All opioids can impair the psychological or physical qualities necessary to the performance of potentially hazardous jobs for instance driving or working equipment if taken in significant doses.[fifteen][16]
Ahead of starting off treatment with any opioids, a dialogue really should be held with patients To place set up a withdrawal tactic for ending treatment with dihydrocodeine.
In case you are having treatment for cancer pain or other severe pain, your pain Handle will probably be carefully monitored. Speak to your health practitioner for anyone who is worried about tolerance, hyperalgesia or turning into addicted.
During the US, pure dihydrocodeine is often a DEA Schedule II material, While preparations containing modest amounts of dihydrocodeine can also be classified as Schedule III or Schedule V, depending on the focus of dihydrocodeine relative to other active constituents, like paracetamol (acetaminophen).
Try to eat a well-balanced food plan and drink lots of drinking water on a daily basis. If this proceeds being a dilemma, discuss with your medical doctor
It might be sensible to believe that late administration of activated charcoal can be valuable for prolonged release preparations but there isn't any proof to help this.
Primary notice really should be given towards the establishment of a patent airway and institution of assisted or controlled air flow.
Pain associated with hyperalgesia tends to be a lot more diffuse than the pre-existing pain and fewer described in high-quality. Symptoms of hyperalgesia may perhaps solve with a reduction of opioid dose.
Do not take this medicine once the expiry date which is stated about the carton soon after EXP The expiry date refers to the last working day of that month.
Anxious system side effects of chlorpheniramine have integrated drowsiness in seventy five% or even more of addressed patients. Dyskinesias have rarely been click here documented subsequent Serious usage of chlorpheniramine.
Administration during labour may possibly depress respiration from the neonate and an antidote for the child need to be conveniently available.
Dihydrocodeine tablets need to be swallowed full, rather than damaged, chewed or crushed. The administration of damaged, chewed or crushed tablets may well lead to a speedy launch and absorption of the most likely lethal dose of dihydrocodeine and could bring about overdose effects (see section 4.nine).
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are allergic to dihydrocodeine or any of the other ingredients of this medicine (listed in section six)