Description
Dihydrocodeine Continus 90mg tablets are a prolonged-release opioid analgesic prescribed for the management of chronic moderate to severe pain. Each tablet contains 90mg of dihydrocodeine tartrate, formulated to release the active ingredient gradually over an extended period, providing 12-hour pain relief with just two doses per day.
This medication is suitable for patients who require ongoing, long-term pain management and who have not achieved adequate relief from weaker analgesics such as paracetamol or NSAIDs. It is particularly beneficial in treating conditions such as osteoarthritis, rheumatoid arthritis, neuropathic pain, chronic back pain, and cancer-related pain.
🔹 How It Works:
Dihydrocodeine belongs to the opioid class of painkillers and works by binding to specific receptors in the brain and spinal cord (opioid receptors), which helps block the transmission of pain signals and alters the body’s perception of pain. The prolonged-release formulation allows for sustained absorption, ensuring stable pain relief over 12 hours without the peaks and troughs associated with immediate-release painkillers.
🔹 Usage and Dosage:
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The standard adult dose is one 90mg tablet 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 or chewed, as doing so may result in rapid release and increase the risk of overdose.
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Always follow your prescriber’s instructions carefully.
🔹 Who It’s For:
Dihydrocodeine Continus 90mg is typically prescribed for:
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Chronic musculoskeletal pain (e.g., arthritis, back pain)
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Neuropathic pain conditions (e.g., sciatica, neuralgia)
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Post-operative recovery
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Cancer pain and palliative care
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Patients already tolerant to lower doses of opioids
🔹 Side Effects:
As with all opioids, possible 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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Dry mouth
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Headache
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Dizziness or light-headedness
More serious but rare side effects may include:
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Respiratory depression
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Hypotension (low blood pressure)
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Dependence, tolerance, and withdrawal symptoms
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Allergic reactions (rash, itching, swelling)
Patients should be monitored closely during long-term use.
🔹 Precautions & Warnings:
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Do not consume alcohol while taking this medication.
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Use caution when operating machinery or driving, as it may cause drowsiness.
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Not recommended for use during pregnancy or breastfeeding, unless advised by a doctor.
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Avoid if you have severe respiratory disease, head injury, or history of substance abuse.
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Prolonged use may lead to dependence, especially at higher doses.
🔹 Drug Interactions:
Use with caution alongside:
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Other CNS depressants (e.g., benzodiazepines, sleep aids, antihistamines)
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Antidepressants (especially MAO inhibitors and tricyclics)
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Muscle relaxants
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Alcohol or sedatives
🔹 Storage Instructions:
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Store below 25°C, away from moisture and direct light.
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Keep out of reach of children and pets.
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Do not use after the expiry date.
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Return any unused tablets to your pharmacy for safe disposal.
Important Note: Dihydrocodeine Continus 90mg is a controlled drug and should only be taken under the supervision of a qualified healthcare professional. It should never be shared with others, especially those with a history of substance misuse.
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