Co Dydramol tablets are used for the relief of mild to moderate pain and can be used to treat a number of aches and pains. Co-dydramol, like many other pain relief medications contain more than one type of painkiller, Paracetamol and Dihydrocodeine. When combined; these 2 painkillers form effective pain relief treatment that can be used to treat common conditions such as headaches, severe migraines, muscular pains and toothache.

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What is Co Dydramol?

Co-dydramol contains 2 different types of painkillers, Paracetamol and Dihydrocodeine. This medication provides effective pain relief when treating mild to moderate pain. Co-dydramol is one of the UK’s most widely prescribed painkillers due to its effectiveness in treating a wide variety of painful conditions from headaches to toothaches.

Co-dydramol tablets are a prescription only medication, meaning that you will not be able to purchase this medicine over the counter. This medication is available in 3 different strengths, 10/500mg, 20/500mg and 30/500mg. The lowest dosage of this medication can be purchased online at Medicine Direct however the higher doses of Co dydramol (20/500 and 30/500) can only be prescribed during a face to face consultation with your doctor.

Co-Dydramol is part of the compound analgesic group of medicines which means that it contains a number of active ingredients that provide effective treatment by working together to relieve painful symptoms.

Paracetamol and Dihydrocodeine work together in different way to provide effective pain relief. When our body feels pain, the area being affected will pass what is called a chemical message to our brain so that our brain is able to register the pain. Paracetamol works by slowing down/blocking these messages from reaching the brain so that our body is unable to register the pain and in turn our body is unable to feel that we are actually in discomfort.

Dihydrocodeine is a semi synthetic opioid analgesic and is a very strong painkiller that is commonly used to treat a number of aches and pains. As dihydrocodeine falls into the opiod group of medicines, it can prove highly addictive which is why it should be taken with great care and under the supervision of a doctor or pharmacist. Dihydrocodeine is twice as strong as Codeine and is also available on its own or compounded with paracetamol (Co-Dydramol). This ingredient is very similar to paracetamol in the way that it blocks pain signals travelling to the nerves and the brain.

Co Dydramol vs Co Codamol, what is the difference?

Co-Codamol and Co-Dydramol are very similar painkillers when it comes to how they work in treating mild to moderate pain. Both medicines are made up of 2 different painkillers and both contain large amounts of paracetamol, 500mg to be exact. Co Dydramol is made up of a mixture of Dihydrocodeine and paracetamol and is available in 3 different dosages ranging from 10/500mg up to 30/500mg.

Co-codamol on the other hand is slightly different when it comes to dosages and strengths. In order to buy Co-codamol there are 2 different options, for example the lower dosages of Co-codamol 8/500mg and 15/500mg can be purchased over the counter, whereas Co-dydramol is strictly a prescription drug regardless of what dosage you are looking to purchase it in.

Overall both medicines provide effective pain relief for common symptoms ranging from headaches and toothache to severe muscle and period pains.

Co-Dydramol 10/500mg

Co Dydramol is strictly a prescription medication and is available in 3 different strengths, only the 10/500mg dose of Co dydramol is available to purchase without having to have a face to face consultation with a Doctor or GP. Co Dydramol 10/500mg tablets are widely prescribed to relieve pain and discomfort for a wide range of symptoms.

The 10/500mg dosage measurement is in relation to the amount of dihydrocodeine and paracetamol being present within the medication. For this particular medication and dosage each tablet consists of 10mg Dihydrocodeine and 500mg of Paracetamol which work together to form a strong pain relief. The volume of paracetamol present in Co Dydramol medicine usually stays the same regardless of what dosage of dihydrocodeine is present.

What is Co-Dydramol used for?

Co Dydramol is used in the treatment of mild to moderate pain, it can help relieve pain for a number of common symptoms that can be painful such as headaches, toothache and even period pains. Although Co dydramol is not limited to relieving pain for those symptoms, it is however most effective when being used to treat common discomforts that can sometimes make us uncomfortable. The most common used for Co-Dydramol are:

  • Nerve Pain
  • Severe Headches and Migraines
  • Period pains
  • Muscular pain
  • Joint pain
  • Toothache
  • Back pain
  • Common cold/flu like symptoms
  • Neuralgia

How to take Co-Dydramol Tablets

Co Dydramol 10/500mg come in the form of tablets, they should be swallowed whole assisted with a glass of water to ensure that the tablet has been swallowed safely. Patients must take this medication on a full stomach or whilst eating as Co Dydramol can cause an upset when taken on an empty stomach.

Co Dydramol are normally used for the short term relief of painful symptoms. You should take this medication for as long as your doctor has been advised, stopping the medication before completing your course could result in further medical complications.

The typical Co dydramol dose for adults is 1-2 tablets every 4 hours. A maximum of 8 tablets in 24 hours should not be consumed. For elderly patients the dosage is usually reduced upon the advice and guidance of a doctor.

In the event of an overdose on Co Dydramol tablets, immediate medical assistance should be sought as this can cause serious delayed liver damage.

In the event that you forget to take your dosage, do not take a double dose to make up for the missed one. Instead take your dose as soon as you remember and wait another 4 hours until you are scheduled for your next one.

Co Dydramol Side Effects

Like all medicines, Co-dydramol can cause a number of side effects, some more common than others. It is important to report all side effects, whether common or uncommon to your doctor or pharmacist.

The most common Co-Dydramol side effects are:

  • Constipation
  • Drowsiness
  • Dry mouth
  • Facial Flushing
  • Headaches
  • Nausea
  • Sickness

Serious Co Dydramol side effects include:

  • Addiction caused by prolonged use
  • Erectile Dysfunction
  • Stomach Irritation
  • Difficulty passing urine
  • Blurred or Double Vision
  • Breathing Difficulty
  • Muscle Stiffness
  • Low body temperature
  • Tiredness or Weakness

For a complete list of the side effects associated with Co dydramol medication, we recommend thoroughly reading the patient information leaflet that will be contained in your package upon successful order.

Things to know before taking Co Dydramol

Co Dydramol typically comes in tablet form and should not be administered in any other way. The active ingredient in Co Dydramol (Dihydrocodeine) is an opioid and can therefore be extremely additictive. Prolonged usage of Co Dydramol is not advised due to the addictive nature of the medicine and is therefore a short term treatment for effective pain relief.


This medication is available in many different dosages such as 10/500mg, 20/500mg and 30/500mg. The 10, 20 and 30 numbers indicate the level of dihydrocodeine that is present in the medication. Although there are different dosages available, only Co Dydramol 10/500mg is available to purchase without having a face to face consultation with a doctor. However in order to purchase this medication an online consultation and prescription will still be needed as this is strictly a prescription drug.

Co-Dydramol and Paracetamol

Due to the high levels of paracetamol contained within Co dydramol, you should not take any other medications that include paracetamol whilst taking Co Dydramol. Paracetamol is a very common over the counter medication, it is highly advised that before consuming any over the counter medication you check the label to see if paracetamol is an active ingredient.

Taking this medication with Alcohol

You should not take this medication with alcohol. By consuming alcohol whilst also completing a course of Co Dydramol tablets there is an increased risk that you may suffer from more serious side effects associated with this medication.

Co Dydramol during Pregnancy and Breastfeeding

You should not take this medication during pregnancy, if you think you may be pregnant or are actively trying to conceive. Usage during pregnancy and breastfeeding can result in withdrawal symptoms in newborn babies.

Women that are pregnant should always consult their Doctor or GP for advice regarding medication as there may be a more suitable and safer medication available to pregnant women.

View the full Co Dydramol Patient Information Leaflet

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