Buy Zapain 30mg/500mg Tablets

buy zapain online uk 30mg/500mg tablets medicine has been prescribed for you for the relief of severe pain. Buy Zapain Tablets can be used
in children over 12 years of age for the short-term relief of moderate pain that is not relieved by
other painkillers such as paracetamol or ibuprofen alone. It contains codeine, which belongs to a
class of medicines called opioids, which are ‘pain relievers’. It also contains paracetamol, which is
an analgesic (relieves pain) and an antipyretic (lowers raised temperatures). This medicine has been
prescribed to you and should not be given to anyone else. Opioids can cause addiction and you may
get withdrawal symptoms if you stop taking it suddenly. Your prescriber should have explained
how long you will be taking it for and when it is appropriate to stop, how to do this safely.

Do not take Zapain Tablets if:
• you are allergic to paracetamol or codeine, or any of the other ingredients of this medicine (listed
in section 6)• you suffer from severe kidney or liver disease
• you know that you metabolise very rapidly codeine into morphine
• you are breast-feeding
• you suffer from asthma or any other breathing problems, for example chronic bronchitis or
emphysema
• you have just had a head injury or suffer from increased pressure on the brain
• you drink a lot of alcohol, or have done in the past
• you have recently had an operation to your gall bladder
• you have diarrhoea
• you are taking monoamine oxidase inhibitors (MAOIs) or have been taking them within the last
two weeks. MAOIs such as phenelzine, moclobemide or isocarboxazid are medicines used to treat
depression. This medicine contains paracetamol. Do not take anything else containing paracetamol while taking this
medicine. Do not take for longer than directed by your prescriber. Do not use Zapain Tablets for
pain relief in children and adolescents (0-18 years of age) after removal of their tonsils or adenoids
as Codeine in Zapain Tablets may cause obstructive sleep apnoea syndrome (sleep disruption due to
respiratory pauses). Taking codeine regularly for a long time can lead to addiction, which might
cause you to feel restless and irritable when you stop the tablets.
Taking a painkiller for headaches too often or for too long can make them worse. Zapain Tablets should not be taken by children under 12 years of age.

Warnings and precautions

Talk to your doctor or pharmacist before taking Zapain Tablets if:
• you are elderly or weak
• you have any stomach pains or other sudden problems in your abdomen (belly)
• you have an underactive thyroid gland
• you have liver, kidney problems, because the dose might need to be lower
• you have myasthenia gravis (muscle weakness, weakness of facial muscles including the eye
muscles and difficulty in swallowing)
• you have a disease of the biliary tract
• you have problems with your adrenal glands (Addison’s disease)
• you suffer from an enlarged prostate gland (if male) or narrowing of your urethra (tube through
which urine is passed)
Talk to your prescriber before taking this medicine if you:
• are or have ever been addicted to opioids, alcohol, prescription medicines, or illegal drugs.
• have previously suffered from withdrawal symptoms such as agitation, anxiety, shaking or
sweating when you have stopped taking alcohol or drugs.
• feel you need to take more of Zapain Tablets to get the same level of pain relief, this may mean
you are becoming tolerant to the effects of this medicine or are becoming addicted to it. Speak to
your prescriber who will discuss your treatment and may change your dose or switch you to an
alternative pain reliever.

