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Codeine

Codeine 30mg

TAH Drug Code OCODI
Indications Symptomatic relief of mild to moderate severe pain, suppress hyperactive or nonproductive cough.
Dosing Analgesic: Adult 15-60 mg qid. Children and Adolescents: Pain management; analgesia: 0.5-1 mg/kg/dose every 4-6 hours as needed; maximum single dose: 60 mg. Note: Do not use for postoperative tonsillectomy and/or adenoidectomy pain management. Antitussive: Adult Oral: 7.5 to 120 mg/day as a single dose or in divided doses; Note: The American College of Chest Physicians does not recommend the routine use of codeine as an antitussive in patients with upper respiratory infections.
Hepatic Impairment Dose adjustment not necessary
Renal Impairment Dose adjustment required
Contraindications Hypersensitivity to opiates, acute respiratory depression, acute asthma, increased intracranial pressure, COPD, head injury, paralytic ileus, acute alcoholism, hepatic or renal dysfunction, phaeochromocytoma.
Adverse Effects Common: Sweating, Constipation, Nausea, Vomiting, Dizziness, Lightheadedness, Sedated, Somnolence, Dyspnea Serious: Cardiac arrest, Disorder of cardiovascular system, Circulatory Depression, Shock, Adrenal insufficiency, Pancreatitis, Deficiency of testosterone biosynthesis, Respiratory arrest, Respiratory depression, Serotonin syndrome
Pregnancy Human (and Animal) Data Suggest Risk
Lactation Human Data Suggest Potential Toxicity
More Info UpToDate