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Co-dydramol

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Co-dydramol (Contd)

Side effects

Medicines and their possible side effects can affect individual people in different ways. The following are some of the side effects that are known to be associated with this medicine. Because a side effect is stated here, it does not mean that all people using this medicine will experience that or any side effect.

Constipation

Nausea

Headache

Balance problems involving the inner ear (vertigo)

Dizziness

Skin rashes

The side effects listed above may not include all of the side effects reported by the drug's manufacturer. For more information about any other possible risks associated with this medicine, please read the information provided with the medicine or consult your doctor or pharmacist.

How can this medicine affect other medicines?

It is important to tell your doctor or pharmacist what medicines you are already taking, including those bought without a prescription and herbal medicines, before you take this medicine. Similarly, check with your doctor or pharmacist before taking any new medicines while taking this one, to ensure that the combination is safe.

You should not take other medicines that contain paracetamol in combination with this medicine, as this can easily result in exceeding the maximum recommended daily dose of paracetamol. Many cold and flu remedies and over-the-counter painkillers contain paracetamol, so be sure to check the ingredients of any other medicines before taking them with this one.

The low dose of dihydrocodeine in this medicine is extremely unlikely to cause drowsiness. However, if you do find that this medicine makes you feel drowsy, this effect is likely to be increased if you also take any of the following (which can also cause drowsiness):

alcohol

antipsychotics, eg haloperidol

barbiturates, eg phenobarbital, amobarbital

benzodiazepines, eg diazepam, temazepam

other opioid painkillers, eg morphine, codeine

sedating antihistamines, eg chlorphenamine, hydroxyzine, promethazine

sleeping tablets, eg zopiclone

tricyclic antidepressants, eg amitriptyline.

This medicine should be used with caution in people taking a monoamine oxidase inhibitor (MAOI), for example the antidepressants phenelzine, tranylcypromine or isocarboxazid. Ask your doctor or pharmacist for advice if you are taking one of these medicines.

Cholestyramine reduces the absorption of paracetamol from the gut. It should not be taken within an hour of taking this medicine or the effect of the paracetamol will be reduced.

Metoclopramide and domperidone may increase the absorption of paracetamol from the gut.

Long-term or regular use of paracetamol may increase the anti-blood-clotting effect of warfarin and other anticoagulant medicines, leading to an increased risk of bleeding. This effect does not occur with occasional pain-killing doses. If you are taking an anticoagulant medicine and you are also taking this medicine regularly, your blood clotting time (INR) should be regularly monitored.

Other medicines containing the same active ingredients

Paramol

Remedeine

Remedeine forte

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