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Drugs reference index «aspirin, caffeine, and dihydrocodeine»

aspirin, caffeine, and dihydrocodeine

Generic Name: aspirin, caffeine, and dihydrocodeine (AS pir in, KAF een, and dye HYE dro KOE deen)Brand Names: Synalgos-DC

What is aspirin, caffeine, and dihydrocodeine?

Aspirin is in a group of drugs called salicylates (sa-LIS-il-ates). It works by reducing substances in the body that cause pain, fever, and inflammation.

Caffeine is a central nervous system stimulant. It relaxes muscle contractions in blood vessels to improve blood flow.

Dihydrocodeine is related to codeine. It is in a group of drugs called narcotic pain relievers.

The combination of aspirin, caffeine, and dihydrocodeine is used to treat moderate to severe pain.

Aspirin, caffeine, and dihydrocodeine may also be used for other purposes not listed in this medication guide.

What is the most important information I should know about aspirin, caffeine, and dihydrocodeine?Do not use this medication if you have used an MAO inhibitor such as isocarboxazid (Marplan), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl, Emsam), or tranylcypromine (Parnate) within the past 14 days. Serious, life-threatening side effects can occur if you take aspirin, caffeine, and dihydrocodeine before the MAO inhibitor has cleared from your body. Aspirin should not be given to a child or teenager who has a fever, especially if the child also has flu symptoms or chicken pox. Aspirin can cause a serious and sometimes fatal condition called Reye's syndrome in children. Do not use this medication if you are allergic to aspirin, caffeine, or dihydrocodeine, or if you have porphyria, a stomach ulcer, a bleeding or blood clotting disorder; or if you are allergic to any NSAID (non-steroidal anti-inflammatory drug). Do not use any other over-the-counter cold, flu, or pain medication without first asking your doctor or pharmacist. If you take certain products together you may accidentally take too much of a certain drug. Avoid drinking alcohol while taking this medication. Alcohol may increase your risk of stomach bleeding while you are taking aspirin. Dihydrocodeine may be habit-forming and should be used only by the person this medicine was prescribed for. This medication should never be given to another person, especially someone who has a history of drug abuse or addiction. Keep the medication in a secure place where others cannot get to it.What should I discuss with my healthcare provider before taking aspirin, caffeine, and dihydrocodeine?Aspirin should not be given to a child or teenager who has a fever, especially if the child also has flu symptoms or chicken pox. Aspirin can cause a serious and sometimes fatal condition called Reye's syndrome in children. Do not use this medication if you have used an MAO inhibitor such as isocarboxazid (Marplan), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl, Emsam), or tranylcypromine (Parnate) within the past 14 days. Serious, life-threatening side effects can occur if you take aspirin, caffeine, and dihydrocodeine before the MAO inhibitor has cleared from your body. Do not use this medication if you are allergic to aspirin, caffeine, or dihydrocodeine, or if you have:
  • porphyria;

  • stomach ulcer;

  • a bleeding or blood clotting disorder; or

  • an allergy to an NSAID (non-steroidal anti-inflammatory drug) such as Advil, Motrin, Aleve, Orudis, Indocin, Lodine, Voltaren, Toradol, Mobic, Relafen, Feldene, and others.

Before taking aspirin, caffeine, and dihydrocodeine, tell your doctor if you have:

  • kidney or liver disease;
  • asthma;

  • urination problems;

  • an enlarged prostate;

  • a thyroid disorder;

  • a history of head injury or brain tumor;

  • seizures or epilepsy;

  • gallbladder disease;

  • Addison's disease; or

  • a history of drug or alcohol addiction.

If you have any of these conditions, you may need a dose adjustment or special tests to safely take this medication.

Dihydrocodeine may be habit-forming and should be used only by the person this medicine was prescribed for. This medication should never be given to another person, especially someone who has a history of drug abuse or addiction. Keep the medication in a secure place where others cannot get to it. FDA pregnancy category C. Aspirin may be harmful to an unborn baby's heart, and may also reduce birth weight or have other dangerous effects. Dihydrocodeine could cause addiction or withdrawal symptoms in a newborn if the mother takes the medicine during pregnancy. Do not take aspirin, caffeine, and dihydrocodeine without telling your doctor if you are pregnant or plan to become pregnant during treatment. Dihydrocodeine may also cause addiction and withdrawal symptoms in a nursing infant. Do not use this medication without telling your doctor if you are breast-feeding a baby. Older adults may be more likely to have side effects from this medication.

