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Fentanyl tablet | Fentanyl Patch

COMMON BRAND(S): DURAGESIC

GENERIC NAME(S): FENTANYL

• Uses
• Side Effects
• Precautions
• Interactions
• Overdose

Uses

This medication is used to help relieve severe ongoing pain (such as due to cancer). Fentanyl belongs to a class of drugs known as opioid analgesics. It works in the brain to change how your body feels and responds to pain. Do not use the patch form of fentanyl to relieve pain that is mild or that will go away in a few days. This medication is not for occasional (“as needed”) use.

How to use Fentanyl tablet

See also Warning section.

Read the Medication Guide and, if available, the Instructions for Use provided by your pharmacist before you start using this medication and each time you get a refill. Learn how to properly use, store, and discard the patches. If you have any questions, ask your doctor or pharmacist.

Use this medication on a regular schedule as directed by your doctor, not as needed for sudden (breakthrough) pain.

Before you start using this medication, ask your doctor or pharmacist if you should stop or change how you use your other opioid medication(s). It may take up to 24 hours before you have pain relief from Fentanyl tablet patches. Other pain relievers (such as acetaminophen, ibuprofen) may also be prescribed. Ask your doctor or pharmacist about using fentanyl safely with other drugs.

Apply this medication to the skin as directed by your doctor. Do not apply on burns, cuts, irritated skin, or skin that has been exposed to radiation (x-ray treatment). Select a dry, non-hairy area on a flat part of your body, such as the chest, sides, back, or upper arms. In young children or in people unable to think clearly (such as due to dementia), apply the patch on the upper back to lessen the chance it might be removed or placed in the mouth. If there is hair on the skin, use scissors to clip the hair as close as possible to the skin. Do not shave hair since this might cause skin irritation. If needed, use water to clean the area. Do not use soap, oils, lotions, or alcohol on the application site. Dry the skin well before applying the patch.

The patch is usually changed every 72 hours. To avoid irritation, apply to a different area each time. Be sure to remove the old patch before applying a new patch. The used patch still contains enough fentanyl to cause serious harm, even kill a child or pet, so fold it in half with the sticky sides together and discard properly. Do not let children see you apply a patch, and do not apply the patch where children can see it. Children have found patches that have fallen off or removed patches on sleeping adults and put them in their mouths or on their bodies with fatal results. (See also Warning section).

Do not use the patch if it appears to be broken, cut, or damaged. Remove from the sealed pouch, peel off the protective liner, and apply right away to the skin. Press firmly in place with the palm of the hand for 30 seconds, making sure the contact is complete (especially around the edges). If your prescribed dose is for more than one patch, make sure the edges of the patches do not touch or overlap. Wash your hands after applying the patch.

If you have problems with the patch not sticking at the application site, you may tape the edges in place with first aid tape. If this problem persists, ask your doctor for advice. If the patch falls off before 72 hours, a new patch may be applied to a different skin site. Be sure to let your doctor know if this happens.

If you accidentally touch the sticky layer to your skin or handle a cut or damaged patch, wash the area well with clear water. If the patch comes off and accidentally sticks to the skin of another person, immediately remove the patch, wash the area with water, and get medical help for them right away. Do not use soap, alcohol, or other products to wash the area.

The dosage is based on your medical condition and response to treatment. Do not apply more patches than directed, change them more frequently, or use them for a longer time than prescribed.

Suddenly stopping this medication may cause withdrawal, especially if you have used it for a long time or in high doses. To prevent withdrawal, your doctor may lower your dose slowly. Tell your doctor or pharmacist right away if you have any withdrawal symptoms such as restlessness, mental/mood changes (including anxiety, trouble sleeping, thoughts of suicide), watering eyes, runny nose, nausea, diarrhea, sweating, muscle aches, or sudden changes in behavior.

When this medication is used for a long time, it may not work as well. Talk with your doctor if this medication stops working well.

Though it helps many people, this medication may sometimes cause addiction. This risk may be higher if you have a substance use disorder (such as overuse of or addiction to drugs/alcohol). Use this medication exactly as prescribed to lower the risk of addiction. Ask your doctor or pharmacist for more details.

Tell your doctor if your pain does not get better or if it gets worse.

Side Effects- where to buy Fentanyl online

See also Warning section.

Nausea, vomiting, constipation, lightheadedness, dizziness, drowsiness, or headache may occur. Mild irritation, itching, or redness at the application site may also occur. Some of these side effects may decrease after you have been using this medication for a while. If any of these effects persist or worsen, tell your doctor or pharmacist promptly.

To prevent constipation, eat dietary fiber, drink enough water, and exercise. You may also need to take a laxative. Ask your pharmacist which type of laxative is right for you.

To reduce the risk of dizziness and lightheadedness, get up slowly when rising from a sitting or lying position.

Remember that this medication has been prescribed because your doctor has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.

Tell your doctor right away if you have any serious side effects, including: interrupted breathing during sleep (sleep apnea), mental/mood changes (such as agitation, confusion, hallucinations), severe stomach/abdominal pain, difficulty urinating, slow/fast/pounding heartbeat, signs of your adrenal glands not working well (such as loss of appetite, unusual tiredness, weight loss).

Get medical help right away if you have any very serious side effects, including: fainting, seizure, slow/shallow breathing, severe drowsiness/difficulty waking up.

This medication may increase serotonin and rarely cause a very serious condition called serotonin syndrome/toxicity. The risk increases if you are also taking other drugs that increase serotonin, so tell your doctor or pharmacist of all the drugs you take (see Drug Interactions section). Get medical help right away if you develop some of the following symptoms: fast heartbeat, hallucinations, loss of coordination, severe dizziness, severe nausea/vomiting/diarrhea, twitching muscles, unexplained fever, unusual agitation/restlessness.

A very serious allergic reaction to this drug is rare. However, get medical help right away if you notice any symptoms of a serious allergic reaction, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.

This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.

Precautions- where to buy Fentanyl tablet

Before using Fentanyl tablet, tell your doctor or pharmacist if you are allergic to it; or to adhesives; or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details.

