the event that you notice any signs in your newborn baby such as for instance crying that's not normal and doesn't stop, slow/shallow breathing, irritability, vomiting, or diarrhea.

This medication passes into breast milk and may rarely have undesirable effects on a nursing infant. Tell the doctor right away if your baby develops unusual sleepiness, difficulty feeding, trouble breathing, or limpness that is unusual. Discuss the risks and benefits with your medical practitioner before breast-feeding.

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