Previous advisories on acetaminophen - codeine were issued on July 28, , July 9, and June 6, Codeine may make the diagnosis of abdominal conditions more difficult or it may worsen these conditions. If you have any abdominal conditions such as inflammatory or obstructive bowel disease, acute cholecystitis, or pancreatitis, discuss with your doctor how this medication may affect your medical condition, how your medical condition may affect the dosing and effectiveness of this medication, and whether any special monitoring is needed.
People who drink large amounts of alcohol over long periods of time and who take this medication should be closely monitored by their doctors.
These people are at increased risk of liver damage or disease. Codeine can suppress breathing. If you are at risk for breathing difficulties e. After prolonged use, codeine can produce psychological dependence a psychological "need" for the medication that is not related to the physical need; this is rare , physical dependence stopping the medication abruptly may lead to withdrawal symptoms , or tolerance the need to take higher doses to get the same effect.
Should I avoid certain foods while taking Tylenol-Codeine Elixir? Overdose If someone has overdosed and has serious symptoms such as passing out or trouble breathing , give them naloxone if available, then call If the person is awake and has no symptoms, call a poison control center right away. US residents can call their local poison control center at Canada residents can call a provincial poison control center.
Symptoms of overdose may include: Notes Do not share this medication with others. It is against the law. This medication has been prescribed for your current condition only. Do not use it later for another condition unless your doctor directs you to do so. A different medication may be necessary in that case.
Ask your doctor or pharmacist if you should have naloxone available to treat opioid overdose. Teach your family or household members about the signs of an opioid overdose and how to treat it. Missed Dose If you are taking this medication on a regular schedule and you miss a dose, take it as soon as you remember. If it is near the time of the next dose, skip the missed dose. Take your next dose at the regular time.
Do not double the dose to catch up. Storage Store at room temperature away from light and moisture. Different brands of this medication have different storage needs. Check the product package for instructions on how to store your brand, or ask your pharmacist. Keep all medications away from children and pets. Do not flush medications down the toilet or pour them into a drain unless instructed to do so.
Properly discard this product when it is expired or no longer needed. Consult your pharmacist or local waste disposal company. Information last revised July Copyright c First Databank, Inc. No images are available for this medication. Narcotic analgesics should be avoided during labor if delivery of a premature infant is anticipated. If the mother has received narcotic analgesics during labor, newborn infants should be observed closely for signs of respiratory depression.
The effect of codeine, if any, on the later growth, development, and functional maturation of the child is unknown. Nursing Mothers Acetaminophen is excreted in breast milk in small amounts, but the significance of its effect on nursing infants is not known.
Because of the potential for serious adverse reactions in nursing infants from acetaminophen, a decision should be made whether to discontinue the drug, taking into account the importance of the drug to the mother. Codeine is secreted into human milk. In women with normal codeine metabolism normal CYP2D6 activity , the amount of codeine secreted into human milk is low and dose-dependent.
Despite the common use of codeine products to manage postpartum pain, reports of adverse events in infants are rare. However, some women are ultra-rapid metabolizers of codeine. If you have any abdominal conditions such as inflammatory or obstructive bowel disease, acute cholecystitis, or pancreatitis, discuss with your doctor how this medication may affect your medical condition, how your medical condition may affect the dosing and effectiveness of this medication, and whether any special monitoring is needed.
People who drink large amounts of alcohol over long periods of time and who take this medication should be closely monitored by their doctors.
These people are at increased risk of liver damage or disease. Codeine can suppress breathing. If you are at risk for breathing difficulties e. After prolonged use, codeine can produce psychological dependence a psychological "need" for the medication that is not related to the physical need; this is rare , physical dependence stopping the medication abruptly may lead to withdrawal symptoms , or tolerance the need to take higher doses to get the same effect.
People with a history of past or current substance use problems may be at greater risk of developing abuse or addiction while taking this medication. Abuse is not a problem with people who require this medication for pain relief.
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