Before using this medication, tell your doctor or pharmacist your medical history, especially of: brain disorders (such as head injury, tumor, seizures), breathing problems (such as asthma, sleep apnea, chronic obstructive pulmonary disease–COPD), kidney disease, liver disease, mental/mood disorders (such as confusion, depression), personal or family history of a substance use disorder (such as overuse of or addiction to drugs/alcohol), stomach/intestinal problems (such as blockage, constipation, diarrhea due to infection, paralytic ileus), difficulty urinating (such as due to enlarged prostate), disease of the pancreas (pancreatitis), gallbladder disease, slow/fast/irregular heartbeat.

This drug may make you dizzy or drowsy. Alcohol or marijuana (cannabis) can make you more dizzy or drowsy. Do not drive, use machinery, or do anything that needs alertness until you can do it safely. Avoid alcoholic beverages. Talk to your doctor if you are using marijuana (cannabis).

Tell your doctor promptly if you develop a fever, since this rise in body temperature may cause overdose (see also Warning section). Avoid activities that might cause your body temperature to rise. (such as doing strenuous work/exercise in hot weather).

Before having surgery, tell your doctor or dentist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products).

If you are going to have an MRI test, tell testing personnel that you are using this patch. Some patches may contain metals that can cause serious burns during an MRI. Ask your doctor whether you will need to remove your patch before the test and apply a new patch afterward, and how to do so properly.

Older adults may be more sensitive to the side effects of this drug, especially confusion, dizziness, drowsiness, and slow/shallow breathing.

During pregnancy, this medication should be used only when clearly needed. It may harm an unborn baby. Discuss the risks and benefits with your doctor. (See also Warning section.)

This drug passes into breast milk and may have undesirable effects on a nursing infant. Tell the doctor right away if your baby develops unusual sleepiness, difficulty feeding, or trouble breathing. Consult your doctor before breast-feeding.

Interactions- Fentanyl tablet online

See also Warning section.

Drug interactions may change how your medications work or increase your risk for serious side effects. This document does not contain all possible drug interactions. Keep a list of all the products you use (including prescription/nonprescription drugs and herbal products) and share it with your doctor and pharmacist. Do not start, stop, or change the dosage of any medicines without your doctor’s approval.

Some products that may interact with this drug include: certain pain medications (mixed opioid agonist-antagonists such as butorphanol, nalbuphine, pentazocine), naltrexone, samidorphan.

Other medications can affect the removal of fentanyl from your body, which may affect how fentanyl works. Examples include azole antifungals (such as itraconazole, ketoconazole), calcium channel blockers (such as diltiazem, verapamil), HIV protease inhibitors (such as nelfinavir, ritonavir), macrolide antibiotics (such as erythromycin), nefazodone, mifepristone, rifamycins (such as rifabutin), certain drugs used to treat seizures (such as carbamazepine, phenytoin), among others.

Taking MAO inhibitors with this medication may cause a serious (possibly fatal) drug interaction. Avoid taking MAO inhibitors (isocarboxazid, linezolid, metaxalone, methylene blue, moclobemide, phenelzine, procarbazine, rasagiline, safinamide, selegiline, tranylcypromine) during treatment with this medication. Most MAO inhibitors should also not be taken for two weeks before treatment with this medication. Ask your doctor when to start or stop taking this medication.

The risk of serious side effects (such as slow/shallow breathing, severe drowsiness/dizziness) may be increased if this medication is used with other products that may also cause drowsiness or breathing problems. Tell your doctor or pharmacist if you are taking other products such as other opioid pain or cough relievers (such as codeine, hydrocodone), alcohol, marijuana (cannabis), drugs for sleep or anxiety (such as alprazolam, lorazepam, zolpidem), muscle relaxants (such as carisoprodol, cyclobenzaprine), or antihistamines (such as cetirizine, diphenhydramine).

Check the labels on all your medicines (such as allergy or cough-and-cold products) because they may contain ingredients that cause drowsiness. Ask your pharmacist about using those products safely.

The risk of serotonin syndrome/toxicity increases if you are also taking other drugs that increase serotonin. Some examples are street drugs such as MDMA/ “ecstasy,” St. John’s wort, certain antidepressants (such as SSRIs like fluoxetine/paroxetine, SNRIs like duloxetine/venlafaxine), among others. The risk of serotonin syndrome/toxicity may be more likely when you start or increase the dose of these drugs.

This medication may interfere with certain laboratory tests (including amylase/lipase levels), possibly causing false test results. Make sure laboratory personnel and all your doctors know you use this drug.

Does Fentanyl tablet, Transdermal 72 Hours interact with other drugs you are taking?

Overdose-buy fentanyl online

This medication patch may be harmful if chewed or swallowed. If someone has overdosed, remove the patch if possible. For serious symptoms such as passing out or trouble breathing, give them naloxone if available, then call 911. If the person is awake and has no symptoms, call a poison control center right away. US residents can call their local poison control center at 1-800-222-1222. Canada residents can call a provincial poison control center. Symptoms of overdose may include: slow/shallow breathing, slow heartbeat, coma.

Notes

Do not share this medication with others. Sharing it is against the law.

This medication has been prescribed for your current condition only. Do not use it later for another condition unless told to do so by your doctor. A different medication may be necessary in that case.

Ask your doctor or pharmacist if you should have naloxone available to treat opioid overdose. Teach your family or household members about the signs of an opioid overdose and how to treat it.

Missed Dose

If you leave a patch on for more than 3 days (72 hours), remove the patch and apply a new patch as soon as you remember. Do not double the dose to catch up.

Storage- buy fentanyl uk

Store at room temperature away from light and moisture. Do not freeze. Do not store in the bathroom. Keep all medications away from children and pets. See also Warning section.

Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Properly discard this product when it is expired or no longer needed (see also How to Use section). For more details, read the Instructions for Use, or consult your pharmacist or local waste disposal company.

The post Fentanyl Patches appeared first on Online Pharmacy.

Buy dihydrocodeine UK 19 Nov 2021, 4:44 pm

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Dihydrocodeine is a semi-synthetic opioid analgesic prescribed for pain or severe dyspnea, or as an antitussive, either alone or compounded with paracetamol or aspirin. It was developed in Germany in 1908 and first marketed in 1911.

