WHAT YOU NEED TO KNOW BEFORE YOU TAKE CO-CODAMOL

1 [554750] [1065032825]ZEN-01179922-14tt-UK-EXCO-CO DAMOL 8/500 TABS-32 s packPACKAGE LEAFLET INFORMATION FOR THE USER This medicine can only be used for the short term treatment of acute moderate pain whenother painkillers have not worked You should only take this product for a maximum of 3 days at a time. If you need to take it forlonger 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 morethan 3 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 3 days it can make them worseRead all of this leaflet carefully BEFORE you start taking this medicine because itcontains important information for you.

2 Keep this leaflet. You may need to read it again If you have any further questions, ask your doctor or pharmacist If you get any side effects, talk to your doctor or pharmacist. This includes any possible side effectsnot listed in this leafletWhat is in this leaflet:1. What CO-CODAMOL is and what it is used for4. Possible side effects2. What you need to know BEFORE you take CO-CODAMOL 5. How to store co-codamol3. How to take co-codamol6. Contents of the pack and other informationThe name of your medicine is CO-CODAMOL 8/500 Tablets (called CO-CODAMOL throughout this leaflet). CO-CODAMOL contains two different medicines called codeine phosphate and paracetamol.

3 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 pain killers such as paracetamol. CO-CODAMOL is used for the short term treatment of acute moderate pain caused by headaches, migraine, toothache, neuralgia, period pain and rheumatic pains when other painkillers have not worked. Wait at least 4 hours after you last took other painkillers BEFORE taking this medicine. CO-CODAMOL can be used in children over 12 years of age for the short-term relief of moderate pain that is not relieved by other painkillers such as paracetamol or ibuprofen YOU NEED TO KNOW BEFORE YOU TAKE CO-CODAMOL This medicine contains paracetamol.

4 Do not take anything else containing paracetamol whiletaking this medicine This medicine contains codeine which can cause addiction if you take it continuously for morethan 3 days. This can give you withdrawal symptoms from the medicine when you stop taking it If you take a painkiller for headaches for more than 3 days it can make them worseWarnings and precautionsDo not take CO-CODAMOL and tell your doctor if: You are taking medicines to treat depression called MAOIs (monoamine oxidase inhibitors) or havetaken them in the last 2 weeks. MAOIs are medicines such as moclobemide, phenelzine,tranylcypromine You are allergic to the active substances or any of the other ingredients in your medicine(listed in Section 6)Signs of an allergic reaction include a rash and breathing problems.

5 There can also be swelling of thelegs, arms, face, throat or tongue The person going to take the tablets is under 12 years of age. CO-CODAMOL must not be given tochildren under 12 years of age You are under 18 years of age and have had your tonsils or adenoids removed due to obstructivesleep apnoea syndrome You know that you metabolise very rapidly codeine into morphine You are breastfeeding or planning to breastfeedDo not take CO-CODAMOL if any of the above applies to you. If you are not sure, talk to your doctor orpharmacist BEFORE taking special care and check with your doctor BEFORE taking CO-CODAMOL if: You have severe kidney or liver problems You are taking a benzodiazepine You suffer from seizuresCodeine is transformed to morphine in the liver by an enzyme.

6 Morphine is the substance thatproduces pain relief. Some people have a variation of this enzyme and this can affect people indifferent ways. In some people, morphine is not produced or produced in very small quantities, and itwill not provide enough pain relief. Other people are more likely to get serious side effects because avery high amount of morphine is produced. If you notice any of the following side effects, you muststop taking this medicine and seek immediate medical advice: slow or shallow breathing, confusion,sleepiness, small pupils, feeling or being sick, constipation, lack of and adolescentsUse in children and adolescents after surgeryCo-codamol should not be used for pain relief in children and adolescents after removal of their tonsilsor adenoids due to Obstructive Sleep Apnoea in children with breathing problemsCo-codamol is not recommended in children with breathing problems, since the symptoms ofmorphine toxicity may be worse in these children.

7 If you are not sure if any of the above applies to you,talk to your doctor or pharmacist BEFORE taking this medicines and co-codamolTell your doctor or pharmacist if you are taking or have recently taken any other medicines. Thisincludes medicines obtained without a prescription, including herbal products. This is becauseco-codamol and other medicines can affect the way each other works. Concomitant use ofco-codamol and sedative medicines such as benzodiazepines or related drugs increases the risk ofdrowsiness, difficulties in breathing (respiratory depression), coma and may be of this, concomitant use should only be considered when other treatment options are notpossible.

8 However if your doctor does prescribe CO-CODAMOL together with sedative medicines thedose and duration of concomitant treatment should be limited by your doctor. Please tell your doctorabout all sedative medicines you are taking, and follow your doctor s dose recommendation could be helpful to inform friends or relatives to be aware of the signs and symptoms stated your doctor when experiencing such taking CO-CODAMOL you should not take any other medicines which containparacetamol. This includes some painkillers, cough and cold remedies. It also includes a wide rangeof other medicines available from your doctor and more widely in shopsTell your doctor or pharmacist if you are taking any of the following medicines, or havetaken them in the past two weeks: Medicines which make you drowsy or sleepy (CNS depressants or a benzodiazepine) such as sleepingtablets, sedatives, tranquilisers, hypnotics and medicines used to treat anxiety or anaesthetics.

9 Anti-depressant medicines such as imipramine, amitriptyline, tranylcypromine, dosulepin, mirtazapineor your doctor or pharmacist if you are taking: Flucloxacillin (an antibiotic), due to a serious risk of blood and fluid abnormality (high anion gapmetabolic acidosis) that must have urgent treatment and which may occur particularly in case ofsevere renal impairment, sepsis (when bacteria and their toxins circulate in the blood leading to organdamage), malnutrition, chronic alcoholism, and if the maximum daily doses of paracetamol are your doctor or pharmacist if you are taking any other medicines: Medicines used to thin the blood such as warfarin. Chloramphenicol - an antibiotic used for infections.

10 Metoclopramide or domperidone - used to stop you feeling sick (nausea) or being sick (vomiting). Colestyramine - for lowering blood cholesterol levels. The oral contraceptive you are not sure if any of the above apply to you, talk to your doctor or pharmacist BEFORE take CO-CODAMOL exactly as instructed on the leaflet. Check with your doctor or pharmacist if you are not sure. Do not take more than the recommended dose. Swallow the tablets whole with a drink of waterAdults: 2 tablets every 4 to 6 hours when necessary up to a maximum of 8 tablets in 24 in children aged 16 to 18 years: 1 to 2 tablets every 6 hours when necessary up to amaximum of 8 tablets in 24 in children aged 12 to 15 years: 1 tablet every 6 hours when necessary to a maximum of4 tablets in 24 medicine should not be taken for more than 3 days.