DrugindexOnline^{2nd edition}

Generic name: Acetaminophen, Codeine phosphate
Brand names: Phenaphen with Codeine, Tylenol with Codeine

Why is Acetaminophen, Codeine phosphate prescribed?

Tylenol with Codeine, a narcotic analgesic, is used to treat mild to moderately severe pain. It contains two drugs--acetaminophen and codeine. Acetaminophen, an antipyretic (fever-reducing) analgesic, is used to reduce pain and fever. Codeine, a narcotic analgesic, is used to treat pain that is moderate to severe.

People who are allergic to aspirin can take Tylenol with Codeine.

Most important fact about Acetaminophen, Codeine phosphate

Tylenol with Codeine contains a narcotic (codeine) and, even if taken in prescribed amounts, can cause physical and psychological addiction if taken for a long enough time.

Addiction may be more of a risk for a person who has been addicted to alcohol or drugs. Be sure to follow your doctor's instructions carefully when taking Tylenol with Codeine (or any other drugs that contain a narcotic).

How should you take Acetaminophen, Codeine phosphate?

Tylenol with Codeine may be taken with meals or with milk (but not with alcohol).

--If you miss a dose...

If you take Acetaminophen, Codeine phosphate on a regular schedule, take the forgotten dose as soon as you remember. If it is almost time for your next dose, skip the one you missed and go back to your regular schedule. Do not take 2 doses at once.

--Storage instructions...

Store away from heat, light, and moisture. Keep the liquid from freezing.

What side effects may occur?

Side effects cannot be anticipated. If any develop or change in intensity, inform your doctor as soon as possible. Only your doctor can determine if it is safe for you to continue taking Tylenol with Codeine.

• More common side effects may include:
  Dizziness, light-headedness, nausea, sedation, shortness of breath, vomiting

Why should Acetaminophen, Codeine phosphate not be prescribed?

You should not use Tylenol with Codeine if you are sensitive to either acetaminophen (Tylenol) or codeine.

Special warnings about Acetaminophen, Codeine phosphate

You should take Tylenol with Codeine cautiously and only according to your doctor's instructions, as you would take any medication containing a narcotic. Make sure your doctor is aware of any problems you have had with drug or alcohol addiction.

Tylenol with Codeine tablets contain a sulfite that may cause allergic reactions in some people. These reactions may include shock and severe, possibly life-threatening, asthma attacks. People with asthma are more likely to be sensitive to sulfites.

If you have experienced a head injury, consult your doctor before taking Tylenol with Codeine.

If you have stomach problems, such as an ulcer, check with your doctor before taking Tylenol with Codeine. Tylenol with Codeine may obscure the symptoms of stomach problems, making them difficult to diagnose and treat.

If you have ever had liver, kidney, thyroid, or adrenal disease, difficulty urinating, or an enlarged prostate, consult your doctor before taking Tylenol with Codeine.

If you generally drink 3 or more alcoholic beverages per day, check with your doctor before using Tylenol with Codeine and other acetaminophen-containing products, and never take more than the recommended dosage. There is a possibility of damage to the liver when large amounts of alcohol and acetaminophen are combined.

This drug may cause drowsiness and impair your ability to drive a car or operate potentially dangerous machinery. Do not participate in any activities that require full attention when using Acetaminophen, Codeine phosphate until you are sure of its effect on you.

Possible food and drug interactions when taking Acetaminophen, Codeine phosphate

Alcohol may increase the sedative effects of Tylenol with Codeine. Therefore, do not drink alcohol while you are taking Acetaminophen, Codeine phosphate.

If Tylenol with Codeine is taken with certain other drugs, the effects of either could be increased, decreased, or altered. It is especially important to check with your doctor before combining Tylenol with Codeine with the following:

Antidepressants such as Elavil, Nardil, Parnate, and Tofranil
Drugs that control spasms, such as Cogentin
Major tranquilizers such as Clozaril and Thorazine
Other narcotic painkillers such as Darvon
Tranquilizers such as Xanax and Valium

Special information if you are pregnant or breastfeeding

It is not known if Tylenol with Codeine could injure a baby, or if it could affect a woman's reproductive capacity. Using any medication that contains a narcotic during pregnancy may cause babies to be born with a physical addiction to the narcotic. If you are pregnant or plan to become pregnant, you should not take Tylenol with Codeine unless the potential benefits clearly outweigh the possible dangers. As with other narcotic painkillers, taking Tylenol with Codeine shortly before delivery (especially at higher dosages) may cause some degree of breathing difficulty in the mother and newborn.

Some studies (but not all) have reported that codeine appears in breast milk and may affect a nursing infant. Therefore, nursing mothers should use Tylenol with Codeine only if the potential gains are greater than the potential hazards.

Recommended dosage

ADULTS

Dosage will depend on how severe your pain is and how you respond to the drug.

To Relieve Pain

A single dose may contain from 15 milligrams to 60 milligrams of codeine phosphate and from 300 to 1,000 milligrams of acetaminophen. The maximum dose in a 24-hour period should be 360 milligrams of codeine phosphate and 4,000 milligrams of acetaminophen. Your doctor will determine the amounts of codeine phosphate and acetaminophen taken in each dose. Doses may be repeated up to every 4 hours.

Single doses above 60 milligrams of codeine do not give enough pain relief to balance the increased number of side effects.

Adults may also take Tylenol with Codeine elixir (liquid). Tylenol with Codeine elixir contains 120 milligrams of acetaminophen and 12 milligrams of codeine phosphate per teaspoonful.

The usual adult dose is 1 tablespoonful every 4 hours as needed.

CHILDREN

The safety of Tylenol with Codeine elixir has not been established in children under 3 years old.

Children 3 to 6 years old may take 1 teaspoonful 3 or 4 times daily.

Children 7 to 12 years old may take 2 teaspoonsful 3 or 4 times daily.

OLDER ADULTS

Older people and anyone in a weakened or rundown condition should use Tylenol with Codeine cautiously.

Overdosage

Any medication taken in excess can cause symptoms of overdose. Severe overdosage of Tylenol with Codeine can cause death. If you suspect an overdose, seek medical attention immediately.

• Symptoms of Tylenol with Codeine overdose may include:
  Bluish skin, cold and clammy skin, coma due to low blood sugar, decreased, irregular, or stopped breathing, extreme sleepiness progressing to stupor or coma, general bodily discomfort, heart attack, kidney failure, liver failure, low blood pressure, muscle weakness, nausea, slow heartbeat, sweating, vomiting