Dihydrocodeine is an opiate painkiller. It’s used to treat moderate to severe pain, such as after an operation or a serious injury. It’s also used for long-standing pain when weaker painkillers, such as paracetamol, ibuprofen and aspirin, have not worked. Dihydrocodeine is only available on prescription.

Dihydrocodeine is a semi-synthetic opioid analgesic. Dihydrocodeine can best be described as a moderate pain reliever. It is used to help manage pain caused by sciatica, osteoarthritis, rheumatoid arthritis, blood vessel disease, and cancer, among other conditions.

Dihydrocodeine

On this page

1. About dihydrocodeine
2. Key facts
3. Who can and cannot take it
4. How and when to take it
5. Taking dihydrocodeine with other painkillers
6. Side effects
7. How to cope with side effects
8. Pregnancy and breastfeeding
9. Cautions with other medicines
10. Common questions

1. About dihydrocodeine

Dihydrocodeine is an opiate painkiller. It’s used to treat moderate to severe pain, such as after an operation or a serious injury.

It’s also used for long-standing pain when weaker painkillers, such as paracetamol, ibuprofen and aspirin, have not worked.

Dihydrocodeine is only available on prescription. It also comes mixed with paracetamol, this is called co-dydramol.

It comes as standard tablets, slow-release tablets and as a liquid that you swallow. It can also be given by an injection into the muscle or under the skin. This is usually done in hospital.

Dihydrocodeine is also known by the brand names DHC Continous and DF118 Forte.

2. Key facts – Buy dihydrocodeine online

• Dihydrocodeine works by stopping pain signals travelling along the nerves to the brain.
• Standard dihydrocodeine tablets take 1.5 to 2 hours to work fully.
• It’s possible to become addicted to dihydrocodeine, but your doctor will explain how to reduce the risks of becoming addicted.
• If you need to take dihydrocodeine for more than a few weeks, your treatment plan may include details of how and when to stop taking this medicine.
• The most common side effects are feeling or being sick, feeling drowsy or constipation.

3. Who can and cannot take it

Adults and children aged 4 years and over can take dihydrocodeine.

Dihydrocodeine is not suitable for some people. Tell a doctor before taking the medicine if you:

• have ever had an allergic reaction to dihydrocodeine or any other medicine
• have any stomach problems, such as irritable bowel syndrome (IBS) or Crohn’s disease, or if you’re taking medicines for these conditions
• have lung problems, asthma or breathing difficulties
• have a head injury or a condition that causes seizures or fits
• have an underactive thyroid gland (hypothyroidism)
• have an addiction to alcohol
• take any other painkillers (including those you buy from a pharmacy or supermarket)
• have liver or kidney problems
• have myasthenia gravis, a rare illness that causes muscle weakness
• are trying to become pregnant, are already pregnant or are breastfeeding
• are under 18 years and have had your tonsils or adenoids taken out to treat obstructive sleep Apnoea
• have a rare condition causing problems with galactose intolerance

4. How and when to take it

It’s important to take dihydrocodeine as your doctor has asked you to. This is particularly important because dihydrocodeine can be addictive.

Swallow the tablets whole with water. It’s best to take them with or soon after a meal or snack.

How much will I take?

Dihydrocodeine tablets come in 5 different strengths. The tablets contain 30mg, 40mg, 60mg, 90mg or 120mg of dihydrocodeine.

How often you take your tablets will depend on the strength.

Immediate release tablets

The usual dose for adults and children aged 12 years and over is:

• 30mg tablet – 1 tablet every 4 to 6 hours – maximum dose in 24 hours is 6 tablets (180mg)
• 40mg tablet – 1 or 2 tablets up to 3 times in 24 hours – maximum dose in 24 hours is 6 tablets (240mg)

Slow release tablets

The usual dose for adults and children aged 12 years and over is:

• 60mg, 90mg or 120mg tablets – 1 tablet taken every 12 hours

The tablets contain 60mg, 90mg or 120mg of dihydrocodeine. The usual dose is between 60mg and 120mg, taken twice a day.

Liquid

The usual dose of dihydrocodeine liquid is one to three 5ml Spoonfuls taken every 4 to 6 hours. One 5ml spoonful has 10mg of dihydrocodeine in it (3 spoonfuls contain 30mg).

For children aged between 4 and 11 years dose is worked out based on weight. The usual dose is between 0.5mg and 1mg per kg of body weight, up to a maximum dose of 30mg every 4 to 6 hours.

If you’re taking dihydrocodeine as a liquid, it will come with a plastic medicine spoon or syringe to help you measure the correct amount. Ask a pharmacist for one if you do not have it.

Do not measure the liquid with a kitchen teaspoon because it will not give the right amount.

Will my dose go up or down?

Usually you’ll start on a low dose of standard dihydrocodeine. Your doctor may increase this gradually until your pain is well controlled.

Important

If you have been taking dihydrocodeine for more than a few weeks do not stop taking it without speaking to your doctor first.

What if I forget to take it?

This will vary depending on which type of dihydrocodeine you’re taking.

If you forget to take a dose, check the patient information leaflet inside the packet or ask a pharmacist or doctor for advice on what to do.

Never take 2 doses at the same time to make up for a forgotten one.

If you often forget doses, it may help to set an alarm to remind you. You could also ask a pharmacist for advice on other ways to remember to take your medicine.

What if I take too much?

Urgent advice: Call 111 now if:

• you take too much dihydrocodeine.

If you take too much dihydrocodeine you may feel:

• very sleepy, sick or dizzy
• find it difficult to breathe
• become unconscious

Go to 111.nhs.uk or call 111

If you go to A&E, do not drive yourself – get someone else to drive you or call for an ambulance.

Take the dihydrocodeine box or leaflet inside the packet plus any remaining medicine with you.

Where to store dihydrocodeine

If you’re prescribed dihydrocodeine, it’s really important that you:

• store it properly and safely at home
• keep it out of the sight and reach of children
• do not give your medicine to anyone else
• return any unused dihydrocodeine to a pharmacy so they can throw it away in the right way

5. Taking dihydrocodeine with other painkillers

It’s safe to take dihydrocodeine with paracetamol, ibuprofen or aspirin (do not give aspirin to children under 16 years of age).

Do not take dihydrocodeine with painkillers that contain codeine. You will be more likely to get side effects.

