TERPIN AND CODEINE LINCTUS
Active substance(s): CODEINE PHOSPHATE / MENTHOL / TERPIN HYDRATE
FRONT FACE REVERSE:
IMPORTANT: Peel this label
at corner and read BEFORE
use. Do not tear off, re-fix for
For symptomatic relief of troublesome coughs.
Take the solution by mouth.
SHAKE THE BOTTLE.
Adults: Take 1 x 5ml spoonful, diluted with
water, after food. Repeat after 6 hours if
required, but not more than 3 doses in
The elderly: Ask your doctor for advice.
A lower dose may be more suitable.
Do not give to children under 18 years old.
Terpin Hydrate, Codeine Phosphate,
WARNING: DO NOT EXCEED THE STATED
Relieves the symptoms of
If symptoms persist for more than 7 days
NEW ADVICE FOR DRIVERS - SEE REVERSE
consult your doctor.
Peel where shown for further
Peel where shown for full list of
Do not store above 25°C. Protect from light.
Keep out of the sight and reach of children.
Manufactured by the licence holder Thornton
and Ross Ltd., Huddersfield, HD7 5QH, UK.
Talk to your doctor or pharmacist if you
• Kidney or liver problems (a reduced dose may be
recommended by your doctor).
• A history of asthma or other breathing problems,
• Low blood pressure.
• Irritable bowel syndrome (IBS) or other bowel
• Abdominal pain.
• Myasthenia gravis (a disease of the muscles).
• Underactive thyroid or adrenal gland problems
(a reduced dose may be recommended by your
• Gallstones or bile duct problems.
• Prostate problems.
• Problems passing urine.
• Irregular heartbeat .
• Or you are suffering from shock.
• Or you are elderly, as elderly people can react
differently to the medicine. See section 2.
Talk to your doctor or pharmacist if you
• MAOIs (monoamine oxidase inhibitors) for
depression, selegiline for Parkinson's Disease, or
the antibiotic linezolid, or you have taken them
within the last two weeks.
• Any tranquillisers, antidepressants, sedatives,
painkillers, anaesthetics, sedating antihistamines or
• Any medicine for mental illness.
• Metoclopramide or domperidone for nausea and
• Quinidine or mexiletine for irregular heartbeat.
• Alcohol (avoid alcoholic drinks while taking this
• Cimetidine for stomach ulcers.
• Sodium oxybate for sleeping disorders.
• Rifampicin for tuberculosis.
MIDDLE FACE REVERSE:
2. Possible side effects
Like all medicines, Terpin and Codeine Linctus can
have side effects, although these don’t affect everyone.
Important side effects
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.
Other possible side effects are:
• Feeling or being sick.
• Dizziness or vertigo.
• Loss of appetite.
• Feeling unwell.
• Muscle twitching or stiffness.
• Disturbed sleep.
• Difficulty in passing water.
• Dry mouth.
• Facial flushing.
• Fluid retention (e.g. swollen ankles and feet).
• Abnormal heartbeat.
• Feeling faint when standing up.
• Slow, shallow breathing.
• Low body heat.
• Mood changes.
• Feeling restless or confused.
• Pinpoint pupils or other problems with eyesight.
• Abdominal pain (including pain caused by
inflammation of the pancreas (pancreatitis) or bile
duct problems (biliary spasm)).
• Ureteric spasm (urine tube problem causing
abdominal or lower back pain).
• Low sexual urge.
• Allergic reactions such as itching and a rash.
• Elderly people may experience incontinence,
diarrhoea, stomach pain or a blocked bowel.
• Prolonged use may worsen irritable bowel
• Prolonged use may lead to addiction, dependence
and tolerance (the medicine loses its effect).
• If you notice these or any other side effects, stop use
and tell your doctor or pharmacist.They will tell you
what to do.
Reporting of side effects
If you get any side effects, talk to your doctor,
pharmacist or nurse. This includes any possible
side effects not listed in this leaflet. You can also
report side effects directly via the Yellow Card
Scheme at: www.mhra.gov.uk/yellowcard. By
reporting side effects you can help provide more
information on the safety of this medicine.
PRINT LAYOUT DIAGRAM
65MM X 170MM 3PLY MULTIPEEL WITH 5MM HINGE LEFT
• An allergy to any of the ingredients listed in
• Liver disease, or severe kidney problems.
• Inflammation of the bowel, or have previously
had a blocked bowel.
• Shallow breath or breathing difficulties.
• A head injury or persistent headache.
• An asthma attack.
• Previously had an addiction to medicines
containing Codeine or Morphine.
• If you know that you metabolise very rapidly codeine
• Previously had a bad reaction to codeine (a known
"ultra-rapid metaboliser" of codeine).
• Or are under 18 years old.
• If you are breastfeeding.
If you accidentally take too much see a doctor
straight away. Take the pack with you to show which
medicine you have swallowed.
• Do not use after the expiry date. The expiry
date refers to the last day of that month.
• Return any unused medicine to the pharmacy
The active ingredients per 5ml are: terpin hydrate
32.5mg, codeine phosphate 16mg, menthol 10mg.
The other ingredients are: cineole, ethanol, glycerol
(E422), pumilio pine oil, sucrose and purified water.
What the medicine looks like
Terpin and Codeine Linctus is a clear, colourless
syrupy liquid. It is supplied in 200ml bottles.
Text revised: July 2014
1. Before you use this medicine
Do not use the medicine if you have….
Active ingredients per 5ml: terpin
hydrate 32.5mg, codeine phosphate
16mg, menthol 10mg.
Also contains amongst other ingredients:
ethanol and sucrose.
Sucrose 1g per 5ml, alcohol 30 vol%.
3. Further information
This medicine contains codeine phosphate,
which reduces the desire to cough, and
menthol which helps you breathe more easily.
Talk to your doctor or pharmacist if you are not
Pregnant or breastfeeding….
sure whether it is safe for you to drive while taking
Terpin and Codeine Linctus should not be used in
pregnancy unless the doctor has told you to do so. this medicine.
Do not take codeine while you are breastfeeding.
Important ingredient information
Codeine and morphine passes into breast milk.
• This product contains sucrose. If you have
been told by your doctor that you have an
Driving and using machines….
intolerance to some sugars, contact your
This medicine may cause drowsiness or dizziness.
doctor before taking this medicine.
If you are affected do not drive or operate machinery.
• It contains 30 vol% ethanol (alcohol), i.e. up to
The medicine can affect your ability to drive as it
1180mg per dose, equivalent to 30ml beer or 13ml
may make you sleepy or dizzy.
wine per dose. Harmful for those suffering from
• Do not drive while taking this medicine until
alcoholism. To be taken into account in pregnant or
you know how it affects you.
breastfeeding women, children and high risk groups
• It is an offence to drive if this medicine affects
such as patients with liver disease or epilepsy.
your ability to drive.
• However, you would not be committing an
° The medicine has been prescribed to treat a
medical or dental problem and
° You have taken it according to the instructions
given by the prescriber or in the information
provided with the medicine and
° It was not affecting your ability to drive safely.
Data Matrix: 21523412 VERIFIED
MHRA Header Box
Terpin & Codeine Linctus
Landscape peelable label
65 x 170mm
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Artwork No 524046
Update for PRAC recommendations
for codeine containing products for
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.