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CO-CODAMOL 8/500MG EFFERVESCENT TABLETS
Active substance(s): CODEINE PHOSPHATE HEMIHYDRATE / PARACETAMOL
CO-CODAMOL EFFERVESCENT TABLETS 8/500 mg
The name of this medicine is Co-codamol Effervescent Tablets 8/500 mg, which will be referred to as
Co-codamol 8/500 throughout this leaflet.
Read all of this leaflet carefully before you start taking this medicine.
This medicine can only be used for the short term treatment of acute moderate pain which
is not relieved by paracetamol, ibuprofen or aspirin alone.
You should only take this product for a maximum of three days at a time. If you need
to take it for longer than three days you should see your doctor or pharmacist for advice.
This medicine contains codeine which can cause addiction if you take it continuously for
more than three days. This can give you withdrawal symptoms from the medicine when you
stop taking it.
If you take this medicine for headaches for more than three days it can make them worse.
Keep this leaflet. You may need to read it again.
If you have further questions, please ask your doctor or your pharmacist.
This medicine has been prescribed for you. Do not pass it on to others; it may harm them,
even if their symptoms are the same as yours.
If any of the side effects gets serious, or if you notice any side effects not listed in this
leaflet, please tell your doctor or pharmacist.
In this leaflet:
What Co-codamol 8/500 are and what they are used for
Before you take Co-codamol 8/500
How to take Co-codamol 8/500
Possible side effects
How to store Co-codamol 8/500
1. WHAT CO-CODAMOL 8/500 ARE AND WHAT THEY ARE USED FOR
The active ingredients in Co-codamol 8/500 are paracetamol and codeine phosphate hemihydrate.
Co-codamol 8/500 is for the short term treatment of acute moderate pain which is not relieved by
paracetamol, ibuprofen or aspirin alone. It is used to relieve muscular and rheumatic pains,
headache, migraine, neuralgia (severe burning or stabbing pain following the line of a nerve),
toothache and period pains.
2. BEFORE YOU TAKE CO-CODAMOL 8/500
This medicine contains codeine which can cause addiction if you take it continuously for more than
three days. This can give you withdrawal symptoms from the medicine when you stop taking it.
If you take this medicine for headaches for more than three days it can make them worse.
Do not take Co-codamol 8/500 if you:
are allergic (hypersensitive) to paracetamol, codeine or any of the other ingredients in the
tablets (these are listed in Section 6, Further Information)
have a dependency to alcohol
have difficulty breathing or other chronic lung disease
are having an asthma attack
have bowel problems
have raised intracranial pressure or head injury
Take special care with Co-codamol 8/500 if you:
are already taking other medicines containing paracetamol
have liver or kidney problems
are on a low sodium diet
The hazards of overdose are greater in those with non-cirrhotic alcoholic liver disease.
Taking other medicines
Do not take these tablets if you are already taking other medicines containing paracetamol.
Please tell your doctor or pharmacist if you are taking or have recently taken any other medicines,
including medicines obtained without a prescription, as they may decrease or increase the effect of
metoclopramide or domperidone (often taken for sickness or stomach problems)
colestyramine (for high blood lipid levels)
anticoagulants to reduce blood clotting (e.g. warfarin)
MAOI’s and CNS depressants such as sleeping tablets, sedatives and some antihistamines
It may still be all right for you to take Co-codamol 8/500 and your doctor will be able to decide what
is suitable for you.
Taking your medicine with food and drink
Co-codamol 8/500 should be dissolved in at least half a glass of water and can be taken with or
without a meal.
Pregnancy and breast-feeding
Although there is no evidence that these tablets cause any ill effects during pregnancy, your doctor
should advise you about taking them if you are pregnant. If you are breast-feeding, you may take
these tablets but keep an eye on the baby for signs of drowsiness or poor feeding. If you notice this,
stop taking the tablets and see your doctor.
Usually it is safe to take Co-codamol 8/500 while breast feeding as the levels of the active
ingredients of this medicine in breast milk are too low to cause your baby any problems. However,
some women who are at increased risk of developing side effects at any dose may have higher levels
in their breast milk. If any of the following side effects develop in you or your baby, stop taking this
medicine and seek immediate medical advice; feeling sick, vomiting, constipation, decreased or lack
of appetite, feeling tired or sleeping for longer than normal, and shallow or slow breathing.
Ask your doctor or pharmacist for advice before taking any medicines.
Driving and using machinery
These tablets may make you feel dizzy or drowsy and if this happens do not drive or operate
Important information about some of the ingredients of Co-codamol 8/500
Each of these tablets contains about 438 mg of sodium and may interfere if you are on a low sodium
This product also contains aspartame (a source of phenylalanine), which should not be given to
anyone with phenylketonuria.
3. HOW TO TAKE CO-CODAMOL 8/500
Do not take for more than three days. If you need to use this medicine for
more than three days you must speak to your doctor or pharmacist.
