Dihydrocodeine

Dihydrocodeine is a strong painkiller used to treat moderate to severe pain. It is often prescribed when other pain relief medications are not effective. If you’ve been prescribed dihydrocodeine, here’s what you need to know.

What is dihydrocodeine?

Dihydrocodeine is an opioid analgesic that helps relieve pain by blocking pain signals in the brain and spinal cord.

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How does dihydrocodeine work?

Dihydrocodeine binds to opioid receptors in the nervous system, reducing the perception of pain and providing relief.

What is dihydrocodeine used to treat?

Dihydrocodeine is commonly prescribed for:

  • Moderate to severe pain (such as after surgery or injury)
  • Chronic pain (when other painkillers do not work effectively)
  • Pain associated with conditions like osteoarthritis
  • Persistent cough relief (in some cases)

Who can take dihydrocodeine?

Dihydrocodeine is suitable for most adults and children over 12 years old, but it must be prescribed by a doctor and used with caution.

Who might not be able to take dihydrocodeine?

Dihydrocodeine may not be suitable if you:

  • Have severe breathing problems (such as COPD or sleep apnoea)
  • Have a history of opioid addiction or substance misuse
  • Have severe liver or kidney disease
  • Have low blood pressure or a slow heartbeat
  • Have had an allergic reaction to opioids

Can I take dihydrocodeine if I’m pregnant or breastfeeding?

Dihydrocodeine isn’t usually recommended during pregnancy or while breastfeeding, as it can affect the baby. Speak to your doctor about alternative pain relief options.

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 dihydrocodeine?

Dihydrocodeine 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 dihydrocodeine can cause serious side effects, including slow breathing, extreme drowsiness, and unconsciousness. If you think you’ve taken too much, seek emergency medical help immediately.

What dose of dihydrocodeine is usually taken?

  • For moderate pain: 30mg to 60mg every 4 to 6 hours, as needed
  • For chronic pain: Modified-release tablets (60mg to 120mg every 12 hours)
  • For cough suppression (if prescribed): 10mg to 30mg every 4 to 6 hours

Your doctor will determine the correct dose based on your condition.

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What are the side effects of dihydrocodeine?

Common side effects include:

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

Serious side effects, such as breathing difficulties, confusion, or severe drowsiness, require urgent medical attention.

How should I take dihydrocodeine?

Dihydrocodeine is available as tablets, capsules, liquid, or modified-release formulations. Follow your doctor’s instructions carefully.

When should dihydrocodeine be taken?

Dihydrocodeine should be taken at regular intervals for ongoing pain relief, or as needed for acute pain.

What are the brand names for dihydrocodeine?

Dihydrocodeine is available as a generic medicine, but some branded versions include:

  • DF118 Forte
  • DHC Continus

Final thoughts

Dihydrocodeine is an effective painkiller for moderate to severe pain but should be taken with caution due to the risk of dependence and side effects. If you experience unusual symptoms or need to stop taking it, speak to your doctor or pharmacist.

Always consult a medical professional
This article is for informational purposes only and is not a substitute for medical advice. Always consult a healthcare professional before starting, stopping or changing any medication. If you have concerns about your medication or experience side effects, speak to your doctor or pharmacist immediately.

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