The Student Room Group

Severe Pain Relief

Came out of hospital after surgery, in a LOT f pain. They gave me cocodamol (codeine/paracetamol 30/500mg) and told me that taking 2 tablets every few hours would be sufficient.

I've found that they haven't really been that helpful at all, so I was wondering if it was possible to combine these tablets with codeine-ibuprofen tablets (10/200mg), so that my total dose of codeine would be 80mg?

Reply 1

You should speak to the pharmacist/doctor really and find out what would be best.

Reply 2

Morphine! but dont take too much you will get addicted.

Reply 3

You can mix ibuprofen and paracetamol, just stick to the maximum dose of both. I.e. dont take any more paracetamol, but you can take up to 1200mg of ibuprofen a day. Do NOT take paramol either, they contain codeine and paracetamol, allbeit in a lower dose than you are getting. I wouldnt add any more codeine to what you are already taking, as thats a lot of codeine already, and you can get horrific side effects off it. If it were me Id add ibuprofen, but not ibuprofen with codeine. Also if theres any swelling relating to the operation then the ibuprofen will help with this as well as taking away the pain.

Reply 4

sim90
Morphine! but dont take too much you will get addicted.


ne careful not to over dose.

Reply 5

sim90
Morphine! but dont take too much you will get addicted.


Yeah because morphine is readily available over the counter :rolleyes:

OP - if it was me I think I'd do what Jenny suggested and try adding in 400mg of ibuprofen three times a day - but make sure you take it with or after food!

If you've gotta pop to the chemist to get the ibuprofen you may as well have a chat with the pharmacist while you're there and see what they say :smile:

Reply 6

Anonymous
Came out of hospital after surgery, in a LOT f pain. They gave me cocodamol (codeine/paracetamol 30/500mg) and told me that taking 2 tablets every few hours would be sufficient.

I've found that they haven't really been that helpful at all, so I was wondering if it was possible to combine these tablets with codeine-ibuprofen tablets (10/200mg), so that my total dose of codeine would be 80mg?


NO

You should consult a Doctor before adding to your dosage/types of drugs in any way. I'm on Co-codomol too and its pretty strong stuff (i was on morphine before and the pain relief isn't that different), you shouldn't add to the dosage at all (which is 2 tablets every four hours as a MAXIMUM). You should have been given the contact details of someone at the hospital when you were discharged, give them a ring and explain the situation. If they didn't give you a number, get it from the internet and get them to put you through.

Edit: Can everyone without a medical degree stop recommending adding in extra medication? Unless you know there won't be an adverse reaction or a conflict of medicine, please shut the hell up and tell them to talk to a doctor.

Reply 7

3232
NO

Edit: Can everyone without a medical degree stop recommending adding in extra medication? Unless you know there won't be an adverse reaction or a conflict of medicine, please shut the hell up and tell them to talk to a doctor.


You can take an NSAID with codeine and paracetamol. I see it all the time.
Also if you read mine and Jenny's posts (obviously disregard the people on about morphine because that's a plain stupid suggestion) we were saying what we would do personally to ourselves. And I recommended they talk to the pharmacist ... but oh no I guess the pharmacist doesn't have medical degree so they shouldn't recommend on medicine!!! People who think doctors are the only professionals who know about drugs really grind my gears!

Reply 8

-Emmz-
You can take an NSAID with codeine and paracetamol. I see it all the time.
Also if you read mine and Jenny's posts (obviously disregard the people on about morphine because that's a plain stupid suggestion) we were saying what we would do personally to ourselves. And I recommended they talk to the pharmacist ... but oh no I guess the pharmacist doesn't have medical degree so they shouldn't recommend on medicine!!! People who think doctors are the only professionals who know about drugs really grind my gears!



People that recommend changing the doses of someone's prescription without seeing a patient really grind mine... You don't know the type of surgery this person has undergone, their state at the minute or what other medication they might be taking, telling them to take another painkiller without asking the doctor who prescribed the cocodomol is reckless. Just because you have combined the two in the past does not mean that this person has the identical health status that you did at the time.

A pharmacist may know which drugs will work together/conflict but they certainly won't know the patient's medical history, so its advisable he/she talks to the doctors who are currently treating them.

Reply 9

3232

A pharmacist may know which drugs will work together/conflict but they certainly won't know the patient's medical history, so its advisable he/she talks to the doctors who are currently treating them.

I'm sure a good pharmacist will ask about the patient's medical history before endorsing the taking of extra painkillers. And, if appropriate, will recommend the patient goes back to see a doctor. I know mine does :smile:

Reply 10

3232
People that recommend changing the doses of someone's prescription without seeing a patient really grind mine... You don't know the type of surgery this person has undergone, their state at the minute or what other medication they might be taking, telling them to take another painkiller without asking the doctor who prescribed the cocodomol is reckless. Just because you have combined the two in the past does not mean that this person has the identical health status that you did at the time.

A pharmacist may know which drugs will work together/conflict but they certainly won't know the patient's medical history, so its advisable he/she talks to the doctors who are currently treating them.


Firstly, I haven't told them to do anything. I've said what I'd do (knowing my health status :wink:).

