Codeine
別名: Tylenol with Codeine, Empirin with Codeine, Pardale-V, Codeine phosphate, Co-codamol (human combination)
* **Keep out of reach of children and pets**: This is a controlled substance. * **TOXIC TO CATS**: **Never** give any product containing acetaminophen (e.g., Tylenol® with Codeine) to cats. It is rapidly fatal. * **Side Effects**: Watch for extreme sleepiness, constipation, lack of appetite, or vomiting. Cats may occasionally become unusually hyperactive, jittery, or have tremors. * **When to call the vet**: Report any significant changes in behavior, activity level, or severe gastrointestinal effects to your veterinarian immediately.
劑量必須由獸醫按你寵物的個別情況決定。切勿在沒有獸醫指導下給予人類藥物或其他寵物的處方藥。
用途
- Analgesic (mild to moderate acute pain)
- Analgesic
- Analgesic
- Antitussive / Analgesia
- Analgesic
- Antitussive
- Antitussive
- Analgesic (mild to moderate acute pain)
- Analgesic (in combination with acetaminophen)
- Analgesic (codeine alone)
- Analgesic
- Antidiarrheal
- Antitussive
- Analgesia (mild to moderate pain)
給藥方式
可能的副作用
- Sedation (most common)
- Constipation
- Anorexia
- Vomiting
- Ileus
- Biliary and pancreatic duct spasms
- Respiratory depression (at high doses)
- Cats: CNS stimulation, hyperexcitability, tremors, seizures
- Sedation
- Nausea
注意事項與禁忌
- Hypersensitivity to narcotic analgesics
- Patients receiving monoamine oxidase inhibitors (MAOIs) like amitraz or selegiline
- Diarrhea caused by toxic ingestion (until toxin is eliminated)
- Repeated use in severe inflammatory bowel disease
- Scorpion stings (Centruroides sculpturatus and C. gertschi) as it may potentiate venom
- Combination products containing acetaminophen are STRICTLY CONTRAINDICATED in cats
- Hypersensitivity to opioids
- Severe respiratory depression or asthma
- Cats (especially if using combination products containing paracetamol)
- Use with caution in patients with **hypothyroidism**, **severe renal insufficiency**, **Addison's disease**, and in **geriatric or severely debilitated** patients. Use with caution in patients with **head injuries** or increased intracranial pressure, and in those with **acute abdominal conditions** (e.g., colic) as it may obscure the diagnosis. Use with extreme caution in patients suffering from **respiratory disease** or acute respiratory dysfunction (e.g., pulmonary edema secondary to smoke inhalation). > **Warning**: Opiates can increase plasma amylase and lipase values up to 24 hours following administration due to increased biliary tract pressure.
藥物相互作用
- Anticholinergic drugs: May increase the chances of constipation developing
- Antidepressants (TCAs/MAOIs): May potentiate CNS depressant effects
- CNS Depressants (anesthetics, antihistamines, phenothiazines, barbiturates, tranquilizers): May cause increased CNS or respiratory depression
- Quinidine: May inhibit the transformation of codeine to morphine in the liver, decreasing its efficacy
- CNS Depressants (e.g., phenobarbital, diazepam): Additive CNS and respiratory depression
- SSRIs / MAOIs: Increased risk of serotonin syndrome
- CNS Depressants (e.g., sedatives, anesthetics, antihistamines): Additive CNS and respiratory depression
- Monoamine Oxidase Inhibitors (MAOIs): May cause severe, unpredictable reactions (serotonin syndrome or severe respiratory depression)
常見問題
Codeine用於寵物有甚麼用途？
* **Keep out of reach of children and pets**: This is a controlled substance. * **TOXIC TO CATS**: **Never** give any product containing acetaminophen (e.g., Tylenol® with Codeine) to cats. It is rapidly fatal. * **Side Effects**: Watch for extreme sleepiness, constipation, lack of appetite, or vomiting. Cats may occasionally become unusually hyperactive, jittery, or have tremors. * **When to call the vet**: Report any significant changes in behavior, activity level, or severe gastrointestinal effects to your veterinarian immediately.
Codeine對我的寵物安全嗎？
劑量必須由獸醫按你寵物的個別情況決定。切勿在沒有獸醫指導下給予人類藥物或其他寵物的處方藥。
本文僅供一般健康教育，不能取代專業獸醫意見。如寵物身體不適，請諮詢獸醫。