Citodon 500 mg | Good Quality


Citodon/ Codeine (Citodon) is a narcotic and analgesic/antipyretic combination. It works in the brain and nervous system to decrease pain.




Relieving mild to moderately severe pain. It may also be used for other conditions as determined by your doctor.

Citodon/ Codeine (Citodon) is a narcotic and analgesic/antipyretic combination. It works in the brain and nervous system to decrease pain.

An indication is a term used for the list of condition or symptom or illness for which the medicine is prescribed or used by the patient. For example, acetaminophen or Paracetamol (Citodon) is used for fever by the patient, or the doctor prescribes it for a headache or body pains. Now fever, headache and body pains are the indications of Paracetamol (Citodon). A patient should be aware of the indications of medications used for common conditions because they can be taken over the counter in the pharmacy meaning without prescription by the Physician.


There are specific as well as general uses of a drug or medicine. A medicine can be used to prevent a disease, treat a disease over a period or cure a disease. It can also be used to treat the particular symptom of the disease. The drug use depends on the form the patient takes it. It may be more useful in injection form or sometimes in tablet form. The drug can be used for a single troubling symptom or a life-threatening condition. While some medications can be stopped after few days, some drugs need to be continued for prolonged period to get the benefit from it.

Use Citodon/ Codeine (Citodon) as directed by your doctor. Check the label on the medicine for exact dosing instructions.

  • Take Citodon/ Codeine (Citodon) by mouth with or without food. If stomach upset occurs, take with food to reduce stomach irritation.
  • If you have been taking Citodon/ Codeine (Citodon) regularly or for longer than a few weeks, do not suddenly stop taking it without checking with your doctor. Your doctor may need to gradually lower your dose.
  • If you miss a dose of Citodon/ Codeine (Citodon) and you are taking it regularly, take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.


Warnings and cautions

Never take more Citodon effervescent tablets than stated in section 3 “How to use Citodon”. If you are taking other painkillers that contain paracetamol , do not use Citodon without talking to your doctor or pharmacist first.

Higher doses than those recommended do not provide better pain relief but instead entail a risk of impaired respiratory function and very serious liver damage.

The symptoms of liver damage usually come only after a few days. It is therefore important that you contact a doctor as soon as possible if you have taken too large a dose .

The risk of this type of liver damage increases with alcohol abuse.

Talk to your doctor before using Citodon:

  • if you have asthma . Take special care with Citodon if you have asthma and at the same time are hypersensitive to acetylsalicylic acid
  • if you have alcohol problems
  • if you have a liver injury
  • if you have a serious infection such as blood poisoning, as this can increase the risk of so-called metabolic acidosis . Signs of metabolic acidosis include: difficulty breathing (deep inhalation and rapid exhalation), nausea and vomiting. Contact a doctor immediately if you get a combination of these symptoms.

Do not use Citodon with alcohol.

If you use Citodon for a long time, there is a risk of developing addiction.

Due to their sodium content, effervescent tablets are not suitable for people on a low-salt diet.

Codeine is converted to morphine in the liver by an enzyme . It is morphine that provides pain relief. Some people have different variants of this enzyme that allow them to be affected in different ways. Some people cannot form morphine or it is formed in very small amounts, which means that you do not get enough pain relief. Other people have an increased risk of getting serious side effects because they can produce a very large amount of morphine. If you get any of the following side effects, you must stop taking this medicine and contact a doctor immediately: slow or shallow breathing, confusion, drowsiness, small pupils , nausea or vomiting, constipation, loss of appetite.

Children and young people

Citodon effervescent tablets are not approved for the treatment of children and adolescents under 18 years of age.

Other medicines and Citodon

Tell your doctor or pharmacist if you are taking, have recently taken or might take any other medicines, including medicines obtained without a prescription, herbal medicines or natural products.

