Drug ClassOpiate
MechanismPartial metabolic conversion to Morphine - 1/6 potency
Typical Dose30-60mg QDS for 3 days max
Indications* Mild-moderate pain * Diarrhoea * Cough suppression
Contra-indications* Respiratory Depression * Paralytic Ileus * Increase intracranial pressure (interferes with pupil response for neuro obs)
Side-effectsN&V, constipation, dry mouth, biliary spasm
Interactions**Alcohol:**enhanced hypotensive/sedative effects Metoclopramide: antagonise effects of Metoclopramide on GI tract Cimetidine: inhibits opioid metabolism
Elimination
Additional NotesTo convert dose from codeine to Morphine - divide by 10 - 60mg ⇒ 6mg