WARNING

Capital is a combination medication that typically includes acetaminophen (paracetamol) and codeine. Here are some brief risks associated with taking this medication:

• Addiction: Codeine, an opioid, can be habit-forming. Continued use can lead to physical dependence and addiction.
• Respiratory Depression: Opioids like codeine can slow breathing, especially when taken in large doses or with other depressants like alcohol.
• Liver Damage: Acetaminophen, when taken in high doses or over a long period, can cause liver damage. Combining with alcohol increases this risk.
• Overdose: Taking too much Capital, especially with other medications containing acetaminophen or opioids, can lead to overdose, which can be fatal.
• Constipation: Opioids commonly cause constipation, which can become severe with prolonged use.
• Interaction Risks: Capital can interact with other medications, including antidepressants, benzodiazepines, and certain antibiotics, increasing the risk of side effects or toxicity.
• Withdrawal Symptoms: Stopping Capital abruptly after prolonged use can lead to withdrawal symptoms, such as anxiety, muscle aches, and nausea.

To minimize these risks, it’s crucial to take Capital exactly as prescribed, not to exceed the recommended dose, avoid alcohol while taking it, and inform your healthcare provider about all medications you’re taking to prevent dangerous interactions.

Why is this medication prescribed?

Capital with Codeine is typically prescribed for the relief of mild to moderate pain. It combines two active ingredients:

• Acetaminophen: It is a non-opioid pain reliever and fever reducer.
• Codeine: It is a mild opioid pain reliever.

Together, these ingredients provide a dual mechanism of action to alleviate pain effectively.

How should this medicine be used?

How to use Capital with Codeine:

• Dosage: The dosage of Capital with Codeine is prescribed by a healthcare provider based on the severity of pain, individual response, and other factors. It is important to follow the prescribed dosage exactly.
• Administration: It is usually taken orally in tablet or liquid form. Tablets should be swallowed whole with a full glass of water unless otherwise directed.
• Frequency: It is typically taken every 4-6 hours as needed for pain relief. Do not exceed the recommended dosage or frequency of use.
• Avoid Alcohol: Alcohol should be avoided while taking Capital with Codeine, as it can increase the risk of serious side effects, including liver damage and respiratory depression.
• Duration of Use: Use Capital with Codeine for the shortest duration possible to relieve pain effectively. Prolonged use can lead to tolerance, dependence, and addiction.
• Medical Supervision: It’s important to use Capital with Codeine under the supervision of a healthcare provider. They will monitor your response to the medication and adjust the dosage as needed.
• Disposal: Dispose of any unused medication properly according to local regulations, especially to prevent misuse or accidental ingestion.
• Individualized Treatment: The dosage and duration of treatment with Capital with Codeine should be tailored to each individual’s needs based on their medical condition, other medications they are taking, and any other relevant factors.
• Side Effects: Be aware of potential side effects such as dizziness, drowsiness, constipation, and nausea. Contact your healthcare provider if these become severe or persistent.
• Withdrawal: If you have been using Capital with Codeine regularly and need to stop, consult your healthcare provider for guidance on gradually reducing the dosage to minimize withdrawal symptoms.

Always follow your healthcare provider’s instructions carefully to ensure safe and effective use of Capital with Codeine for pain relief.

Other uses for this medicine

• Cough Suppression: Codeine, as an opioid, can help suppress coughs that are not effectively managed by non-opioid medications.
• Antitussive (Cough Relief): In cases where non-opioid cough medications are insufficient, Capital with Codeine may be used to relieve cough symptoms.

What special precautions should I follow?

When using Capital with Codeine, it’s important to follow these special precautions:

• Medical History: Inform your healthcare provider about any medical conditions you have, especially:
  • Respiratory Issues: Such as asthma or chronic obstructive pulmonary disease (COPD), as opioids can depress breathing.
  • Liver or Kidney Problems: Since acetaminophen can affect these organs.
  • History of Substance Use: Including alcohol or drug abuse.
• Pregnancy and Breastfeeding: Capital with Codeine should be used with caution during pregnancy and breastfeeding. Opioids can pass into breast milk and may harm the baby. Consult your doctor before using this medication if you are pregnant or breastfeeding.
• Children and Elderly: Use Capital with Codeine cautiously in children and elderly patients, as they may be more sensitive to its effects, including respiratory depression and sedation.
• Driving and Operating Machinery: Capital with Codeine can cause dizziness, drowsiness, and impair judgment and motor skills. Avoid driving or operating heavy machinery until you know how this medication affects you.
• Alcohol and Other Drugs: Avoid alcohol while taking Capital with Codeine, as it can increase the risk of severe side effects, including liver damage and respiratory depression. Inform your doctor about all other medications you are taking, including over-the-counter drugs and herbal supplements, to avoid potential interactions.
• Avoid Abrupt Discontinuation: If you have been taking Capital with Codeine regularly, do not stop suddenly without consulting your healthcare provider. Abrupt discontinuation can lead to withdrawal symptoms such as anxiety, irritability, and insomnia.
• Storage and Disposal: Keep Capital with Codeine out of reach of children and pets. Store it at room temperature away from light and moisture. Dispose of any unused or expired medication properly according to local regulations.

