- , toothache and other dental pain
- muscular and joint aches and pains and neuralgia
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Paramol Tablets provide short term relief from acute moderate pain such as headache, migraine, period pain, toothache and other dental pain, back ache, muscular and joint aches and pains and neuralgia. They contain the active ingredients dihydrocodeine and paracetamol and should only be used for pain that is not relieved by other painkillers such as paracetamol, ibuprofen or aspirin alone. They should be taken for a maximum of 3 days.
Paramol Tablets are available in packs of 12s, 24s and 32s.
- Take one or two tablets every four to six hours.
- Do not take more than 8 tablets in any 24 hour period.
- Do not exceed the stated dose.
- Active Ingredients: Paracetamol 500mg and Dihydrocodeine Tartrate 7.46mg.
- Other Ingredients: Magnesium Stearate, Povidone, Maize Starch, Hypromellose, Titanium Dioxide and Macrogol 400.
- Paramol Tablets contain dihydrocodeine which can cause addiction if you take it continuously for more than 3 days. This can give you withdrawal symptoms from the medicine when you stop taking it.
- If you take a painkiller for headaches for more than 3 days it can make them worse.
- Do not drive until you know how this medicine affects you. If affected, do not drive or operate machinery. It may be an offence to drive while taking this medicine.
- If you have ever had an allergic reaction to any of the ingredients in this product.
- If you are suffering from breathing difficulties.
- If you are taking antidepressants from a group called monoamine oxidase inhibitors (MAOIs) or have taken them in the last 14 days.
- If you are dependent on alcohol.
- If you suffer from raised pressure within your head or from convulsion and acute abdominal conditions.
- If you are suffering from diarrhoea caused by poisoning or have watery or severe diarrhoea which may be bloody, especially if you have been taking antibiotics.
- With any other paracetamol and/or codeine-containing products.
- If you are pregnant or breastfeeding.
- Have allergies.
- Have asthma. Do not take these tablets if you are having an asthma attack.
- Have blood pressure problems or irregular heart beats.
- Have had recent gastrointestinal surgery.
- Are elderly.
- Suffer from liver or kidney problems, including non-cirrhotic alcoholic liver disease, or if you have an underactive thyroid gland, prostate problems, gallstones, difficulties passing urine or bowel problems.
- Have been diagnosed with one of the following conditions: rapid opiod metabolism, Addison's disease or myasthenia gravis.
- Have a history of mood swings or drug abuse.
- If you are taking:
- Metoclopramide or domperidone (to treat nausea or vomiting), loperamide or kaolin (to treat diarrhoea), cholestyramine (to reduce cholesterol), or any medications to thin the blood e.g. warfarin, or medicines to treat high blood pressure (e.g. diuretics, known as water drugs and other antihypertensives).
- Cimetidine (an antacid to control stomach reflux), quinidine (a drug to treat malaria), cisapride (a drug to treat reflux), naloxone (a drug to treat addiction to opioids) or naltrexone (a drug to treat alcohol addiction).
- Any treatment against anxiety (e.g. hydroxyzine), depression (e.g. trycyclic antidepressants like amitriptyline), psychological disorder (e.g. barbituates like barbital and CNS depressants like valium) or sleep disorders (hypnotics and sedatives like zopiclone).
- A treatment to lower your blood pressure or to correct irregular heartbeat (e.g. mexiletine).
- A drug from the antimuscarinic family (a type of drugs that temporarily block nerve endings) e.g. atropine, or any other type of neuromuscular medication (e.g. tracrium).
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