Dihydrocodeine

Please note: these are basic guidelines, refer to your doctor for a professional medical opinion.

Popular brand names:

DF118 (tablets, injection)

Drug group:

Opioid analgesic

Prescription needed?

Yes

What does it do?

• Dihydrocodeine is mainly used for the relief of severe pain
• It is also used as a cough suppressant

How does it work?

Dihydrocodeine is an opioid analgesic related to codeine and of similar potency

How should it be used?

Use the lowest effective dose for the shortest period possible

What is the typical dosage?

Your doctor will recommend a dosage tailored to your need, but typically:

Total daily adult dose = 120–240mg daily, taken in 2–6 divided doses

How quickly will it start to work?

30–60 minutes
                                  

How long will the effects last?

4–6 hours
                

When should I stop using it?

It can be safely stopped when no longer needed.
         

Is it safe for prolonged use?

Short term use recommended as long term use can be habit forming.

What are the possible side effects?

The following have been reported:

• More common: constipation, nausea/vomiting, drowsiness, dizziness, headache, vertigo
• Less common: abdominal pain
• Report to your doctor before taking your next dose if you experience: rash, itching, confusion, hallucinations, breathing difficulties

OVERDOSE ACTION

Seek immediate medical care!

Large overdoses can cause slow/irregular breathing, severe drowsiness, and loss of consciousness.

What other considerations are important?

Dosage may be adjusted by your doctor under certain conditions.

• Certain health problems: liver/kidney problems, phaeochromocytoma, asthma/bronchitis, history of alcohol abuse, enlarged prostate, low blood pressure, underactive thyroid
• Other medicines: All sedating drugs (including opioid analgesics, sleeping drugs, antihistamines, antipsychotics, and antidepressants), Monoamine oxidase inhibitors (MAOIs)
• Pregnancy and breast-feeding: Safety not established
• Children: <4 years - not recommended, children >4 years - reduced dose necessary
• Over 60: Reduced dose necessary
• Driving and hazardous work: caution, drug may cause drowsiness, dizziness, and confusion
• Alcohol: Avoid, increased sedative effects