Always follow your healthcare provider’s instructions carefully and discuss any concerns or questions you have about using Capital with Codeine. This will help ensure safe and effective treatment for pain or other conditions for which it is prescribed.

What special dietary instructions should I follow?

There are no specific dietary restrictions associated with Capital with Codeine. However, to ensure the medication’s effectiveness and minimize potential side effects:

• Hydration: Drink adequate fluids unless otherwise directed by your doctor, especially if you experience constipation, which can be a common side effect of opioids.
• Grapefruit Interaction: Avoid consuming large amounts of grapefruit or grapefruit juice while taking Capital with Codeine, as it can interact with the medication and lead to potentially serious side effects.

What should I do if I forget a dose?

• Take it as Soon as Possible: If it is close to the time of your next scheduled dose, skip the missed dose and continue with your regular dosing schedule. Do not double up on doses to make up for a missed one.
• Follow Instructions: Follow the dosing instructions provided by your healthcare provider or pharmacist. If you are unsure about what to do, contact your healthcare provider for guidance:
• Avoid Overdose: Do not take extra doses of Capital with Codeine to make up for a missed dose, as this can increase the risk of overdose and serious side effects.

What side effects can this medication cause?

Capital with Codeine, like any medication, can cause side effects. Some common side effects include:

• Drowsiness: Codeine is a central nervous system depressant and can cause drowsiness or sedation.
• Dizziness: Feeling dizzy or lightheaded is a common side effect, especially when standing up quickly.
• Nausea and Vomiting: These gastrointestinal symptoms can occur, particularly at the beginning of treatment.
• Constipation: Opioids like codeine commonly cause constipation, which may require management with dietary changes or medications.
• Dry Mouth: Decreased saliva production can lead to a dry mouth sensation.
• Itching or Rash: Some people may experience itching or develop a rash as a reaction to either acetaminophen or codeine.
• Difficulty Urinating: Codeine can cause urinary retention in some individuals.
• Headache: Headaches can occasionally occur as a side effect.
• Mood Changes:Codeine can affect mood, leading to feelings of euphoria or dysphoria.
• Respiratory Depression: In high doses or in susceptible individuals, codeine can slow down breathing. This is more common in individuals with respiratory conditions.
• Allergic Reactions: Though rare, allergic reactions to codeine or acetaminophen can occur, presenting with symptoms such as rash, itching, swelling, severe dizziness, or trouble breathing.
• Liver Damage: Acetaminophen, if taken in excessive doses or over a prolonged period, can cause liver damage. This risk is increased when combined with alcohol or in individuals with pre-existing liver disease.
• Dependency and Withdrawal: Prolonged use of opioids like codeine can lead to physical dependence, and abrupt cessation may cause withdrawal symptoms such as anxiety, irritability, sweating, muscle aches, and insomnia.

If you experience any severe or persistent side effects while taking Capital with Codeine, it’s important to notify your healthcare provider immediately. They can provide guidance on managing side effects or adjusting your treatment as needed.

What should I know about storage and disposal of this medication?

Storage and Disposal of Capital with Codeine:

• Storage: Keep Capital with Codeine in its original packaging and store it at room temperature, away from moisture and heat. Avoid storing it in the bathroom. Keep it out of reach of children and pets.
• Disposal: Dispose of unused or expired Capital with Codeine properly to prevent misuse or accidental ingestion. Follow local regulations or guidelines for medication disposal. Do not flush medications down the toilet unless instructed to do so.

In case of emergency/overdose

If you suspect an overdose or experience severe symptoms after taking Capital with Codeine, such as extreme drowsiness, difficulty breathing, slow or shallow breathing, or loss of consciousness, take the following steps:

• Call Emergency Services: Dial emergency services (911 in the United States) immediately for assistance.
• Poison Control: Contact Poison Control (1-800-222-1222 in the United States) for guidance on what to do next.
• Provide Information: Be ready to provide information about the medication, dosage taken (if known), and the person’s age and weight.
• Do Not Delay: Prompt medical attention is crucial in cases of overdose to prevent serious complications or death.

What other information should I know?

• Follow Instructions: Take Capital with Codeine exactly as prescribed by your healthcare provider. Do not adjust the dosage or frequency without consulting them.
• Regular Monitoring: Your healthcare provider may monitor your response to Capital with Codeine and adjust your treatment plan accordingly.
• Avoid Alcohol: Avoid consuming alcohol while taking Capital with Codeine, as it can increase the risk of severe side effects, including liver damage and respiratory depression.
• Medical Alert: Inform healthcare providers (including dentists and emergency personnel) about your use of Capital with Codeine before any procedures or treatments.
• Driving and Activities: Capital with Codeine can cause drowsiness, dizziness, or impair coordination. Avoid driving or operating machinery until you know how this medication affects you.
• Storage and Disposal: Keep Capital with Codeine secure and away from others who might misuse it. Dispose of unused or expired medication properly.
• Consult Healthcare Provider: Discuss any concerns or questions about Capital with Codeine with your healthcare provider. They can provide guidance on safe use and potential side effects.

By understanding these aspects of storage, emergency procedures, and additional information, you can use Capital with Codeine safely and effectively for its intended purposes under the guidance of your healthcare provider.