Panamax Co (Paracetamol And Codeine Phosphate Hemihydrate)

Complete patient guide for uses, dosage, side effects, and safety information

Prescription Required

Quick Facts

Generic Name
Paracetamol and codeine phosphate hemihydrate
Drug Class
Analgesic
Used For
Relief of moderate pain
How Taken
Oral tablets, 1 to 2 tablets every 4 to 6 hours as needed

What Is Panamax Co Used For?

Panamax Co is a medication that combines paracetamol and codeine to help relieve moderate pain. It is intended for short-term use.

Primary Uses

Used primarily for the relief of moderate pain.

How It Works

Paracetamol and codeine work together to block pain signals from reaching the brain.

Good to know: Panamax Co is intended for short-term use and is not typically considered addictive when used as prescribed.

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How to Take Panamax Co

It is important to follow the dosing instructions provided by your healthcare provider or as indicated on the packaging.

Dosage Instructions

The usual dose for adults is 1 to 2 tablets every 4 to 6 hours as needed, not exceeding 8 tablets in 24 hours.

What If You Miss a Dose?

If you miss a dose, take it as soon as you remember. If it's almost time for your next dose, skip the missed dose and resume your regular schedule. Do not double the dose.

Important: Do not exceed the recommended dose unless directed by your doctor.

Available Tablet Strengths

5mg
5mg Tablet Blue, Round • A-007
10mg
10mg Tablet Pink, Rectangular • A-008
15mg
15mg Tablet Yellow, Round • A-009
20mg
20mg Tablet White, Round • A-010
30mg
30mg Tablet Pink, Round • A-011

Side Effects

Like all medications, this medicine can cause side effects. Most are mild and temporary, but some require medical attention.

Common Side Effects

These side effects occur relatively frequently and usually don’t require emergency care:

  • Nausea
  • Drowsiness
  • Dizziness
  • Constipation
  • Stomach pain

Seek immediate medical attention if you experience:

  • Shortness of breath
  • Swelling of the face or lips
  • Severe allergic reactions
  • Life-threatening respiratory depression

Impulse Control Issues

Panamax Co may lead to dependence and addiction, particularly if misused.

Important Warnings

There are several important considerations before using Panamax Co.

Who Should Not Take Panamax Co

Do not use if you have a known allergy to paracetamol or codeine, severe respiratory issues, liver failure, or if you are an ultra-rapid metabolizer of CYP 2D6.

Medical Conditions to Discuss

Discuss with your doctor if you have asthma, chronic cough, sleep apnea, liver or kidney problems, or a history of drug dependence.

Pregnancy and Breastfeeding

Do not take Panamax Co during the third trimester of pregnancy or while breastfeeding, as it may affect the baby.

Elderly Patients With Dementia: Elderly patients may be at increased risk for side effects and should use caution.

Drug Interactions

Certain medications may interact with Panamax Co, affecting its efficacy or increasing side effects.

Grapefruit interaction: No grapefruit interaction mentioned.

  • Benzodiazepines
  • Gabapentinoids (e.g., gabapentin, pregabalin)
  • Antihistamines
  • Antidepressants
  • Antipsychotics
  • Alcohol
  • Other opioid analgesics

Alcohol & Driving

Caution is advised when consuming alcohol or operating machinery while taking Panamax Co.

Alcohol

Avoid alcohol while taking Panamax Co, as it can increase the risk of liver damage and enhance side effects.

Driving and Operating Machinery

Be cautious when driving or using machinery until you know how Panamax Co affects you, as it may cause dizziness.

Storage

Store Panamax Co below 25°C in a cool, dry place, away from moisture and heat. Keep out of reach of children.

Overdose Information

In case of overdose, seek immediate medical attention. Symptoms may include slow breathing, drowsiness, and nausea. Contact emergency services or go to the nearest hospital.

Frequently Asked Questions

Panamax Co typically begins to relieve pain within 30 to 60 minutes after taking.

Yes, you can take Panamax Co with or without food.

Panamax Co contains codeine, which can be habit-forming if misused.

Stopping Panamax Co suddenly may lead to withdrawal symptoms such as anxiety and body aches.

No, you should not drink alcohol while taking Panamax Co due to increased risk of side effects.

Weight gain is not a common side effect of Panamax Co.

Elderly patients should use Panamax Co with caution due to increased risk of side effects.

If you miss a dose, take it as soon as you remember, but skip it if it's almost time for your next dose.

Important Disclaimer

This information is intended for general educational purposes only and should not be considered medical advice. Always consult your healthcare provider or pharmacist before starting, stopping, or changing any medication.

If you think you may have a medical emergency, call your doctor or emergency services immediately.

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