See also Warning section.
This combination medication is employed to aid relieve 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 improve how your body feels and responds to pain. Acetaminophen also can reduce a fever. Caffeine increases pain relief, particularly for certain forms of headaches.
See additionally Warning section.
Take this medicine by mouth as directed by your doctor, usually every 4 hours as needed for pain. You might take this drug with or without food. It may help to take this drug with food if you have nausea. Ask your doctor or pharmacist about other techniques to decrease nausea (such as lying down for 1 to 2 hours with as little mind movement that you can).
The dosage is according to your medical condition and response to treatment. Do not raise your dose or use this drug more often or for longer than prescribed because your threat of negative effects may increase. Properly stop the medicine when therefore directed.
Soreness medications work best if they are utilized as the first signs of pain happen. If you wait until the pain has worsened, the medication might not act as well.
This medication may cause withdrawal reactions, especially if it has been used frequently 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 used for a time that is long it may not are well. Talk with your medical practitioner 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 if you have abused alcohol or drugs into the past. Take this medicine exactly as recommended 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 section that is also warning.
Nausea, vomiting, constipation, lightheadedness, dizziness, drowsiness, headache, or sleep problems may occur. If any of these effects persist or worsen, tell your doctor or pharmacist promptly.
To avoid constipation, eat a meal plan 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 the risk of dizziness and lightheadedness, get up slowly when increasing from a sitting or position that is lying.
Keep in mind that your doctor has prescribed this medication 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 doctor right away when you yourself have any severe side impacts, including: mental/mood changes (such as irritability, nervousness, anxiety, hallucinations), fast/irregular heartbeat, stomach/abdominal pain, difficulty urinating, change in the total amount of urine, vision changes, shaking (tremor).
Get help that is medical away if you have any very severe side-effects, including: fainting, seizure.
Dihydrocodeine is changed into a strong narcotic drug (dihydromorphine) in your body. In some people, this change happens faster and more completely than usual, which increases the risk of very serious adverse effects. Get help that is medical away in the event that you notice any of the following: slow/shallow breathing, unusual drowsiness/difficulty getting out of bed, confusion.
an extremely severe allergic reaction to this drug is rare. However, get help that is medical away if you notice any observeable symptoms of a serious allergic reaction, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.
This isn't a complete list of possible side effects. If you notice other effects not listed above, contact your pharmacist or doctor.
In the United States -
Call your physician for medical advice about unwanted effects. You might report effects that are side FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch.
In Canada - Call your medical practitioner for medical advice about side-effects. You may report adverse effects to Health Canada at 1-866-234-2345.
See section that is also warning.
Before taking the product, tell your doctor or pharmacist if you have any other allergies if you are allergic to dihydrocodeine, acetaminophen, or caffeine; or to other narcotic pain medications (such as codeine, morphine); or. This product may contain ingredients that are inactive which causes allergies or other problems. Speak to your pharmacist for more details.
Before by using this medication, tell your physician or pharmacist your medical history, especially of: brain disorders (such as for instance head injury, tumor, seizures), difficulty in breathing (such as asthma, anti snoring, chronic obstructive pulmonary disease-COPD), gallbladder disease, heart disease (such as irregular heartbeat, current heart attack), kidney disease, liver disease, mental/mood problems (such as confusion, depression, thoughts of suicide), individual or family history of regular use/abuse of drugs/alcohol, stomach/intestinal problems (such as for example blockage, 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 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 kids may be more sensitive to very severe unwanted 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 negative effects of this medication, especially confusion, dizziness, drowsiness, trouble sleeping, and slow/shallow breathing.
Before making use of this medication, women of childbearing age should talk along with their s that are doctor( 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 when plainly required. 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 risk, take the smallest effective dose for the quickest possible time. Tell the doctor right away in the event that you notice any symptoms in your newborn such as crying that's 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 limpness that is unusual. Discuss the risks and benefits with your doctor before breast-feeding.
Airmail: 2-3 weeks, EMS: 3-8 business days.