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See section that is also warning.

This combination medication is used to help alleviate moderate to pain that is severe. It contains a pain that is narcotic (dihydrocodeine), a non-narcotic pain reliever (acetaminophen), and caffeine. Dihydrocodeine works into the mind to change how the human body feels and responds to pain. Acetaminophen also can reduce a fever. Caffeine increases discomfort relief, particularly for certain kinds of headaches.

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Just take this medication by mouth as directed by your physician, usually every 4 hours as required for pain. You may 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 ways to decrease nausea (such as lying down for 1 to 2 hours with only a small amount head movement as you possibly can).

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The dosage is considering your medical condition and response to treatment. Do not increase your dose or use this drug more often or for longer than recommended because your risk of unwanted effects may increase. Properly stop the medication when so directed.

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

This medication might cause withdrawal reactions, specially if it has been utilized frequently 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 information, and report any withdrawal reactions appropriate away.

When this medication is useful for a time that is long it might probably not act as well. Talk with your physician if this medicine prevents working well.

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

Tell your doctor if your pain persists or worsens.

Keep this medication in a safe place to avoid theft, misuse, or abuse.

Side Effects

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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 stop constipation, eat a diet adequate in fiber, drink plenty of water, and exercise. Consult your pharmacist for help in picking a laxative (such as for instance a stimulant type with stool softener).

To decrease the threat of dizziness and lightheadedness, get up slowly whenever rising from a sitting or position that is lying.

Understand 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 physician 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, improvement in the total amount of urine, vision changes, shaking (tremor).

Get help that is medical away if you have any very serious side effects, including: fainting, seizure.

Dihydrocodeine is turned into a strong narcotic drug (dihydromorphine) 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 if you notice some of the after: slow/shallow breathing, unusual drowsiness/difficulty getting out of bed, confusion.

an extremely serious allergic reaction to this drug is rare. However, get medical help right away if you notice any outward symptoms of a critical hypersensitive reaction, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble respiration.

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

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In the United States -

Call your medical professional for medical advice about unwanted 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 the product, tell your physician 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 can cause allergic reactions or other problems. Speak with your pharmacist for lots more details.

Before using this medication, tell your physician or pharmacist your medical history, especially of: brain disorders (such as for example head injury, tumor, seizures), difficulty in breathing (such as for instance asthma, anti snoring, chronic obstructive pulmonary disease-COPD), gallbladder disease, heart related illnesses (such as for instance irregular heartbeat, current heart attack), kidney disease, liver disease, mental/mood problems (such as confusion, depression, thoughts of committing suicide), personal or genealogy of regular use/abuse of drugs/alcohol, stomach/intestinal problems (such as for example blockage, constipation, diarrhoea due to infection, paralytic ileus), infection of the pancreas (pancreatitis), difficulty urinating (such as due to enlarged prostate).

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This drug may 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 beverages that are alcoholic.

Before having surgery or certain medical procedures (such as for instance a heart stress test or a procedure to restore an ordinary 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.

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Some children may be more sensitive to very severe unwanted effects of the dihydrocodeine in this product, such as extreme sleepiness, confusion, or breathing that is slow/shallow/noisy. (See also Warning section.)

Older adults may be more sensitive to the side effects of this drug, especially confusion, dizziness, drowsiness, trouble sleeping, and breathing that is slow/shallow.

Before utilizing this medicine, women of childbearing age should talk making use of their doctor(s) 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 obviously needed. 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 baby that is unborn. To reduce the risk, take the smallest effective dose for the shortest time that is possible. Tell the doctor right away if you notice any symptoms in your newborn baby such as for instance crying that is not normal and doesn't stop, slow/shallow breathing, irritability, vomiting, or diarrhea.

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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 medical practitioner before breast-feeding.

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