Cocodamol is combination of codeine and paracetamol. It can in theory be combined with ibuprofen and extra paracetamol, but since paracetamol can get VERY toxic above a certain threshold, it is not recommended to do so. The threshold for paracetamol lies at about 4000mg total per day (including the paracetamol in the cocodamol). If you have taken more than that, please contact you doctor immediatly.
ibuprofen is fairly safe in regular doses, but won't add much to the analgesic (pain-killing) effect of paracetamol. Since Ibuprofen is not very healthy at the long-term, I would recommend against taking it.
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As they both have derivatives of morphine and codeine , basically pharmaceutical heroin, although in very small amounts. It would be unwise to mix the two, especially if operating heavy machinery or driving blah, blah you know the rest. But basically no.
Codiene is an actual opiate, used for moderate pain control, and as an antitussive. Tramadol is a synthetic opioid and analgesic, used for the treatment of mild to moderate pain. Both are mildly addictive.
What I've gathered it not wise to take together unless if prescribed low dosage. I received my meds from the VA Clinic, but I really don't trust my Doc since I told her That while in the service I was taking Paxil. Which is a no no when prescribing Tramadol.
I'm currently taking 50mg Tramadol 2x a day and codeine30/Acetaminophen 300mg 3x a day and Gabopentin (nero-blocker which I hate)
Taking 2 opioid drugs should be avoided. This multiplies the additive side effects, without a real "double efficiency". Moreover, you accumulate metabolites from the both drugs.
If needed, your doctor must consider to higher doses instead of using another opioid.
Occasional use (e.g. in Tylenol no 3) for migraine or additional pain (from another source) doesn't cause problem as long as you use it conscientiously.
Iwas at the clinic on sunday with chronic shingles attack and he put me on tramadol. i was on co dyds but he said don't take both. So far the trams not working for me, maybe go back to co dyds.
Yes. I am currently on them 3 (only zapain, a stronger form of cocodamol) along with others.