During treatment with Codipar Tablets, tell your doctor straight away if:
If you have severe illnesses, including severe renal impairment or sepsis (when bacteria and their
toxins circulate in the blood leading to organ damage), or you suffer from malnutrition, chronic
alcoholism or if you are also taking flucloxacillin (an antibiotic). A serious condition called
metabolic acidosis (a blood and fluid abnormality) has been reported in patients in these situations
when paracetamol is used at regular doses for a prolonged period or when paracetamol is taken
together with flucloxacillin. Symptoms of metabolic acidosis may include: serious breathing
difficulties with deep rapid breathing, drowsiness, feeling sick (nausea) and being sick (vomiting).
Taking this medicine regularly, particularly for a long time, can lead to addiction. Your prescriber
should have explained how long you will be taking it for and when it is appropriate to stop, how to
do this safely.
Rarely, increasing the dose of this medicine can make you more sensitive to pain. If this happens,
you need to speak to your prescriber about your treatment. Zapain Tablets can interfere with some laboratory tests used for determining some diseases.
Concomitant use of Zapain Tablets and sedative medicines such as benzodiazepines or related drugs
increases the risk of drowsiness, difficulties in breathing (respiratory depression), coma and may be
life-threatening. Because of this, concomitant use should only be considered when other treatment
options are not possible.
However if your doctor does prescribe Zapain Tablets together with sedative medicines the dose
and duration of concomitant treatment should be limited by your doctor.
Please tell your doctor about all sedative medicines you are taking and follow your doctor’s dose
recommendation closely. It could be helpful to inform friends or relatives to be aware of the signs
and symptoms stated above. Contact your doctor when experiencing such symptoms. Zapain Tablets with food, drink and alcohol:
Do not drink alcohol whilst taking Zapain Tablets. Swallow the tablets with a glass of water. Do not
bite or chew the tablets.
Pregnancy and breast-feeding
If you are pregnant or breast-feeding, think you may be pregnant or are planning to have a baby, ask
your doctor or pharmacist for advice before taking this medicine.
Pregnancy:
Do not take Zapain Tablets if you are pregnant or think you might be pregnant unless you have
discussed this with your prescriber and the benefits of treatment are considered to outweigh the
potential harm to the baby.
If you use Zapain Tablets during pregnancy, your baby may become dependent and experience
withdrawal symptoms after the birth which may need to be treated.
Breast feeding:
Do not take Zapain Tablets while you are breastfeeding as codeine passes into breast milk and will
affect your baby. Driving and using machines
Zapain Tablets may cause dizziness or drowsiness and you should not drive or operate machinery if
you are affected this way. Codeine may disturb your vision.
The medicine can affect your ability to drive as it may make you sleepy or dizzy.
 do not drive while taking this medicine until you know how it affects you
 it is an offence to drive if this medicine affects your ability to drive
 however, you would not be committing an offence if:
­ the medicine has been prescribed to treat a medical or dental problem and
­ you have taken it according to the instructions given by the prescriber or in the
information provided with the medicine and
­ it was not affecting your ability to drive safely.
Talk to your doctor or pharmacist if you are not sure whether it is safe for you to drive while taking
this medicine. Addiction can cause withdrawal symptoms when you stop taking this medicine. Withdrawal
symptoms can include restlessness, difficulty sleeping, irritability, agitation, anxiety, feeling your
heartbeat (palpitations), increased blood pressure, feeling or being sick, diarrhoea, loss of appetite,
shaking, shivering or sweating. Your prescriber will discuss with you how to gradually reduce your
dose before stopping the medicine. It is important that you do not stop taking the medicine suddenly
as you will be more likely to experience withdrawal symptoms.
Opioids should only be used by those they are prescribed for. Do not give your medicine to anyone
else. Taking higher doses or more frequent doses of opioid, may increase the risk of addiction.
Overuse and misuse can lead to overdose and/or death.
Codeine is transformed to morphine in the liver by an enzyme. Morphine is the substance that
produces pain relief. Some people have a variation of this enzyme and this can affect people in
different ways. In some people, morphine is not produced or produced in very small quantities, and
it will not provide enough pain relief. Other people are more likely to get serious side effects
because a very high amount of morphine is produced. If you notice any of the following side
effects, you must stop taking this medicine and seek immediate medical advice: slow or shallow
breathing, confusion, sleepiness, small pupils, feeling or being sick, constipation, lack of appetite.
Children and adolescents
Use in children and adolescents after surgery
Codeine should not be used for pain relief in children and adolescents after removal of their tonsils
or adenoids due to Obstructive Sleep Apnoea Syndrome (sleep disruption due to respiratory
pauses). They may be at increased risk of severe side effects in case of morphine toxicity.
Use in children with breathing problems
Codeine is not recommended in children with breathing problems, since the symptoms of morphine
toxicity may be worse in these children. Other medicines and Zapain Tablets
Tell your doctor or pharmacist if you are taking, have recently taken or might take any other
medicines. Some medicines interact with each other and this can alter their effect. It is particularly
important to tell your doctor or pharmacist if you are taking the following medicines:
• MAOIs used to treat depression, taken within the last 14 days (refer to “do not take if” in section 2
above)
• sedatives and sleeping tablets, e. g. temazepam and diazepam
• phenothiazines (medicines that calm your mood) or tricyclic antidepressants
• antihypertensive drugs, diuretics (water pills)
• medicines for irregular heart beats (mexiletine, quinine or quinidine)
• drugs used to dry fluids in the mouth and lungs known as anticholinergics
• medicines to treat diarrhoea or sickness (metoclopramide, domperidone)
• medicines used to treat problems of the stomach, gall bladder, heart burn or sickness (e.g.
cimetidine, colestyramine)
• sodium oxybate used to treat sleepiness and sudden loss of muscle tone
• other strong painkillers called opioids
• medicines which prevent blood clotting (anticoagulants such as warfarin)
• patients should not take any other paracetamol containing medicines whilst taking Zapain Tablets
• flucloxacillin (antibiotic), due to a serious risk of blood and fluid abnormality (called metabolic
acidosis) that must have urgent treatment (see section 2).
Some products which can be bought without a prescription may contain paracetamol or codeine, so
always check the labels for ingredients.