Some medicines / herbal medicines can affect or be affected by treatment with Citodon, for example

  • Quinidine (medicine for irregular heartbeat).
  • Neuroleptics (medicines for mental illness).
  • Antidepressants.
  • Warfarin (a blood thinner). Contact your doctor if you take more than 2 effervescent tablets Citodon per day for 5 consecutive days. There is a risk that the effect of warfarin will be affected.
  • Probenecid (medicine for gout ).
  • Some medicines for epilepsy ( phenytoin , phenobarbital and carbamazepine).
  • Rifampicin (medicine used to treat tuberculosis ).
  • Cholestyramine (medicine for high blood fats). Citodon and cholestyramine should be taken at least 1 hour apart.
  • Chloramphenicol for injection (medicine for bacterial infections). However, chloramphenicol against infection in your eye can be used.
  • St. John’s wort extract (included in some herbal remedies).
  • Metoclopramide (medicine for nausea).
  • Prescription Pain Relievers

    Prescription medicines to treat pain include:

What Are Corticosteroids?

Prescription corticosteroids provide relief for inflamed areas of the body by easing swelling, redness, itching, and allergic reactions. Corticosteroids can be used to treat allergies, asthma, and arthritis. When used to control pain, they are generally given in the form of pills or injections that target a certain joint. Examples include methylprednisoloneprednisolone, and prednisone.

Prescription corticosteroids are strong medicines and may have serious side effects, including:
  • Weight gain and salt retention
  • Peptic ulcer disease
  • Mood changes
  • Trouble sleeping
  • Weakened immune system
  • Thinning of the bones and skin
  • High sugar levels

To minimize these potential side effects, corticosteroids are prescribed in the lowest dose possible for as short of a length of time as needed to relieve the pain. Another way to minimize these side effects is to give the steroid by injection to target the particular problem area.

What Are Opioids?

Opioids are narcotic pain medications that contain natural, synthetic, or semi-synthetic opiates. Opioids are often used for acute pain, such as short-term pain after surgery. Some examples of opioids include:

Opioids are effective for severe pain and do not cause bleeding in the stomach or other parts of the body, as can some other types of pain relievers. However, they can be extremely addictive, and doctors will try to find alternatives to prescribing them. It’s rare for people to become addicted to opioids if the drugs are used to treat pain for a short period of time. But if used to treat chronic pain, the risk of addiction is real and potentially dangerous.

Side effects of opioids may include:

What Are Antidepressants?

Antidepressants are drugs that can treat pain and emotional conditions by adjusting levels of neurotransmitters (natural chemicals) in the brain. These medications can increase the availability of the body’s signals for well-being and relaxation, enabling pain control for some people with chronic pain conditions that do not completely respond to usual treatments. Research suggests certain antidepressants (tricyclics) work best for neuropathic or nerve pain.

Chronic pain conditions treated by low-dose antidepressants include some types of headaches (like migraines) and menstrual pain. Some antidepressant medications include:

These drugs require a steady dose of the medicine buildup in the body over a period of time to work. The doses needed to treat pain are often lower than those needed to treat depression.

Generally, SSRIs and SNRIs have fewer side effects than tricyclic antidepressants. The most common side effects with antidepressants include:

What Are Anticonvulsants?

Anticonvulsants are drugs typically used to treat seizure disorders. Some of these medications are effective in treating pain as well. The exact way in which these medicines control pain is unclear, but it is thought that they minimize the effects of nerves that sense pain. Some examples include carbamazepine (Tegretol), gabapentin (Neurontin), pregabalin (Lyrica), and topiramate  (Topamax).

In general, anticonvulsants are well tolerated. The most common side effects include:

Other Pain Treatments

Another means of topical pain relief comes in the form of a lidocaine (Lidoderm) patch, which is a prescription medication.

Muscle relaxers work by depressing the central nervous system, helping relieve muscle tension and spasm and often causing drowsiness. They can be effective for short-term use for acute flare-ups of back pain and nerve pain. They can also help treat nighttime muscle pain from fibromyalgia.

If your pain is not relieved by the usual treatments, your doctor may refer you to a pain management specialist. Doctors who specialize in pain management may try other treatments such as certain types of physical therapy or other kinds of medicine. They may also recommend TENS, a procedure that uses patches placed on the skin to send signals that may help stop pain.

Spinal cord stimulation (SCS) involves surgery to fully or partially implant a small device somewhat like a pacemaker in the epidural space adjacent to the area of the spine which is believed to be the source of the pain. It sends mild electric pulses through leads to help mask and interrupt the pain signals to your brain.


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