See also Warning section.

This combination medication is used to help relieve moderate to severe pain. 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 your system feels and responds to pain. Acetaminophen may also reduce a fever. Caffeine increases discomfort relief, particularly for certain forms of headaches.

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See also Warning section.

Just take this medication by lips as directed by your physician, frequently 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 as little head movement as you possibly can).

The dosage is according to your condition that is medical and to treatment. Do not increase your dose or use this drug more frequently or for longer than prescribed because your risk of unwanted effects may increase. Properly stop the medication when therefore directed.

Pain medications work best if they are used as the very first signs of pain happen. In the event that you wait until the pain sensation has worsened, the medicine may not act as well.

This medication may cause withdrawal reactions, particularly if it has been utilized 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 doctor or pharmacist for more details, and report any withdrawal reactions appropriate away.

When this medication is employed for a time that is long it might not work as well. Talk with your doctor if this medication stops working well.

This medication may rarely cause abnormal drug-seeking behavior (addiction) along with its benefits. This risk may be increased in the event that you have abused alcohol or medications in the past. Take this medication precisely as prescribed to lessen the danger of addiction.

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Tell your doctor if your pain persists or worsens.

Keep this medicine in a place that is safe avoid theft, misuse, or abuse.

Side Effects

See section that is also warning.

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Nausea, vomiting, constipation, lightheadedness, dizziness, drowsiness, headache, or trouble sleeping may occur. If any of these effects persist or worsen, tell your doctor or pharmacist promptly.

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To avoid constipation, eat a meal plan sufficient in fiber, drink plenty of water, and workout. Consult your pharmacist for help in picking a laxative (such as 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.

Remember that your medical professional 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 serious side effects.

Tell your physician right away if you have any severe part impacts, including: mental/mood modifications (such as for instance irritability, nervousness, anxiety, hallucinations), fast/irregular heartbeat, stomach/abdominal pain, difficulty urinating, improvement in the total amount of urine, vision changes, shaking (tremor).

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Get medical help right away if you have any very severe side effects, including: fainting, seizure.

Dihydrocodeine is turned 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 side effects. Get help that is medical away in the event that you notice any of the after: slow/shallow breathing, unusual drowsiness/difficulty getting up, confusion.

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a really 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), serious dizziness, difficulty respiration.

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This is not a list that is complete of side effects. If you notice other effects not listed above, contact your doctor or pharmacist.

In the US -

Call your medical professional for medical advice about side effects. You could report side effects to FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch.

In Canada - Call your doctor for medical advice about negative effects. You might report side effects to Health Canada at 1-866-234-2345.


See also Warning section.

Before taking this product, tell your medical professional 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 inactive ingredients, which may cause allergic reactions or other problems. Speak to 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), breathing problems (such as asthma, snore, chronic obstructive pulmonary disease-COPD), gallbladder disease, heart disease (such as irregular heartbeat, present heart attack), kidney disease, liver disease, mental/mood disorders (such as confusion, depression, thoughts of committing suicide), individual or genealogy of regular use/abuse of drugs/alcohol, stomach/intestinal problems (such as for example blockage, constipation, diarrhea due to infection, paralytic ileus), illness 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 until you are sure you can perform such activities safely. Avoid beverages that are alcoholic.

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Before having surgery or specific medical procedures (such as for example a heart anxiety 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 children may be more sensitive to extremely serious unwanted effects of this 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 your 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 making use of 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 whenever demonstrably 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 reduce the risk, take the tiniest effective dose for the shortest possible time. Tell the medical practitioner right away if you notice any symptoms in your newborn such as for instance crying that's not normal and doesn't stop, slow/shallow breathing, irritability, vomiting, or diarrhoea.

This medication 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 medical practitioner before breast-feeding.

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