How to take Zapain Tablets

Your prescriber should have discussed with you, how long the course of tablets will last. They will
arrange a plan for stopping treatment. This will outline how to gradually reduce the dose and stop
taking the medicine.
Always take this medicine exactly as your doctor or pharmacist has told you. Check with your
doctor or pharmacist if you are not sure.
The recommended dose is:
Adults: The recommended dose is one or two tablets every four to six hours when needed, up to a
maximum of 8 tablets in any 24 hour period.
If you feel the effect of Zapain Tablets is too strong or too weak or your symptoms persist, speak to
your doctor or pharmacist. This medicine should not be taken for more than 3 days. If the pain does
not improve after 3 days, talk to your doctor for advice.
A lower dosage may be needed if you are elderly or have other medical problems.
Check with your doctor about this.Use in children and adolescents
Children aged 16-18 years: The recommended dose is one to two tablets every 6 hours when
necessary up to a maximum of 8 tablets in 24 hours.
Children aged 12 – 15 years: The recommended dose is one tablet every 6 hours when necessary
up to a maximum of 4 tablets in 24 hours.
Zapain Tablets should not be used in children below the age of 12 years, due to the risk of severe
breathing problems.
If you take more Zapain Tablets than you should
Immediate medical advice should be sought in the event of an overdose, even if you feel well,
because of the risk of delayed, serious liver damage. Bring the remaining tablets and this leaflet
with you so that the medical staff knows what you have taken.
If you forget to take Zapain Tablets
Do not take more than one dose at a time. If you forget to take a dose then take your next dose at the
usual time. Do not take a double dose to make up for a forgotten dose.
If you stop taking Zapain Tablets
Do not suddenly stop taking this medicine. If you want to stop taking this medicine, discuss this
with your prescriber first. They will tell you how to do this, usually by reducing the dose gradually
so that any unpleasant withdrawal effects are kept to a minimum. Withdrawal symptoms such as
restlessness, difficulty sleeping, irritability, agitation, anxiety, feeling your heartbeat (palpitations),
increased blood pressure, feeling or being sick, diarrhoea, shaking, shivering or sweating may occur
if you suddenly stop taking this medicine. 4. Possible side effects
Like all medicines, this medicine can cause side effects, although not everybody gets them.
Stop taking the medicine and seek immediate medical advice if you notice the following:
All medicines can cause allergic reactions although serious allergic reactions are very rare. Any
sudden wheeziness, difficulty in breathing, swelling of the eyelids, face or lips, rash or itching
(especially affecting your whole body) should be reported to a doctor immediately. . How to store Zapain Tablets
• keep this medicine out of the sight and reach of children.
• do not use this medicine after the expiry date which is stated on the carton after ‘EXP’. The expiry
date refers to the last day of that month.
• keep this medicine in a dry place.
• do not store above 25oC.
• protect from light.
Do not throw away any medicines via wastewater or household waste. Ask your pharmacist how to
throw away medicines you no longer use. These measures will help protect the environment.
6. Contents of the pack and other information
What Zapain Tablets contain
• the active substances are paracetamol, 500mg and codeine phosphate, 30mg.
• the other ingredients are maize starch, methyl cellulose, talc, calcium stearate, povidone, purified
water, hypromellose and macrogol 3350.
What Zapain Tablets look like and contents of the pack
Zapain Tablets are caplet shaped white tablets.
Zapain Tablets are available in aluminium blister packs or plastic containers with child resistant lids
of 50, 56, 100 or 112 tablets. Not all pack sizes may be marketed.

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