How Storage/Supplied And Handling :
Codeine Sulfate
15 mg Tablet: white, round, uncoated tablet, denticulate on one side, debossed “15” on the denticulate ancillary and “LCI” on the added side. The tablets are supplied in:
Unit dose, 25 tablets per abscess card
NDC 0527-1727-91: 4 Abscess Cards per Carton
30 mg Tablet: white, round, uncoated tablet, denticulate on one side, debossed “30” on the denticulate ancillary and “LCI” on the added side. The tablets are supplied in:
Unit dose, 25 tablets per abscess card
NDC 0527-1698-91: 4 Abscess Cards per Carton
NDC 0527-1698-01: Bottles of 100(hundred) Tablets
60 mg Tablet: white, round, uncoated tablet, denticulate on one side, debossed “1699” on the denticulate ancillary and “LCI” on the added side. The tablets are supplied in:
NDC 0527-1699-01: Bottles of 100(hundred) Tablets
Storage
Store at 20°(twenty) to 25°C(twenty five) (68° to 77°F) [ NB: See USP Controlled Allowance Temperature].
Protect from damp and light.
Dispense in well-closed alembic as authentic in the USP/NF.
Blisters are not child-resistant. Use child-resistant cease if dispensing to outpatient.
All opioids are accountable to aberration and abusage both by the accepted accessible and healthcare workers and should be handled accordingly.
Counseling Information With The Patient’s :
- Advise patients that Codeine Sulfate is a analgesic affliction analgesic and may be addiction forming. It should be taken alone as directed.
- Advise patients that some bodies accept a abiogenetic aberration that after-effects in codeine alteration into morphine added rapidly and absolutely than added people. Best bodies are blind of whether they are an ultra-rapid codeine metabolizer or, not. These higher-than-normal levels/range of the morphine in the claret may advance to life-threatening or baleful respiratory abasement or signs of balance such as acute sleepiness, confusion, or bank breathing. Accouchement with this abiogenetic aberration who were assigned codeine afterwards tonsillectomy and/or adenoidectomy for adverse beddy-bye apnea may be at greatest accident based on letters of several deaths in this citizenry due to respiratory depression. Codeine is contraindicated in accouchement who abide tonsillectomy and/or adenoidectomy. Advise caregivers of accouchement accepting codeine for added affidavit to adviser for signs of respiratory depression.
- Advise patients that nursing mothers demography codeine can accept college morphine levels in their breast milk if they are ultra-rapid metabolizers. These college levels of morphine in breast milk may advance to life-threatening or baleful ancillary furnishings in the nursing babies. Advise the nursing mothers to watching for the signs of the morphine toxicity in their breed which includes added apathy (more than usual), adversity breastfeeding, animation difficulties/limpness. Instruct the nursing mothers to allocution to the baby’s doctor anon if they apprehension these signs and, if they cannot ability the doctor adapted away, to booty the babyish to an emergency allowance or alarm 911 (or bounded emergency services).
- Advise patients that the dosage of Codeine Sulfate should not be adapted after consulting with your physician.
- Advise patients that codeine may account drowsiness, dizziness, or lightheadedness and may blemish the brainy and/or concrete abilities adapted for the achievement of potentially chancy tasks such as active a car or operating machinery.
- Advise patients started on Codeine Sulfate or patients whose dosage has been adapted to burden from any potentially alarming action until it is accustomed that they are not abnormally affected. Advise patients not to amalgamate Codeine Sulfate with booze or added axial afraid arrangement of depressants (sleep aids/tranquilizers) except by the orders of the prescribing physician, because alarming accretion furnishings may occur, consistent in austere abrasion or death.
- Advise patients that Codeine Sulfate is a abeyant biologic of abuse, and should be adequate from theft. It should never be accustomed to anyone added than the alone for whom it was prescribed.
- Advise patients to accumulate Codeine Sulfate in a defended abode out of the ability of children.
- Advise patients of the abeyant for astringent ache back demography Codeine Sulfate; adapted laxatives and/or stool softeners as able-bodied as added adapted treatments should be accomplished from the access of therapy.
- Advise patients of the best accepted adverse contest that may action while demography Codeine Sulfate: drowsiness, lightheadedness, dizziness, sedation, conciseness of breath, nausea, vomiting, constipation, and sweating.
- If patients accept been accepting analysis with Codeine Sulfate for added than a few weeks and abeyance of analysis is indicated, they should be counseled on the accent of cautiously cone-shaped the dosage and that abruptly alternate the medication could accelerate abandonment symptoms. The physician should accommodate a dosage agenda to achieve a bit-by-bit cessation of the medication.
- Women of bearing abeyant who become or are planning to become abundant should argue a physician above-mentioned to initiating or continuing analysis with Codeine Sulfate.
- Safe use in abundance has not been established till now. Prolonged uses of the opioid analgesics during abundance may account fetal/neonatal concrete dependence, and neonatal abandonment may occur.