Codeine

What is Codeine?

Codeine or 3-methylmorphine (a naturally occurring methylated morphine) is an opiate used for its pain, as a cough medicine, and for diarrhea. It is often sold as a salt in the form of either codeine sulfate or codeine phosphate in the United States and Australia; codeine hydrochloride is more common worldwide and the citrate, hydroiodide, hydrobromide, tartrate, and other salts are also seen.

Codeine is the second-most predominant alkaloid in opium, at up to three percent. Although codeine can be extracted from natural sources, a semi-synthetic process is the primary source of codeine for pharmaceutical use. It is considered the prototype of the weak to midrange opioids (tramadol, dextropropoxyphene, dihydrocodeine, hydrocodone, oxycodone).

It is on the WHO Model List of Essential Medicines, a list of the most important medication needed in a basic health system.

Questions and answers on "Codeine"

I have a partial foot fracture. I was prescribed Tylenol III with codeine. Is there any over the counter pain reliever comparable to this?

doctor1 MD

Brief Answer:
Hello. There's nothing over the counter comparable to codeine

Detailed Answer:
Hello. Motrin or Advil would be more effective for your pain than the Tylenol but the codeine is a more powerful pain relieve than any of them. That said, you can try Motrin or Advil instead of the...

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What is the recommended dosage of codeine for pain relief?

doctor1 MD

Brief Answer:
15 to 60 mg every 4 to 6 hours.

Detailed Answer:
Hi there͵

The adult dose of codeine tablets is 15 to 60mg every 4 to 6 hours. It should not exceed more than 300mg in 24 hours. Since there are various side effects from this drug, ideally the best dose is as decided by your treating...

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If I take an overdose of codeine right before an operation, what will happen?

Also what are the chances of me becoming sick if i eat before having surgery on my cervical spine!

doctor1 MD

Brief Answer:
it may affect anasthesia

Detailed Answer:
Hi and welcome.
Generally, it should not have some very serious effects on surgery success, but in case of general anasthesia it may have some bad effects. Mainly, food intake prior to surgery So you should not eat at least 12 hours prior to...

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will someone fail a drug screen for morphine if you are prescribed tylenol #3 with codine?

doctor1 MD

Brief Answer:
Codeine and morphine would show up in the urine.

Detailed Answer:
Hello,

Welcome and thanks for your query.
Both codeine and morphine may show up in the urine test after taking Tylenol with codeine. Morphine : codeine ratio would be less than 1. This is because Morphine is one of...

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I am having severe pain the first time after taking my prescription for codeine for cough. How can I alleviate
this pain?

doctor1 MD

Brief Answer:
Please give details of the pain

Detailed Answer:
Hello,
Welcome and thanks for your query.
Please let me know where the pain is.
Codeine is meant to relieve pain and cough due to its narcotic action. It is unusual for it to cause pain and other causes need to be looked at....

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Does ACETAMINOPHEN-CODEINE 300-30mg cause constipation?  YYYY@YYYY . 

doctor1 MD

Brief Answer:
yes

Detailed Answer:
Hello,

acetaminophen does not cause constipation but codeine does. Although the dose is not high in each pill, constipation may occur in some patients.

Kind...

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My son was diagnosed with slight pnemonia he finished his 10 day course of lEva XXXXXXX he took his last steroid of prednisone today and is still on nebulizer with albuterol...Dr also gave him promethazine with codeine my question is does the promethazine with codeine help loosen the mucus?

doctor1 MD

Brief Answer:
Mucus will loosen through inhalation with steam

Detailed Answer:
Dear Patient,

promethazin and codeine will not loosen the mucus, but inhaling with hot steam, salt water will do best.

Best regards

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how long does 4 ounces of codeine cough syrup last in urine. a total of 4oz consumed.

doctor1 MD

Brief Answer:
Up to 3 days.

Detailed Answer:
Hello,

Welcome and thanks for your query.
90% of the ingested codeine is excreted in the urine in 24 hours. So after 3 days there will be hardly any codeine in the urine.
Take...

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Codeine WithdrawalHi,

I am asking on behalf of my brother. He claimed that he has been taking Codeine, which included inside some cough mixtures, for continuously for 1 year.

Now he realized that, once he stops taking, he will have diarhoea, insomnia and also the craving.

Please kindly assist and advise what can he do to stop those side effects, as he really want to quit.

Thank you and look forward to hearing fron you the soonest.

doctor1 MD

Hello,
Thanks for your query.

Codeine is a opioid compound and it has withdrawal like you mentioned on stoppage. Usually during treatment of opioid addiction person need to stop opioid compound like codeine in your brother case and same time long acting opioid compound like buprenorphine or...

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hI MY HUSBAND IS ON CODINE FOR SEVERE BACK PAIN AND NOW HAs a bad case of gout would the codine cause this

doctor1 MD

Brief Answer:
Codeine reduces the effectiveness of gout treatment

Detailed Answer:
Hi dear.Thanks for giving me an opportunity to address your query.

According to me, Codeine does not increase the serum uric acid levels which is the cause of gout. It reduces the effectiveness of drugs like...

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Recent questions on  Codeine

doctor1 MD

GOOD MORNING SIR..! I am a general physician from kakinada A.P, and amcould you please tell me if the mentioned molecule would be of any use to me sir???? habituated to codeine while i was using that medication for IBS.Iam slowly recovering from the codeine habituation..! and am using clonidine to cotrol the w drawl symptoms. i ve recently met a chronic fortwin and pethidine and pentazocin addicted person who successfully came out by using buprenorphine inj. and later on patches later .

doctor1 MD

My husband gave me Morphine Sulf 15 mg for my lower back pain. I am allergic to codeine and now I am experiencing my head shaking a lot and my legs twitching. I took the pill around 10:00 p.m. It is now 3:21 a.m. I need my sleep. I am concerned a bit and really want to go to sleep.

doctor1 MD

I am on at at home detox from codeine phosphate 30mg of which I was taking 20 a day. I have commenced Lofexidine and have been on this for 2/7. The only withdrawal I m suffering is RLS, I collected a script for Quinine Sulphate 300mg about 45 minutes ago, will this work for RLS quickly? I need to sleep and RLS is the only symptom stopping me!

doctor1 MD

Hi there My Mother is suffering from sensations of freezing liquid in her stomach and also sometimes in her shoulders, back and hands. She has also lost her appetite and has been having a tingling sensation in her left shoulder from time to time. The symptoms make her feel frightened and hopeless. She did recently have suspected DVT as she lost the ability to walk very suddenly recently, but after a cocktail of painkillers and also an injection in the stomach in case there was a blood clot, she was then able to walk again, although she is due for a hip operation in the other leg, so she can walk as best she can. The codeine part of the painkillers caused severe constipation a couple of weeks ago and she had to be treated for that, but now she is suffering these awful freezing sensations. I took her to the doctor and they gave her an ECG which proved fine. Any advice would be a relief as I am worried about her; it has made her very very down.

doctor1 MD

Hi my partner had bowel surgery a week ago to remove a tumor he got home from hospital yesterday and the incision was perfect hardly any bleeding today it has started bleeding which has leaked through the water proof dressing he took some codeine...

doctor1 MD

Hi I had a hysterectomy 6weeks ago and had to go to theatre 4 weeks ago to evacuate the large amount of blood I lost. Temperature came down and I was discharged after lots of antibiotics. I was on citalopram but stopped it 4 weeks ago as...

doctor1 MD

Dear Madam, My wife is 2 months Pregnant.She is having dry cough with little flames from past 2 days which will be more during night and less throught the day . So can you please confirm which tablets or home remedies would be safe to cure dry...

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