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Dihydrocodeine 30mg SPC, Dihydrocodeine 30mg is a widely prescribed opioid analgesic used to manage moderate to severe pain. The Summary of Product Characteristics (SPC) provides essential information regarding its use, dosage, side effects, precautions, and storage, making it a critical document for healthcare professionals. In this article, we explore the key elements of the dihydrocodeine 30mg SPC and its importance in clinical practice.
What is Dihydrocodeine 30mg?
Dihydrocodeine is a semi-synthetic opioid derived from codeine. It is primarily used for:
- Moderate to severe pain relief
- Post-operative pain management
- Chronic pain conditions (when non-opioid analgesics are ineffective)
Each tablet typically contains 30mg of dihydrocodeine tartrate, the active ingredient that binds to opioid receptors in the brain and spinal cord to alter the perception of pain.
Key Information in the Dihydrocodeine 30mg SPC
The dihydrocodeine 30mg SPC serves as a technical document that offers detailed information on how the drug should be used. Here are some of the most crucial sections:
1. Therapeutic Indications
The SPC outlines that dihydrocodeine is intended for the relief of moderate to severe pain not controlled by non-opioid analgesics.
2. Posology and Method of Administration
- Adults: Typically, one 30mg tablet every 4–6 hours as needed.
- Not recommended for children under 12 years.
- Dosage must be adjusted based on the patient’s age, weight, and response to treatment.
3. Contraindications
According to the SPC, dihydrocodeine 30mg should not be used in individuals who:
- Have respiratory depression
- Suffer from acute alcoholism
- Are at risk of paralytic ileus
- Have known hypersensitivity to opioids
4. Special Warnings and Precautions
The SPC highlights caution in patients with:
- Liver or kidney impairment
- History of substance abuse
- Head injury or increased intracranial pressure
5. Interactions with Other Medicines
Dihydrocodeine may interact with:
- CNS depressants (e.g., benzodiazepines, alcohol)
- MAO inhibitors
- Antidepressants and antihistamines
These interactions can increase the risk of sedation, respiratory depression, and other side effects.
6. Side Effects
Common side effects include:
- Drowsiness
- Constipation
- Nausea and vomiting
- Dizziness
Long-term use may lead to tolerance, dependence, and withdrawal symptoms upon discontinuation.
7. Pregnancy and Lactation
The dihydrocodeine 30mg SPC advises that use during pregnancy should only occur if the potential benefit outweighs the risk. It is excreted in breast milk, so breastfeeding while on this medication is not recommended.
Storage and Handling
As per the SPC, dihydrocodeine should be stored below 25°C and kept out of reach of children. It should be protected from moisture and light, and unused medication should be disposed of responsibly.
Conclusion
The dihydrocodeine 30mg SPC is a vital reference that ensures safe and effective use of this potent analgesic. It provides healthcare providers with the necessary guidance on dosage, contraindications, drug interactions, and precautions. Patients prescribed this medication should always follow their healthcare provider’s advice and read the accompanying patient information leaflet to stay informed about their treatment.
For any use of dihydrocodeine, always consult a licensed medical professional, and never exceed the recommended dose to avoid the risk of serious side effects, including addiction and respiratory depression.
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