Check the leaflet that comes with your medicine to see if it can be taken with ibuprofen. However, there are many more available over the counter or on prescription. You might be at a higher risk of side effects if you:. Speak to your doctor if you are worried about this, as they can assess your heart attack and stroke risk.
Stronger and slow-release NSAIDs are available on prescription, which can be used for rheumatoid arthritis and other types of inflammatory arthritis. Speak to your doctor if you need longer-term pain relief. A number of NSAIDs are also available as gels, creams, sprays or patches, which you apply to the affected area. Some of these, such as ibuprofen and diclofenac, are available over the counter. Others, such as ketoprofen key-toe-pro-fen are only available on prescription.
If you have osteoarthritis , it is recommended that topical NSAIDs are tried before tablets, cox-2 inhibitors or opioid painkillers. This is because there is evidence that they are safer than taking tablets. Compound painkillers are made from a combination of two different drugs. These are usually a standard painkiller, such as paracetamol, aspirin or ibuprofen , plus a low dose of an opioid painkillers, such as codeine or dihydrocodeine. Some common compounds are listed in Table 2. Compound painkillers containing low doses of codeine are available over the counter from pharmacists.
Stronger ones are only available on prescription. Compound painkillers can be more effective than taking a single painkiller, and are more convenient than taking multiple tablets. However, they also combine the risks of each of the ingredients. Compound painkillers usually contain paracetamol or aspirin combined with an opioid.
For information about the benefits and risks, please see the sections on each ingredient. This is because they are potentially addictive. If you take compound painkillers according to their instructions, it is unlikely that you will become addicted to them. However, it is important to talk to your doctor if:. Opioid painkillers come in tablets, liquids or patches.
You can only get strong opioid painkillers on prescription. It is illegal to have opioid painkillers unless they have been prescribed to you. Opioid painkillers can become addictive, so they should be used with caution. It is important to talk to your doctor if:. Opioid painkillers can cause more side effects than simple painkillers.
They are only available on prescription and need to be monitored by your doctor. This is to reduce the risk of you becoming addicted to them and other side effects. If you are using antidepressants or antipsychotics, be careful of taking tapentadol. This is because your risk of seizures may be higher if you are being prescribed these drugs at the same time. Mixing any opioid painkillers with alcohol or tranquilisers means that having an overdose is more likely.
This can cause a coma, breathing problems and in some cases, death. People can build a tolerance to opioid painkillers. This means that you have to take more of them to get the same effect or avoid withdrawal symptoms.
Because of this, they may not be suitable for treating long-term pain. Withdrawal symptoms are physical or psychological reactions that happen when you stop taking a drug that you are addicted to. It is illegal in England and Wales to drive when taking prescription drugs if this affects your ability to drive.
Some people need to take more than one type of painkiller at any one time. If you need to do this, you need to be aware of drug combinations that are safe and unsafe. Speak to your doctor if you have any questions or concerns about the types of painkillers you have been advised to take. Many people with arthritis and related conditions will need to take painkillers or NSAIDs, along with drugs that treat the underlying cause of their condition.
The combination you take will depend on your condition. Never take more than the prescribed dose. If you suspect that you or someone else might have taken an overdose of this medicine, go to the accident and emergency department of your local hospital.
Take the container with you, even if it is empty. This medicine is for you. Never give it to other people even if their condition appears to be the same as yours. Do not keep out-of-date or unwanted medicines. Take them to your local pharmacy which will dispose of them for you. Dated June Hi, new to the site and was looking for some opinions. Ever since then I have Disclaimer: This article is for information only and should not be used for the diagnosis or treatment of medical conditions.
Egton Medical Information Systems Limited has used all reasonable care in compiling the information but make no warranty as to its accuracy. Consult a doctor or other health care professional for diagnosis and treatment of medical conditions. For details see our conditions. In this article About co-codamol Before taking co-codamol How to take co-codamol Getting the most from your treatment Can co-codamol cause problems? How to store co-codamol Important information about all medicines.
Paracetamol and codeine are contained in a wide variety of pain relief and cough and cold medicines. Do not take other medicines that also contain paracetamol or codeine without talking with your doctor or pharmacist.
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Paracetamol and codeine Print A A A. November Notification that codeine-containing medicines are now available on prescription only. As of 5 November , all codeine-containing medicines will be available on prescription only and can no longer be bought from your pharmacy without a prescription.
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