WARNING

Taking Prometh with Codeine carries certain risks, and it’s important to be aware of them to use the medication safely. Here are some key risks associated with Prometh with Codeine:

• Respiratory Depression: Codeine, an opioid component of Prometh with Codeine, can depress the respiratory system, leading to slow or shallow breathing. This effect is dose-dependent and can be more pronounced in certain individuals, such as those with respiratory conditions or the elderly.
• Sedation and Drowsiness: Both promethazine and codeine can cause drowsiness and sedation. This may impair mental and physical abilities, affecting tasks such as driving or operating machinery.
• Risk of Abuse and Dependence: Codeine is an opioid and has the potential for abuse and physical dependence. Prolonged use or misuse can lead to tolerance, dependence, and addiction.
• Central Nervous System Effects: Promethazine, as an antihistamine, can cause central nervous system effects such as dizziness, blurred vision, and impaired coordination.
• Gastrointestinal Effects: Codeine can cause constipation, which can be severe in some individuals.
• Allergic Reactions: Allergic reactions to either promethazine or codeine can occur. Symptoms may include rash, itching, swelling, severe dizziness, or difficulty breathing. Severe allergic reactions are rare but require immediate medical attention.
• Interactions with Other Medications: Prometh with Codeine may interact with other medications, including those that depress the central nervous system, leading to additive effects. Inform your healthcare provider about all medications you are taking.
• Pediatric Use Warning: Codeine is generally contraindicated in children under 12 years of age due to the risk of respiratory depression. In some cases, codeine may be contraindicated in children under 18 years after certain surgeries (e.g., tonsillectomy and/or adenoidectomy).

It’s important to use Prometh with Codeine only under the supervision of a healthcare professional and to follow the prescribed dosage and duration. Do not exceed the recommended dose, and be cautious about potential interactions with other substances. If you have concerns about the risks associated with Prometh with Codeine or experience any adverse effects, consult your healthcare provider promptly. They can provide guidance on the safe use of the medication and address any specific concerns you may have.

Why is this medication prescribed?

Prometh with Codeine is a prescription medication that combines two active ingredients: promethazine and codeine. Here’s a breakdown of each component and the reasons for prescribing Prometh with Codeine:

• Promethazine: This is an antihistamine that can relieve symptoms of allergies, such as itching, runny nose, and sneezing. It also has sedative effects and is sometimes used to manage nausea and vomiting, particularly in the context of surgery or chemotherapy.
• Codeine: Codeine is an opioid analgesic (pain reliever) that is also used as a cough suppressant. It acts on the central nervous system to reduce the urge to cough. Codeine is a controlled substance due to its potential for abuse and addiction.

How should this medicine be used?

Prometh with Codeine is typically prescribed for the treatment of cough and upper respiratory symptoms associated with allergies or colds. It is essential to use this medication only under the supervision and guidance of a healthcare professional. Here are general guidelines on how Prometh with Codeine should be used:

• Dosage: The dosage will be determined by the prescribing healthcare provider based on the individual’s age, weight, medical condition, and response to treatment.
• Administration: Prometh with Codeine is usually taken orally as a liquid. It’s important to measure the dose accurately using a measuring device provided by the pharmacist. Do not use a household spoon, as it may not provide the correct dose.
• Frequency: Take the medication as directed by your healthcare provider. Follow the prescribed dosing schedule, and do not increase or decrease the dose without consulting your healthcare professional.
• Duration: Use Prometh with Codeine for the prescribed duration. Do not continue using it beyond the recommended time frame unless instructed by your healthcare provider.
• Special Instructions: Inform your healthcare provider about any other medications you are taking, including over-the-counter drugs and herbal supplements. Some medications may interact with Prometh with Codeine, potentially leading to adverse effects.

It is crucial to be aware of the potential side effects and risks associated with opioid medications. Prometh with Codeine should only be used under the guidance of a qualified healthcare professional, and individuals should strictly adhere to the prescribed dosage and duration to minimize the risk of adverse effects and dependence. If you have any questions or concerns about your medication, consult your healthcare provider for personalized advice.

Other uses for this medicine

Some potential off-label uses of Prometh with Codeine might include:

• Pain Management: Codeine, as an opioid analgesic, can be used to manage moderate pain in certain situations.
• Nausea and Vomiting: Promethazine’s antiemetic (anti-nausea) properties may be utilized to manage nausea and vomiting in various clinical settings.
• Sedation: Promethazine’s sedative effects might be used for sedation before certain medical procedures or surgeries.

What special precautions should I follow?

Regarding special precautions for Prometh with Codeine, here are some important considerations:

• Allergies: Inform your healthcare provider if you are allergic to any of the ingredients in Prometh with Codeine.
• Medical History: Provide a detailed medical history, especially if you have a history of respiratory conditions (e.g., asthma, chronic obstructive pulmonary disease), liver or kidney disease, a history of drug abuse, mental/mood disorders, or a history of certain types of surgery.
• Drug Interactions: Inform your healthcare provider about all the medications you are currently taking, including prescription drugs, over-the-counter medications, herbal supplements, and vitamins. Some medications may interact with Prometh with Codeine, potentially causing adverse effects.
• Pregnancy and Breastfeeding: Inform your healthcare provider if you are pregnant, planning to become pregnant, or breastfeeding. The use of Prometh with Codeine during pregnancy and breastfeeding should be carefully considered, as it may have potential risks.
• Driving and Operating Machinery: Prometh with Codeine can cause drowsiness and impair mental and physical abilities. Avoid activities that require alertness, such as driving or operating machinery, until you know how the medication affects you.
• Avoid Alcohol: Combining Prometh with Codeine with alcohol can increase the risk of drowsiness and other side effects. It is generally advisable to avoid alcohol while taking this medication.

