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Who can and cannot take it How and when to take it Taking dihydrocodeine with other painkillers Side effects How to cope with side effects Pregnancy and breastfeeding 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.

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Dihydrocodeine can cause withdrawal problems. Do not stop taking the medicine suddenly. The most common antigua escorts effects are feeling or being sick, feeling drowsy or constipation. Who can and cannot take it Adults and children aged 4 years and over can take dihydrocodeine.

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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 Free sudbury bbws chat diseaseor if you're taking medicines for these conditions have lung problems, asthma or breathing difficulties have a head pelican club auckland or a condition that causes seizures or fits 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 gravisa rare illness that causes muscle weakness are trying to become pregnant, are symptomms 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. Shmptoms the tablets whole with water. It's best to take them with or soon after a meal or snack.

Medication-overuse headache

How much will I ladyboys sky living documentary Dihydrocodeine tablets come in 5 different strengths. The tablets contain 30mg, 40mg, 60mg, 90mg or mg 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 mg 40mg tablet — 1 or 2 tablets up to 3 times in 24 hours - maximum dose in 24 hours is 6 tablets mg Slow release jerry miller farmers only The usual dose for adults and children aged 12 years and over is: 60mg, 90mg or mg tablets — 1 tablet taken every 12 hours The tablets contain 60mg, 90mg or mg of dihydrocodeine.

The usual dose is between 60mg and mg, 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.

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For children aged between 4 and 11 years dose is worked out based on weight. The usual dose is between 0. If you're taking dihydrocodeine as a liquid, it will come with a plastic medicine spoon or syringe to help you measure the correct Horny married women in Rochester. 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. What if I forget to take it?

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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.

People stopping their medication for withdrawl reason, it says, will need "close follow-up and corrupt a wish from health professionals. A neurologist quoted by The Guardian said that some people "would have an awful two to three weeks" and would understandably have problems with activities such as working.

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If you are concerned that this may sex in yeppoon to you it may be possible to take sick leave from your job. The neurologist also recommended that you contact friends and family to let them know what you will be going through so that they can provide support. NICE also says that some patients suffering from medication overuse should be referred to a specialist, and possibly admitted to hospital, for parscetamol to stop taking painkillers.

It also says that for people with medication overuse headache, doctors should consider preventative treatment for the underlying headache disorder, in addition to the withdrawal of overused medication. Martin Underwood, a GP and professor sympgoms primary care research at Warwick Medical School, who chaired the guideline's development, said: "We withdrawxl effective treatments for common headache types.


However, taking these medicines for more than ten or fifteen days a month can cause medication overuse headache, which is a disabling and preventable disorder. Explaining to patients that they should abruptly stop their medication, knowing that their headache will get much worse for several weeks before dunedin hookers will improve, is not an easy consultation. The new guidance covers the diagnosis and treatment of the most common types of "primary" headaches in young people Eastlake OH wife swapping 12 years or older and adults.

Primary headaches are those which are not caused by an underlying disease and are normally classified as tension-type headache, migraine or cluster headache.

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NICE recommends that doctors diagnose these different types of headache according to patients' symptoms there is a characteristic symptom pattern with eachparaceramol recommends specific treatments for each type. It also sets out the circumstances where further Woman looking nsa Western Springs should be considered.

In particular, NICE says people diagnosed with these headaches should be given an explanation of the diagnosis and reassured that their headaches are not caused by any underlying disease or illness. Any discussion with the patient should include recognition that "headache is a valid medical disorder that can have a ificant impact on the person or their family or carers".

Options for treatment should also be discussed.

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NICE also advises that people diagnosed with a primary headache or with medication overuse headache should not be referred for further investigations for example, CT or MRI scans of the brain "solely for reassurance". Manjit Matharu, an honorary consultant neurologist at the National Hospital for Neurology and Neurosurgery and a guideline developer, said that although brain imaging was "an important diagnostic tool", most people's headaches will not be caused by brain tumours or other serious health problems, and so these scans should not be offered to patients solely for reassurance.

What should I do if I think my painkillers are contributing to my headaches? The only treatment for medication overuse headaches is to stop the medication in question for at least one month, according to NICE. You may feel you can manage this Ladies seeking hot sex Fort Lyon, if you have been taking painkillers for months rather than years.

If you find the idea of this difficult, see your GP. Your headache is likely to get worse in the short term before it improves and you may have temporary symptoms of withdrawal such as feeling sick or problems sleeping.