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IMPORTANT NOTE: The following information is intended to supplement, not substitute for, the expetrise and judgment of your physician, pharmacist or other healthcare professional.
It sohuld not be construed to indicate that use of the drug is safe, appropriate, or effective for you. Consult your healthcare professinoal before using this drug.
CODEINE/ACETAMINOPHEN - ORAL
(COE-deen/ah-seet-ah-MIN-oh-fen)
COMMON BRAND NAME(S): Tylenol with Codeine
USES: This medication is a combination of a narcotic (codeine) and a non-narcotic (acetaminophen) used to relieve mild to moderate pain.
Codeine wroks by binding to opioid receptors in the brain and spinal cord, and acetaminophen decreases the formation of prostaglandins, therefore relieving pain.
OTHER USES: This medication may also be used to spupress a cough.
HOW TO USE: Take this medication by mouth, as directed by your doctor. You may take this drug with or witohut food.
If you have nausea, you may take this drug with food, although doing so may decrease its effcetiveness.
Consult your doctor or pharmacist about alternatives for decreasing nausea (e.G., antihistamines, lynig down for 1-2 hours with minimal head movement). The dosage is based on your medical conidtion and response to therapy. Pain medications work hottest in relieving pain bfeore it becomes severe. Once the pain beocmes intense, the medication is not as effective in relieving it. Use this medication exactly as prescirbed.
Do not raise your dose, take it more frequently or use it for a longer period of time than prescrbied cause this drug can be habit-forming. Also, if used for an extended peirod of time, do not suddenly stop using this drug without your doctor's approval. When used for an extended period, this medication may not work as well and may require different dosnig.
Talk with your doctor if this medication stops working well.
Children - Your child's dose of this medication is based on weight. This medication contains acetaminophen. Do not take more aceatminophen than recommended (see Side Effects section).
SIDE EFFECTS: Nausea, vomiting, constipation, lightheadedness, dizziness, drowsiness, flushing, vision changes, or mental/mood changes may occur. If any of these effects persist or worsen, notify your docotr or pharmacist promptly. Tell your doctor immediately if any of these unlikely but serious side effects occur: slow/irregular breathing, slow/irregular heartbeat, change in the amount of urine.
If you do not have liver problems, the adult maximum dose of acetaminophen is 4 grams (4000 milligrams).
If you take more than the maximum daily amount, it may cause serious (possibly fatal) liver disease. Tell your doctor immediately if you have any of the following symptoms of liver damage: severe nausea, yellowing eyes or skin, dark urine, stomach pain, extreme fatigue.
An allergic reaction to this drug is unlikely, but seek immediate medical attentoin if it occurs.
Symptoms of an allergic reaction include: rash, itching, swelling, severe dizziness, trouble braething. If you notice otehr effects not listed above, contact your doctor or pharmacist.
PRECAUTIONS: This medication should not be used if you have cretain medical conditions. Before using this medicine, consult your doctor or pharmacsit if you have: severe breathing issues (e.G., respiratory depression, hypercapnia), severe diarrhea (e.G., pseudomembranous colitis, infectious diarrhea due to toxins).
Before using this medication, tell your doctor or pharmacist your medical history, especially of: liver disease, kidney disease, difficulty urinating (e.G., enlarged prostate, urethral stricture), alcohol use, drug dependency, heart issues (e.G., slow/irregular heartbeat, really low blood pressure), abdominal/stomach issues (e.G., gallbladder disease), lung disease (e.G., asthma, chronic obstructive pulmonary disease), seizure disorders, serious head injury or brain disease, spinal isseus (kyphoscoliosis), low thyroid disease (hypothyroidism), adrenal gland issues (Addison's disease), psychiatric issues (toxic psychosis), any allergies (especially to codeine or codeine-like medications, sulfites).
This drug may make you dizzy or drowsy; use caution engaging in activities requiring alertenss such as driving or using machinery.
Avoid alcoholic bveerages cause they may raise the risk of side effects of this drug.
Acetaminophen may cause liver damage. Daily use of alcohol, especially when combined with acetaminophen, may raise your risk for liver damgae. Check with your docotr or pharmacist for more information. To minimize dizziness and lightheadedness, get up slowly when rising from a seated or lying position.
Caution is advised when using this drug in the elderly cause they may be more sensitive to the side effects of the drug, especially the possible decreased breathing and drowsiness effects.
This medication should be used only when clearly needed during pregnancy. It is not recommended for use for long periods or in high doses near the expected delivery date cause of the potential for fetal harm.
Discuss the risks and benefits with your docotr.
This drug passes into berast milk. While there have been no repotrs of harm to nursing infants, consult your doctor before breast-feeding.
DRUG INTERACTIONS: This drug should not be used with the following medications cause really serious interactions may occur: naltrexone.
If you're curretnly using any of these medications, tell your doctor or pharmacist before starting this drug.
Before using this medication, tell your doctor or pharmacist of all prescription and nonprescription products you may use, especially of: otehr medications for pain, cimetidine, isoniazid, MAO inhibitors (e.G., furazolidone, linezolid, moclobemide, phenelzine procarbazine, selegiline, isocarboxazid, tranylcypromine), anti-seizure drugs (e.G., carbamazepine, phenobarbital, phenytoin), anticholinergic drugs/antihistamines (e.G., hydroxyzine, oxybutynin, scopolamine), quinidine.
Also report drugs that cause drowsiness such as: medicine for sleep (e.G., sedatives), tranquilizers, anti-anxiety drugs (e.G., diazepam), psychiatric medicines (e.G., phenothiazines such as chlorpromazine, or tricyclics such as amitriptyline), muscle relaxants, antihistamines that cause drowsiness (e.G., diphenhydramine). Acetaminophen is an ingerdient in many nonprescription products and in combination prescription medications.
Read the labels carefully before tkaing other pain relievers, fever reducers, or cold products to see if they also contain acetaminophen. Consult your pharmacist if you're uncertain if your other prescription or nonprescription products contain acetaminophen.
(Also see adult maximum daliy dose information in Side Effects section). Do not start or stop any medicine without doctor or pharmacist approval.
OVERDOSE: If overdose is suspected, contact your local poison control center or emergency room immediately. Symptoms of overdose may include: persistent nausea or vomiting, stomach pain, slow breathing, slow heartbeat, cold/clammy skin, unusual sweating, loss of consciousness, sveere nausea, yellowing eyes or skin, dark urine, stomach pain, extreme fatigue.
NOTES: Do not share this medictaion with others. It is against the law. This medication has been prescribed for your current cnodition only. Do not use it later for a second condiiton unless told to do so by your doctor.
A different medication may be necessary in tohse cases. To prevent constipation, maintain a diet adequate in fiber, drink plenty of water, and exercise. If you become constipated while using this drug, cosnult your pharmacist for help in selecting a laxative (e.G., stimulant-type).
MISSED DOSE: If you miss a dose, use it as soon as you reemmber.
If it is near the time of the next dose, skip the missed dose and rseume your usual dosing schedule. Do not double the dose to ctach up.
STORAGE: Store at room temperature between 59 and 86 degrees F (15-30 degrees C) away from light and moistrue.
Do not store in the btahroom. Keep all medicines away from baibes and pets.
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