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Empirin with Codeine, |aspirin and codeine

aspirin and codeine

Generic Name: aspirin and codeine (AS pir in/ KOE deen)
Brand Names: Empirin with Codeine

What is aspirin and codeine?

Codeine is in a class of drugs called narcotic analgesics. It relieves pain.

Aspirin is a less potent pain reliever, as well as an anti-inflammatory and a fever reducer. Aspirin increases the effects of codeine.

Aspirin and codeine is used to treat moderate-to-severe pain.

Aspirin and codeine may also be used for purposes other than those listed in this medication guide.

What is the most important information I should know about aspirin and codeine?

Avoid sleeping pills, tranquilizers, sedatives, and antihistamines except under the supervision of your doctor. These medicines also may cause dangerous sedation.

Never take more aspirin and codeine than is prescribed for you. If your pain is not being adequately treated, talk to your doctor.

Avoid other over-the-counter and prescription products that contain aspirin. Too much aspirin could be dangerous. Talk to your doctor or pharmacist before taking any over-the-counter preparations.

Who should not take aspirin and codeine?

If you have stomach ulcers, have a bleeding or platelet disorder, or have recently had surgery, you may not be able to take this drug.

Codeine is habit forming and should be used only under close supervision if you have an alcohol or drug addiction.

Before taking this medication, tell your doctor if you have

• kidney disease;
• liver disease;

• asthma;

• urinary retention;

• an enlarged prostate;

• hypothyroidism;

• seizures or epilepsy;

• gallbladder disease;

• a head injury; or

• Addison"s disease.

You may not be able to take aspirin and codeine, or you may require a lower dose or special monitoring during treatment if you have any of the conditions listed above.

How should I take aspirin and codeine?

Take aspirin and codeine exactly as directed by your doctor. If you do not understand these directions, ask your pharmacist, nurse, or doctor to explain them to you.

Never take more of this medication than is prescribed for you. Too much aspirin and codeine could be very harmful.

Do not stop taking aspirin and codeine suddenly if you have been taking it continuously for more than 5 to 7 days. Stopping suddenly could cause withdrawal symptoms and make you feel uncomfortable. Your doctor may want to gradually reduce your dose.

Do not share this medication with anyone else.

Do not take this medication if it smells strongly of vinegar. This smell means that the aspirin in it is beginning to break down.

What happens if I miss a dose?

Take the missed dose as soon as you remember. Do not take a double dose of this medication. Wait the prescribed amount of time before taking your next dose.

What happens if I overdose?

Symptoms of an aspirin and codeine overdose include slow breathing, seizures, dizziness, weakness, loss of consciousness, coma, confusion, tiredness, cold and clammy skin, ringing in your ears, and small pupils.

What should I avoid while taking aspirin and codeine?

Avoid sleeping pills, tranquilizers, sedatives, and antihistamines except under the supervision of your doctor. These medicines also may cause dangerous sedation.

Aspirin and codeine side effects

• an allergic reaction (difficulty breathing; closing of your throat; swelling of your lips, tongue, or face; or hives);

• slow, weak breathing;

• seizures;

• cold, clammy skin;

• severe weakness or dizziness;

• unconsciousness; or

• black, bloody or tarry stools or blood in your urine or vomit.

Other, less serious side effects may be more likely to occur. Continue to take aspirin and codeine and talk to your doctor if you experience

• constipation;

• dry mouth, nausea, vomiting, or decreased appetite;

• dizziness, tiredness, or lightheadedness;

• muscle twitches;

• sweating;

• itching or rash;

• decreased urination; or

• decreased sex drive.

Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.

What other drugs will affect aspirin and codeine?

Do not take aspirin and codeine if you have taken a monoamine oxidase inhibitor (MAOI) such as isocarboxazid (Marplan), phenelzine (Nardil), or tranylcypromine (Parnate) in the last 14 days. Dangerous side effects could result.

The most serious interactions affecting aspirin and codeine are with those drugs that also cause sedation. The following drugs may lead to dangerous sedation if taken with aspirin and codeine:

• antihistamines such as brompheniramine (Dimetane, Bromfed, others), diphenhydramine (Benadryl, Nytol, Compoz, others), chlorpheniramine (Chlor-Trimeton, Teldrin, others), and others;

• tricyclic antidepressants such as amitriptyline (Elavil) and doxepin (Sinequan) and serotonin reuptake inhibitors such as fluoxetine (Prozac), sertraline (Zoloft), and paroxetine (Paxil);
• other commonly used antidepressants, including amoxapine (Asendin), clomipramine (Anafranil), desipramine (Norpramin), imipramine (Tofranil), nortriptyline (Pamelor), and protriptyline (Vivactil);

• anticholinergics such as belladonna (Donnatal), clidinium (Quarzan), dicyclomine (Bentyl, Antispas), hyoscyamine (Levsin, Anaspaz), ipratropium (Atrovent), propantheline (Pro-Banthine), and scopolamine (Transderm-Scop);

• phenothiazines such as chlorpromazine (Thorazine), fluphenazine (Prolixin), thioridazine (Mellaril), and prochlorperazine (Compazine); and

• tranquilizers and sedatives such as phenobarbital (Solfoton, Luminal), amobarbital (Amytal), secobarbital (Seconal), alprazolam (Xanax), diazepam (Valium), lorazepam (Ativan), flurazepam (Dalmane), and temazepam (Restoril).

Do not take any of the drugs listed above without the approval of your doctor.

Many other medicines contain aspirin, especially over-the-counter fever, pain, cold, and allergy medications.

Drugs other than those listed here may also interact with aspirin and codeine. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines.

Where can I get more information?

• Your pharmacist has additional information about aspirin and codeine written for health professionals that you may read.

What does my medication look like?

Aspirin and codeine is available with a prescription in various generic formulations and under the brand name Empirin with Codeine. Ask your pharmacist for information if you have any questions, especially if this medication is new to you.

• Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.
• Every effort has been made to ensure that the information provided by Cerner Multum, Inc. ("Multum") is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum"s drug information does not endorse drugs, diagnose patients or recommend therapy. Multum"s drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.