Like other narcotic medicines, codeine can slow your breathing. Death may occur if breathing becomes too weak. In rare cases, acetaminophen may cause a severe skin reaction that can be fatal. This could occur even if you have taken acetaminophen in the past and had no reaction. Stop taking this medicine and call your doctor right away if you have skin redness or a rash that spreads and causes blistering and peeling.
A person caring for you should seek emergency medical attention if you have slow breathing with long pauses, blue colored lips, or if you are hard to wake up. Call your doctor at once if you have: Serious side effects may be more likely in older adults and those who are overweight, malnourished, or debilitated. Adults should not take more than milligrams 4 grams of acetaminophen a day. People with liver problems and children should take less acetaminophen.
Ask your doctor or pharmacist how much acetaminophen is safe to take. Do not use with any other drug containing acetaminophen without asking your doctor or pharmacist first. Check the labels on all your medicines to see if they contain acetaminophen, and ask your pharmacist if you are unsure.
Get medical help right away if you take too much acetaminophen overdose , even if you feel well. Daily alcohol use, especially when combined with acetaminophen, may damage your liver. Serum acetaminophen levels should be obtained, since levels four or more hours following ingestion help predict acetaminophen toxicity. Do not await acetaminophen assay results before initiating treatment. Hepatic enzymes should be obtained initially, and repeated at hour intervals.
Toxic Doses for adults Acetaminophen: Pharmacokinetics The behavior of the individual components is described below. Codeine Codeine is rapidly absorbed from the gastrointestinal tract. It is rapidly distributed from the intravascular spaces to the various body tissues, with preferential uptake by parenchymatous organs such as the liver , spleen and kidney. Codeine crosses the blood-brain barrier and is found in fetal tissue and breast milk.
The plasma concentration does not correlate with brain concentration or relief of pain ; however, codeine is not bound to plasma proteins and does not accumulate in body tissues. The plasma half-life is about 2. The remainder of the dose is excreted in the feces. At therapeutic doses, the analgesic effect reaches a peak within 2 hours and persists between 4 and 6 hours. Acetaminophen Acetaminophen is rapidly absorbed from the gastrointestinal tract and is distributed throughout most body tissues.
The plasma half-life is 1. Elimination of acetaminophen is principally by liver metabolism conjugation and subsequent renal excretion of metabolites.
Such tasks should be avoided while taking this product. Alcohol and other CNS depressants may produce an additive CNS depression , when taken with this combination product, and should be avoided.
Codeine may be habit forming. Patients should take the drug only for as long as it is prescribed, in the amounts prescribed, and no more frequently than prescribed. Caution patients that some people have a variation in a liver enzyme and change codeine into morphine more rapidly and completely than other people. These people are ultra-rapid metabolizers and are more likely to have higher-than-normal levels of morphine in their blood after taking codeine, which can result in overdose symptoms such as extreme sleepiness, confusion, or shallow breathing.
In most cases, it is unknown if someone is an ultra-rapid codeine metabolizer. Nursing mothers taking codeine can also have higher morphine levels in their breast milk if they are ultra-rapid metabolizers. Your pharmacist can provide more information about acetaminophen and codeine. 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.
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.
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.
Carcinogenesis, Mutagenesis, Impairment of Fertility No adequate studies have been conducted in animals to determine whether acetaminophen and codeine have a potential for carcinogenesis or mutagenesis. Get medical help right away if you take too much acetaminophen overdosecodeine 3 2064 v, even if you feel well. The first dose should be accompanied by an appropriate cathartic. Acetaminophen In acetaminophen overdosage, dose-dependent, potentially fatal hepatic 2064 is the most serious adverse effect. Taking this medication with codeine or other drugs that can cause drowsiness or breathing problems may cause very serious side effects, including death. Serious side effects may be finasteride farmaco prostata likely in older adults and those who are overweight, codeine 3 2064 v, malnourished, or debilitated. Seek emergency medical attention or call the Poison Help line at A narcotic antagonist should not be administered in the absence of clinically significant respiratory or cardiovascular depression. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy.
Equivalently high doses in children would have codeine effects. The first dose should be accompanied by an appropriate cathartic. Get medical help right away if you take too much acetaminophen overdoseeven if you feel well. Remember, codeine 3 2064 v, 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. If someone accidentally swallows this drug, get medical help right away. To lower your risk, your doctor should have you take the smallest dose of codeine that works, and take it for the shortest possible time, codeine 3 2064 v. In rare cases, acetaminophen may cause a severe skin reaction that can be fatal. Call your doctor at once if you have: Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. Copyright Cerner Multum, Inc. The codeine to delivery and the larger the dose 2064, the greater the possibility of respiratory depression 2064 the newborn. What should I avoid while taking acetaminophen and codeine? Instruct nursing mothers internet drug coupons cialis watch for signs of morphine toxicity in their infants including increased sleepiness more than usualdifficulty breastfeedingbreathing difficulties, or limpness.
If someone accidentally swallows this drug, get medical help right away. In women with normal codeine metabolism normal CYP2D6 activitythe amount of codeine secreted into human milk is low and dose-dependent. Instruct codeine mothers to talk to the baby's doctor immediately if they notice these signs and, if they cannot reach the doctor right away, codeine 3 2064 v, to take the baby to an emergency room or call or local emergency services. It should be kept in mind, 2064, that tolerance to codeine can develop with continued use and that the incidence of untoward effects is dose related. No adequate studies have been conducted in animals to determine whether acetaminophen has a potential for impairment of fertility. Since the duration of action of codeine may exceed that of the naloxone, the patient should be kept under continuous surveillance and repeated doses of the antagonist should be administered as needed to maintain adequate respiration. Adults should not take more than milligrams 4 grams of acetaminophen a day. Codeine may be habit forming. Withdrawal signs include irritability, excessive crying, tremors, hyperreflexia, fever, vomiting, and diarrhea. Instruct nursing mothers to watch for signs of morphine toxicity in their infants including increased sleepiness more than usualdifficulty breastfeedingbreathing difficulties, codeine 3 2064 v, or limpness. Do not use this medicine 2064 you have taken an MAO inhibitor in the past 14 days. Carcinogenesis, Mutagenesis, Impairment of Fertility No adequate studies have been conducted in animals to determine whether acetaminophen and codeine have a potential for carcinogenesis or codeine. Check the label to see if a medicine contains acetaminophen or APAP. Equivalently high doses in children would have similar effects.
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