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See section that is also warning.

This combination medication is employed to simply help relieve moderate to severe pain. It contains a narcotic pain reliever (dihydrocodeine), a non-narcotic pain reliever (acetaminophen), and caffeine. Dihydrocodeine works into the brain to alter exactly how your body feels and responds to pain. Acetaminophen may also reduce a fever. Caffeine increases discomfort relief, particularly for certain kinds of headaches.

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See also Warning section.

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Just take this medication by mouth as directed by your medical practitioner, frequently every 4 hours as needed 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 pharmacist or doctor about other ways to decrease nausea (such as lying down for 1 to 2 hours with very little mind movement as possible).

The dosage is centered on your condition that is medical and to therapy. Do not raise your dose or use this drug more frequently or for longer than recommended because your threat of side-effects may increase. Properly stop the medicine whenever so directed.

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Pain medications work best if they are used as 1st signs of pain occur. In the event that you hold back until the pain has worsened, the medicine might not are well.

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This medication might cause withdrawal reactions, specially if it has been utilized frequently for a long time or 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 doctor or pharmacist for additional information, and report any withdrawal reactions appropriate away.

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

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

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Tell your doctor if your pain persists or worsens.

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

Part Effects

See also Warning section.

Nausea, vomiting, constipation, lightheadedness, dizziness, drowsiness, headache, or sleep disorders may occur. If any of these effects persist or worsen, tell your doctor or pharmacist promptly.

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To avoid constipation, eat a meal plan adequate in fiber, drink plenty of water, and exercise. Consult your pharmacist for help in choosing a laxative (such as for instance a stimulant type with stool softener).

To lessen the risk of dizziness and lightheadedness, get up slowly when increasing from a sitting or position that is lying.

Understand that your doctor has prescribed this medicine she has judged that the benefit to you is greater than the risk of adverse effects because he or. Many people using this medication do not have serious side effects.

Tell your physician right away if you have any serious side effects, including: mental/mood changes (such as irritability, nervousness, anxiety, hallucinations), fast/irregular heartbeat, stomach/abdominal pain, trouble urinating, improvement in the amount of urine, vision changes, shaking (tremor).

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

Dihydrocodeine is turned into a strong narcotic drug (dihydromorphine) in your body. In some people, this change happens faster and more completely than usual, which increases the risk of very serious adverse effects. Get medical help right away if you notice some of the after: slow/shallow breathing, uncommon drowsiness/difficulty waking up, confusion.

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

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

In the United States -

Phone your doctor for medical advice about unwanted effects. You may possibly report effects that are side FDA at 1-800-FDA-1088 or at

In Canada - Phone your physician for medical advice about unwanted effects. You may possibly report effects that are side Health Canada at 1-866-234-2345.


See section that is also warning.

Before taking this system, tell your medical professional 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 ingredients that are inactive which can cause allergies or other problems. Speak to your pharmacist for lots more details.

Before applying this medication, tell your doctor or pharmacist your health background, especially of: brain disorders (such as head injury, tumor, seizures), difficulty in breathing (such as for instance asthma, sleep apnea, chronic obstructive pulmonary disease-COPD), gallbladder disease, heart disease (such as irregular heartbeat, present heart attack), kidney disease, liver disease, mental/mood disorders (such as confusion, depression, thoughts of suicide), personal or family history of regular use/abuse of drugs/alcohol, stomach/intestinal problems (such as for example blockage, constipation, diarrhea due to infection, paralytic ileus), infection of the pancreas (pancreatitis), difficulty urinating (such as due to enlarged prostate).

This drug might make you dizzy or drowsy. Do not drive, use machinery, or do any activity that requires alertness until you are sure you can perform such activities safely. Avoid beverages that are alcoholic.

Before having surgery or specific medical procedures (such as for example a heart anxiety test or a procedure to restore a standard 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.

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

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

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Before using this medication, women of childbearing age should talk along with their doctor(s) about the risks and benefits. Tell your doctor if you are pregnant or if you plan to become pregnant. During pregnancy, this medication should be used only whenever plainly required. 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 unborn baby. To lessen the risk, take the smallest effective dose for the shortest possible time. Tell the physician appropriate away if you notice any signs in your newborn such as for example crying that is not normal and doesn't stop, slow/shallow breathing, irritability, vomiting, or diarrhea.

This medicine passes into breast milk and may rarely have undesirable effects on a nursing infant. Tell the doctor right away if your baby develops unusual sleepiness, difficulty feeding, trouble breathing, or unusual limpness. Discuss the risks and benefits with your medical practitioner before breast-feeding.

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