मुख्य सामग्री पर जाएं

दर्द से राहत के लिए को-कोडामोल

Solpadol, Zapain

This medicine contains an opioid painkiller (codeine). There is a serious risk of addiction when taking this medicine, especially if used long-term. The Medicines and Healthcare products Regulatory Agency (MHRA) has issued new guidance for people prescribed an opioid painkiller. If you have any questions or concerns about taking opioids safely please speak with your doctor or a pharmacist.

If you have bought co-codamol from a pharmacy you should not take it for more than three days in a row. If you are still in pain after this time ask your doctor or a pharmacist for advice.

Co-codamol contains both paracetamol and codeine. Do not take any other preparation which contains paracetamol while you are taking co-codamol.

The usual dose for an adult is one or two co-codamol tablets/capsules every 4-6 hours if needed. Do not take more than two tablets/capsules at a time or more than eight tablets/capsules in 24 hours.

The most common side effects of co-codamol are feeling sleepy and dizzy.

Co-codamol is likely to affect your reactions and your ability to drive. Do not drive until you know how it affects you.

एक नजर में

  • Co-codamol is a painkiller containing paracetamol and codeine, used for short-lasting pain where paracetamol alone is not enough.

  • It comes in different strengths, with one strength available to buy from a pharmacy without a prescription.

  • Common side effects include feeling sick, constipation, and drowsiness.

  • Do not drink alcohol or take other paracetamol-containing medicines whilst taking co-codamol.

  • Do not take more than the recommended dose, and never for more than 3 days without medical advice.

  • See a doctor for pain that continues, or if side effects bother you.

  • Seek immediate medical help if you think you have taken too much co-codamol.

About co-codamol

दवा का प्रकार

A combination painkiller (analgesic)

के लिए उपयोग किया जाता है

Pain relief

Also called (UK)

Codipar®; Emcozin®; Panadol Ultra®; Solpadol®; Solpadeine Max®; Tylex®; Zapain®

Also called (USA)

Acetaminophen with codeine; Codrix®; Tylenol® with codeine

के रूप में उपलब्ध

Capsules, tablets and effervescent tablets

What is co-codamol used for?

Co-codamol is a type of painkiller that contains paracetamol and codeine. It is given to relieve short-lasting painful conditions where paracetamol alone is not sufficient.

There are three different strengths of co-codamol available, one of which can be bought without a prescription at a pharmacy. The amount of paracetamol in the three different strengths is the same (500 mg), but the amount of codeine differs and this determines the strength of the preparation.

The three main tablet strengths are: 8 mg/500 mg, 15 mg/500 mg, and 30 mg/500 mg, where the first number relates to how much codeine is in the tablet, and the second is the amount of paracetamol present.

Combination painkillers like co-codamol can reduce how many tablets you take, but they may not give the best pain relief. It’s harder to adjust the dose without increasing side effects, so many doctors prefer not to prescribe them.

Side effects of co-codamol

Common side effects of co-codamol are:

  • Feeling sick (nausea).

  • Being sick (vomiting).

  • Constipation.

  • Feeling sleepy or drowsy.

  • Dry mouth.

  • पसीना आना।.

  • Stomach pain.

You will find a full list in the manufacturer's information leaflet supplied with your medicine.

The unwanted effects often improve as your body adjusts to the new medicine, but speak with your doctor or pharmacist if any side effects continue or become troublesome.

How to manage co-codamol side effects

Common co-codamol side effects

अगर मुझे यह अनुभव होता है तो मैं क्या कर सकता हूँ?

Feeling sick or being sick

सरल भोजन पर टिके रहें - समृद्ध या मसालेदार खाद्य पदार्थों से बचें

कब्ज

Eat a well-balanced diet and drink plenty of water

Feeling sleepy or drowsy

If this happens, do not drive and do not use tools or machines. Do not drink alcohol

Dry mouth, sweating, tummy pain (may be caused by spasm of the bile ducts)

Speak with your doctor if troublesome

If you experience any other symptoms which you think may be due to the medicine, discuss them with your doctor or pharmacist for further advice.

Who should not take co-codamol?

Some medicines aren’t safe for people with certain health conditions, or may need to be used with extra care. So before you start taking co-codamol, make sure your doctor or pharmacist knows:

  • यदि आप गर्भवती हैं या स्तनपान करा रही हैं।.

  • If you have a problem with the way your liver works, or a problem with the way your kidneys work.

  • If you have prostate problems or any difficulties passing urine.

  • If you have any breathing problems, such as asthma or chronic obstructive pulmonary disease (COPD).

  • If you have been told you have low blood pressure or an abnormal heart rhythm.

  • If you have any problems with your thyroid or adrenal glands.

  • यदि आपको मिर्गी है।.

  • If you have gallstones or a problem with your gallbladder or bile duct.

  • If you have been constipated for more than a week or have an inflammatory bowel problem.

  • If you have a condition causing muscle weakness, called myasthenia gravis.

  • If you have recently had a severe head injury.