Painkillers that contain codeine include co-codamol (codeine and paracetamol), Nurofen Plus (codeine and ibuprofen), co-codaprin (codeine and aspirin) and Solpadeine (codeine, paracetamol, ibuprofen and caffeine).

6. Side effects

Like all medicines, dihydrocodeine can cause side effects in some people, but many people have no side effects or only minor ones.

You’re more likely to have side effects if you take the higher strengths of dihydrocodeine.

Common side effects

Common side effects happen in more than 1 in 100 people. Talk to a doctor or pharmacist if the side effects bother you or do not go away:

• constipation
• feeling or being sick (nausea or vomiting)
• feeling sleepy
• confusion, feeling dizzy and vertigo (a sensation of spinning)
• dry mouth
• headaches

Serious side effects

Serious side effects happen in less than 1 in 100 people. Call a doctor straight away if you get any of the following:

• muscle stiffness
• feel dizzy, tired and have low energy – this could be a sign of low blood pressure (hypotension)

Immediate action required: Call 999 if:

• you have had a seizure or fit (where your body jerks and shakes)
• you have difficulty breathing or short shallow breathing

Serious allergic reaction

In rare cases, it’s possible to have a serious allergic reaction (anaphylaxis) to dihydrocodeine.

Immediate action required: Call 999 or go to A&E now if:

• you get a skin rash that may include itchy, red, swollen, blistered or peeling skin
• you’re wheezing
• you get tightness in the chest or throat
• you have trouble breathing or talking
• your mouth, face, lips, tongue or throat start swelling

You could be having a serious allergic reaction and may need immediate treatment in hospital.

These are not all the side effects of dihydrocodeine. For a full list see the leaflet inside your medicine packet.

Information:You can report any suspected side effect using the Yellow Card safety scheme.

Visit Yellow Card for further information.

7. How to cope with side effects – Buy dihydrocodeineUK

What to do about:

• feeling or being sick – take dihydrocodeine with or just after a meal or snack to ease feelings of sickness. If you’re being sick, try small frequent sips of water. This side effect should wear off after a few days. Talk to a doctor about taking an anti-sickness medicine if it carries on for longer.
• feeling sleepy – this side effect should go away within a few days as your body gets used to dihydrocodeine. Talk to a doctor if it carries on for longer.
• confusion, feeling dizzy and vertigo – if dihydrocodeine makes you feel dizzy when you stand up, try getting up very slowly or stay sitting down until you feel better. If you begin to feel dizzy, lie down so that you do not faint, then sit until you feel better. This side effect should wear off within a few days as your body gets used to dihydrocodeine. Talk to a doctor if it carries on for longer.
• dry mouth – try chewing sugar-free gum or sucking sugar-free sweets. A doctor can also prescribe an artificial saliva substitute to keep your mouth moist. This comes as a spray, gel or lozenge.
• headaches – it’s safe to take a painkiller such as paracetamol or ibuprofen. Talk to a doctor if headaches last longer than a week or are severe.

8. Pregnancy and breastfeeding – Buy dihydrocodeine UK

Dihydrocodeine is generally not recommended during pregnancy or breastfeeding. There may be safer medicines that you can take – ask a doctor or pharmacist for advice.

In early pregnancy, it’s been linked to some problems for your baby. If you take dihydrocodeine at the end of pregnancy there’s a risk that your baby may get withdrawal symptoms or be addicted to dihydrocodeine when they’re born.

However, it’s important to treat pain in pregnancy. For some pregnant women with severe pain, dihydrocodeine might be the right option. Your doctor is the best person to help you decide what’s right for you and your baby.

Dihydrocodeine and breastfeeding – Buy dihydrocodeine UK

Dihydrocodeine is not usually recommended if you’re breastfeeding.

Small amounts of dihydrocodeine pass into breast milk and can cause breathing problems in your baby.

Speak to a doctor as they may be able to recommend a different painkiller.

Non-urgent advice: Tell your doctor if you’re:

• trying to get pregnant
• pregnant
• breastfeeding

9. Cautions with other medicines – Buy dihydrocodeine UK

Some medicines interfere with the way dihydrocodeine works.

Tell a doctor if you’re taking these medicines before you start taking dihydrocodeine:

• sleeping pills or Tranquillisers
• medicines for depression or other mental health problems
• medicines to stop you feeling sick or vomiting, such as domperidone or metoclopramide
• antihistamines or hay fever tablets
• medicines to treat anxiety

Mixing dihydrocodeine with herbal remedies and supplements – Buy dihydrocodeine UK

It’s not possible to say that dihydrocodeine is safe to take with herbal remedies and supplements. They’re not tested for the effect they have on other medicines in the same way pharmacy and prescription medicines are.

Important: Medicine safety

Tell your doctor or pharmacist if you’re taking any other medicines, including herbal medicines, vitamins or supplements.

10. Common questions – Buy dihydrocodeine UK

How does dihydrocodeine work?How long does it take to work?How long will I take it for?Can I become addicted to dihydrocodeine?How will I know if I’m addicted?Is it safe to take for a long time?What will happen if I stop taking it?How is it different to other opiates?Can I drink alcohol with it?Is there any food or drink I need to avoid?Will it affect my contraception?Will it affect my fertility?Can I drive or ride a bike?Will recreational drugs affect it?

Related conditions – Buy dihydrocodeine UK

• Joint pain
• Osteoarthritis
• Rheumatoid arthritis
• Sciatica

Useful resources

• Healthunlocked: dihydrocodeine forum
• Opioid medicines and the risk of addiction: information for patients on GOV.UK
• British Pain Society: living with pain
• Pain Concern
• Healthtalk: real stories of chronic pain

Dihydrocodeine works in the central nervous system. It changes the way that the body feels and reacts to pain by binding to the body’s opioid receptors, which play a key role in transmitting sensations of pain and pleasure throughout the body. By binding to these opiate receptors dihydrocodeine is able to block the transmission of pain signals from the brain to the body’s nerves, subsequently diminishing the body’s ability to feel pain and increasing an individual’s comfort level.