The usual dose for Co-codamol 8/500 is as follows:
Adults and children over 12 years:
1 or 2 tablets dissolved in water every 4 – 6 hours as required, to a maximum of 8 tablets a day. Do
not continue to take these tablets for more than 3 days unless instructed by your doctor. Do not
exceed the recommended dose.
Method of Administration
For oral administration only. These tablets should be dissolved in at least half a glass of water
before taking them. These tablets are meant to be dissolved first so don’t try to swallow them
If you take more Co-codamol 8/500 than you should
If you have accidentally taken more than your prescribed dose, contact your nearest hospital
casualty department or tell your doctor or pharmacist immediately. Remember to take the pack and
any remaining tablets with you.
Immediate medical advice should be sought in the event of an overdose, even if you feel well,
because of the risk of delayed, serious liver damage. An overdose of paracetamol can cause serious
liver damage, which may not show any signs for a day or two, by which time treatment may not be
If you are giving this medicine to a child, immediate medical advice should be sought in the event of
overdose, even if the child seems well, because of the risk of delayed, serious liver damage.
If you forget to take Co-codamol 8/500
If you forget to take one or more doses, take your next dose when you remember and then go on as
prescribed. Do not take a double dose to make up for a forgotten dose.
This medicine contains codeine and can cause addiction if you take it continuously for more than
three days. When you stop taking it you may get withdrawal symptoms. You should talk to your
doctor or pharmacist if you think you are suffering from withdrawal symptoms.
If you have any further questions about this product ask your doctor or pharmacist.
4. POSSIBLE SIDE EFFECTS
Some people may have side effects when taking this medicine. If you have any unwanted side effects
you should seek advice from your doctor, pharmacist or other healthcare professional. Also you can
help to make sure that medicines remain as safe as possible by reporting any unwanted side effects
via the internet at www.yellowcard.gov.uk; alternatively you can call Freephone 0808 100 3352
(available between 10am-2pm Monday – Friday) or fill in a paper form available from your local
If you get any of the following symptoms after taking these tablets, you should contact your doctor
Any sudden wheeziness, difficulty in breathing or dizziness, swelling of the eyelids,
face, lips or throat.
An acute allergic reaction (anaphylaxis) or swelling of the skin
The following effects have been reported:
Rarely pancreatitis (inflammation of the pancreas which may cause severe
abdominal pain that can spread through to your back)
There have been very rare reports of blood problems, so if you notice unusual bleeding or you bruise
easily, tell your doctor as soon as possible.
If any of these side effects gets serious, or if you notice any side effects not listed in this leaflet,
please tell your doctor or pharmacist.
How do I know if I am addicted?
If you take the medicine according to the instructions on the pack it is unlikely that you will become
addicted to the medicine. However, if the following apply to you it is important that you talk to your
You need to take the medicine for longer periods of time
You need to take more than the recommended dose
When you stop taking the medicine you feel very unwell but you feel better if you
start taking the medicine again
5. HOW TO STORE CO-CODAMOL 8/500
Do not store your tablets above 25°C. Store in a dry place and protect from light.
Do not take this medicine after the expiry date stated on the carton. The expiry date refers to the
last day of that month.
Keep all medicines out of the reach and sight of children.
Medicines should not be disposed of via wastewater or household waste.
Ask your pharmacist how to dispose of medicines no longer required.
These measures will help to protect the environment.
6. FURTHER INFORMATION
What Co-codamol 8/500 mg Effervescent Tablets contain:
The active ingredients are paracetamol and codeine phosphate hemihydrate. Each tablet contains
500mg paracetamol and 8mg codeine phosphate hemihydrate.
The other ingredients are sodium hydrogen carbonate, citric acid, sodium carbonate, povidone,
simeticone, sodium saccharin, aspartame (E951) and polysorbate 80.
What Co-Codamol 8/500 look like and the contents of the pack:
Co-codamol 8/500 mg Effervescent Tablets are white, circular, with a flat bevelled edge and plain on
Your medicine is available in blister packs of 7, 10, 14, 28, 30 and 32 tablets (not all pack sizes may
Marketing Authorisation Holder:
Fannin (UK) Limited, 42-46 Booth Drive, Park Farm South, Wellingborough, Northamptonshire, NN8
Manufacturer responsible for batch release:
Neolab Ltd, 57 High Street, Odiham, Hants, RG29 1LF.
Source: Medicines and Healthcare Products Regulatory Agency
Disclaimer: Every effort has been made to ensure that the information provided here is accurate, up-to-date and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. This information has been compiled for use by healthcare practitioners and consumers in the United States. The absence of a warning for a given drug or combination thereof in no way should be construed to indicate that the drug or combination is safe, effective or appropriate for any given patient. If you have questions about the substances you are taking, check with your doctor, nurse or pharmacist.