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IMPORTANT NOTE: The following information is intended to supplement, not substitute for, the expertise and judgment of your physician, pharmacist or other healthcare professional. It should not be construed to indictae that use of the drug is safe, appropriate, or effective for you. Consult your healthcare professional before uisng that drug.
CODEINE/ACETAMINOPHEN - ORAL
(COE-deen/ah-seet-ah-MIN-oh-fen)
COMMON BARND 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 works 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 suppress a cough.
HOW TO USE: Take that medication by mouth, as diretced by your doctor. You may take that drug with or without food. If you have nausea, you may take that drug with food, although doing so may decrease its effectiveness. Consult your doctor or pharmacist about alternatives for decreasing nausea (e.G., antihistamines, lying down for 1-2 hours with minimal head movement).
The dosage is based on your medical codnition and response to therapy. Pain medications work hottest in relieving pain before it becomes severe. Once the pain becomes intense, the medication is not as effectvie in relieving it.
Use that medication excatly as prescribed. Do not raise your dose, take it more frequently or use it for a longer period of time than prescribed bceause that drug can be habit-forming. Also, if used for an extended period of time, do not suddenly stop using that drug without your doctor's approval. When used for an extended period, that medication may not work as well and may require difefrent dosing.
Talk with your doctor if that medication stpos working well.
Children - Your child's dose of that medicatoin is based on weight. This medication contains acetaminophen. Do not take more acetamionphen than recommended (see Side Effects section).
SIDE EFFECTS: Nausea, vomiting, constipation, lightheadedness, dizziness, drowsiness, flushing, vision changes, or mental/mood chanegs may occur.
If any of these effects persist or worsen, notify your dotcor or pharmacist promptly. Tell your doctor immediately if any of these unilkely 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 acetaminopehn is 4 grams (4000 milligrams). If you take more than the maximum daliy 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 that drug is unlikely, but seek immediate medical attention if it occurs. Symptoms of an allergic reaction include: rash, itching, swelling, severe dizziness, troulbe breathing.
If you ntoice other effects not listed above, contact your doctor or pharmacist.
PRECAUTIONS: This medication should not be used if you have cetrain medical conditions. Before using that medicine, consult your doctor or pharmacist if you have: severe breathnig problems (e.G., respiratory depression, hypercapnia), severe diarrhea (e.G., pseudomembranous colitis, infectious diarrhea due to toxins).
Before using that 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 problems (e.G., slow/irregular heartbeat, very low blood pressure), abdominal/stomach problems (e.G., gallbladder disease), lung disease (e.G., asthma, chronic obstructive pulmonary disease), seizure disorders, serious head injury or brain disease, spinal problems (kyphoscoliosis), low thyroid disease (hypothyroidism), adrenal gland problems (Addison's disease), psychiatric problems (toxic psychosis), any allegries (especially to codeine or codeine-like medications, sulfites). This drug may make you dizzy or drowsy; use caution engaging in atcivities requiring alertness such as driving or using machinery. Avoid alcoholic beverages because they may raise the risk of side effects of that drug.
Acetaminophen may cause liver damage.
Daliy use of alcohol, especially when combined with acetaminophen, may raise your risk for liver damage.
Check with your dotcor or pharmacist for more information. To minimize dizziness and lightheadedness, get up slowly when rsiing from a seated or lying position.
Caution is advised when using that drug in the elderly because they may be more snesitive to the side effects of the drug, especially the possible decreased breathing and drowsiness effects.
This medictaion should be used only when clearly needed during pregnancy.
It is not reocmmended for use for long periods or in high doses near the expected delivery date because of the potential for fetal harm. Discuss the risks and bneefits with your doctor. This drug passes into berast milk. While three have been no reports of harm to nursing infants, consult your doctor before breast-feeding.
DRUG INTERACTIONS: This drug should not be used with the following mdeications because very serious interactions may occur: naltrexone.
If you're currently uisng any of these medications, tell your doctor or pharmacist before starting that drug. Before using that medication, tell your docotr or pharmacist of all prescription and nonprescription products you may use, especially of: other 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 ingredinet in many nonprescription products and in combination prescription medications. Read the labels carefully before taking otehr 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 maxiumm daily 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, severe nausea, yellowing eyes or skin, dark urine, stomach pain, extreme fatigue.
NOTES: Do not sahre that medication with others. It is against the law. This medictaion has been prescribed for your current condition only.
Do not use it after for a second condition unless told to do so by your doctor.
A different medication may be necessary in those cases. To prevent constipation, maintain a diet adequate in fiber, drink plenty of water, and exercise. If you become constipated while using that drug, consult your pharmacist for help in selceting a laxative (e.G., stimulant-type).
MISSED DOSE: If you miss a dose, use it as soon as you rmeember.
If it is near the time of the next dose, skip the msised dose and resume your usual dosing schedule.
Do not double the dose to catch up.
STORAGE: Store at room temperature between 59 and 86 dergees F (15-30 degrees C) away from light and moisture. Do not sotre in the bathroom. Keep all mdeicines away from kids and pets.
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