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Chlorcyclizine / codeine Side Effects

Applies to chlorcyclizine/codeine: oral liquid.

Warning

Do not use this medicine if you have used an MAO inhibitor in the past 14 days. A dangerous drug interaction could occur. MAO inhibitors include isocarboxazid, linezolid, methylene blue injection, phenelzine, rasagiline, selegiline, tranylcypromine, and others.

Codeine can slow or stop your breathing. Never use this medicine in larger amounts, or for longer than prescribed. Codeine may also be habit-forming. Never share this medicine with another person. MISUSE OF NARCOTIC MEDICINE CAN CAUSE ADDICTION, OVERDOSE, OR DEATH.

Medicines that contain codeine should not be given to a child just after surgery to remove the tonsils or adenoids. Get emergency medical help if a child taking this medicine has breathing problems, blue lips, or severe drowsiness, or if you cannot wake the child up from sleep.

Get emergency medical help if you have signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.

Get emergency medical help if a child taking this medicine has breathing problems, blue lips, or severe drowsiness, or if you cannot wake the child up from sleep.

Stop using this medicine and call your doctor at once if you have:

Common side effects may include:

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects.

For Healthcare Professionals

Applies to chlorcyclizine / codeine: oral liquid.

General

The most common side effects may include drowsiness, dizziness, and dry mouth.[Ref]

Respiratory

Frequency not reported: Respiratory depression

Gastrointestinal

Frequency not reported: Nausea, vomiting, constipation[Ref]

Psychiatric

Frequency not reported: Excitability

Nervous system

Frequency not reported: Drowsiness[Ref]

Cardiovascular

Frequency not reported: Hypotension, dizziness[Ref]

Dermatologic

Frequency not reported: Rashes, severe scarlatiniform eruptions, generalized dermatitis[Ref]

Genitourinary

Frequency not reported: Urinary retention[Ref]

Ocular

Frequency not reported: Blurred vision,

Antihistamines:

Frequency not reported: Worsening of closed-angle glaucoma (also called narrow-angle or angle-closure glaucoma)[Ref]

References

1. American Geriatrics Society 2012 Beers Criteria Update Expert Panel. American Geriatrics Society updated Beers Criteria for potentially inappropriate medication use in older adults. J Am Geriatr Soc. 2012;60:616-31.

2. Product Information. Codeine Sulfate (codeine). Lannett Company Inc. 2015.

3. de Groot AC, Conemans J. Allergic urticarial rash from oral codeine. Contact Dermatitis. 1986;14:209-14.

4. Stambaugh JE Jr, McAdams J. Comparison of the analgesic efficacy and safety of oral ciramadol, codeine, and placebo in patients with chronic cancer pain. J Clin Pharmacol. 1987;27:162-6.

5. Stringer MD, Greenfield S, McIrvine AJ. Stercoral perforation of the colon following postoperative analgesia. J R Soc Med. 1987;80:115-6.

6. Max MB, Schafer SC, Culnane M, et al. Association of pain relief with drug side effects in postherpeticneuralgia: a single-dose study of clonidine, codeine, ibuprofen, and placebo. Clin Pharmacol Ther. 1988;43:363-71.

7. Hastier P, Buckley MJM, Peten EP, Demuth N, Dumas R, Demarquay JF, CaroliBosc FX, Delmont JP. A new source of drug-induced acute pancreatitis: Codeine. Am J Gastroenterol. 2000;95:3295-8.

8. Product Information. Notuss-NX (chlorcyclizine-codeine). SJ Pharmaceuticals formerly Stewart-Jackson Pharmacal Inc. 2010.

9. Redpath JB, Pleuvry BJ. Double-blind comparison of the respiratory and sedative effects of codeine phosphate and (+/-)-glaucine phosphate in human volunteers. Br J Clin Pharmacol. 1982;14:555-8.

10. Bradley CM, Nicholson AN. Effects of a mu-opoiod receptor agonist (codeine phosphate) on visuo-motor coordination and dynamic visual acuity in man. Br J Clin Pharmacol. 1986;22:507-12.

11. Malek-Ahmadi P, Ramsey ML. Acute psychosis associated with codeine and acetaminophen: a case report. Neurobehav Toxicol Teratol. 1985;7:193-4.

12. Shorr RI, Griffin MR, Daugherty JR, Ray WA. Opioid analgesics and the risk of hip fracture in the elderly: codeine and propoxyphene. J Gerontol. 1992;47:m111-5.

13. Cox RG. Hypoxaemia and hypotension after intravenous codeine phosphate. Can J Anaesth. 1994;41:1211-3.

14. Zolezzi M, Al Mohaimeed SA. Seizures with intravenous codeine phosphate. Ann Pharmacother. 2001;35:1211-3.

15. Parke TJ, Nandi PR, Bird KJ, Jewkes DA. Profound hypotension following intravenous codeine phosphate: three case reports and some recommendations. Anaesthesia. 1992;47:852-4.

16. Hunskaar S, Dragsund S. Scarlatiniform rash and urticaria due to codeine. Ann Allergy. 1985;54:240-1.

17. Rodriguez F, Fernandez L, Garciaabujeta JL, Maquiera E, Llaca HF, Jerez J. Generalized dermatitis due to codeine. Contact Dermatitis. 1995;32:120.

18. Gonzalogarijo MA, Revengaarranz F. Fixed drug eruption due to codeine. Br J Dermatol. 1996;135:498-9.

19. Knaggs RD, Crighton IM, Cobby TF, Fletcher AJ, Hobbs GJ. The pupillary effects of intravenous morphine, codeine, and tramadol in volunteers. Anesth Analg. 2004;99:108-12.

Further information

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.

Some side effects may not be reported. You may report them to the FDA.

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