Understanding Cocodamol: Uses, dosage, and safety precautions

Cocodamol is a widely used pain relief medication in the UK, combining two active ingredients: paracetamol and codeine phosphate. It is commonly prescribed for moderate to severe pain, such as post-surgical discomfort, dental pain, or chronic conditions like arthritis. In this blog, we explore how Cocodamol works, its benefits, potential side effects, and important safety considerations.

What is Cocodamol?

Cocodamol is a compound analgesic, meaning it contains two pain-relieving components:

• Paracetamol (500mg per tablet): A common over-the-counter painkiller that reduces fever and mild to moderate pain.
• Codeine phosphate (8mg, 15mg, or 30mg per tablet): An opioid that enhances pain relief by acting on the central nervous system.

This combination makes Cocodamol more effective than paracetamol alone for certain types of pain.

How does Cocodamol work?

Paracetamol blocks pain signals in the brain, while codeine binds to opioid receptors, altering how the body perceives discomfort. Together, they provide stronger relief than either ingredient alone. However, because codeine is an opioid, Cocodamol is classified as a controlled drug in the UK and should only be used under medical supervision.

When is Cocodamol prescribed?

Doctors may recommend Cocodamol for:

• Post-operative pain
• Migraines or severe headaches
• Musculoskeletal injuries
• Dental pain
• Chronic conditions like osteoarthritis

It is not suitable for mild pain or long-term use without medical advice due to the risk of dependence and side effects.

Proper dosage and administration

Cocodamol comes in different strengths, typically labelled as 8/500, 15/500, or 30/500 (codeine/paracetamol in mg). The usual adult dosage is:

• 8/500 or 15/500: 1-2 tablets every 4-6 hours (maximum 8 tablets in 24 hours).
• 30/500: Only for severe pain under strict medical guidance.

Never exceed the recommended dose, as paracetamol overdose can cause liver damage, and excessive codeine can lead to respiratory depression.

Potential side effects

While Cocodamol is effective, it may cause side effects, including:

• Drowsiness or dizziness
• Constipation
• Nausea or vomiting
• Dry mouth
• Allergic reactions (rare)

If you experience difficulty breathing, severe dizziness, or swelling, seek immediate medical help.

Safety precautions

• Avoid alcohol: Increases the risk of liver damage from paracetamol.
• Do not drive or operate machinery: Codeine can cause drowsiness.
• Short-term use only: Prolonged use may lead to tolerance or addiction.
• Consult a doctor before use: Especially if pregnant, breastfeeding, or taking other medications.

Can you buy Cocodamol online?

In the UK, lower-strength Cocodamol (8/500) is available from pharmacies, while higher doses require a prescription. Reputable online pharmacies, like Apotheke Direkte, may supply it with a valid prescription after a consultation. Always ensure you purchase from a licensed provider.

Conclusion

Use cocodamol responsibly, as it is a powerful painkiller for moderate to severe pain. Always follow your doctor’s instructions and never share medication with others. If you have concerns about dependency or side effects, speak to a healthcare professional.

For more information on pain relief options, browse our blog or consult our pharmacy team for personalised advice.