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IBUPROFEN & CODEINE 200MG/12.8MG TABLETS

Active substance(s): CODEINE PHOSPHATE HEMIHYDRATE / IBUPROFEN

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What are these tablets used for?
This medicine (which contains codeine) can only be used in children over 12 years of age for the short term relief
of acute moderate pain which is not relieved by other painkillers such as paracetamol, ibuprofen and aspirin
alone such as muscle and joint pain, backache, sports injuries (e.g. sprains, strains), pain due to non-serious
arthritis, headache, migraine, period and dental pain and neuralgia.
This product contains codeine. Codeine belongs to a group of medicines called opioid analgesics which act to
relieve pain. It can be used on its own or in combination with other painkillers.





For pain relief in children and adolescents (0-18 years of age) after removal of their tonsils or adenoids due
to obstructive sleep apnoea syndrome
Know that you metabolise codeine into morphine very rapidly
Are breastfeeding

Warnings and precautions
Codeine is transformed to morphine in the liver by an enzyme. Morphine is the substance that produces pain
relief. Some people have a variation of this enzyme and this can affect people in different ways. In some people,
morphine is not produced or produced in very small quantities, and it will not provide enough pain relief. Other
people are more likely to get serious side effects because a very high amount of morphine is produced. If you
notice any of the following side effects, you must stop taking this medicine and seek immediate medical advice:
slow or shallow breathing, confusion, sleepiness, small pupils, feeling or being sick, constipation, lack of appetite.
Children and adolescents
Use in children and adolescents after surgery:
Codeine should not be used for pain relief in children and adolescents after removal of their tonsils or adenoids
due to Obstructive Sleep Apnoea Syndrome.
Use in children with breathing problems:
Codeine is not recommended in children with breathing problems, since the symptoms of morphine toxicity may
be worse in these children.

• Do not take codeine while you are breastfeeding. Codeine and morphine passes into breast milk.
Driving and Using Machines
This medicine can affect your ability to drive as it may make you sleepy or dizzy.

Do not drive while taking this medicine until you know how it affects you

It may be an offence to drive when taking this medicine

However, you would not be committing an offence if:
o The medicine has been taken to treat a medical or dental problem and
o You have taken it according to the information provided with the medicine and
o It was not affecting your ability to drive safely
Talk to your doctor or pharmacist if you are not sure whether it is safe for you to drive while taking this
medicine.
Details regarding a new driving offence concerning driving after drugs have been taken in the UK may be found
here: https://www.gov.uk/drug-driving-law
How to take the tablets
For oral use. This product is intended for short term use only.
You should take the lowest effective dose for the shortest time necessary to relieve your symptoms. This medicine
should not be taken for more than 3 days. If the pain persist or worsen after 3 days talk to your doctor for advice.
Adults and the elderly:





Take one or two tablets with water every 4 to 6 hours
Leave at least 4 hours between doses
Do not take more than 6 tablets in any 24 hour period
Do not exceed the stated dose

Children aged between 12 and 18 years:





Take one or two tablets with water every 6 hours
Leave at least 6 hours between doses
Do not take more than 6 tablets in any 24 hour period
Do not exceed the stated dose

Children under 12 years:
Do not give to children under 12 years, due to the risk of severe breathing problems.

Date of revision: July 2014

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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.

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