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March 2006–May 2007
Published in Kate Hayward, From Oncology Nursing to Coping with Breast Cancer, 2021
I woke up at 1am, crying with pain in legs and hips. Took codydramol and eventually went back to sleep. My nieces came for lunch, brought wine and seeing them and a glass or two helped to cheer me up. Prof Selby sent message for Phil to have repeat bloods and follow up appointment next week. I had to take more co-dydramol as aches and pains back with a vengeance. Scalp feeling really sore and hair coming out when I rubbed it. Sad, but expected it really as the epirubicin dose was high and didn’t really think the cold cap would work for me.
Birth experience and breastfeeding
Published in Amy Brown, Wendy Jones, A Guide to Supporting Breastfeeding for the Medical Profession, 2019
It is important that maternal pain is well controlled after birth, particularly if the birth was a caesarean section or instrumental delivery. One of the most important factors in achieving effective positioning and attachment is that the mother is able to sit, lie and move comfortably, which is impossible if she is in unrelenting pain. When it was first recommended that codeine was no longer to be prescribed during lactation, many clinicians struggled to be confident in prescribing an alternative. There were anecdotal reports on social media of mothers being denied anything more than paracetamol and ibuprofen regardless of reported pain. This unsurprisingly led to mothers feeling that they had no option but to formula-feed, at least temporarily. Hospital guidelines now routinely use paracetamol plus a non-steroidal anti-inflammatory (ibuprofen, diclofenac or naproxen) and as required Oramorph and/or dihydrocodeine. Most discharge prescriptions are for diclofenac/naproxen with dihydrocodeine/co-dydramol for up to a week after delivery. These drugs are all compatible with breastfeeding (Jones 2018).
Chest pain
Published in Anne Stephenson, Martin Mueller, John Grabinar, Janice Rymer, 100 Cases in General Practice, 2017
Anne Stephenson, Martin Mueller, John Grabinar, Janice Rymer
Even before the rash appears, as you are confident of the diagnosis, you offer him specific antiviral medication: aciclovir tablets for a week as per the National Institute for Health and Care Excellence guidelines. An analgesic, such as co-dydramol, is necessary in this situation although usually paracetamol and a non-steroidal anti-inflammatory drug (NSAID) are sufficient. After the rash fades, there is some post-herpetic neuralgia, and you add in amitriptyline for this neuropathic pain. Pregabalin or gabapentin is an alternative, depending on local guidelines.
Cold water extraction of codeine/paracetamol combination products: a case series and literature review
Published in Clinical Toxicology, 2020
James T. Harnett, Alison M. Dines, David M. Wood, John R. H. Archer, Paul I. Dargan
Case Two – A 44-year-old man presented with chest tightness after taking 30 mg propranolol to settle palpitations induced by smoking methamphetamine. He also disclosed a history of ingesting the extraction products of 96 co-dydramol 7.5/500 tablets (7.5 mg dihydrocodeine, 500 mg paracetamol per tablet) in a staggered fashion over 24 h with recreational intent. He refused laboratory investigations as he had strong conviction in the technique and did not believe he could suffer paracetamol toxicity, having only attended for review of his cardiorespiratory concerns. Clinical examination and electrocardiography were normal, with no features of codeine toxicity or clinical features of paracetamol-related hepatotoxcity. The patient refused blood tests. He appeared to have decisional capacity and so was discharged. He had no further visits to our hospital following the episode.