See also Warning section.
This combination medication is employed to simply help alleviate moderate to pain that is severe. It contains a pain that is narcotic (dihydrocodeine), a non-narcotic pain reliever (acetaminophen), and caffeine. Dihydrocodeine works into the mind to alter exactly how the human body feels and responds to pain. Acetaminophen may also reduce a fever. Caffeine increases pain relief, specifically for certain forms of headaches.
See additionally Warning section.
Simply take this medication by lips as directed by your physician, often 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 pharmacist or doctor about other ways to decrease nausea (such as lying down for 1 to 2 hours with as little mind movement possible).
The dosage is according to your condition that is medical and to therapy. Do not raise your dose or use this drug more often or for longer than recommended because your threat of unwanted effects may increase. Properly stop the medication whenever so directed.
Soreness medications work best if they are used as the initial signs of pain happen. In the event that you hold back until the pain has worsened, the medication might not are well.
This medication could cause withdrawal reactions, particularly if it has been used 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 additional information, and report any withdrawal reactions appropriate away.
When this medication is useful for a time that is long it might probably not act as well. Talk with your medical practitioner if this medicine stops working well.
This medication may rarely cause abnormal drug-seeking behavior (addiction) along with its benefits. This risk might be increased if you have abused alcohol or drugs into the past. Take this medicine exactly as prescribed to lessen the chance of addiction.
Tell your doctor if your pain persists or worsens.
Keep this medicine in a place that is safe prevent theft, misuse, or punishment.
See also Warning section.
Nausea, vomiting, constipation, lightheadedness, dizziness, drowsiness, headache, or sleep disorders may occur. If any of these effects persist or worsen, tell your pharmacist or doctor promptly.
To stop constipation, eat a diet adequate in fiber, drink plenty of water, and workout. Consult your pharmacist for help in selecting a laxative (such as a stimulant type with stool softener).
To decrease the danger of dizziness and lightheadedness, get up slowly whenever increasing from a sitting or lying position.
Keep in mind that your medical professional has prescribed this medication she has judged that the benefit to you is greater than the risk of adverse effects because he or. Many people using this medication do not have serious side effects.
Tell your doctor right away when you yourself have any severe side impacts, including: mental/mood modifications (such as irritability, nervousness, anxiety, hallucinations), fast/irregular heartbeat, stomach/abdominal pain, difficulty urinating, improvement in the quantity of urine, vision changes, shaking (tremor).
Get help that is medical away if you have any very severe unwanted effects, including: fainting, seizure.
Dihydrocodeine is turned into a strong drug that is narcoticdihydromorphine) in your body. This change happens faster and more completely than usual, which increases the risk of very serious side effects in some people. Get help that is medical away in the event that you notice some of the following: slow/shallow breathing, unusual drowsiness/difficulty getting out of bed, confusion.
a very severe reaction that is allergic this drug is rare. However, get help that is medical away if you notice any observeable symptoms of a critical allergic attack, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble respiration.
This is simply not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.
In the United States -
Phone your medical professional for medical advice about side effects. You could 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 adverse effects. You may report adverse effects to Health Canada at 1-866-234-2345.
See section that is also warning.
Before taking this system, tell your doctor 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 may cause allergies or other problems. Communicate with your pharmacist for more details.
Before using this medication, tell your medical professional or pharmacist your health background, especially of: brain disorders (such as head injury, tumor, seizures), breathing problems (such as for instance asthma, snore, chronic obstructive pulmonary disease-COPD), gallbladder disease, heart problems (such as irregular heartbeat, present heart attack), kidney disease, liver disease, mental/mood disorders (such as confusion, depression, thoughts of suicide), individual or genealogy of regular use/abuse of drugs/alcohol, stomach/intestinal problems (such as for instance obstruction, constipation, diarrhoea due to infection, paralytic ileus), condition 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 beverages that are alcoholic.
Before having surgery or particular medical procedures (such as for example a heart anxiety test or a procedure to restore a normal heart rhythm that you use this medication and about all the products you use (including prescription drugs, nonprescription drugs, and herbal products) if you have an unusually fast heartbeat), tell your doctor or dentist.
Some kiddies may be more sensitive to really serious side-effects associated with the dihydrocodeine in this product, such as extreme sleepiness, confusion, or breathing that is slow/shallow/noisy. (See additionally Warning section.)
Older adults may be more sensitive to the unwanted effects of this drug, especially confusion, dizziness, drowsiness, trouble sleeping, and breathing that is slow/shallow.
Before making use of this medication, women of childbearing age should talk using their s that are doctor( 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 when demonstrably 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 lessen the danger, take the tiniest effective dose for the shortest time that is possible. Tell the physician appropriate away if you notice any signs in your newborn baby such as for example 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 unusual limpness. Discuss the risks and benefits with your physician before breast-feeding.
Airmail: 2-3 business weeks, EMS: 3-8 business days.
Airmail: 2-3 business weeks, EMS: 3-8 business days.