See also Warning section.
This combination medication is used to aid alleviate moderate to pain that is severe. It contains a narcotic pain reliever (dihydrocodeine), a non-narcotic pain reliever (acetaminophen), and caffeine. Dihydrocodeine works in the brain to change exactly how your system feels and responds to pain. Acetaminophen can also reduce a fever. Caffeine increases discomfort relief, particularly for certain types of headaches.
See also Warning section.
Just take this medicine by lips as directed by your medical practitioner, frequently every 4 hours as required for discomfort. You might take this drug with or without food. If you have nausea, it may help to take this drug with food. Ask your doctor or pharmacist about other approaches to decrease nausea (such as lying down for 1 to 2 hours with as little mind movement as you can).
The dosage is according to your condition that is medical and to treatment. Do not increase your dose or use this drug more often or for longer than recommended because your risk of unwanted effects may increase. Properly stop the medication whenever therefore directed.
Soreness medications work best if they are used as the initial signs of discomfort occur. In the event that you wait until the pain has worsened, the medicine might not are well.
This medication may cause withdrawal reactions, especially 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 more information, and report any withdrawal reactions appropriate away.
When this medication is employed for a long time, it might probably not are 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 might be increased in the event that you have abused alcohol or medications in the past. Take this medicine exactly as prescribed to lessen the risk of addiction.
Tell your doctor if your pain persists or worsens.
Keep this medication in a safe place to prevent theft, misuse, or abuse.
See also Warning section.
Sickness, 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 exercise. Consult your pharmacist for help in selecting a laxative (such as for instance a stimulant type with stool softener).
To decrease the danger of dizziness and lightheadedness, get up slowly when increasing from a sitting or position that is lying.
Keep in mind that your physician 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 adverse that is serious.
Tell your physician right away when you have any serious side effects, including: mental/mood changes (such as irritability, nervousness, anxiety, hallucinations), fast/irregular heartbeat, stomach/abdominal pain, trouble urinating, improvement in the total amount of urine, vision changes, shaking (tremor).
Get medical help right away if you have very serious negative 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 side effects in some people. Get medical help right away in the event that you notice any of the after: slow/shallow breathing, uncommon drowsiness/difficulty waking up, confusion.
a very serious allergic reaction to this drug is rare. However, get medical help right away if you notice any observeable symptoms of a significant allergic reaction, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, difficulty breathing.
This is not a list that is complete of adverse effects. If you notice other effects not listed above, contact your doctor or pharmacist.
In the United States -
Call your medical professional 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 - Call your physician for medical advice about unwanted effects. You might report effects that are side Health Canada at 1-866-234-2345.
See section that is also warning.
Before taking the 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 may cause allergic reactions or other problems. Keep in touch with your pharmacist for lots more details.
Before making use of this medication, tell your medical professional or pharmacist your medical background, especially of: brain disorders (such as for example 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 example irregular heartbeat, current heart attack), kidney disease, liver disease, mental/mood disorders (such as confusion, depression, thoughts of suicide), individual or genealogy and family history of regular use/abuse of drugs/alcohol, stomach/intestinal problems (such as for instance blockage, constipation, diarrhea 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 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 kiddies may be more sensitive to really serious unwanted effects associated with the dihydrocodeine in this product, such as extreme sleepiness, confusion, or breathing that is slow/shallow/noisy. (See additionally Warning part.)
Older adults may be more sensitive to the side-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 with 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 obviously needed. It might 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 unborn baby. To lessen the danger, take the tiniest effective dose for the shortest possible time. Tell the doctor right away in the event that you notice any signs in your newborn baby such as for instance crying that is not normal and doesn't stop, slow/shallow breathing, irritability, vomiting, or diarrhea.
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 limpness that is unusual. Discuss the risks and benefits with your physician before breast-feeding.
Airmail: 2-3 weeks, EMS: 3-8 business days.