WARNING

Co-Gesic is a combination medication that typically includes acetaminophen (a pain reliever and fever reducer) and hydrocodone (an opioid pain medication). Here are some brief risks associated with taking Co-Gesic:

• Addiction and Dependence: Hydrocodone is an opioid and can be habit-forming. Continued use can lead to physical dependence and addiction.
• Respiratory Depression: Opioids like hydrocodone can slow or stop breathing, especially if taken in high doses or combined with other depressants like alcohol or benzodiazepines.
• Liver Damage: Acetaminophen, when taken in high doses or for long periods, can cause liver damage. Co-Gesic contains acetaminophen, so it’s important to follow dosing instructions carefully.
• Overdose: Taking too much Co-Gesic can lead to overdose, which can be fatal. Symptoms include extreme drowsiness, difficulty breathing, and loss of consciousness.
• Drug Interactions: Co-Gesic can interact with other medications, particularly other opioids, sedatives, and certain antidepressants, increasing the risk of side effects or overdose.
• Withdrawal: Stopping Co-Gesic suddenly after prolonged use can lead to withdrawal symptoms, such as restlessness, muscle and bone pain, insomnia, diarrhea, vomiting, and cold flashes.

It’s crucial to use Co-Gesic exactly as prescribed by a healthcare provider and to be aware of these risks. If you have concerns or experience any adverse effects, seek medical attention promptly.

Why is this medication prescribed?

Co-Gesic is typically prescribed for the management of moderate to moderately severe pain. It combines two active ingredients:

• Hydrocodone: This is an opioid pain medication that works in the brain to change how your body feels and responds to pain.
• Acetaminophen: This is a non-opioid pain reliever and fever reducer.

The combination of hydrocodone and acetaminophen in Co-Gesic provides a more effective pain relief than either medication alone in certain cases.

How should this medicine be used?

Here’s how Co-Gesic should typically be used:

• Dosage: Co-Gesic should be taken exactly as prescribed by your healthcare provider. The dosage will depend on the severity of your pain and your individual response to the medication.
• Administration: It is usually taken orally, with or without food. Follow the instructions provided by your doctor or pharmacist.
• Avoid Alcohol: It’s important to avoid alcohol while taking Co-Gesic, as alcohol can increase the risk of serious side effects such as drowsiness, dizziness, and liver damage.
• Avoid Mixing with Other Medications: Inform your healthcare provider about all other medications you are taking, including over-the-counter drugs and supplements, as some medications can interact with Co-Gesic.
• Do Not Crush or Chew: Swallow the tablets whole with a full glass of water. Do not crush, chew, or break the tablets before swallowing, as this can release too much of the medication at once and increase the risk of serious side effects.
• Monitoring: Your doctor may monitor you closely while you are taking Co-Gesic to ensure it is working effectively and to watch for any side effects.
• Discontinuation: Do not stop taking Co-Gesic suddenly without consulting your doctor, as this can lead to withdrawal symptoms. Your doctor may gradually reduce your dose when stopping treatment.

Always follow your healthcare provider’s instructions carefully when taking Co-Gesic to minimize the risks associated with this medication. If you have any questions or concerns about its use, don’t hesitate to discuss them with your healthcare provider.

Other uses for this medicine

• Cough suppression: Hydrocodone can be used as a cough suppressant in certain formulations.
• Fever reduction: Acetaminophen is effective in reducing fever, which may be part of the therapeutic benefit in some cases.

What special precautions should I follow?

Special precautions for Co-Gesic:

• Medical History: Before taking Co-Gesic, inform your healthcare provider about any medical conditions you have, especially liver disease, kidney disease, respiratory disorders (such as asthma or COPD), a history of drug or alcohol abuse, mental health conditions, or a history of seizures.
• Allergies: Tell your doctor if you have any allergies to hydrocodone, acetaminophen, or any other medications.
• Pregnancy and Breastfeeding: Co-Gesic should be used with caution during pregnancy and breastfeeding. It is important to discuss the risks and benefits with your doctor before using this medication if you are pregnant or breastfeeding.
• Children and Elderly: Co-Gesic should be used cautiously in children and elderly patients, as they may be more sensitive to the effects of the medication.
• Driving and Operating Machinery: Co-Gesic may cause dizziness, drowsiness, or impaired judgment. Avoid driving, operating machinery, or engaging in activities requiring mental alertness until you know how this medication affects you.
• Alcohol and Other Substances: Avoid consuming alcohol while taking Co-Gesic, as it can increase the risk of serious side effects. Also, inform your doctor about all other medications you are taking, including over-the-counter drugs and herbal supplements, as they may interact with Co-Gesic.
• Monitoring: Your doctor may monitor you closely while you are taking Co-Gesic to check for side effects and ensure the medication is working effectively.
• Overdose: Seek emergency medical attention if you suspect an overdose of Co-Gesic, which can be life-threatening. Symptoms of overdose may include extreme drowsiness, slow or difficult breathing, confusion, and fainting.