  • If you have ever been dependent on drugs or alcohol.

  • यदि आपको कभी किसी दवा से एलर्जी की प्रतिक्रिया हुई है।.

  • यदि आप कोई अन्य दवाएं ले रहे हैं। इसमें वे सभी दवाएं शामिल हैं जो आप बिना पर्ची के खरीद सकते हैं, साथ ही हर्बल और पूरक दवाएं भी शामिल हैं।.

How to take co-codamol

  • Read the information leaflet in the pack before you start. It explains how co-codamol works and lists possible side effects.

  • Take co-codamol exactly as advised by your doctor or pharmacist. Adults usually take 1-2 tablets every 4-6 hours if needed.

    • Leave at least 4 hours between doses.

    • Don’t take more than 2 tablets at once or 8 tablets in 24 hours.

  • Swallow tablets/capsules with water. If you have effervescent tablets, dissolve them in a small glass of water first.

  • You can take co-codamol with or without food, but taking it after food may help prevent feeling sick.

  • If you miss a dose, just take one when you next need it. Do not double up to make up for a missed dose.

अपने उपचार से अधिकतम लाभ प्राप्त करना

  • You can take over-the-counter co-codamol for up to 3 days. If your pain continues or the medicine doesn’t help, speak to a doctor or pharmacist.

  • Using co-codamol often for headaches can actually cause more headaches (medication-overuse headaches), even at normal doses. Do not use painkillers for headaches for more than 2 days in a row or 2 days a week. Get advice if you’re worried about this.

  • Do not take any other paracetamol-containing medicines while using co-codamol. Check labels or ask a pharmacist to be safe.

  • Avoid alcohol while taking co-codamol, as codeine increases the risk of alcohol-related side effects.

  • Co-codamol is usually only given for short-term use because stopping it after long-term use can cause withdrawal symptoms (for example, restlessness, irritability). If you’ve been taking it for a while, your doctor may reduce your dose gradually.

  • Long-term use of codeine can lead to tolerance, meaning it becomes less effective.

  • Never take more than the recommended dose. If you think you or someone else has taken too much, go to A&E immediately, even if you feel fine, because an overdose can seriously harm the liver. Bring the medicine container with you.

  • Tell your doctor, dentist, or surgeon that you are taking co-codamol if you are having any operation or dental treatment.

  • When buying any new medicines, always check with a pharmacist that they are safe to take with co-codamol.

How to store co-codamol

  • सभी दवाओं को बच्चों की पहुँच और दृष्टि से दूर रखें।.

  • ठंडी, सूखी जगह पर रखें, सीधे गर्मी और रोशनी से दूर।.

सभी दवाओं के बारे में महत्वपूर्ण जानकारी

सभी दवाओं के बारे में महत्वपूर्ण जानकारी

निर्धारित खुराक से अधिक कभी न लें। यदि आपको संदेह है कि आपने या किसी और ने इस दवा की अधिक मात्रा ले ली है, तो अपने स्थानीय अस्पताल के दुर्घटना और आपातकालीन विभाग में जाएं। कंटेनर को अपने साथ ले जाएं, भले ही वह खाली हो।.

यह दवा आपके लिए है। इसे कभी भी अन्य लोगों को न दें, भले ही उनकी स्थिति आपकी जैसी ही क्यों न लगे।.

पुरानी या अनचाही दवाइयाँ न रखें। उन्हें अपने स्थानीय फार्मेसी में ले जाएँ, जो उन्हें आपके लिए नष्ट कर देगा।.

यदि इस दवा के बारे में आपके कोई प्रश्न हैं तो अपने फार्मासिस्ट से पूछें।.

MHRA - Reporting adverse reactions

Report suspected side effects to medicines, vaccines, e-cigarettes, medical device incidents, defective or falsified (fake) products to the Medicines and Healthcare products Regulatory Agency to ensure safe and effective use.

अक्सर पूछे जाने वाले प्रश्न

How long does it take for co-codamol to work?

Co-codamol usually starts to work within 30 to 60 minutes. Once it starts working, co-codamol can provide pain relief for around 4 to 6 hours.

Can you drink alcohol on co-codamol?

No, you should not drink alcohol while taking co-codamol. Mixing alcohol with co-codamol can increase drowsiness, slow your reactions, and make you feel very unwell.

You should wait until the co-codamol is fully out of your system - usually at least 24 hours after your last dose - before having alcohol.

Is it safe to take co-codamol during pregnancy?

Co-codamol is not usually recommended during pregnancy because it contains codeine, which may affect your baby’s breathing or cause withdrawal symptoms if used regularly or late in pregnancy.

Can you take co-codamol with ibuprofen?

Yes, it is generally safe to take co-codamol with ibuprofen. They work in different ways, so taking them together can provide better pain relief. Always take co-codamol as directed and take ibuprofen with food or water to reduce stomach upset.

Can you buy co-codamol over the counter?

Yes, you can buy low-strength co-codamol (8/500 mg) over the counter in the UK. Stronger doses require a prescription from a doctor.

