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Capital with Codeine Suspension, Phenaphen with Codeine, Tylenol with Codeine, |acetaminophen and codeine Acetaminophen and Codeine

acetaminophen and codeine

Generic Name: acetaminophen and codeine (a seet a MIN o fen and KOE deen)
Brand Names: Capital with Codeine Suspension, Phenaphen with Codeine, Tylenol with Codeine

What is acetaminophen and codeine?

Codeine is in a group of drugs called narcotic pain relievers.

Acetaminophen is a less potent pain reliever that increases the effects of codeine.

The combination of acetaminophen and codeine is used to relieve moderate to severe pain.

Acetaminophen 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 acetaminophen and codeine?

Tell your doctor if you drink more than three alcoholic beverages per day or if you have ever had alcoholic liver disease (cirrhosis). You may not be able to take medication that contains acetaminophen.

Keep track of how many tablets have been used from each new bottle of this medicine. Codeine is a drug of abuse and you should be aware if any person in the household is using this medicine improperly or without a prescription.

Never take more acetaminophen and codeine than is prescribed. Tell your doctor if the medicine seems to stop working as well in relieving your pain.

What should I discuss with my healthcare provider before taking acetaminophen and codeine?

Before using acetaminophen and codeine, tell your doctor if you are allergic to any drugs, or if you have:

• asthma, COPD, sleep apnea, or other breathing disorders;

• liver disease;
• kidney disease;

• underactive thyroid;

• a history of head injury or brain tumor;

• epilepsy or other seizure disorder;

• low blood pressure;

• a stomach or intestinal disorder;

• Addison"s disease or other adrenal gland disorders;

• enlarged prostate, urination problems;

• mental illness; or

• a history of drug or alcohol addiction.

If you have any of these conditions, you may not be able to use acetaminophen and codeine, or you may need a dosage adjustment or special tests during treatment.

Tell your doctor if you drink more than three alcoholic beverages per day or if you have ever had alcoholic liver disease (cirrhosis). You may not be able to take medication that contains acetaminophen.

Keep track of how many tablets have been used from each new bottle of this medicine. Codeine is a drug of abuse and you should be aware if any person in the household is using this medicine improperly or without a prescription.

Older adults may be more sensitive to the effects of this medicine.

How should I take acetaminophen and codeine?

Take this medication exactly as it was prescribed for you. Do not take the medication in larger amounts, or use it for longer than recommended by your doctor. Follow the directions on your prescription label.

If your medicine contains 650 mg of acetaminophen per tablet, take no more than 6 tablets in 24 hours. If your medicine contains 500 mg or less of acetaminophen, take no more than 8 tablets in 24 hours. Tell your doctor if the medicine seems to stop working as well in relieving your pain.

Measure the liquid form of this medication with a special dose-measuring spoon or cup, not a regular table spoon. If you do not have a dose-measuring device, ask your pharmacist where you can get one.

If you need to have any type of surgery, tell the surgeon ahead of time that you are using acetaminophen and codeine. You may need to stop using the medicine for a short time.

What happens if I miss a dose?

Since acetaminophen and codeine is sometimes used as needed, you may not be on a dosing schedule. If you are taking the medication regularly, take the missed dose as soon as you remember. If it is almost time for the next dose, skip the missed dose and wait until your next regularly scheduled dose. Do not use extra medicine to make up the missed dose.

What happens if I overdose?

Symptoms of an acetaminophen and codeine coverdose may include extreme drowsiness, sweating, nausea, vomiting, low fever, loss of appetite, dark urine, jaundice (yellowing of the skin or eyes), confusion, cold and clammy skin, shallow breathing, slow heart rate, fainting, or coma.

What should I avoid while taking acetaminophen and codeine?

Acetaminophen and codeine side effects

• shallow breathing, slow heartbeat;

• seizure (convulsions);

• cold, clammy skin;

• confusion, unusual thoughts or behavior;

• severe weakness or dizziness; or

• feeling light-headed, fainting.

Less serious side effects are more likely to occur, such as:

• drowsiness;

• nausea, vomiting, constipation;

• dizziness, headache; or

• skin rash or itching.

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 acetaminophen and codeine?

Before taking this medication, tell your doctor if you are using any of the following drugs:

• atropine (Donnatal, and others), benztropine (Cogentin), methscopolamine (Pamine) or scopolamine (Transderm-Scop);

• glycopyrrolate (Robinul);

• bladder or urinary medications such as darifenacin (Enablex), flavoxate (Urispas), oxybutynin (Ditropan, Oxytrol), tolterodine (Detrol), or solifenacin (Vesicare);

• bronchodilators such as ipratropium (Atrovent) or tiotropium (Spiriva); or

• irritable bowel medications such as dicyclomine (Bentyl), hyoscyamine (Anaspaz, Cystospaz, Levsin, and others), or propantheline (Pro-Banthine).

If you are using any of these drugs, you may not be able to use acetaminophen and codeine, or you may need dosage adjustments or special tests during treatment.

There may be other drugs not listed that can affect acetaminophen and codeine. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.

Where can I get more information?

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

What does my medication look like?

Acetaminophen and codeine is available with a prescription generically and under the brand name Tylenol with Codeine. Other brand or generic formulations may also be available. Ask your pharmacist any questions you have about this medication, especially if it is new to you.

Acetaminophen/codeine strengths are as follows:

• Tylenol with Codeine No. 2 300 mg/15 mg--round, white tablets

• Tylenol with Codeine No. 3 300 mg/30 mg--round, white tablets

• Tylenol with Codeine No. 4 300 mg/60 mg--round white tablets

• Tylenol with Codeine Elixir 120 mg/12 mg per 5 mL (1 tsp)--amber-colored, cherry-flavored liquid containing 7% alcohol

• 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.