Codeine can pass into breast milk and may cause drowsiness, breathing problems, or death in a nursing baby. Follow the directions on your prescription label and read all medication guides. Never use this medicine in larger amounts, or for longer than prescribed.
Take this medicine only until your symptoms clear up. Never share opioid medicine with another person, especially someone with a history of drug abuse or addiction. Selling or giving away opioid medicine is against the law. Measure liquid medicine carefully. Use the dosing syringe provided, or use a medicine dose-measuring device not a kitchen spoon. Rinse after each use. If you need surgery or medical tests, tell the surgeon or doctor ahead of time if you have taken a cough or cold medicine within the past few days.
Store at room temperature away from moisture, heat, and light. Keep track of your medicine. You should be aware if anyone is using your medicine improperly or without a prescription. Do not keep leftover medication. Just one dose can cause death in someone using this medicine accidentally or improperly. Read and carefully follow the instructions provided with this medicine about how to safely dispose of any unused portion.
Since this medicine is used when needed, you may not be on a dosing schedule. Skip any missed dose if it's almost time for your next dose. Do not use two doses at one time. Seek emergency medical attention or call the Poison Help line at A codeine overdose can be fatal, especially in a child or other person using the medicine without a prescription.
Overdose symptoms may include slow breathing and heart rate, severe drowsiness, muscle weakness, cold and clammy skin, pinpoint pupils, and fainting. Avoid driving or operating machinery until you know how this medicine will affect you. Dizziness or severe drowsiness can cause falls or other accidents. Get emergency medical help if you have signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat. Opioid medicine can slow or stop your breathing, and death may occur.
A person caring for you should seek emergency medical attention if you have slow breathing with long pauses, blue colored lips, or if you are hard to wake up.
Seek medical attention right away if you have symptoms of serotonin syndrome, such as: agitation, hallucinations, fever, sweating, shivering, fast heart rate, muscle stiffness, twitching, loss of coordination, nausea, vomiting, or diarrhea. This is not a complete list of side effects and others may occur. Do not take more of it, do not take it more often, and do not take it for a longer time than your doctor ordered.
If too much of this medicine is taken for a long time, it may become habit-forming and cause mental or physical dependence. This medicine should come with a Medication Guide. Read and follow these instructions carefully. Ask your doctor if you have any questions. Measure the oral liquid with a marked measuring spoon, oral syringe, or medicine cup. The average household teaspoon may not hold the right amount of liquid. The dose of this medicine will be different for different patients.
Follow your doctor's orders or the directions on the label. The following information includes only the average doses of this medicine. If your dose is different, do not change it unless your doctor tells you to do so. The amount of medicine that you take depends on the strength of the medicine.
Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine. If you miss a dose of this medicine, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule.
Do not double doses. Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing. Drop off any unused narcotic medicine at a drug take-back location right away.
If you do not have a drug take-back location near you, flush any unused narcotic medicine down the toilet. Check your local drug store and clinics for take-back locations. You can also check the DEA web site for locations.
Here is the link to the FDA safe disposal of medicines website: www. It is very important that your doctor check your or your child's progress while taking this medicine. This will allow your doctor to see if the medicine is working properly and to decide if you should continue to take it.
Blood tests may be needed to check for unwanted effects. Codeine is changed to morphine in the body. Some people change codeine to morphine more quickly than others. These individuals are called "ultra-rapid metabolizers of codeine". Contact your doctor immediately if you experience extreme sleepiness, confusion, or shallow breathing. These symptoms may indicate that you are an "ultra-rapid metabolizer of codeine".
As a result, there may be too much morphine in the body and more side effects from morphine than usual. Children may be especially sensitive to this effect.
Do not give this medicine to:. If a nursing mother is an ultra-rapid metabolizer of codeine, it could lead to morphine overdose in the nursing baby and cause very serious side effects. This medicine may be habit-forming. If you feel that the medicine is not working as well, do not use more than your prescribed dose. Call your doctor for instructions. Using narcotics for a long time can cause severe constipation.
To prevent this, your doctor may direct you to take laxatives, drink a lot of fluids, or increase the amount of fiber in your diet.
Be sure to follow the directions carefully, because continuing constipation can lead to more serious problems.
Keywords: Purple Drank; codeine abuse; opioids; promethazine abuse; social subgroups. Abstract In the early s, several studies reported the misuse of codeine and promethazine hydrochloride cough syrup. Publication types Systematic Review. Substances Antitussive Agents Promethazine Codeine.
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