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Doctor insights on: Acetaminophen Codeine Syrup

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I was prescribed Zpak, Prednisone, and Acetaminophen/Codeine syrup for Bronchitis. Should this be helpful?

I was prescribed Zpak, Prednisone, and Acetaminophen/Codeine syrup for Bronchitis. Should this be helpful?

Medications: The ZPak is a good broad spectrum antibiotic and Prednisone will treat inflammation, particularly if you had wheezing on exam. The cough syrup combined with Tylenol (acetaminophen) can help with fever and cough. I usually advise using Tylenol (acetaminophen) only for fever and a cough preparation only if you need it to sleep. Most bronchial infections though are viral and not treated with antibiotics.

Dr. Alvin Stein
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Acetaminophen (Definition)

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A way to remove tylenol (acetaminophen) from apap/codeine cough syrup?

A way to remove tylenol (acetaminophen) from apap/codeine cough syrup?

Tylenol: Toxic?: Unfortunately there is no way to remove the tylenol (acetaminophen) or acetominophen from such a product. One has to get another product. Your pharmacist can assist you with this and making sure your physician understands why a new product is being requested. Good for you for learning that tylenol (acetaminophen) can be dangerous.

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2 years expired acetaminophen w codeine elixir. Safe?

2 years expired acetaminophen w codeine elixir. Safe?

Not recommended: Any time you take expired medication, you run the risk of taking a medication that may have a different chemical makeup then was originally intended. I would recommend you dont use any medication beyond its expiration, especially not two years past.

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Can tylenol (acetaminophen) with codeine get you high?

Can tylenol (acetaminophen) with codeine get you high?

Yes: Any drug , with Codeine or an opiod can casue euphoria. It is not a good idea to combine the narcotic with tylenol (acetaminophen) as large doses of tylenol (acetaminophen) are hepatotoxic, especially if combined with alcohol.

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How do I relieve the side effects of acetaminophen/codeine?

How do I relieve the side effects of acetaminophen/codeine?

Change drug?: One obvious option is to change medications. You dont mention the specific aide effect but usual ones seen are itching (take benadryl), nausea (eat first) and sleepiness (gets better with time).

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Is it safe to take 3 acetaminophen with codeine at one time?

Is it safe to take 3 acetaminophen with codeine at one time?

Tough question: You could.Especially for very short term of pain control and they are from the lower dosage. On the other hand the side effects (constipation, ....)is dose related and if you take it for longer time you will develop tolerance to it where higher and higher doses will be needed.You need to let your doctor know. He may give you s.Th. Else or add acupuncture, self hypnoses or other meds that are safer.

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Does anyone know the effects of tylenol (acetaminophen) with codeine?

Does anyone know the effects of tylenol (acetaminophen) with codeine?

Pain Relief: When pain is moderate to severe, providers may turn to narcotic pain relievers. Codeine is the key ingredient in tylenol (acetaminophen) #3. It has can make you sleepy/affect judgement/nausea/vomiting/dizziness etc...The list goes on. Effects are varied by person, age, tolerance etc. Be aware, tylenol (acetaminophen) also has side effects and should be avoided in large doses or in persons with liver disease. Check drug.Com.

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The difference between tylenol (acetaminophen) with codeine #3 and #4?

The difference between tylenol (acetaminophen) with codeine #3 and  #4?

Amount of Codeine: Both t#3 & t#4 contain 300mg Acetaminophen (tylenol). But while t#3 also contains 30mg of codeine, t#4 contains 60mg or twice as much. Fyi maximum daily dose of Codeine for pain purposes is 360mg; for Acetaminophen the maximum dose has been lowered from 4, 000mg daily down to 3, 000mg daily assuming you have no liver issues and don't drink alcohol to excess.

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How long does it usually take for tylenol (acetaminophen) with codeine to take effect?

How long does it usually take for tylenol (acetaminophen) with codeine to take effect?

Varies: For some, it can begin to relieve pain in 20-30 minutes. For others, it may not do anything and never be effective.

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How many tylenol (acetaminophen) #3 with codeine can the average adult take without overdosing?

How many tylenol (acetaminophen) #3 with codeine can the average adult take without overdosing?

Depends on amount at: Taking 7gm of Acetaminophen in one dose will cause liver failure. The current fda max allowed is 4gm per day. This is lowered by the american pain society to 2-2.5 gm per day. So add up the amount in every tab and multiply by the number of pills used per day to get the daily amount.

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Will Tylenol (acetaminophen) 3 with Codeine show up on a drug if I haven't taken it in 3 days ?

Will Tylenol (acetaminophen) 3 with Codeine show up on a drug if I haven't taken it in 3 days ?

Probably not: Opiates typically clear from a urine drug screen in 2 days. But if you are a slow metabolizer, or are on other medications that inhibit metabolization, it may last a few days longer.

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Can I take 1 Tylenol (acetaminophen) extra streng 500 mg together with 1 Tylenol (acetaminophen) codeine 3?

Yes: Although I would not recommend doing that, especially regularly, The max dose of Tylenol (acetaminophen) in 24 hours is 3000 mg in adults. Be sure to add the Tylenol (acetaminophen) and Tylenol (acetaminophen) with codeine you're taking to be sure not to exceed this amount. Otherwise you could cause injury to your liver. You may want to consider ibuprofen or other pain reliever not containing Tylenol (acetaminophen).

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I took 2 tylenol (acetaminophen) codeine 3 about 2hrs ago but i feel like i need to take anither one can i?

I took 2 tylenol (acetaminophen) codeine 3 about 2hrs ago but i feel like i need to take anither one can i?

Wait 4-6 hours: The maximum dose of codeine is 60mg. Each Tylenol (acetaminophen) 3 contain 30mgs of codeine. Therefore, it is not recommended taking more than 2 pills. Try some other medication (NSAID OTC), try other methods of pain relief such as applying moist heat or ice.

Dr. Boris Ripa
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