Country: Canada
Language: English
Source: Health Canada
ACETAMINOPHEN; CODEINE PHOSPHATE
PHARMASCIENCE INC
N02AJ06
CODEINE AND PARACETAMOL
300MG; 30MG
TABLET
ACETAMINOPHEN 300MG; CODEINE PHOSPHATE 30MG
ORAL
4 X 25 (CONTROL PACK), 100 & 500 TABLETS
Narcotic (CDSA I)
OPIATE AGONISTS
Active ingredient group (AIG) number: 0211376003; AHFS:
CANCELLED POST MARKET
2018-11-13
PRESCRIBING INFORMATION N ACET-CODEINE 30 N ACET-CODEINE 60 (ACETAMINOPHEN AND CODEINE PHOSPHATE TABLETS, USP) 300 MG/30 MG 300 MG/60 MG Analgesic-Antipyretic PHARMASCIENCE INC. 6111 Royalmount Ave., Suite 100 Montréal, Canada H4P 2T4 www.pharmascience.com Date of Revision: April 16, 2014 SUBMISSION CONTROL NO.: 172009 _ _ _ACET-CODEINE Prescribing Information _ _Page 2 of 13_ PRESCRIBING INFORMATION N ACET-CODEINE 30 N ACET-CODEINE 60 Acetaminophen and Codeine Phosphate Tablets, USP Analgesic-Antipyretic CLINICAL PHARMACOLOGY Acetaminophen and codeine phosphate are analgesic, antipyretic agents. ACTION Acetaminophen, and codeine phosphate combine the analgesic effects of the centrally acting analgesic codeine, with a peripherally acting analgesic, acetaminophen. Acetaminophen, and codeine phosphate are well absorbed orally. Acetaminophen is distributed throughout most tissues of the body. Acetaminophen is metabolized primarily in the liver. Little unchanged drug is excreted in the urine, but most metabolic products appear in the urine within 24 hours. Codeine retains at least one-half of its analgesic activity when administered orally. A reduced first- pass metabolism of codeine by the liver accounts for the greater oral potency of codeine when compared to most other morphine-like narcotics. Following absorption, codeine is metabolized by the liver and metabolic products are excreted in the urine. Approximately 10% of the administered codeine is demethylated to morphine, which may account for its analgesic activity. PHARMACOKINETICS Following oral administration of acetaminophen in combination with codeine, both drugs are rapidly absorbed with peak plasma levels occurring within 60 minutes. The plasma elimination half-life (t 1/2 ) ranges from 1.5 to 3.5 hours for acetaminophen, and 1.5 to 4 hours for codeine. Metabolism is rapid; the principal metabolites are conjugates of glucuronic acid which are excreted in the urine. Less than 1% of an administered dose of codeine, and less than 4% of an administered dose Read the complete document