Co-Codamol

How does co-codamol work?

Paracetamol reduces pain and fever.

Codeine is an opioid that acts on the brain to reduce the perception of pain.

What is co-codamol used to treat?

Co-codamol is commonly prescribed for:

• Moderate to severe pain (such as after an injury or surgery)
• Chronic pain conditions (when other painkillers are not effective)
• Migraine and tension headaches (if other treatments do not work)

Who can take co-codamol?

Co-codamol is suitable for most adults and children over 12 years old, as prescribed by a doctor.

Who might not be able to take co-codamol?

Co-codamol may not be suitable if you:

• Have breathing problems (such as asthma or COPD)
• Have liver or kidney disease
• Have a history of opioid addiction or substance misuse
• Are taking other medications that contain codeine or paracetamol

Can I take co-codamol if I’m pregnant or breastfeeding?

Co-codamol isn’t usually recommended during pregnancy or breastfeeding, as codeine can pass to the baby and cause breathing problems. Speak to your doctor about safer alternatives.

What if I miss a dose?

If you forget a dose, take it as soon as you remember. If it’s close to your next dose, skip the missed one—do not take two doses at once.

How effective is co-codamol?

Co-codamol is highly effective at relieving moderate to severe pain when taken as prescribed.

What should I do if I take too much?

Taking too much co-codamol can cause serious side effects, including liver damage (from paracetamol) and breathing problems (from codeine). If you think you’ve taken too much, seek emergency medical help immediately.

What dose of co-codamol is usually taken?

Co-codamol comes in different strengths, with the amount of codeine varying:

• 8/500mg (over-the-counter): One or two tablets every 4 to 6 hours (max 8 tablets per day)
• 15/500mg and 30/500mg (prescription only): One or two tablets every 4 to 6 hours (max 8 tablets per day)

Your doctor will determine the correct dose based on your level of pain.

What are the side effects of co-codamol?

Common side effects include:

• Drowsiness or dizziness
• Constipation
• Nausea or vomiting
• Dry mouth

Serious side effects, such as severe drowsiness, difficulty breathing, or allergic reactions, require urgent medical attention.

How should I take co-codamol?

Co-codamol is taken as tablets, usually with water. Do not take it for more than 3 days without medical advice due to the risk of dependence.

When should co-codamol be taken?

Co-codamol should be taken at regular intervals for pain relief, but not more often than every 4 to 6 hours.

What are the brand names for co-codamol?

Co-codamol is available as a generic medicine, but some branded versions include:

• Solpadeine Plus
• Kapake
• Zapain

Final thoughts

Co-codamol is an effective pain reliever but should be used only as directed to avoid side effects and dependence. If you need long-term pain relief, speak to your doctor about alternative treatments.