Co-Codamol Effervescent

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Co-Codamol Effervescent

Co-Codamol is a pain relief medication. It works by reducing signals from the body to the brain through the central nervous system, meaning you feel less pain. It also mimics endorphins produced by the body, and is converted to morphine in the liver, delivering a pain relieving effect.

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Co-Codamol is a pain relief medication. It works by reducing signals from the body to the brain through the central nervous system, meaning you feel less pain. It also mimics endorphins produced by the body, and is converted to morphine in the liver, delivering a pain relieving effect.

Important: Some treatments may require you to provide us with photo identification - as patient protection is our number one priority.

What is Co-codamol Effervescent 30/100?

Co-codamol is a pain relieving medication. It contains two different medications - codeine phosphate and paracetamol. It can be used to treat mild or moderate pain caused by a variety of conditions, including toothache, migraine, headache and joint or muscle pain. This particular type of co-codamol is effervescent, meaning that the tablets are dissolved in water and then drunk.

This medication is prescription-only. You must have a valid prescription before you buy co-codamol. Alternatively, we can prescribe this medication to you following a brief online assessment. Contact us to find out more.

The active ingredients in Co-codamol are codeine phosphate and paracetamol. For more information, please consult the patient information leaflet.

How it works

Paracetamol and codeine phosphate work in two different ways to treat pain. Paracetamol works by reducing the production of prostaglandins in the brain and spinal cord, which increases one’s pain threshold, causing them to feel less pain.

Codeine phosphate is an opioid. It treats pain by mimicking the effect of endorphins in the body, which blocks the transmission of pain signals sent to the brain by nerves. Although the cause of pain may still be present, less pain is actually felt.

Before you take it

You should not take co-codamol if you are allergic to any of the ingredients, including either of the active ingredients paracetamol or codeine phosphate. You must speak to your doctor to discuss an alternative medication to treat your condition.

Taking codeine for a long time can lead to addiction. This can cause withdrawal symptoms, such as restlessness and fatigue, if you stop taking the tablets. Take this medicine only for as long as you have been told. If you take too much, or take this medicine too often, you may be at risk of developing an addiction. You should speak to your doctor for more information.

Codeine is converted into morphine in the liver by an enzyme. The way this enzyme works in some patients means that not enough codeine will be converted to morphine and therefore an insufficient pain relieving effect will be produced. In others, it’s possible that too much morphine is produced and therefore the risk of morphine toxicity is increased. If you notice that you experience slow or shallow breathing, small pupils, constipation or lack of appetite, you should stop taking this medication and contact your doctor.

You must take special care when taking co-codamol if you know you have severe liver or kidney problems, you have prostate problems or problems passing urine, you have a bowel problem such as colitis or Crohn’s disease, or you are elderly. If any of this applies to you and you are unsure about how to take co-codamol, you should seek advice from your doctor.

Co-codamol can interact with alcohol. You must not drink alcohol while taking co-codamol.

Co-codamol may make you sleepy or drowsy. For this reason you must not drive until you are fully aware of how it affects you. You may be committing an offence if you drive under the influence of co-codamol and you are aware that this medication affects your concentration or ability to stay awake.

Do not take co-codamol while breastfeeding. Codeine and morphine can pass into breast milk.

Talk to your doctor if you are pregnant or planning to become pregnant while taking co-codamol. It may be unsuitable for you and you should only take it during pregnancy with the express consent of your doctor.

Each effervescent tablet contains sodium. This may make this medication unsuitable for those on a low-sodium diet. This medication also contains sorbitol, which is a sugar. If you have been told you have an intolerance to some sugars, this medication may be unsuitable for you.

Co-codamol may interact with other medications. You must consult your doctor before taking co-codamol if you are also taking any of the following:

  • Central nervous system depressants, such as sedatives
  • Medicines used to thin the blood, such as warfarin
  • Chloramphenicol, an antibiotic used to treat infections
  • Domperidone to treat nausea or vomiting
  • Colestyramine to lower blood cholesterol
  • Any type of oral contraceptive pill

This is not an exhaustive list of warnings and interactions. For an exhaustive list, you should consult the patient information leaflet.

Dosage Instructions

You must always take co-codamol effervescent tablets as directed by your prescriber. Never exceed the stated dose. If you are in any way unsure of how to take co-codamol, you should consult your doctor or pharmacist for advice.

You must dissolve these tablets in water before taking them. Do not swallow, crush or chew them. This medication can be taken with or without food.

The typical recommended dose for adults is 2 tablets every 4 hours as and when necessary. You must not take more than 8 tablets every 24 hours.

This medication should be taken for no longer than three days at a time. If you have taken this medication for more than three days and your pain has not improved, you must stop taking it and consult your doctor for advice.

Store co-codamol in a cool, dry place, free from heat or moisture. Keep it out of the reach of children and pets.

Common Side Effects of Co-codamol

Like all medication, co-codamol may cause side effects. These are usually mild or moderate in nature, and should go away on their own as your body becomes used to the medication. However, if these side effects persist, you should contact your doctor for advice. Side effects may include:

  • Constipation
  • Nausea or feeling sick
  • Difficulty passing urine
  • Feeling like you are dependent on the medication
  • You get infections or bruises more easily than normal
  • Dizziness or lightheadedness

Co-codamol may also cause more serious side effects. These are rare, but if you experience them you should stop taking this medication and talk to your doctor. Side effects can include:

  • Severe stomach pain, which can be a sign of pancreatitis
  • Dizziness or blurred vision
  • Excessive sweating
  • Dry mouth
  • Confusion or anxiety

Co-codamol may cause a severe allergic reaction. This is extremely rare, but an allergic reaction is an emergency. If you believe you are experiencing an allergic reaction, you should immediately seek medical advice. Symptoms include:

  • Hives or nettle rash
  • Trouble breathing or speaking
  • Wheezing
  • Skin rash - itching, swelling, blistering or redness

This is not an exhaustive list of side effects. For a complete list, you must consult the patient information leaflet or speak to your doctor.

Frequently Asked Questions (FAQs)

Is Co-codamol suitable for children?

Co-codamol can be taken by children aged 12 and over. However, this is only at the discretion of their doctor or pharmacist. We do not prescribe any medication to anyone under the age of 18.

I’m pregnant. Can I take co-codamol?

You should not take co-codamol while pregnant unless you have the explicit consent of your doctor. This is because it may affect an unborn baby. Your doctor will only prescribe co-codamol to you during pregnancy if they feel the benefits of taking it outweigh the risks.

What happens if I miss a dose?

If you have forgotten to take co-codamol, you should take it as soon as you remember. However, if it is nearly time for your next dose, skip the missed dose and continue as normal with your next dose. Never take a double dose to make up for a missed dose.

What happens if I take too much?

If you take too much co-codamol, this can cause serious side effects. Too much paracetamol can potentially cause serious, delayed liver damage. If you believe you have overdosed on co-codamol, you must immediately seek medical advice.

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