Patient Leaflet Updated 05-Dec-2016 | THE BOOTS COMPANY PLC
Boots Paracetamol and Codeine Capsules (Co-Codamol)
Information for the user
Paracetamol & Codeine Capsules (Co-Codamol)
Read all of this leaflet carefully because it contains important information for you.
This medicine is available without prescription to treat minor conditions. However, you still need to take it carefully to get the best results from it.
What this medicine is for
This medicine can be used for the short term treatment of acute moderate pain such as headache, rheumatic and muscular pain, backache, migraine, period pain, dental pain and neuralgia that is not relieved by aspirin, ibuprofen or paracetamol alone.
This medicine contains Codeine. Codeine belongs to a group of medicines called opioid analgesics which act to relieve pain.
This codeine-containing medicine can be used in adults and children aged 12 years and over.
This medicine also contains Paracetamol. Paracetamol, an analgesic, acts to relieve pain.
Before you take this medicine
This medicine can be taken by adults and children aged 12 years and over. However, some people should not take this medicine or should seek the advice of their pharmacist or doctor first.
Do not take:
Talk to your pharmacist or doctor:
Other important information
Codeine is transformed to morphine in the liver by an enzyme. Morphine is the substance that produces pain relief. Some people have a variation of this enzyme and this can affect people in different ways. In some people, morphine is not produced or produced in very small quantities, and it will not provide enough pain relief. Other people are more likely to get serious side effects because a very high amount of morphine is produced. If you notice any of the following side effects, you must stop taking this medicine and seek immediate medical advice: slow or shallow breathing, confusion, sleepiness, small pupils, feeling or being sick, constipation, lack of appetite.
Use in children and adolescents after surgery: Codeine should not be used for pain relief in children and adolescents after removal of their tonsils or adenoids due to obstructive sleep apnoea syndrome.
Use in children with breathing problems: Codeine is not recommended in children with breathing problems, since the symptoms of morphine toxicity may be worse in these children.
Breastfeeding: Do not take codeine while you are breastfeeding. Codeine and morphine passes into breast milk.
Driving and using machines: This medicine can affect your ability to drive or use machines as it may make you feel sleepy or dizzy.
Talk to your doctor or pharmacist if you are not sure whether it is safe for you to drive while taking this medicine.
Information about some of the ingredients in this medicine: Sodium metabisulphite (E223) may rarely cause severe allergic reactions, tightness of the chest or difficulty in breathing.
If you take other medicines
This medicine contains paracetamol.
Do not take anything else containing paracetamol while taking this medicine.
Before you take these capsules, make sure that you tell your pharmacist about ANY other medicines you might be using at the same time, particularly the following:
If you are unsure about interactions with any other medicines, talk to your pharmacist. This includes medicines prescribed by your doctor and medicine you have bought for yourself, including herbal and homeopathic remedies.
How to take this medicine
Check the foil is not broken before first use. If it is, do not take that capsule.
Adults: Take one or two capsules every 4 hours, if you need to, up to 3 or 4 times in 24 hours. Don’t take more than 8 capsules in 24 hours.
Children aged 16 years to 18 years: Take one or two capsules every 6 hours, if you need to.
Don’t take more than 8 capsules in 24 hours.
Children aged 12-15 years: Take one capsules every 6 hours if you need to.
Don’t take any more than 4 capsules in 24 hours
Swallow each capsule whole with water.
Do not take for more than 3 days. If you need to use this medicine for more than 3 days you must speak to your doctor or pharmacist for advice.
Do not give to children under 12 years, due to the risk of severe breathing problems.
Do not take more medicine than the table above tells you to.
If you do not get better, talk to your doctor.
If you take too many capsules: Talk to a doctor at once if you take too much of this medicine even if you feel well. This is because too much paracetamol can cause delayed, serious liver damage. Go to your nearest hospital casualty department. Take your medicine and this leaflet with you.
Possible withdrawal effects when stopping treatment
This medicine contains codeine and can cause addiction if you take it continuously for more than 3 days. When you stop taking it you may get withdrawal symptoms. You should talk to your doctor or pharmacist if you think you are suffering from withdrawal symptoms.
Possible side effects
Most people will not have problems, but some people may have side effects when taking this medicine. If you have any unwanted side effects you should seek advice from your doctor, pharmacist or other healthcare professional.
If you get any of these serious side effects, stop taking the capsules. See a doctor at once:
If you get any of the following side effects see your pharmacist or doctor:
If any side effect becomes severe, or you notice any side effect not listed here, please tell your pharmacist or doctor.
Reporting of side effects
If you get any side effects, talk to your doctor, pharmacist or nurse. This includes any possible side effects not listed in this leaflet. You can also report side effects directly via the Yellow Card Scheme at: www.mhra.gov.uk/yellowcard. By reporting side effects you can help provide more information on the safety of this medicine.
How do I know if I am addicted?
If you take the medicine according to the instructions on the pack it is unlikely that you will become addicted to the medicine. However, if the following apply to you it is important that you talk to your doctor:
How to store this medicine
Keep this medicine in a safe place out of the sight and reach of children, preferably in a locked cupboard.
Use by the date on the end flap of the carton.
What is in this medicine
Each capsule contains Codeine Phosphate 8 mg, Paracetamol 500 mg, which are the active ingredients.
As well as the active ingredients, the capsules also contain sodium starch glycolate, magnesium stearate, sodium laurilsulfate, sodium metabisulphite (E223). The capsule shell contains gelatin, indigo carmine (E132), erythrosine (E127).
This pack contains 32 violet capsules.
Who makes this medicine
Manufactured for the Marketing Authorisation holder
Leaflet prepared October 2016
If you would like any further information about this medicine, please contact
To request a copy of this leaflet in Braille, large print or audio please call, free of charge:
0800 198 5000 (UK only)
Please be ready to give the following information:
Product name: Boots Paracetamol and Codeine Capsules (Co-Codamol)
Reference number: 00014/0325
This is a service provided by the Royal National Institute of Blind People.
Artwork Code: BTC246796
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