See also Warning section.
This combination medication can be used to aid 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 in the mind to alter just how the human body feels and responds to pain. Acetaminophen also can reduce a fever. Caffeine increases discomfort relief, specifically for certain kinds of headaches.
See additionally Warning section.
Just take this medication by lips as directed by your doctor, often every 4 hours as needed for discomfort. You may take this drug with or without food. If you have nausea, it may help to take this drug with food. Ask your pharmacist or doctor about other how to decrease nausea (such as lying down for 1 to 2 hours with very little mind movement as you are able to).
The dosage is predicated on your medical condition and response to treatment. Do not increase your dose or use this drug more often or for longer than recommended because your risk of negative effects may increase. Properly stop the medicine when so directed.
Soreness medications work best if they are utilized as the first signs of discomfort happen. If you wait until the pain has worsened, the medicine may not work as well.
This medication could cause withdrawal reactions, specially if it has been utilized 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 pharmacist or doctor for additional information, and report any withdrawal reactions right away.
When this medication is employed for a time that is long it would likely not act as well. Talk with your medical practitioner if this medicine prevents 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 in the past. Take this medication 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 avoid theft, misuse, or abuse.
See also Warning section.
Sickness, vomiting, constipation, lightheadedness, dizziness, drowsiness, headache, or sleep disorders might occur. If any of these effects persist or worsen, tell your pharmacist or doctor promptly.
To avoid constipation, eat a diet sufficient in fiber, drink plenty of water, and workout. Consult your pharmacist for help in selecting a laxative (such as for example a stimulant type with stool softener).
To reduce steadily the danger of dizziness and lightheadedness, get up slowly whenever increasing from a sitting or position that is lying.
Understand that your doctor has prescribed this medicine 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 side that is serious.
Tell your doctor right away if you have any severe part results, including: mental/mood modifications (such as for example 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 severe unwanted effects, including: fainting, seizure.
Dihydrocodeine is changed into a strong narcotic drug (dihydromorphine) in your body. This change happens faster and more completely than usual, which increases the risk of very serious adverse effects in some people. Get help that is medical away if you notice some of the following: slow/shallow breathing, unusual drowsiness/difficulty getting up, confusion.
an extremely severe reaction that is allergic this drug is rare. However, get help that is medical away if you notice any outward symptoms of a critical allergic reaction, including: rash, itching/swelling (especially of the face/tongue/throat), serious dizziness, difficulty breathing.
This isn't a list that is complete of adverse effects. If you notice other effects not listed above, contact your pharmacist or doctor.
In the United States -
Phone your doctor for medical advice about unwanted effects. You may report adverse effects to FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch.
In Canada - Phone your physician for medical advice about negative effects. You'll report effects that are side Health Canada at 1-866-234-2345.
See section that is also warning.
Before taking this product, tell your physician 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 could cause allergies or other problems. Communicate with your pharmacist for lots more details.
Before using this medication, tell your doctor or pharmacist your medical background, especially of: brain disorders (such as head injury, tumor, seizures), difficulty in breathing (such as asthma, sleep apnea, chronic obstructive pulmonary disease-COPD), gallbladder disease, heart related illnesses (such as for instance irregular heartbeat, recent heart attack), kidney disease, liver disease, mental/mood problems (such as confusion, depression, thoughts of committing suicide), personal or genealogy and family history of regular use/abuse of drugs/alcohol, stomach/intestinal problems (such as for example obstruction, constipation, diarrhea due to infection, paralytic ileus), disease of the pancreas (pancreatitis), difficulty urinating (such as due to enlarged prostate).
This drug may 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 stress test or a procedure to restore a standard 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 young ones may be more sensitive to really severe side-effects regarding the dihydrocodeine in this product, such as extreme sleepiness, confusion, or slow/shallow/noisy breathing. (See additionally Warning part.)
Older adults may be more sensitive to your unwanted effects of this drug, especially confusion, dizziness, drowsiness, trouble sleeping, and breathing that is slow/shallow.
Before making use of this medicine, women of childbearing age should talk using 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 utilized only whenever obviously 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 reduce the risk, take the smallest effective dose for the quickest time that is possible. Tell the medical practitioner appropriate away if you notice any signs in your newborn such as crying that is not normal and doesn't stop, slow/shallow breathing, irritability, vomiting, or diarrhoea.
This medicine 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 physician before breast-feeding.
Airmail: 2-3 business weeks, EMS: 3-8 business days.
Airmail: 2-3 business weeks, EMS: 3-8 business days.