Secondly, I advised them to talk to a pharmacist who probably would question them about their health status and the type of surgery they had etc and they would only recommend adding something in if they were certain of being okay. Generally you'll find pharmacists are pretty good at this and doctors often ask their advice on medicines.

Thirdly, now you're saying that only the doctors who treated him should add medication in where as in your previous post anyone with a medical degree was okay?

Reply 11

-Emmz-
Firstly, I haven't told them to do anything. I've said what I'd do (knowing my health status :wink:).

Secondly, I advised them to talk to a pharmacist who probably would question them about their health status and the type of surgery they had etc and they would only recommend adding something in if they were certain of being okay. Generally you'll find pharmacists are pretty good at this and doctors often ask their advice on medicines.

Thirdly, now you're saying that only the doctors who treated him should add medication in where as in your previous post anyone with a medical degree was okay?


You can mix ibuprofen and paracetamol, just stick to the maximum dose of both.


1. Doesn't seem to have the caviat 'I would use...' or 'In my case i would...'. Seems to be fairly definitive advice.

2. A pharmacist would probably do the job, but in my experience when you are discharged from a hospital you are generally given the contact details of the staff who have treated you for just this kind of situation. It would be silly not to use them.

3. I actually said that people without medical degrees should stop giving him advice about what he can take on top of his prescribed medication, i didn't say that he could talk to anyone with a medical degree and get sound advice, i said that he should talk to a doctor (and also mentioned contacting the hospital where he was treated). Sorry to correct you. :smile:

Reply 12

3232
1. Doesn't seem to have the caviat 'I would use...' or 'In my case i would...'. Seems to be fairly definitive advice.

2. A pharmacist would probably do the job, but in my experience when you are discharged from a hospital you are generally given the contact details of the staff who have treated you for just this kind of situation. It would be silly not to use them.

3. I actually said that people without medical degrees should stop giving him advice about what he can take on top of his prescribed medication, i didn't say that he could talk to anyone with a medical degree and get sound advice, i said that he should talk to a doctor (and also mentioned contacting the hospital where he was treated). Sorry to correct you. :smile:


1. I'm sorry to correct you but what you quoted wasn't from any of my posts.

2. That's fine. But it also wouldn't hurt to ask a pharmacist their opinion in the mean time.

3. Which implies you think people with pharmacy degrees shouldn't give advice about medication.

Reply 13

-Emmz-
1. I'm sorry to correct you but what you quoted wasn't from any of my posts.

2. That's fine. But it also wouldn't hurt to ask a pharmacist their opinion in the mean time.

3. Which implies you think people with pharmacy degrees shouldn't give advice about medication.


1. It was one of the posts i responded to in my first post, which wasn't aimed specifically at you.

2. We're kinda arguing over nothing here, why would they need to seek the advice of a pharmacist if they can contact the medical staff who have been treating them? It would probably be more hassle finding a pharmacist than phoning the number they have or getting the number for the ward they were treated on.

3. I have a feeling you're a pharmacist who feels as though i've insulted their profession? In the context of what i was saying, you can take 'medical' to apply to Pharmacy as well if you'd like. I simply meant that people without the relevant experience should not be telling someone to add to their drug intake.

Reply 14

Okay I've finished trying to be pedantic and awkward now :biggrin:

OP - don't add anything in without the advice of an appropriate healthcare professional :wink:

Reply 15

When I had an operation I was given co-codomal and told that it would be enough; there was no way it was! They changed me onto tramadol which was way better. Anyway...my point is, if you can get to see you doctor or pharmacist and explain that what you are on isnt strong enough they should be able to prescribe/sell you something better. There is no point you being in pain when something can be done to sort it.

Reply 16

Cathie86
When I had an operation I was given co-codomal and told that it would be enough; there was no way it was! They changed me onto tramadol which was way better. Anyway...my point is, if you can get to see you doctor or pharmacist and explain that what you are on isnt strong enough they should be able to prescribe/sell you something better. There is no point you being in pain when something can be done to sort it.


1) Coedine is a prodrug of morphine (which means that a proportion is metabolised to morphine in the body)...

2) Tramadol, like coedine, is a prodrug of morphine

Tramadol is not stronger than coedine... They are both opioids and they mechanism of action is very similar...

Reply 17

Anonymous
Came out of hospital after surgery, in a LOT f pain. They gave me cocodamol (codeine/paracetamol 30/500mg) and told me that taking 2 tablets every few hours would be sufficient.

I've found that they haven't really been that helpful at all, so I was wondering if it was possible to combine these tablets with codeine-ibuprofen tablets (10/200mg), so that my total dose of codeine would be 80mg?


No competent pharmacist will sell you codeine-ibuprofen if you are already taken cocodamol 30/500mg... The legal maximum you can sell over the counter is 8mg with paracetamol and 12.5mg with ibuprofen - and if a pharmacist knows you are already taking 30mg already then it is against the law to supply you with any more codeine... If you don't think the pain killers are working I suggest you go to your GP and talk about chaning your medication...

Reply 18

Just go talk to your doctor. Safest option.

Reply 19

Absolutely talk to your doctor before following any of the advice on this thread. When I was in hospital I was given a little button thingy which I could press every 5minutes which released morphine into my body which gave me severe pain relief. The only thing is, it properly drugged me up and turned me into a different girl. My family was shocked cause apparently my whole personality changed completely over that week.