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Consider the possibility of misuse before prescribing
The possibility of misuse should be considered if warning signs are present, such as patients requesting an analgesic without a clear indication or insistently requesting codeine, higher doses or a stronger opioid, asking for early repeats or reporting losing medicines or prescriptions.
Buy codeine in Germany
Buy codeine in Germany – Codeine is an opiate and prodrug of morphine mainly used to treat pain, coughing, and diarrhea. It is also commonly used as a recreational drug. It is found naturally in the sap of the opium poppy, Papaver somniferum. It is typically used to treat mild to moderate degrees of pain.[3] Greater benefit may occur when combined with paracetamol (acetaminophen) or a nonsteroidal anti-inflammatory drug (NSAID) such as aspirin or ibuprofen.[3] Evidence does not support its use for acute cough suppression in children or adults.[6][7] In Europe, it is not recommended as a cough medicine in those under 12 years of age.[3] It is generally taken by mouth.[3] It typically starts working after half an hour, with maximum effect at two hours.[3] Its effects last for about four to six hours. Codeine exhibits abuse potential similar to other opioid medications.
Side effects| Buy codeine in Germany
Common adverse effects associated with the use of codeine include drowsiness and constipation. Less common are itching, nausea, vomiting, dry mouth, miosis, orthostatic hypotension, urinary retention, euphoria, and dysphoria. Rare adverse effects include anaphylaxis, seizure, acute pancreatitis, and respiratory depression. As with all opiates, long-term effects can vary, but can include diminished libido, apathy, and memory loss. Some people may have allergic reactions to codeine, such as the swelling of skin and rashes.
Tolerance to many of the effects of codeine, including its therapeutic effects, develops with prolonged use. This occurs at different rates for different effects, with tolerance to the constipation-inducing effects developing particularly slowly for instance.Buy codeine in Germany
Medical uses
Pain
Codeine is used to treat mild to moderate pain.[3] It is commonly used to treat post-surgical dental pain.[12]
Weak evidence indicates that it is useful in cancer pain, but it may have increased adverse effects, especially constipation, compared to other opioids.[13] The American Academy of Pediatrics does not recommend its use in children due to side effects.[8] The Food and Drug Administration (FDA) lists age under 12 years old as a contraindication to use.[14]
Cough
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Codeine is used to relieve coughing.[3] Evidence does not support its use for acute cough suppression in children.[6] In Europe, it is not recommended as a cough medicine in those under 12 years of age.[3] Some tentative evidence shows it can reduce a chronic cough in adults.[15]
Diarrhea
It is used to treat diarrhea and diarrhea-predominant irritable bowel syndrome, although loperamide (which is available without a prescription for milder diarrhea), diphenoxylate, paregoric, or even laudanum are more frequently used to treat severe diarrhea.[16]
Always consider non-pharmacological interventions
Non-pharmacological interventions for pain are frequently beneficial and an important strategy for preventing acute pain from progressing to chronic pain,19 although some interventions may not be accessible or affordable for patients, such as physiotherapy or cognitive behavioural therapy. Staying physically active and maintaining social contacts, where possible, may help patients to recover more quickly and improve their attitude towards their pain and recovery.Buy codeine in Germany
Consider the possibility of misuse before prescribing
The possibility of misuse should be considered if warning signs are present, such as patients requesting an analgesic without a clear indication or insistently requesting codeine, higher doses or a stronger opioid, asking for early repeats or reporting losing medicines or prescriptions.Buy codeine in Germany
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