Vital: Medicine safety Tell your doctor or pharmacist if you are taking any other medicines, which includes herbal solutions, nutritional vitamins or dietary supplements.
Using dihydrocodeine (DHC) routinely to get a long time can lead to addiction, which could bring about you to definitely feel restless and irritable when you stop the tablets
If you're getting treatment for cancer pain or other serious pain, your pain Command might be carefully monitored. Speak to your health care provider when you are apprehensive about tolerance, hyperalgesia or turning out to be addicted.
Even though numerous toddlers dont exhibit drowsiness when exposed to codeine during breastfeeding, dihydrocodeine is most popular.
This is simply not a complete list of side effects and others may well happen. Connect with your medical professional for medical guidance about side effects. Additional about dihydrocodeine / guaifenesin
Digestion of food stuff in the little intestine is delayed and propulsive contractions are lessened. Propulsive peristaltic waves during the colon are lessened, although tone is improved to the point of spasm resulting in constipation.
Dihydrocodeine should be supplied in lessened doses or with warning to patients with asthma and diminished respiratory reserve. Prevent use during an acute asthma attack.
Whereas converting codeine to morphine is a difficult and unrewarding task, dihydrocodeine is usually transformed to dihydromorphine with really high yields (over ninety five%).
During pregnancy, this medication needs to be made use of only when Plainly needed. It might website damage an unborn toddler. Discuss the risks and benefits with your health care provider.
If clinically desired, paracetamol can be employed during pregnancy on the other hand it ought to be applied at the lowest successful dose for the shortest probable time and at the bottom feasible frequency.
the skin, tongue or lips turn blue, grey or pale (in case you have black or brown pores and skin, This can be easier to see within the palms of one's palms or soles of your feet)
Hyperalgesia Hyperalgesia might be diagnosed if the patient on long-term opioid therapy offers with greater pain. This could possibly be qualitatively and anatomically distinct from pain related to disease development or to breakthrough pain resulting from enhancement of opioid tolerance.
Prior to beginning treatment with opioids, a discussion needs to be held with patients to put in place a technique for ending treatment with dihydrocodeine in order to minimise the potential risk of addiction and drug withdrawal syndrome (see section four.4).
More assistance and monitoring can be essential when prescribing for patients prone to opioid misuse.