Description
Dihydrocodeine Continus 60mg tablets are a prolonged-release formulation of the opioid analgesic dihydrocodeine, designed to provide sustained pain relief for individuals suffering from chronic moderate to severe pain. This medication is intended for long-term management of pain that does not respond adequately to non-opioid analgesics like paracetamol or NSAIDs.
Each tablet contains 60mg of dihydrocodeine tartrate, released slowly into the body over approximately 12 hours, allowing for twice-daily dosing and stable, round-the-clock pain control.
🔹 How It Works:
Dihydrocodeine acts on the central nervous system (CNS) by binding to opioid receptors in the brain and spinal cord. This interaction blocks pain signals and modifies the emotional response to pain, resulting in effective and long-lasting relief. The prolonged-release mechanism ensures that the active ingredient is released gradually, reducing the need for frequent dosing and minimizing fluctuations in pain levels.
🔹 Indications / Common Uses:
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Chronic musculoskeletal pain (e.g. arthritis, back pain)
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Neuropathic pain
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Post-operative pain requiring extended control
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Palliative care pain management
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Severe injuries or trauma-related pain
This medication is not intended for acute or breakthrough pain due to its slow onset of action.
🔹 Dosage and Administration:
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Adults: One tablet (60mg) every 12 hours, or as directed by a healthcare professional.
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Tablets should be swallowed whole with water and must not be crushed, chewed, or broken, as this may cause rapid release and increase the risk of side effects or overdose.
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Dosage may be adjusted based on individual response and severity of pain.
🔹 Side Effects:
Common side effects include:
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Drowsiness or sedation
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Nausea and vomiting
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Constipation
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Dizziness or light-headedness
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Dry mouth
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Sweating
Serious side effects can include respiratory depression, low blood pressure, allergic reactions, and dependence. Patients should be monitored regularly, especially during long-term use.
🔹 Warnings and Precautions:
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Prolonged use may lead to tolerance, dependence, and withdrawal symptoms.
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Caution in patients with respiratory conditions, head injuries, liver or kidney impairment.
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Not suitable for children under 12 years.
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Avoid use during pregnancy and breastfeeding unless clearly advised by a doctor.
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Do not drive or operate machinery if drowsy.
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Alcohol and other sedatives should be avoided due to the increased risk of serious side effects.
🔹 Drug Interactions:
May interact with:
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Other CNS depressants (benzodiazepines, alcohol, sedatives)
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MAO inhibitors
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Tricyclic antidepressants
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Antihistamines
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Certain antipsychotics
🔹 Storage:
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Store below 25°C in a dry place.
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Keep out of sight and reach of children.
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Return unused or expired tablets to a pharmacy for safe disposal.
Important Note:
Dihydrocodeine Continus 60mg is a controlled drug in many countries due to its opioid content and potential for misuse. It must be used strictly as prescribed and never shared with others.
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