See also Warning section.
This combination medication can be used to aid relieve moderate to severe pain. It contains a narcotic pain reliever (dihydrocodeine), a non-narcotic pain reliever (acetaminophen), and caffeine. Dihydrocodeine works within the mind to improve exactly how your system feels and responds to pain. Acetaminophen also can reduce a fever. Caffeine increases discomfort relief, especially for certain types of headaches.
See also Warning section.
Simply take this medication by mouth as directed by your doctor, usually 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 approaches to decrease nausea (such as lying down for 1 to 2 hours with only a small amount head movement as you can).
The dosage is according to your medical condition and response to therapy. Do not raise your dose or use this drug more frequently or for longer than prescribed because your risk of adverse effects may increase. Properly stop the medication whenever therefore directed.
Soreness medications work best if they are used as the very first signs of pain occur. In the event that you wait until the pain has worsened, the medication might not are well.
This medication might cause withdrawal reactions, particularly 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 details, and report any withdrawal reactions right away.
When this medication is used for a time that is long it might not are well. Talk with your physician if this medication stops working well.
Along with its benefits, this medication may rarely cause abnormal drug-seeking behavior (addiction). This risk may be increased in the event that you have abused alcohol or drugs into the past. Take this medicine exactly as recommended to lessen the risk of addiction.
Tell your doctor if your pain persists or worsens.
Keep this medicine in a safe place to prevent theft, misuse, or punishment.
See also Warning section.
Sickness, vomiting, constipation, lightheadedness, dizziness, drowsiness, headache, or trouble sleeping might occur. If any of these effects persist or worsen, tell your pharmacist or doctor promptly.
To avoid constipation, eat a diet adequate in fiber, drink plenty of water, and workout. Consult your pharmacist for help in selecting a laxative (such as for instance a stimulant type with stool softener).
To reduce steadily the threat of dizziness and lightheadedness, get up slowly whenever increasing from a sitting or lying position.
Keep in mind 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 side that is serious.
Tell your doctor right away when you have any severe side results, including: mental/mood changes (such as for instance irritability, nervousness, anxiety, hallucinations), fast/irregular heartbeat, stomach/abdominal pain, difficulty urinating, change in the quantity of urine, vision changes, shaking (tremor).
Get medical help right away if you have very severe side-effects, including: fainting, seizure.
Dihydrocodeine is turned into a strong drug that is narcoticdihydromorphine) 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 help that is medical away in the event that you notice some of the after: slow/shallow breathing, uncommon drowsiness/difficulty waking up, confusion.
an extremely severe reaction that is allergic this drug is rare. However, get medical help right away if you notice any observeable symptoms of a serious allergic attack, including: rash, itching/swelling (especially of the face/tongue/throat), serious dizziness, difficulty respiration.
This is not a complete list of possible side effects. If you notice other effects not listed above, contact your pharmacist or doctor.
In the US -
Call your doctor for medical advice about negative effects. You may possibly report effects that are side FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch.
In Canada - Call your doctor for medical advice about adverse effects. You might report effects that are side 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 ingredients that are inactive which causes allergy symptoms or other problems. Communicate with your pharmacist to get more details.
Before by using this medication, tell your doctor or pharmacist your medical history, especially of: brain disorders (such as for example head injury, tumor, seizures), difficulty in breathing (such as asthma, snore, chronic obstructive pulmonary disease-COPD), gallbladder disease, heart related illnesses (such as irregular heartbeat, current heart attack), kidney disease, liver disease, mental/mood problems (such as confusion, depression, thoughts of committing suicide), personal or genealogy and family history of regular use/abuse of drugs/alcohol, stomach/intestinal problems (such as for example obstruction, 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 until you are sure you can perform such activities safely. Avoid beverages that are alcoholic.
Before having surgery or particular medical procedures (such as for example a heart anxiety test or a procedure to restore an ordinary heart rhythm if you have an unusually fast heartbeat), tell your doctor or dentist that you use this medication and about all the products you use (including prescription drugs, nonprescription drugs, and herbal products).
Some kiddies may be more sensitive to extremely serious adverse effects regarding the dihydrocodeine in this product, such as extreme sleepiness, confusion, or breathing that is slow/shallow/noisy. (See also Warning part.)
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 medicine, women of childbearing age should talk making use of their s that are doctor( about the risks and benefits. Tell your doctor if you are pregnant or if you plan to become pregnant. During pregnancy, this medication should be used only when obviously required. It may 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 minimize the risk, take the tiniest effective dose for the quickest possible time. Tell the medical practitioner appropriate away if you notice any signs in your newborn such as for example 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 undesirable effects on 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 doctor before breast-feeding.
Airmail: 2-3 weeks, EMS: 3-8 business days.