लक्षण जाँचकर्ता

दवाओं को मिलाने के बारे में अनिश्चित?

दवाओं, सप्लीमेंट्स और खाद्य पदार्थों के बीच संभावित इंटरैक्शन की जांच करें, उन्हें एक साथ लेने से पहले।.

अक्सर पूछे जाने वाले प्रश्न

How long does co-codamol take to work?

Co-codamol usually starts to work within 30 to 60 minutes. Once it starts working, co-codamol can provide pain relief for around 4 to 6 hours.

Can you drink alcohol on co-codamol?

No, you should not drink alcohol while taking co-codamol. Mixing alcohol with co-codamol can increase drowsiness, slow your reactions, and make you feel very unwell. You should wait until the co-codamol is fully out of your system - usually at least 24 hours after your last dose - before having alcohol.

Is it safe to take co-codamol during pregnancy?

Co-codamol is not usually recommended during pregnancy because it contains codeine, which may affect your baby’s breathing or cause withdrawal symptoms if used regularly or late in pregnancy.

Can you take co-codamol with ibuprofen?

Yes, it is generally safe to take co-codamol with ibuprofen. They work in different ways, so taking them together can provide better pain relief. Always take co-codamol as directed and take ibuprofen with food or water to reduce stomach upset.

Can you buy co-codamol over the counter?

Yes, you can buy low-strength co-codamol (8/500 mg) over the counter in the UK. Stronger doses require a prescription from a doctor.

How often can I take co-codamol?

Adults typically take 1-2 tablets every 4-6 hours if needed. It is important to leave at least 4 hours between doses and not to exceed 2 tablets at once or 8 tablets in 24 hours.

Can co-codamol make you drowsy?

Yes, feeling sleepy or drowsy is a common side effect of co-codamol. If this happens, you should not drive or operate tools or machines, and you should avoid drinking alcohol.

Can co-codamol cause stomach pain?

Yes, stomach pain is listed as a common side effect of co-codamol. If it is troublesome, you should speak with your doctor.

अधिक पठन और संदर्भ

लेखक के बारे मेंपूरा जीवन परिचय देखें

लेखक की छवि

Michael Stewart, MRPharmS

दवा पत्रक समीक्षा प्रबंधक – ठेकेदार, फार्मासिस्ट

BPharm (Hons), MRPharmS

माइकल मिडलैंड्स और साउथ यॉर्कशायर में एक सामुदायिक फार्मासिस्ट हैं, जो दवाओं और चिकित्सा स्थितियों पर सलाह देने में 20 से अधिक वर्षों का अनुभव रखते हैं। उनके पास स्वास्थ्य देखभाल प्रशिक्षण में मजबूत पृष्ठभूमि है, उन्होंने फार्मेसी टीमों और आवासीय देखभाल सेटिंग्स के कर्मचारियों, जिनमें नर्सें शामिल हैं, के लिए प्रशिक्षण पाठ्यक्रम तैयार और प्रस्तुत किए हैं। उन्होंने समुदाय में कम तीव्रता वाली स्थितियों के प्रबंधन के लिए फार्मेसी सलाहकार बोर्डों में भी योगदान दिया है।.

समीक्षक के बारे मेंपूरा जीवन परिचय देखें

लेखक की छवि

Dr Colin Tidy, MRCGP

सामान्य चिकित्सक, चिकित्सा लेखक

MBBS, MRCGP, MRCP (Paediatrics), DCH

डॉ. कॉलिन टिडी एक एनएचएस डॉक्टर हैं, जो ऑक्सफोर्डशायर में स्थित हैं।.

लेख का इतिहास

इस पृष्ठ पर दी गई जानकारी योग्य चिकित्सकों द्वारा लिखी और सहकर्मी समीक्षा की गई है।.

  • Next review due: 9 Jan 2027
  • 10 Jan 2024 | नवीनतम संस्करण

    द्वारा अंतिम अपडेट

    Michael Stewart, MRPharmS

    द्वारा सहकर्मी समीक्षा की गई

    Dr Colin Tidy, MRCGP
फ्लू पात्रता जाँचकर्ता

पूछें, साझा करें, जुड़ें।.

चर्चाओं को ब्राउज़ करें, प्रश्न पूछें, और सैकड़ों स्वास्थ्य विषयों पर अनुभव साझा करें।.

पेशेंट न्यूज़लेटर के लिए साइन अप करें

आपकी साप्ताहिक खुराक स्पष्ट, विश्वसनीय स्वास्थ्य सलाह की - जो आपको सूचित, आत्मविश्वासी और नियंत्रण में महसूस करने में मदद करने के लिए लिखी गई है।.

कृपया एक मान्य ईमेल पता दर्ज करें

सदस्यता लेने पर आप हमारी स्वीकार करते हैं गोपनीयता नीति. आप किसी भी समय सदस्यता समाप्त कर सकते हैं। हम कभी भी आपका डेटा नहीं बेचते।.