How should I take aspirin, caffeine, and dihydrocodeine?

Take this medication exactly as it was prescribed for you. Do not take it in larger amounts, or use it for longer than recommended by your doctor. Follow the directions on your prescription label. Tell your doctor if the medicine seems to stop working as well in relieving your pain.

Take with food or milk to ease stomach upset. You may have withdrawal symptoms when you stop using aspirin, caffeine, and dihydrocodeine after using it over a long period of time. Do not stop using this medication suddenly without first talking to your doctor. You may need to use less and less before you stop the medication completely.

If you need to have any type of surgery, tell the surgeon ahead of time that you are using aspirin, caffeine, and dihydrocodeine. You may need to stop using the medicine for a short time.

Store this medication at room temperature away from moisture and heat. Keep track of how many capsules have been used from each new bottle of this medicine. Dihydrocodeine is a drug of abuse and you should be aware if any person in the household is using this medicine improperly or without a prescription.

What happens if I miss a dose?

Since aspirin, caffeine, and dihydrocodeine is taken as needed, you may not be on a dosing schedule. If you are taking the medication regularly, take the missed dose as soon as you remember. If it is almost time for the next dose, skip the missed dose and wait until your next regularly scheduled dose. Do not use extra medicine to make up the missed dose.

What happens if I overdose?

Seek emergency medical attention if you think you have used too much of this medicine. An overdose of aspirin, caffeine, and dihydrocodeine can be fatal.

Overdose symptoms may include extreme drowsiness or insomnia, restless feeling, tremors, fast heart rate, pinpoint pupils, nausea, vomiting, dark urine, confusion, ringing in your ears, fainting, weak pulse, seizure (convulsions), blue lips, shallow breathing, or no breathing.

What should I avoid while taking aspirin, caffeine, and dihydrocodeine?

This medication can cause side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert. Do not use any other over-the-counter cold, flu, or pain medication without first asking your doctor or pharmacist. Aspirin and caffeine are contained in many medicines available over the counter. If you take certain products together you may accidentally take too much of a certain drug. Read the label of any other medicine you are using to see if it contains aspirin or caffeine. Avoid drinking alcohol while taking this medication. Alcohol may increase your risk of stomach bleeding while you are taking aspirin.

Avoid taking diet pills, caffeine pills, or other stimulants (such as ADHD medications) without your doctor's advice.

Cold or allergy medicine, narcotic pain medicine, sleeping pills, muscle relaxers, antidepressants, or seizure medication can add to sleepiness caused by dihydrocodeine, or could slow your breathing. Tell your doctor if you need to use any of these other medicines while you are taking aspirin, caffeine, and dihydrocodeine.

Aspirin, caffeine, and dihydrocodeine side effects

Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Call your doctor at once if you have any of these serious side effects:
  • shallow breathing, slow heart rate;

  • fast or pounding heart rate, muscle twitching;

  • confusion, unusual thoughts or behavior;

  • black, bloody, or tarry stools; or

  • coughing up blood or vomit that looks like coffee grounds.

Less serious side effects may include:

  • feeling dizzy, shaky, anxious, or agitated;

  • heartburn, mild nausea, vomiting, upset stomach, constipation, diarrhea;

  • itching or rash;

  • mood changes, sleep problems (insomnia);

  • sweating, urinating more than usual;

  • ringing in your ears; or

  • dry mouth.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

What other drugs will affect aspirin, caffeine, and dihydrocodeine?

Before taking this medication, tell your doctor if you are using any of the following drugs:

  • a blood thinner such as warfarin (Coumadin); or

  • another salicylate such as choline salicylate and/or magnesium salicylate (Magan, Doan's, Bayer Select Backache Pain Formula, Mobidin, Arthropan, Trilisate, Tricosal), or salsalate (Disalcid).

This list is not complete and there may be other drugs that can interact with aspirin, caffeine, and dihydrocodeine. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.

Where can I get more information?

  • Your pharmacist can provide more information about aspirin, caffeine, and dihydrocodeine.
  • Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.
  • Every effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.
Copyright 1996-2006 Cerner Multum, Inc. Version: 7.01. Revision Date: 04/06/2009 11:16:51 AM.

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