In addition to its use as a pain reliever, dihydrocodeine may also be used as a cough suppressant. Because of its addictive nature dihydrocodeine is not recommended for long-term pain management. Withdrawal symptoms may occur if an individual stops taking dihydrocodeine after prolonged use, including irritability and restlessness.

Dihydrocodeine is a semi-synthetic opioid analgesic prescribed for pain or severe dyspnea, or as an antitussive, either alone or compounded with paracetamol or aspirin. It was developed in Germany in 1908 and first marketed in 1911.  Buy dihydrocodeine 30 mg online UK

Possible Side Effects of Codeine & Precautions/dihydrocodeine online pharmacy

Known possible side effects include blood problems, nausea, vomiting and addiction.
A doctor may not issue this treatment to persons who are pregnant, breastfeeding, allergic to any ingredients, or who have a history of liver or kidney disease. Those who have been alcohol- or drug-dependent in the past may also be unsuitable. Buy dihydrocodeine online UK
The information provided here is not extensive. For a full list of restrictions and possible side effects, consult the safety information leaflet.

The post Buy dihydrocodeine UK appeared first on Online Pharmacy.

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Generic name:oxycodone (ox i KOE done)
Brand name:OxyContin
Drug class:Narcotic analgesics

Medically reviewed by Sanjai Sinha, MD. Last updated on March 2, 2021.

• Uses
• Warnings
• Dosage
• What to avoid
• Side effects
• Interactions
• FAQ

What is OxyContin?

OxyContin (oxycodone) is an opioid pain medication sometimes called a narcotic.

OxyContin is a strong prescription medicine used when an opioid medicine is needed to manage severe pain enough to require daily around-the-clock, long-term treatment with an opioid, when other pain treatments such as non-opioid pain medicines or immediate-release opioid medicines do not treat your pain well enough or you cannot tolerate them.

OxyContin is not to be used on an as-needed basis for pain that is not around-the-clock.

Warnings

You should not use OxyContin if you have severe asthma or breathing problems, or a blockage in your stomach or intestines.

MISUSE OF OXYCONTIN CAN CAUSE ADDICTION, OVERDOSE, OR DEATH. Keep the medication in a place where others cannot get to it.

Taking oxycodone during pregnancy may cause life-threatening withdrawal symptoms in the newborn.

Fatal side effects can occur if you use OxyContin with alcohol, or with other drugs that cause drowsiness or slow your breathing.

Before taking this medicine

You should not use OxyContin if you are allergic to oxycodone, or if you have:

• severe asthma or breathing problems; or
• a blockage in your stomach or intestines.

You should not use OxyContin unless you are already using a similar opioid medicine and are tolerant to it.

OxyContin should not be given to a child younger than 11 years old.

To make sure this medicine is safe for you, tell your doctor if you have ever had:

• breathing problems, sleep apnea;
• a head injury, or seizures;
• drug or alcohol addiction, or mental illness;
• liver or kidney disease;
• urination problems; or
• problems with your gallbladder, pancreas, or thyroid.

If you use OxyContin while you are pregnant, your baby could become dependent on the drug. This can cause life-threatening withdrawal symptoms in the baby after it is born. Babies born dependent on opioids may need medical treatment for several weeks.

Ask a doctor before using oxycodone if you are breastfeeding. Tell your doctor if you notice severe drowsiness or slow breathing in the nursing baby.

How should I use OxyContin?- OxyContin 10/40/80mg

Take OxyContin exactly as prescribed. Follow the directions on your prescription label and read all medication guides. Never use oxycodone in larger amounts, or for longer than prescribed. Tell your doctor if you feel an increased urge to take more of oxycodone.

Never share opioid medicine with another person, especially someone with a history of drug abuse or addiction. MISUSE CAN CAUSE ADDICTION, OVERDOSE, OR DEATH. Keep the medication in a place where others cannot get to it. Selling or giving away opioid medicine is against the law.

Stop taking all other around-the-clock opioid pain medicines when you start taking extended-release OxyContin.

Swallow the extened release tablet whole to avoid exposure to a potentially fatal overdose. Do not crush, chew, break, or dissolve.

Never crush or break an OxyContin tablet to inhale the powder or mix it into a liquid to inject the drug into your vein. This can result in death.

You should not stop using OxyContin suddenly. Follow your doctor’s instructions about tapering your dose.

Store at room temperature, away from heat, moisture, and light. Keep track of your medicine. Oxycodone is a drug of abuse and you should be aware if anyone is using your medicine improperly or without a prescription.

Do not keep leftover opioid medication. Just one dose can cause death in someone using this medicine accidentally or improperly. Ask your pharmacist where to locate a drug take-back disposal program. If there is no take-back program, flush the unused medicine down the toilet.Detailed OxyContin dosage information

What happens if I miss a dose?- OxyContin 10/40/80mg

Since OxyContin is used for pain, you are not likely to miss a dose. Skip any missed dose if it is almost time for your next dose. Do not use two doses at one time.

What happens if I overdose?- OxyContin 10/40/80mg

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. An oxycodone overdose can be fatal, especially in a child or other person using the medicine without a prescription. Overdose symptoms may include severe drowsiness, pinpoint pupils, slow breathing, or no breathing.

Your doctor may recommend you get naloxone (a medicine to reverse an opioid overdose) and keep it with you at all times. A person caring for you can give the naloxone if you stop breathing or don’t wake up. Your caregiver must still get emergency medical help and may need to perform CPR (cardiopulmonary resuscitation) on you while waiting for help to arrive.

Anyone can buy naloxone from a pharmacy or local health department. Make sure any person caring for you knows where you keep naloxone and how to use it.

What should I avoid while using OxyContin?

Do not drink alcohol. Dangerous side effects or death could occur.

Avoid driving or operating machinery until you know how oxycodone will affect you. Dizziness or severe drowsiness can cause falls or other accidents.

Avoid medication errors. Always check the brand and strength of oxycodone you get from the pharmacy.

OxyContin side effects- OxyContin 10/40/80mg

Get emergency medical help if you have signs of an allergic reaction to OxyContin: 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 give naloxone and/or seek emergency medical attention if you have slow breathing with long pauses, blue colored lips, or if you are hard to wake up.

