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codeine
(KOE deen)

What is this medicine?
CODEINE (KOE deen) is a pain reliever. It is used to treat mild to moderate pain.

This medicine may be used for other purposes; ask your health care provider or pharmacist if you have questions.

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What is the price of this medication and similar alternatives?

This pricing information is subject to change at the sole discretion of DS Pharmacy. This pricing information was updated 09/2009. For the most current and up-to-date pricing information, please visit www.drugstore.com. Actual costs to patients will vary depending on the use of specific retail or mail-order locations and health insurance copays.

Acetaminophen-Codeine 120-12MG/5ML Solution ACTAVIS MID ATLANTIC118/$8.99 or 354/$17.2
Acetaminophen-Codeine 120-12MG/5ML Solution ACTAVIS MID ATLANTIC240/$13.99 or 720/$25.99
Acetaminophen-Codeine #2 300-15MG Tablets TEVA PHARMACEUTICALS USA30/$7.99 or 90/$23.43
Acetaminophen-Codeine #3 300-30MG Tablets TEVA PHARMACEUTICALS USA30/$11.99 or 60/$15.98
Acetaminophen-Codeine #4 300-60MG Tablets TEVA PHARMACEUTICALS USA30/$13.99 or 90/$32.98
Carisoprodol-Aspirin-Codeine 200-325-16MG Tablets SANDOZ30/$83.37 or 90/$240.04
Nucofed Expectorant 60-20-200MG/5ML Syrup MONARCH PHARMACEUTICALS473/$93.23 or 1419/$279.69
Promethazine-Codeine 6.25-10MG/5ML Syrup QUALITEST473/$29.99 or 1419/$83.44
Tylenol/Codeine #3 300-30MG Tablets MCNEIL30/$30.76 or 90/$71.4
Tylenol/Codeine #4 300-60MG Tablets MCNEIL30/$49.38 or 90/$118.49

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What side effects may I notice from receiving this medicine?
Side effects that you should report to your doctor or health care professional as soon as possible:

  • allergic reactions like skin rash, itching or hives, swelling of the face, lips, or tongue
  • breathing problems
  • cold, clammy skin
  • confusion
  • fast or slow heartbeat
  • feeling faint or lightheaded, falls
  • seizures
  • trouble passing urine or change in the amount of urine

Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):

  • constipation
  • drowsiness
  • dry mouth
  • nausea, vomiting
  • pinpoint pupils
  • sweating

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How should I use this medicine?
Take this medicine by mouth with a glass of water. If the medicine upsets your stomach, take it with food or milk. Follow the directions on the prescription label. Do not take more than you are told to take.

Talk to your pediatrician regarding the use of this medicine in children. While this drug may be prescribed for selected conditions, precautions do apply.

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What if I miss a dose?
If you miss a dose, take it as soon as you can. If it is almost time for your next dose, take only that dose. Do not take double or extra doses.

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What may interact with this medicine?

  • alcohol
  • antihistamines for allergy, cough and cold
  • medicines for depression, anxiety, or psychotic disturbances
  • medicines for pain like pentazocine, buprenorphine, butorphanol, nalbuphine, tramadol, and propoxyphene
  • muscle relaxants
  • naltrexone
  • phenobarbital
  • phenothiazines like chlorpromazine, mesoridazine, prochlorperazine, thioridazine

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Who should NOT use this medication?

  • Known hypersensitivity to codeine or any ingredient in the formulation.

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What should I watch for while using this medicine?
Tell your doctor or health care professional if your pain does not go away, if it gets worse, or if you have new or a different type of pain. You may develop tolerance to the medicine. Tolerance means that you will need a higher dose of the medicine for pain relief. Tolerance is normal and is expected if you take this medicine for a long time.

Do not suddenly stop taking your medicine because you may develop a severe reaction. Your body becomes used to the medicine. This does NOT mean you are addicted. Addiction is a behavior related to getting and using a drug for a non-medical reason. If you have pain, you have a medical reason to take pain medicine. Your doctor will tell you how much medicine to take. If your doctor wants you to stop the medicine, the dose will be slowly lowered over time to avoid any side effects.

You may get drowsy or dizzy when you first start taking the medicine or change doses. Do not drive, use machinery, or do anything that may be dangerous until you know how the medicine affects you. Stand or sit up slowly. Alcohol may interfere with the effect of this medicine. Avoid alcoholic drinks.

This medicine will cause constipation. Try to have a bowel movement at least every 2 to 3 days. If you do not have a bowel movement for 3 days, call your doctor or health care professional.

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What should I tell my health care provider before I take this medicine?
They need to know if you have any of these conditions:

  • brain tumor
  • drug abuse or addiction
  • head injury
  • heart disease
  • frequently drink alcohol containing drinks
  • kidney disease or problems going to the bathroom
  • liver disease
  • lung disease, asthma, or breathing problems
  • an unusual or allergic reaction to codeine, other medicines, foods, dyes, or preservatives
  • pregnant or trying to get pregnant
  • breast-feeding

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Can I stop taking the medication if I feel better?
If you are taking an analgesic for pain and you are no longer experiencing the pain you may stop using the medication. In general, pain medications are to be used on an ?as needed? basis.

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I am on so many medications; do I have to take them all?
This is called polypharmacy—many different medications being used at the same time by one person. Sometimes, being on multiple medications is acceptable and appropriate but at other times it may be problematic. If you are receiving your medications from multiple physicians you need to ensure that they all know what medications you are taking. The best way to do this is to make a list of all the medications you are currently using, including all nutritional supplements, homeopathic remedies, vitamins and over-the-counter drugs (if possible, also include all the diseases you have been diagnosed with). Give a copy to every doctor who takes care of you so they have it on file, this way they can avoid duplicating medications and perhaps even try to consolidate some. After every doctor's visit remember to update the list accordingly. Also, as much as you possibly can, try to use the same pharmacy to fill all your prescriptions, this way any potential drug interactions can be caught and averted.

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Where can I get more information?
More Information

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