Panacod
Panacod is a pain relief medication for moderate pain in adults and children over 12 years old when other painkillers alone are not enough.
How to Use
Dosage
For adults, 1-2 tablets/effervescent tablets 1-4 times daily. For children over 12 years, 1-2 tablets/effervescent tablets every 6 hours as needed.
Method
Tablets should be swallowed with water. Effervescent tablets should be dissolved in half a glass of water.
Do not exceed 8 tablets/effervescent tablets in 24 hours for adults. Do not exceed 6 tablets/effervescent tablets in 24 hours for children over 12 years.
Possible Side Effects
- •Pancreatitis (inflammation of the pancreas)
- •Redness
- •Hives (urticaria)
- •Rash
- •Low platelet count (thrombocytopenia)
- •Low white blood cell count (leukopenia)
- •Low neutrophil count (neutropenia)
- •Agranulocytosis (severe lack of white blood cells)
- •Hypersensitivity reactions, such as anaphylactic shock and angioedema (severe allergic reactions)
- •Bronchospasm (tightening of the airways)
- •Respiratory depression (slow and shallow breathing)
- •Fatigue
- •Nausea
- •Constipation
- •Vomiting
- •Dry mouth
- •Biliary tract disorders
- •Liver damage
- •Liver inflammation, potentially leading to acute liver failure
- •Severe skin reactions, including Stevens-Johnson syndrome, toxic epidermal necrolysis, acute generalized exanthematous pustulosis, and fixed drug eruption
- •Itching
- •Urinary retention (difficulty passing urine)
- •Hemolytic anemia (accelerated breakdown of red blood cells)
- •Confusion
- •Anxiety (dysforia)
- •Feeling of well-being (euphoria)
- •Convulsions
- •Headache
- •Drowsiness
- •Dizziness
- •Sedation
- •Miosis (pupil constriction)
- •Tinnitus (ringing in the ears)
- •Low blood pressure (hypotension)
- •Severe condition that can increase blood acidity (metabolic acidosis) in patients with severe illness using paracetamol
Important Warnings
- Do not use if you are allergic to paracetamol, codeine, or any other ingredient in this medicine.
- Do not exceed the recommended dose or take other paracetamol-containing medicines at the same time.
- Avoid alcohol use as it can cause drowsiness, breathing difficulties, coma, or even death.
- Stop taking the medicine and contact a doctor immediately if you develop a worsening rash with blisters or mucosal lesions.
- Do not use if you have severe liver disease or bile duct problems.
Show 8 more warnings
- Do not use for pain relief in children (0-18 years) after tonsil or adenoid removal due to obstructive sleep apnea syndrome.
- Do not use if you have a respiratory illness or condition that makes breathing difficult, or if you have an acute asthma attack.
- Do not use if your body converts codeine to morphine very quickly.
- Do not use if you are about to give birth or are at risk of premature birth, or if you are breastfeeding.
- Frequent use of painkillers for headaches or migraines can cause headaches that should not be treated by increasing the dose. Do not continue using painkillers without a doctor's advice.
- Codeine can cause dependence if used in high doses and for a long time. To reduce withdrawal symptoms, use should be gradually stopped after long-term treatment.
- Use codeine with caution in children, adolescents, or patients who have previously misused medicines and/or alcohol.
- Children under 12 years of age should not take Panacod due to the risk of severe breathing difficulties.
Use in Elderly Patients
Suitable for older adults. The recommended maximum dose for long-term use is 2 grams per day. Can be used concurrently with warfarin only if INR values are monitored. Consider paracetamol in OTC drugs and combination products. Risk of poisoning with daily doses over 4 grams. (updated 14.4.2025)