Call your doctor at once if you have:

• noisy breathing, sighing, shallow breathing, breathing that stops during sleep;
• a slow heart rate or weak pulse;
• a light-headed feeling, like you might pass out;
• confusion, unusual thoughts or behavior;
• seizure (convulsions);
• low cortisol levels – nausea, vomiting, loss of appetite, dizziness, worsening tiredness or weakness; or
• high levels of serotonin in the body – agitation, hallucinations, fever, sweating, shivering, fast heart rate, muscle stiffness, twitching, loss of coordination, nausea, vomiting, diarrhea.

Serious breathing problems may be more likely in older adults and in those who are debilitated or have wasting syndrome or chronic breathing disorders.

Long-term use of opioid medication may affect fertility (ability to have children) in men or women. It is not known whether opioid effects on fertility are permanent.

Common OxyContin side effects may include:

• drowsiness, headache, dizziness, tiredness; or
• constipation, stomach pain, nausea, vomiting.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.OxyContin side effects (more detail)

What other drugs will affect OxyContin?

You may have breathing problems or withdrawal symptoms if you start or stop taking certain other medicines. Tell your doctor if you also use an antibiotic, antifungal medication, heart or blood pressure medication, seizure medication, or medicine to treat HIV or hepatitis C.

Opioid medication can interact with many other drugs and cause dangerous side effects or death. Be sure your doctor knows if you also use:

• cold or allergy medicines, bronchodilator asthma/COPD medication, or a diuretic (“water pill”);
• medicines for motion sickness, irritable bowel syndrome, or overactive bladder;
• other opioids – opioid pain medicine or prescription cough medicine;
• a sedative like Valium – diazepam, alprazolam, lorazepam, Xanax, Klonopin, Versed, and others;
• drugs that make you sleepy or slow your breathing – a sleeping pill, muscle relaxer, medicine to treat mood disorders or mental illness; or
• drugs that affect serotonin levels in your body – a stimulant, or medicine for depression, Parkinson’s disease, migraine headaches, serious infections, or nausea and vomiting.

This list is not complete and many other drugs may interact with oxycodone. This includes prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible drug interactions are listed here.

The post OxyContin 10/40/80mg appeared first on Online Pharmacy.

Diazepam Roche 10mg 19 Nov 2021, 3:41 pm

Diazepam Roche 10mg

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Diazepam

COMMON BRAND(S): VALIUM ROCHE

GENERIC NAME(S): DIAZEPAM

Uses

Diazepam is used to treat anxiety, alcohol withdrawal, and seizures. It is also used to relieve muscle spasms and to provide sedation before medical procedures. This medication works by calming the brain and nerves. Diazepam belongs to a class of drugs known as benzodiazepines.

How to use Diazepam

See also Warning section.

Read the Medication Guide provided by your pharmacist before you start taking diazepam and each time you get a refill. If you have any questions, ask your doctor or pharmacist.

Take this medication by mouth with or without food as directed by your doctor. If you are using the liquid form of this medication, carefully measure the dose using a special measuring device/spoon. Do not use a household spoon because you may not get the correct dose.

If you are using the concentrated solution, use the medicine dropper provided and mix the measured dose with a small amount of liquid or soft food (such as applesauce, pudding). Take all of the mixture right away. Do not store the mixture for later use.

The dosage is based on your medical condition, age, and response to treatment. Do not increase your dose or use this drug more often or for longer than prescribed. Your condition will not improve any faster, and your risk of side effects will increase. Properly stop the medication when so directed.

When this medication is used for a long time, it may not work as well. Talk with your doctor if this medication stops working well.

Though it helps many people, this medication may sometimes cause addiction. This risk may be higher if you have a substance use disorder (such as overuse of or addiction to drugs/alcohol). Take this medication exactly as prescribed to lower the risk of addiction. Ask your doctor or pharmacist for more details.

Avoid eating grapefruit or drinking grapefruit juice while using this medication unless your doctor or pharmacist says you may do so safely. Grapefruit can increase the chance of side effects with this medicine. Ask your doctor or pharmacist for more details.

If directed by your doctor, take this medication regularly to get the most benefit from it. To help you remember, take it at the same time(s) each day.

Tell your doctor if your condition lasts or gets worse.

Side Effects – Diazepam Roche 10mg

See also Warning section.

Drowsiness, dizziness, tiredness, blurred vision, or unsteadiness may occur. If any of these effects last or get worse, tell your doctor or pharmacist promptly.

Tell your doctor right away if you have any serious side effects, including: mental/mood changes (such as memory problems, agitation, hallucinations, confusion, restlessness, depression), trouble speaking, trouble walking, muscle weakness, shaking (tremors), trouble urinating, yellowing eyes/skin, signs of infection (such as sore throat that doesn’t go away, fever, chills).

Get medical help right away if you have any very serious side effects, including: slow/shallow breathing.A very serious allergic reaction to this drug is rare. However, get medical help right away if you notice any symptoms of a serious allergic reaction, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.

This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.

Precautions – Diazepam Roche 10mg

Before taking diazepam, tell your doctor or pharmacist if you are allergic to it; or to other benzodiazepines (such as oxazepam, temazepam); or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details.

Before using this medication, tell your doctor or pharmacist your medical history, especially of: a certain muscle disease (myasthenia gravis), lung/breathing problems (such as COPD, sleep apnea), mental/mood disorders (such as depression, thoughts of suicide, psychosis), personal or family history of a substance use disorder (such as overuse of or addiction to drugs/alcohol), glaucoma, liver disease, kidney disease.

This drug may make you dizzy or drowsy or blur your vision. Alcohol or marijuana (cannabis) can make you more dizzy or drowsy. Do not drive, use machinery, or do anything that needs alertness or clear vision until you can do it safely. Avoid alcoholic beverages. Talk to your doctor if you are using marijuana (cannabis).

Some liquid products may contain alcohol. Ask your doctor or pharmacist about using this product safely.

Before having surgery, tell your doctor or dentist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products). For some children, instead of having a calming effect, diazepam may have the opposite effect, causing mental/mood changes (such as agitation, hallucinations, restlessness).

Older adults may be more sensitive to the side effects of this drug, especially drowsiness and loss of coordination. These side effects can increase the risk of falling. For some older adults, instead of having a calming effect, diazepam may have the opposite effect, causing mental/mood changes (such as agitation, hallucinations, restlessness).

