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CODEINE

1. Name & class of drug – generic and trade name.

GENERIC NAME: Codeine sulfate


BRAND NAME: Paveral
CLASSIFICATION: CNS agent, analgesic, narcotic (opiate) agonist analgesic, antitussive

2. Dose range and routes for adult & geriatric client.

PREPARATIONS: PO, IM, SC

DOSING: Analgesia Adult (PO/IM/SC) 15 – 60 mg q.i.d.


Antitussive (PO) 10 – 20 mg q4 – 6h prn (max 120 mg/24h)

3. Purpose prescribed. Underline reason your client is prescribed drug.

THERAPEUTIC EFFECTS: Analgesic potency is about one-sixth that of morphine; antitussive activity is also a little less than
that of morphine.

USES: Symptomatic relief of mild to moderately severe pain when control cannot be obtained by nonnarcotic analgesics and to
suppress hyperactive or nonproductive cough.

4. Major side effects & drug interactions.

DRUG INTERACTIONS: Alcohol and other CNS depressants augment CNS depressant effects. Herbal – St. John’s Wort may
cause increase sedation.

SIDE EFFECTS: Nausea, constipation, dizziness, drowsiness, pruritus


5. Nursing Implications & teaching.

• Make position changes slowly and in stages particularly from recumbent to upright posture. Lie down immediately if
light-headedness or dizziness occurs.
• Lie down when feeling nauseated and to notify physician if this symptom persists. Nausea appears to worsen with
ambulation.
• Avoid driving and other potentially hazardous activities until reaction to drug is known. Codeine may impair ability to
perform tasks requiring mental alertness and therefore to.
• Do not take alcohol or other CNS depressants unless approved by physician.
• Hyperactive cough may be lessened by avoiding irritants such as smoking, dust, fumes and other air pollutants.
Humidification of ambient air may provide some relief.
• Do not breast feed while taking this drug.