Country: United Kingdom
Language: English
Source: MHRA (Medicines & Healthcare Products Regulatory Agency)
Codeine phosphate
Teva UK Ltd
R05DA04
Codeine phosphate
30mg
Oral tablet
Oral
Schedule 5 (CD Inv)
Valid as a prescribable product
BNF: 04070200; GTIN: 5017007050841 5017007050902
CODEINE PHOSPHATE CONTAINS LACTOSE • Patients who are intolerant to lactose should note that Codeine Phosphate tablets contain a small amount of lactose. If your doctor has told you that you have intolerance to some sugars, contact your doctor before taking this medicine. HOW TO TAKE CODEINE PHOSPHATE Always take this medicine exactly as your doctor or pharmacist has told you. Check with your doctor if you are not sure. Your prescriber should have discussed with you, how long the course of tablets will last. They will arrange a plan for stopping treatment. This will outline how to gradually reduce the dose and stop taking the medicine. DO NOT TAKE A HIGHER DOSE OR MORE OFTEN THAN THE DOCTOR HAS TOLD YOU. The recommended dose is: ADULTS PAIN RELIEF 30 – 60 mg every four hours when necessary, up to a maximum of 240 mg in 24 hours. TREATMENT OF DIARRHOEA 30 mg three to four times daily. TREATMENT OF COUGH 15 - 30 mg three to four times daily. USE IN CHILDREN AND ADOLESCENTS CHILDREN AGED 12 YEARS TO 18 YEARS The recommended codeine dose for children 12 years and older should be up to a maximum dose of codeine of 240 mg daily. ANALGESIC USE 30 - 60 mg every 6 hours as needed. The dose is based on the body weight (0.5 - 1 mg/kg) FOR COUGH The dose is based on bodyweight 1 - 2 mg/kg daily in 4 to 6 divided doses. The use of cough suppressants containing codeine is not generally recommended in children. ANTI-DIARRHOEAL USE Not recommended. CHILDREN AGED UNDER 12 YEARS: Codeine Phosphate is not suitable for use in children under 12 years of age, due to the risk of severe breathing problems. THE ELDERLY, OR PATIENTS WITH LIVER OR KIDNEY PROBLEMS: • A reduced adult dosage, as prescribed by your doctor. The tablets should be swallowed preferably with a drink of water. The medicine should not be taken for more than 3 days and if no effective pain relief is achieved the patients/carers should be advised to seek the views of a physician. IF YOU TAKE MORE CODEINE PHOSPHATE THAN YOU SHOULD If you (or someone else) swallow Read the complete document
SUMMARY OF PRODUCT CHARACTERISTICS 1 NAME OF THE MEDICINAL PRODUCT Codeine Phosphate 30mg Tablets 2 QUALITATIVE AND QUANTITATIVE COMPOSITION Codeine phosphate 30mg For excipients see 6.1 3 PHARMACEUTICAL FORM Oral - tablet 4.1 THERAPEUTIC INDICATIONS Codeine is indicated in patients older than 12 years of age for the treatment of acute moderate pain which is not considered to be relieved by other analgesics such as paracetamol or ibuprofen (alone). Dry or painful cough Diarrhoea 4.2 POSOLOGY AND METHOD OF ADMINISTRATION Oral route Prior to starting treatment with opioids, a discussion should be held with patients to put in place a strategy for ending treatment with codeine in order to minimise the risk of addiction and drug withdrawal syndrome (see section 4.4). FOR MILD TO MODERATE PAIN ADULTS: Codeine should be used at the lowest effective dose for the shortest period of time. This dose may be taken, up to 4 times a day at intervals of not less than 6 hours. Maximum daily dose of codeine should not exceed 240 mg. The duration of treatment should be limited to 3 days and if no effective pain relief is achieved the patients/carers should be advised to seek the views of a physician. PAEDIATRIC POPULATION: CHILDREN_ _AGED 12 YEARS TO 18 YEARS:_ _ The recommended codeine dose for children 12 years and older should be 30- 60mg every 6 hours when necessary up to a maximum dose of codeine of 240 mg daily. The dose is based on the body weight (0.5-1mg/kg). CHILDREN AGED LESS THAN 12 YEARS: Codeine should not be used in children below the age of 12 years because of the risk of opioid toxicity due to the variable and unpredictable metabolism of codeine to morphine (see sections 4.3 and 4.4). ELDERLY: Dosage should be reduced in elderly patients. FOR DRY OR PAINFUL COUGH ADULTS: 15-30mg, 3-4 times daily CHILDREN: Not recommended ELDERLY: Dosage should be reduced in elderly patients DIARRHOEA ADULTS: 30mg three to four times daily (range 15-60mg) CHILDREN: Not recommended ELDERLY: Dosage should be reduced in elderly patient Read the complete document