This medication is not recommended for use during pregnancy. It may harm an unborn baby. If you become pregnant or think you may be pregnant, tell your doctor right away. Consult your doctor for more details.

This drug passes into breast milk and may have undesirable effects on a nursing infant. Breast-feeding while using this medication is not recommended. Consult your doctor before breast-feeding.

Interactions – Diazepam Roche 10mg

See also Warning and How to Use sections.

Drug interactions may change how your medications work or increase your risk for serious side effects. This document does not contain all possible drug interactions. Keep a list of all the products you use (including prescription/nonprescription drugs and herbal products) and share it with your doctor and pharmacist. Do not start, stop, or change the dosage of any medicines without your doctor’s approval.

Some products that may interact with this drug include: clozapine, fluvoxamine, orlistat, sodium oxybate.

The risk of serious side effects (such as slow/shallow breathing, severe drowsiness/dizziness) may be increased if this medication is taken with other products that may also cause drowsiness or breathing problems. Tell your doctor or pharmacist if you are taking other products such as opioid pain or cough relievers (such as codeine, hydrocodone), alcohol, marijuana (cannabis), other drugs for sleep or anxiety (such as alprazolam, lorazepam, zolpidem), muscle relaxants (such as carisoprodol, cyclobenzaprine), or antihistamines (such as cetirizine, diphenhydramine).

Check the labels on all your medicines (such as allergy or cough-and-cold products) because they may contain ingredients that cause drowsiness. Ask your pharmacist about using those products safely.

This medication may interfere with certain lab tests, possibly causing false test results. Make sure lab personnel and all your doctors know you use this drug.

Overdose – Diazepam Roche 10mg

If someone has overdosed and has serious symptoms such as passing out or trouble breathing, call 911. Otherwise, call a poison control center right away. US residents can call their local poison control center at 1-800-222-1222. Canada residents can call a provincial poison control center. Symptoms of overdose may include: severe drowsiness, slow reflexes, slow/shallow breathing, fainting, loss of consciousness.Notes

Do not share this medication with others. Sharing it is against the law.

If this drug is used for a long period of time, lab and/or medical tests (such as liver function tests, complete blood count) may be done while you are taking this medication. Keep all medical and lab appointments.Missed Dose

If you miss a dose, take it as soon as you remember. If it is near the time of the next dose, skip the missed dose. Take your next dose at the regular time. Do not double the dose to catch up.Storage

Store at room temperature away from light and moisture. Do not store in the bathroom. If you are using the concentrated solution, discard the opened bottle after 90 days. Keep all medications away from children and pets.

Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Properly discard this product when it is expired or no longer needed. Consult your pharmacist or local waste disposal company.

The post Diazepam Roche 10mg appeared first on Online Pharmacy.

co-codamol 30mg/500mg 15 Nov 2021, 2:28 pm

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Buy co-codamol online uk, Codeine/paracetamol, also known as codeine/acetaminophen and co-codamol, is a compound analgesic consisting of a combination of codeine phosphate and paracetamol.

MORE INFORMATION ABOUT CO-CODAMOL –  Co-codamol online uk

1. About co-codamol for adults

Co-codamol is a mixture of 2 different painkillers – paracetamol and codeine. It’s used to treat aches and pains including headaches, muscular pain, migraines and toothache.

It may help to take co-codamol if everyday painkillers, such as aspirin, ibuprofen or paracetamol on their own, have not worked.

This medicine comes as tablets and capsules.

For children under 16 years of age, read our information on co-codamol for children.

2. Key facts

Co-codamol tablets and capsules come in 3 strengths. You can buy the lowest strength co-codamol from pharmacies but the higher strengths are only available on prescription.
The most common side effects of co-codamol are constipation and feeling sick (nausea) or sleepy.
Taking too much co-codamol can be harmful. Do not be tempted to increase the dose or take a double dose if your pain is very bad.
It’s possible to become addicted to the codeine in co-codamol, but your doctor will explain how to reduce the risks of becoming addicted.
If you need to take co-codamol for more than a few weeks, your treatment plan may include details of how and when to stop taking this medicine.

3. Who can and cannot take co-codamol

Adults and children aged 12 years or over can take co-codamol. However, it is only recommended for under-18s if other painkillers have not worked.

Co-codamol is not suitable for some people. Tell your doctor before starting the medicine if you:

have lung problems or breathing difficulties
have a head injury
have adrenal gland problems
have a condition that causes fits or seizures
regularly drink more than the maximum recommended amount of alcohol (14 units a week)
are trying to get pregnant, are already pregnant or are breastfeeding
have liver problems – you may need to take a lower dose
are under 18 years old and have had your tonsils or adenoids removed because of a sleep problem called obstructive sleep apnoea

4. How and when to take co-codamol- Buy co-codamol online uk

It’s important to take co-codamol as your doctor has asked you to. This is particularly important because co-codamol can be addictive.

Co-codamol comes as tablets and capsules. Swallow them whole with a drink of water.

Co-codamol also comes as soluble tablets that dissolve in water to make a drink.

You can take co-codamol with or without food.

Different co-codamol strengths
Co-codamol tablets and capsules come in 3 different strengths.

They contain 8mg, 15mg or 30mg of codeine.

All 3 strengths contain 500mg of paracetamol – the same as in a standard paracetamol tablet or capsule.

The strength of co-codamol appears as 2 numbers on the packet. For example, 8/500 means each tablet or capsule contains 8mg of codeine and 500mg of paracetamol.

You can buy the lowest strength of co-codamol (8/500) without a prescription but only from a pharmacy. The higher strengths (15/500 and 30/500) are only available on prescription from a doctor.

Dosage
Adults and young people aged 16 years and older can take 1 or 2 tablets (of any strength) up to 4 times in 24 hours. Always leave at least 4 to 6 hours between doses. The maximum dose is 8 co-codamol tablets in 24 hours.

It’s important to leave a gap between doses of co-codamol. Taking too much co-codamol can be very dangerous. That’s because the paracetamol in it can cause liver damage.

Do not increase the dose of co-codamol or take a double dose even if your pain is very bad.