Always follow your doctor’s instructions carefully when taking Co-Gesic to ensure safe and effective use of the medication.

What special dietary instructions should I follow?

There are no specific dietary restrictions associated with Co-Gesic. However, it’s important to maintain a balanced diet and stay hydrated while taking this medication.

What should I do if I forget a dose?

If you miss a dose of Co-Gesic and it is close to the time of your next scheduled dose, skip the missed dose and take your next dose at the regular time. Do not double up on doses to make up for a missed one. Taking too much Co-Gesic can lead to overdose and serious side effects.

What side effects can this medication cause?

Co-Gesic, which combines hydrocodone (an opioid) and acetaminophen, can cause a range of side effects. These side effects can vary in severity and impact different individuals differently. Common side effects of Co-Gesic include:

• Drowsiness: This is a common side effect due to the central nervous system depressant effects of hydrocodone.
• Dizziness: Feeling lightheaded or unsteady can occur, particularly when standing up quickly.
• Nausea and vomiting: These gastrointestinal symptoms are relatively common.
• Constipation: Opioids like hydrocodone often cause constipation, which may require additional management.
• Dry mouth: Decreased saliva production can lead to a dry sensation in the mouth.
• Lightheadedness: Feeling faint or dizzy upon standing or changing positions.
• Headache: Some individuals may experience headaches as a side effect.
• Blurred vision: Vision may become blurry temporarily.
• Difficulty urinating: Opioids can affect bladder function, leading to difficulty urinating.
• Itching: Some people may experience itching or skin rash.
• Mood changes: This can include feelings of euphoria, anxiety, or irritability.
• Serious side effects: In rare cases, Co-Gesic can cause serious side effects such as allergic reactions, severe dizziness or drowsiness, slow or shallow breathing, confusion, seizures, or liver problems.

It’s essential to report any concerning or severe side effects to your healthcare provider promptly. Additionally, avoid alcohol while taking Co-Gesic, as it can increase the risk and severity of certain side effects.

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

Storage and disposal of Co-Gesic:

• Storage: Store Co-Gesic at room temperature away from light and moisture. Keep it in a secure place out of the reach of children and pets to prevent accidental ingestion. Avoid storing Co-Gesic in the bathroom or kitchen where it could be exposed to moisture.
• Disposal: Dispose of unused or expired Co-Gesic properly to prevent misuse or accidental ingestion. You can check with your pharmacist or local waste disposal company for guidelines on how to dispose of medications safely. Do not flush medications down the toilet unless instructed to do so.

In case of emergency/overdose

• Symptoms: If you suspect an overdose of Co-Gesic, which can be life-threatening, watch for symptoms such as extreme drowsiness, slow or difficult breathing, confusion, pinpoint pupils, or loss of consciousness.
• Emergency Response: Immediately call emergency services (911 in the United States) or your local poison control center (such as 1-800-222-1222 in the United States) for assistance. Provide as much information as possible, including the amount of medication ingested and the person’s current condition.
• Do Not Delay Treatment: Prompt medical attention is crucial in cases of Co-Gesic overdose to prevent serious complications.

What other information should I know?

• Avoid Alcohol: It’s important to avoid alcohol while taking Co-Gesic, as it can increase the risk of serious side effects such as drowsiness, dizziness, and liver damage.
• Medical Follow-up: Regularly follow up with your healthcare provider while taking Co-Gesic to monitor its effectiveness and manage any side effects or concerns.
• Driving and Activities: Co-Gesic may cause dizziness, drowsiness, or impaired judgment. Avoid driving, operating machinery, or performing tasks requiring mental alertness until you know how this medication affects you.
• Interactions: Inform your doctor about all medications you are taking, including prescription drugs, over-the-counter medications, vitamins, and herbal supplements, as they may interact with Co-Gesic.
• Medical Alert: If you undergo surgery or any medical procedure, inform healthcare providers that you are taking Co-Gesic, as it may interact with anesthesia or other medications used during the procedure.
• Pregnancy and Breastfeeding: Discuss the risks and benefits of Co-Gesic with your doctor if you are pregnant or breastfeeding, as it may affect the baby.
• Storage and Handling: Always keep Co-Gesic in its original packaging and follow specific storage instructions provided by your pharmacist or healthcare provider.

By understanding these guidelines and information about Co-Gesic, you can ensure safe and effective use of the medication under the supervision of your healthcare provider.