Uses
Codeine phosphate, obtained from opium or prepared from morphine by
methylation, is a centrally acting analgesic used for the relief of mild to
moderately severe pain.
Codeine is used as an analgesic, a cough suppressant or as an anti-diarrheal
agent. The phosphate of the alkaloid codeine is used because of its free
solubility in water.
COD-Efferalgan with codeine, combines the analgesic effects
of a centrally acting analgesic, codeine, with a peripherally acting
analgesic. Codeine is used for the relief of
mild to moderately severe pain.
Directions
COD-Efferalgan comes as an effervescent tablet containing 15 mg. codeine, usually taken every 12 hours or as needed.
Codeine can be habit-forming. Do not take a larger dose, more often, or for
a longer period than your doctor tells you to.
If you miss a dose, take it as soon as remembered if it is within an hour or
so. If you do not remember until later, skip the missed dose and resume your
usual dosing schedule. Do not "double-up" the dose to catch up.
Side efects
Although side effects from codeine are not common, they can
occur. Tell your doctor if any of these symptoms are severe or do not go
away: dizziness, lightheadedness, drowsiness, upset stomach, vomiting,
constipation, stomach pain, difficulty urinating.
If you experience any of the following symptoms, call your doctor
immediately: difficulty breathing, rash or itching, ringing in the ears or
decreased hearing, abnormal bruising or bleeding.
Precautions
N/A.
Tell your doctor what prescription and nonprescription medications you are
taking, especially other pain relievers, anticoagulants, antidepressants,
corticosteroids, MAO inhibitors, medications for cough, cold, or allergies,
medications for diabetes, arthritis, or gout, sedatives, sleeping pills,
tranquilizers and vitamins.
Tell your doctor if you have or have ever had a bleeding disorder, ulcer
disease, liver or kidney disease, a history of alcoholism, anemia, lung or
thyroid disease, prostatic hypertrophy, or urinary problems.
Tell your doctor if you are pregnant, plan to become pregnant, or are
breast-feeding. If you become pregnant while taking codeine,
call your doctor.
If you are having surgery, including dental surgery, tell the doctor or
dentist that you are taking codeine.
Codeine may make you drowsy. Do not drive a car or operate machinery until
you know how codeine affects you.
Alcohol can add to the drowsiness caused by codeine.
Drug Interactions
Tell your doctor of all prescription and nonprescription medications you use, especially of: fluconazole, lithium, "water pills" (diuretics, e.g., furosemide, hydrochlorothiazide), drugs for high blood pressure, ACE inhibitors (e.g., captopril, lisinopril), corticosteroids (e.g., prednisone), "blood thinners" (e.g., warfarin), NSAID (e.g., ibuprofen, naproxen). Check all prescription and nonprescription medicine labels carefully since many contain pain relievers/fever reducers (NSAIDs such as ibuprofen, naproxen, or aspirin) which are similar to this drug. Aspirin, as prescribed by your doctor for reasons such as heart attack or stroke prevention (usually these dosages are 81-325 mg per day), should be continued. Consult your doctor or pharmacist for more details. Do not start or stop any medicine without doctor or pharmacist approval.
Overdose
If overdose of codeine is suspected, contact your local
poison control center or emergency room immediately.
NOTES: The above information is intended to supplement, not substitute for, the
expertise and judgment of your physician, or other healthcare professional.
It should not be construed to indicate that use of codeine
is safe, appropriate, or effective for you. Consult your health care
professional before you buy Codeine Effervescent
(COD-Efferalgan).
Additional information
Keep codeine in a tightly closed container and out of reach
of children. Store codeine at room temperature and away
from excess heat and moisture (not in the bathroom).
Storage
Store at room temperature between 59 and 86 degrees F (15 - 30 degrees C) away from light and moisture.