Important
The maximum dose of co-codamol for adults and young people aged 16 years and over is 8 tablets in 24 hours.

How long to take it for
If your doctor has prescribed co-codamol for you, take it as you’ve been advised.

If you’ve bought co-codamol from a pharmacy, do not use it for more than 3 days. If you still have pain, talk to your pharmacist or doctor.

Important
If you have been taking co-codamol for more than a few weeks do not stop taking it without speaking to your doctor first.

What if I take too much?
If you take 1 or 2 extra tablets of co-codamol by accident on a single occasion, it’s unlikely to be harmful. If this happens, wait at least 24 hours before you take any more.

Immediate action required: Call 999 or go to A&E now if:
you take too much co-codamol and are finding it difficult to breathe
Urgent advice: Contact 111 for advice now if:
you take more than 2 extra tablets of co-codamol
you take more than 8 tablets of co-codamol in 24 hours
Go to 111.co.uk or call 111

If you need to go to hospital, take the co-codamol packet or leaflet inside it plus any remaining medicine with you.

5. Taking co-codamol with other painkillers

It’s safe to take co-codamol with ibuprofen and aspirin.

Do not take co-codamol with paracetamol, or other medicines that contain paracetamol. Co-codamol already contains paracetamol so you could be at risk of paracetamol overdose.

Medicines that have paracetamol in them include painkillers like Tramacet and co-dydramol, migraine remedies, and some cough and cold remedies (Lemsip and Night Nurse).

Important
Before taking co-codamol with any other medicines, check the label to see whether they contain paracetamol.

6. Side effects- Buy co-codamol online uk

Like all medicines, co-codamol can cause side effects although not everyone gets them. Many people have no side effects or only minor ones.

You’re more likely to have side effects if you take the higher strengths of co-codamol.

Common side effects
These common side effects happen in more than 1 in 100 people.

Tell your doctor if the side effects bother you or do not go away:

constipation
feeling or being sick (nausea or vomiting)
feeling sleepy
headaches
Serious side effects
Serious side effects are rare and happen in less than 1 in 100 people.

Tell a doctor straight away if you have:

a skin rash
difficulty peeing
changes in your eyesight
dizziness
Serious allergic reaction
In rare cases, it’s possible to have a serious allergic reaction (anaphylaxis) to co-codamol.

Immediate action required:Call 999 or go to A&E if:
you get a skin rash that may include itchy, red, swollen, blistered or peeling skin
you’re wheezing
you get tightness in the chest or throat
you have trouble breathing or talking
your mouth, face, lips, tongue or throat start swelling
You could be having a serious allergic reaction and may need immediate treatment in hospital.

These are not all the side effects of co-codamol. For a full list, see the leaflet inside your medicine packet.

You can report any suspected side effect to the UK safety scheme.

7. How to cope with side effects of co-codamol

What to do about:

constipation – eat more high-fibre foods such as fresh fruit and vegetables and cereals. Try to drink several glasses of water or another non-alcoholic liquid each day. If you can, it may also help to do some gentle exercise.
feeling or being sick (nausea or vomiting) – take co-codamol with or just after a meal or snack. Have small, frequent sips of water if you’re being sick. Feelings of sickness should normally wear off after a few days. Talk to your doctor about taking an anti-sickness medicine if it carries on for longer.
feeling sleepy or tired – do not drive, cycle or use tools or machinery if you’re feeling this way. Do not drink any alcohol as this will make you feel more tired.
headaches – make sure you rest and drink plenty of fluids. Do not drink too much alcohol. Talk to your doctor if the headaches last longer than a week or are severe.

8. Pregnancy and breastfeeding- Buy co-codamol online uk

Co-codamol and pregnancy
While co-codamol can be taken in pregnancy, other painkillers may be more suitable.

Co-codamol contains paracetamol and codeine. Paracetamol is safe to take in pregnancy, however codeine can affect your baby, particularly towards the end of pregnancy.

Your baby may get used to having codeine and may have withdrawal symptoms when they’re born. There is a slightly higher risk of your baby having breathing problems. These are usually temporary, but your baby may need extra monitoring.

For these reasons, co-codamol is not generally recommended. However, if you have pain that requires stronger pain relief than paracetamol, talk to your doctor. They might prescribe co-codamol if they think this is the best option for you.

Co-codamol and breastfeeding
It’s not recommended to take co-codamol while breastfeeding.

Small amounts of the codeine in co-codamol get into breast milk and can cause breathing problems in your baby.

However, paracetamol alone is safe to take while breastfeeding.

If you are taking co-codamol and want to breastfeed, discuss this with your doctor first. They can advise you on other pain relief options.

Non-urgent advice: Tell your doctor if you’re:
trying to get pregnant
pregnant
breastfeeding
For more information about how codeine can affect you and your baby during pregnancy see the Best Use of Medicines in Pregnancy (BUMPS) website.

9. Cautions with other medicines

Some medicines affect the way co-codamol works. Equally co-codamol can stop some medicines working as well as they should.

Tell your doctor if you’re taking:

sleeping pills or tran-quillisers – particularly benzodiazepines such as diazepam, temazepam or lorazepam
antidepressants – some types do not mix with co-codamol
medicines to stop you feeling or being sick such as domperidone or metoclopramide
blood-thinning medicines (anticoagulants) such as warfarin
medicines to treat infection, particularly rifampicin or ciprofloxacin
epilepsy medicines
Mixing co-codamol with herbal remedies and supplements
It’s not possible to say whether complementary medicines and herbal remedies are safe to take with co-codamol.

They’re not tested in the same way as pharmacy and prescription medicines. They’re generally not tested for the effect they have on other medicines.

Important
Tell your pharmacist or doctor if you’re taking any other medicines, including herbal remedies, vitamins or supplements.

10. Common questions about co-codamol

How does co-codamol work?

When will I feel better?

How long can I take co-codamol for?

Is co-codamol addictive?

How will I know if I’m addicted?

Is it safe to take co-codamol for a long time?

Are there other painkillers I can try?

Can I drink alcohol with co-codamol?

Can I drive or ride a bike?

Is there any food or drink I need to avoid?

Will co-codamol affect my contraception?

Will co-codamol affect my fertility?

Will recreational drugs affect it?

Related conditions

Headaches

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