Dihydrocodeine is an analgesic with opioid that is used in conjunction or as an alternative to Codeine in the treatment of cough, severe dyspnea, and severe pain.

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Dihydrocodeine is an analgesic with opioid that is used in conjunction or as an alternative to Codeine in the treatment of cough, severe dyspnea, and severe pain.

Dihydrocodeine or DHC is an opioid analgesic which was made in the early 20th century. It is likened to codeine in terms of mechanism and make up and it is utilized for the management and treatment of moderate to severe pain, including coughing and shortness of breath.

This Dihydrocodeine medication is essentially made to cure fever, moderate pain, and inflammation. The opioid pain killer works in the centres of the brain to afford users the pain relief that they have been looking for. Aspirin can reduce fever, inflammation, and pain, but where it does not work on patient’s pain, Dihydrocodeine can be used to manage pain.

Patients can take Dihydrocodeine medication by mouth as prescribed by a physician. Have a full glass of water of about 8 ounces with your Dihydrocodeine tablet. Do not chew, break, or gnaw on the tablet. Do not attempt to lie down after 10 minutes of consuming Dihydrocodeine. If you become nauseous take Dihydrocodeine with food. Ask your doctor or nurse on how you can reduce the side effects or nausea when taking Dihydrocodeine.

The dosage of Dihydrocodeine will depend on your age, medical condition and response to treatment. Never try to increase your dose or use it for longer than advised by your doctor, as the risk of side effects can be dangerous to your help.

Medications for pain work their best if used during the first signs of pain. If you wait until such time that the pain has become worse, the Dihydrocodeine may not work.

Dihydrocodeine comes in 30mg tablets. The applicable dosage for adults is 1 tablet 30 mg for every 4-6 hours as prescribed by your doctor. Elderly patients can take a reduced dosage of Dihydrocodeine. For pediatric patients aged 4-12 years old take 0.5 to 1 mg/kg of body weight every 4-6 hours. Dihydrocodeine is not suitable for patients aged 4 years old and under. Patients with chronic hepatic disease must take Dihydrocodeine in reduced dosage. Those with moderate to severely impaired renal functioning must likewise take the reduced dosage. For other medical conditions where dose reduction is appropriate or highly advised, consult with your doctor.

Dihydrocodeine can cause withdrawal reactions, especially if used for an extended time in very high dosages. In this case, the withdrawal symptoms can vary from watery eyes, runny nose, restlessness, etc. can occur when Dihydrocodeine has been stopped. Consult your physician to reduce these withdrawal reactions.

The most common side effects of Dihydrocodeine are:


  • Upset stomach
  • Vomiting
  • Shaking or tremors
  • Constipation
  • Dry mouth
  • Dizziness
  • Lightheadedness
  • Drowsiness
  • Nausea


If any of these side effects persist or don’t go away, consult with your doctor, nurse or pharmacist immediately.

To reduce your risk of lightheadedness or dizziness, start getting up very slowly when you are sitting or in a lying position as you take Dihydrocodeine.

Avoid constipation by having a high diet fibre; consume lots of water, and exercise. If you happen to be constipated, ask your doctor for help so he can prescribe a laxative for you to avoid the discomfort from taking Dihydrocodeine.

Know that your physician has prescribed this medication as he has judged that the benefit to you is greater than the risk of adverse effects. Many patients using Dihydrocodeine do not experience any serious side effects.

Contact your physician immediately if you have any serious side effects:

  • mood changes
  • fast/irregular heartbeat
  • increased thirst/urination
  • hearing changes
  • easy bruising/bleeding, signs of infection
  • fever
  • persistent sore throat
  • heartburn
  • discomfort when swallowing
  • dark urine
  • yellowing eyes/skin
  • signs of kidney problems
  • loss of appetite
  • unusual tiredness
  • sudden weight loss).

Seek emergency medical assistance if you experience any of these side effects:

  • Fainting
  • Seizure
  • Severe stomach pain
  • Black stool
  • Vomiting
  • Slurred speech
  • Inexplicable weakness

Dihydrocodeine may cause serious mental/mood change. It can also result in very dangerous breathing problems among patients. It contains codeine or dihydrocodeine. They are both strong opioid medications. In some patients this can occur rather fast and increases the risk of other serious side effects. Get medical assistance immediately or as soon as you noticed any of the said side effects or where you have severe drowsiness, confusion, difficulty waking up, and slow breathing.

Medical experts say very serious allergic reactions to Dihydrocodeine can likewise occur but is very rare. Get medical help straight away if you experience any of these allergic reactions as hives, swollen face, tongue, lips or throat, severe itching, skin rashes, trouble breathing, and extreme dizziness.

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