Codeine is an opioid medication prescribed to alleviate mild to moderate pain. It works by blocking pain signals in the central nervous system, reducing the sensation of discomfort.
While effective, improper use of codeine can lead to serious health risks, including addiction, overdose, and harmful side effects. Learn why it’s crucial to use codeine only as directed and under the guidance of a healthcare professional.
Guidelines for Proper Use of Codeine
Codeine comes with strict usage guidelines and should only be taken according to a doctor’s prescription. Here are some key points to remember when using codeine:
Proper Administration
Codeine should never be crushed or chewed, as doing so may cause the medication to release too rapidly into your system, increasing the risk of adverse effects. Tablets or capsules should be swallowed whole with a glass of water. For liquid forms of codeine, always use a proper measuring spoon to ensure you’re taking the correct dose.
You can take codeine either before or after meals. However, if you experience nausea, it may be better to take it with food or following a meal to minimize stomach discomfort.
It’s also important to adhere to the prescribed schedule for taking the drug. Discontinuing codeine suddenly can result in withdrawal symptoms, so any changes to your usage should be done under the supervision of a doctor.
Prescription Dosage
The prescribed dose of codeine is determined by your doctor based on your specific medical condition. You should never alter the dosage on your own, as doing so may reduce the drug’s effectiveness or increase the risk of adverse effects.
Risks of Using Codeine Improperly
Codeine should always be used responsibly to prevent a range of potential health risks. Some of the dangers associated with careless use include:
Risk of Addiction
As a derivative of morphine, codeine has the potential to be addictive. Prolonged or improper use can lead to both physical and psychological dependence.
Dependency on codeine may also increase the likelihood of progressing to the abuse of more potent opioids like morphine or heroin.
Serious Side Effects
Taking codeine in ways that deviate from a doctor’s instructions can result in various side effects, including but not limited to respiratory issues, nausea and vomiting, dizziness and drowsiness, and allergic reactions.
Risk of Overdose
An overdose of codeine is a serious concern, especially if the drug is taken in excessive amounts or combined with other substances that enhance its depressant effects. Symptoms of a codeine overdose include:
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Difficulty breathing
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Loss of consciousness
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Extremely low blood pressure
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Slowed heart rate
In extreme cases, a codeine overdose can lead to a coma or even death, making it crucial to follow dosage instructions closely.
Dangerous Drug Interactions
Codeine can interact with many other medications, including tranquilizers, antidepressants, other pain relievers, and alcohol. These interactions can amplify the risk of side effects and harm your body.
Not Safe for Everyone
Codeine is not suitable for all individuals. Children under the age of 12 should not be given codeine, as they are at an increased risk of experiencing severe side effects.
Pregnant women, breastfeeding mothers, and individuals with a history of respiratory issues should also avoid codeine. In these cases, a doctor will recommend alternative medications that are safer for managing pain or symptoms.
Always use codeine and other medications in accordance with your doctor’s instructions. If you are experiencing pain or a cough and need relief, it’s essential to consult with a healthcare provider to ensure you receive the most appropriate and safe treatment.
For additional support, you can take advantage of virtual consultations through the Ai Care app, available for download on the App Store or Play Store.
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- dr Nadia Opmalina
Health Direct (2023). Codeine. Available from: https://www.healthdirect.gov.au/codeine
Medline Plus (2024). Codeine. Available from: https://medlineplus.gov/druginfo/meds/a682065.html
Cleveland Clinic (2025). Codeine Tablets. Available from: https://my.clevelandclinic.org/health/drugs/18613-codeine-tablets
NIH (2024). Opioids. Available from: https://nida.nih.gov/research-topics/opioids