Top 10 Things To Know About Dihydrocodeine

Key Takeaways

1. Effective Pain Relief: Dihydrocodeine is a powerful opioid painkiller used to manage moderate to severe pain. It works by blocking pain signals in the brain and central nervous system.

2. Prescription-Only Medication: Dihydrocodeine is available only through prescription due to its potential for addiction and misuse. It should be used under the guidance of a healthcare provider.

3. Side Effects & Risks: While effective, dihydrocodeine can cause nausea, constipation, drowsiness, and other side effects. Its long-term use may lead to addiction and dependence.

What Is Dihydrocodeine?

Dihydrocodeine is an opioid painkiller prescribed primarily for moderate to severe pain. As a tricyclic antidepressant, it is often used when milder pain medications, like paracetamol or ibuprofen, are not effective. By binding to specific receptors in the brain and spinal cord, dihydrocodeine alters the body’s perception of pain, providing relief for individuals suffering from conditions like post-surgical pain, chronic pain, or nerve pain.

It is a prescription-only medication, meaning it can only be obtained after a consultation with a healthcare professional to ensure its appropriate use. In the UK, dihydrocodeine is used with caution due to its potential for misuse and addiction.

1. Dihydrocodeine Is an Opioid Painkiller

Dihydrocodeine belongs to the opioid class of medications, which are strong pain relievers. These medications are designed to block pain signals sent from the body to the brain. Opioids are prescribed for pain that is not managed by standard painkillers, such as paracetamol or ibuprofen. However, opioids like dihydrocodeine should be used carefully, as they can lead to dependence if not used properly.

2. Dihydrocodeine Treats Moderate to Severe Pain

Dihydrocodeine is particularly effective for those suffering from moderate to severe pain. It is often prescribed after surgery, for injuries, or for persistent pain conditions. Its effectiveness in these situations makes it a valuable treatment option for healthcare professionals.

3. Dihydrocodeine Blocks Pain Signals from the CNS and Brain

Dihydrocodeine works by binding to opioid receptors in the brain and central nervous system (CNS). This process interrupts the transmission of pain signals, leading to a significant reduction in the perception of pain. By modulating pain responses in the CNS, it provides relief for those with moderate to severe discomfort.

4. Dihydrocodeine Is a Prescription-Only Medication

Dihydrocodeine is not available over the counter. You must have a valid prescription from a healthcare provider to obtain it. This is due to the risk of misuse, dependency, and side effects associated with opioid painkillers. In the UK, regulations have been tightened to ensure that opioids like dihydrocodeine are used safely.

5. Dihydrocodeine Comes in Various Forms

Dihydrocodeine is available in several forms to suit different patient needs:

• Tablets: The most common form for oral administration.

• Slow-release tablets: Designed for extended pain relief.

• Oral liquid: An alternative for those who may have difficulty swallowing tablets.

Always follow your doctor’s instructions regarding which form and dosage of dihydrocodeine is most appropriate for you.

6. Dihydrocodeine Can Be Given as an Injection

In some cases, dihydrocodeine can be administered through an injection, either under the skin or into the muscle. This is often done in a hospital setting when oral ingestion is not possible or when a quicker effect is needed. The injectable form delivers the medication directly into the bloodstream, providing rapid relief from pain.

7. Standard Tablets Take 1.5 to 2 Hours to Work

The onset of action for standard dihydrocodeine tablets typically takes between 1.5 to 2 hours to fully relieve pain. If you're using a liquid form of dihydrocodeine, it may start to work within 30 to 60 minutes. The exact timing can vary depending on individual factors, such as your metabolism and the type of pain you're experiencing.

8. Dihydrocodeine Can Be Addictive

As with other opioid painkillers, dihydrocodeine has a risk of addiction. Prolonged use or misuse of the medication can lead to tolerance, where higher doses are required to achieve the same level of pain relief. This can result in physical and psychological dependence. If you are prescribed dihydrocodeine, it’s essential to follow your doctor’s instructions carefully and never exceed the prescribed dosage.

9. Common Side Effects of Dihydrocodeine

Like many medications, dihydrocodeine can cause side effects. Some of the most common side effects include:

• Nausea

• Sickness

• Constipation

• Drowsiness

These side effects can vary in severity from person to person. If they become particularly troublesome or do not subside, it is important to speak with your healthcare provider. They may adjust your dosage or recommend an alternative pain management option.

10. Dihydrocodeine May Be Used During Pregnancy, but Caution Is Required

While dihydrocodeine may be considered for use during pregnancy, it should only be taken if absolutely necessary. Your doctor will carefully assess the benefits and risks of using this medication during pregnancy, as opioids can have potential risks to the developing baby. Always consult your healthcare provider before taking dihydrocodeine while pregnant or breastfeeding.

Final Thoughts

Dihydrocodeine is an effective painkiller for moderate to severe pain, especially when other pain relief methods have not worked. However, it is crucial to use this medication under the supervision of a healthcare professional due to the risks associated with opioids, such as addiction and side effects. Always follow your doctor’s guidance on how to take dihydrocodeine and be mindful of its potential impact on your health.

If you are struggling with pain and are considering dihydrocodeine, speak with your doctor to ensure it is the right medication for you. Whether you are managing pain after surgery, for a chronic condition, or from an injury, your healthcare provider will help determine the best course of treatment for your situation.

Medically Reviewed by:
Dr. Irfan Siddique MBBS
GMC reference no: 7694522
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