Always follow your healthcare provider’s instructions and ask any questions you may have about the medication. If you experience any concerning side effects or have questions about your treatment, contact your healthcare provider promptly.

What special dietary instructions should I follow?

There are generally no specific dietary restrictions associated with Prometh with Codeine. However, it’s important to stay hydrated, especially if you are experiencing symptoms like coughing that may lead to fluid loss.

What should I do if I forget a dose?

• If it’s close to the next scheduled dose: If you remember a missed dose shortly before the next one is due, skip the missed dose and continue with your regular dosing schedule. Do not double up on doses to make up for a missed one.
• If it’s a significant time before the next dose: If you remember a missed dose well before the next one is due, take the missed dose as soon as you remember. However, if it’s almost time for the next scheduled dose, skip the missed dose and resume your regular dosing schedule.
• Do not double up: Taking extra doses to make up for a missed one can increase the risk of side effects without providing additional benefit. Stick to the prescribed dosing schedule.

What side effects can this medication cause?

Prometh with Codeine, like any medication, can cause side effects. It’s important to be aware of potential side effects and to promptly report any unusual or severe reactions to your healthcare provider. Here are some common side effects associated with Prometh with Codeine:

Common Side Effects:

• Drowsiness: Promethazine and codeine can cause drowsiness, and this effect may be more pronounced when starting the medication.
• Dizziness: Feeling lightheaded or dizzy is a common side effect.
• Nausea and Vomiting: These symptoms can occur, particularly with the use of codeine.
• Constipation: Codeine is known to cause constipation in some individuals.
• Dry Mouth: Promethazine can lead to a dry mouth.
• Blurred Vision: Vision may be affected, and this can be a result of the medication’s sedative properties.

Serious Side Effects:

While less common, some side effects of Prometh with Codeine can be more serious. If you experience any of the following, seek medical attention immediately:

• Severe Drowsiness or Difficulty Waking Up: This may be a sign of an overdose.
• Shallow or Slow Breathing: Opioid medications like codeine can depress the respiratory system, and severe respiratory depression is a medical emergency.
• Severe Allergic Reactions: Symptoms may include rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, or difficulty breathing.
• Hallucinations or Confusion: Particularly in vulnerable populations, such as the elderly.
• Severe Constipation or Abdominal Pain: These could be signs of a gastrointestinal blockage.
• Uncontrolled Movements or Tremors: This could indicate a serious neurological reaction.

It’s important to note that this list is not exhaustive, and individuals may experience side effects not listed here. Additionally, the risk of side effects may be higher in certain populations, such as the elderly or those with pre-existing medical conditions.

If you are prescribed Prometh with Codeine and have concerns about potential side effects or experience any unusual symptoms, contact your healthcare provider promptly. It’s crucial not to self-adjust the dosage or stop the medication without consulting your healthcare professional. They can provide guidance on managing side effects or adjust the treatment plan as needed.

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

Storage and Disposal of Prometh with Codeine:

• Storage:
  • Keep Prometh with Codeine in its original packaging and away from moisture, heat, and light.
  • Store it at room temperature, unless otherwise directed by your healthcare provider or pharmacist.
  • Keep the medication out of reach of children and pets.
• Disposal:
  • Follow any specific disposal instructions provided by your healthcare provider or pharmacist.
  • If no specific instructions are given, do not flush medications down the toilet or pour them down the drain unless instructed to do so.
  • Unused or expired medications can be returned to a pharmacy for proper disposal. Many communities also have medication disposal programs or events.

In case of emergency/overdose

• Seek Immediate Medical Attention: If you suspect an overdose or experience severe symptoms such as difficulty breathing, extreme drowsiness, or loss of consciousness, seek emergency medical attention immediately by calling your local emergency number.
• Overdose Symptoms: Overdose symptoms may include extreme drowsiness, confusion, shallow or slow breathing, pinpoint pupils, cold or clammy skin, and fainting.
• Provide Information: If possible, provide emergency responders with information about the medication, including the name, strength, and the amount ingested.

What other information should I know?

• Follow Prescribed Instructions: Take Prometh with Codeine exactly as prescribed by your healthcare provider. Do not change the dosage or frequency without consulting them.
• Avoid Alcohol and Other Medications: Avoid consuming alcohol while taking Prometh with Codeine, as it can increase the risk of drowsiness and other side effects. Inform your healthcare provider about all other medications, including over-the-counter drugs and supplements, to avoid potential interactions.
• Regular Monitoring: Your healthcare provider may monitor your response to the medication and adjust the treatment plan as needed.
• Medical and Laboratory Tests: Inform all healthcare professionals involved in your care that you are taking Prometh with Codeine, as it may affect certain medical or laboratory tests.
• Missed Doses: If you miss a dose, follow the instructions provided earlier or contact your healthcare provider for guidance.
• Allergic Reactions: Be aware of signs of allergic reactions, such as rash, itching, swelling, severe dizziness, or difficulty breathing. Seek immediate medical attention if you experience any of these symptoms.
• Informing Healthcare Providers: Inform any healthcare provider (doctor, dentist, or emergency medical personnel) about your use of Prometh with Codeine before receiving any medical care or undergoing surgery.

Always consult with your healthcare provider or pharmacist if you have specific questions about storage, disposal, emergencies, or any other concerns related to your medication. Following their guidance ensures the safe and effective use of Prometh with Codeine and minimizes the risk of adverse effects.