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Paracodina 2 mg/ml solución oral

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About the medicine

How to use PARACODINA 2.4 mg/ml SYRUP

Contents of the leaflet

  1. Introduction
  2. What is Paracodina and what is it used for
  3. What you need to know before taking Paracodina
  4. How to take Paracodina
  5. Possible side effects
  6. Storage of Paracodina
  7. Package Contents and Additional Information

Introduction

Package Leaflet: Information for the Patient

Paracodina 2.4 mg/ml Syrup

Dihydrocodeine Bitartrate

Read this package leaflet carefully before starting to take this medicine, as it contains important information for you.

  • Keep this package leaflet, as you may need to read it again.
  • If you have any further questions, ask your doctor or pharmacist.
  • This medicine has been prescribed for you only. Do not pass it on to others, as it may harm them, even if their symptoms are the same as yours.
  • If you experience any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this package leaflet. See section 4.

Contents of the Package Leaflet:

  1. What is Paracodina and what is it used for
  2. What you need to know before taking Paracodina
  3. How to take Paracodina
  4. Possible side effects
  5. Storage of Paracodina
  6. Package Contents and Additional Information

1. What is Paracodina and what is it used for

Paracodina is presented in the form of a syrup containing dihydrocodeine bitartrate as the active ingredient. Dihydrocodeine belongs to the group of medicines called antitussives, which are used to treat cough.

This medicine is indicated for the symptomatic treatment of dry cough (not accompanied by mucus).

Doctor consultation

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Discuss your symptoms and treatment with a doctor online.

2. What you need to know before taking Paracodina

Do not take Paracodina

  • If you are allergic to dihydrocodeine and its salts or to any of the other components of this medicine (listed in section 6).
  • If you have respiratory problems such as Chronic Obstructive Pulmonary Disease (COPD), respiratory depression (slow or insufficient breathing) or acute asthma attacks.
  • If you are in a coma (severe state of loss of consciousness).
  • If you are in the third trimester of pregnancy (see section "Pregnancy and Breastfeeding").
  • During breastfeeding (see section "Pregnancy and Breastfeeding").
  • In children under 2 years of age.

Warnings and Precautions

Consult your doctor or pharmacist before starting to take Paracodina.

It is not recommended to use:

  • If you have diseases that involve respiratory problems,
  • If you have problems with consciousness or increased intracranial pressure (high pressure inside the head) or have a history of epileptic seizures, as respiratory depression (slow or insufficient breathing) may increase,
  • If you are in the first four months of pregnancy (see section "Pregnancy and Breastfeeding"),
  • If you have chronic constipation or are at risk of or have paralytic ileus (paralysis of intestinal movement),
  • If you have diarrhea associated with pseudomembranous colitis (inflammation of the colon) caused by antibiotics or in diarrhea caused by intoxication until the toxic material has been eliminated from the gastrointestinal tract,
  • If you are dependent on opioids.

It should be administered with caution:

  • In elderly people, as they may be more sensitive to the effects of this medicine,
  • If you have liver or kidney problems,
  • If you have prostatic hypertrophy (enlargement of the prostate), urethral stenosis (abnormal narrowing of the urethra),
  • If you have gallbladder conditions,
  • If you have chronic ulcerative colitis (inflammation and ulceration of the colon and rectum).

Do not take this medicine if you know you metabolize codeine or dihydrocodeine very quickly, as there may be a risk of greater side effects.

Prolonged administration of Paracodina is not recommended, as it may produce physical and psychological dependence (addiction) and tolerance. If the cough persists for more than three days, you should consult your doctor again.

Children

Since this medicine is contraindicated in case of bronchial asthma, it should be taken into account that chronic cough in children could be a symptom of bronchial asthma.

Use of Paracodina with other medicines

Tell your doctor or pharmacist if you are taking, have recently taken, or may take any other medicine.

The following medicines may interfere and should not be taken with Paracodina without first consulting your doctor:

  • Medicines used to treat depression called MAOIs (monoamine oxidase inhibitors) or if you have taken this type of medicine in the last two weeks.
  • Central Nervous System Depressants (medicines that act on the brain and produce drowsiness), such as sleep aids, antihistamines (used to treat allergies), medicines used to treat anxiety, medicines used to treat certain mental disorders, certain pain relievers or general anesthetics.
  • Tricyclic antidepressants.
  • Cimetidine and other drugs that influence hepatic metabolism.

Taking Paracodina with food, drinks, and alcohol

Do not drink alcoholic beverages while taking this medicine. The administration of dihydrocodeine with Central Nervous System Depressants such as alcohol may cause a reduction in coordination, as well as prolonged reaction time and recent memory impairment.

Pregnancy and Breastfeeding

If you are pregnant or breastfeeding, think you may be pregnant, or plan to become pregnant, consult your doctor or pharmacist before using this medicine.

Pregnancy

Do not take Paracodina if you are in the third trimester of pregnancy. Use near delivery and at high doses may cause slow or insufficient breathing in the newborn.

This medicine is not recommended during the first and second trimester of pregnancy, unless your doctor considers it strictly necessary.

Breastfeeding

This medicine passes into breast milk. For this reason, you should not take Paracodina during breastfeeding. If it is essential, breastfeeding should be interrupted.

Driving and using machines

Ask your doctor if you can drive or use machines during treatment with Paracodina. It is essential that before driving or using machines, you observe how this medicine affects you. Do not drive or use machines if you feel drowsy, dizzy, have blurred vision or double vision, or have difficulty concentrating. Be especially careful at the start of treatment and/or when taking it in combination with other medicines.

Alcohol can potentiate drowsiness, so you should not drink alcoholic beverages during treatment.

Use in athletes

Athletes are informed that this medicine contains a component that may produce a positive result in doping tests.

Paracodina contains sucrose

This medicine contains sucrose. If your doctor has told you that you have an intolerance to certain sugars, consult with them before taking this medicine.

Patients with diabetes mellitus should note that this medicine contains 2.4 g of sucrose per 5 ml dose.

It may cause cavities.

3. How to take Paracodina

Follow the administration instructions of this medicine exactly as indicated by your doctor. If in doubt, consult your doctor or pharmacist again.

Your doctor will indicate the dose you should take of this medicine and the duration of the treatment. It is essential to use the smallest dose that controls the symptoms. This medicine should not be taken for more than 3 days. If after three days you do not have relief from the cough, you should consult your doctor again.

The administration of the medicine is subject to the appearance of symptoms, so the dose can be reduced as they disappear.

The recommended dose is:

Adults and adolescents over 12 years:5 to 10 ml of syrup (1 to 2 5 ml spoons) up to three times a day.

Do not exceed the maximum dose of 72 mg of dihydrocodeine per day (30 ml of syrup per day).

Children 6-12 years:1 to 2 ml of syrup up to three times a day.

Do not exceed the maximum dose of 15 mg of dihydrocodeine per day, which corresponds to 6.25 ml of this syrup.

Children 2-5 years:1 ml of syrup up to three times a day.

Do not exceed the maximum dose of 7.5 mg of dihydrocodeine per day, which corresponds to 3.125 ml of this syrup.

Children under 2 years should not take this medicine, it is contraindicated.

Important note: For safety reasons, with the aim of administering the correct dose in the case of children under 12 years, the use of a dosing syringe is recommended.

Consult your pharmacist about which device is most suitable for administering the dose indicated by your doctor.

If you think the effect of this medicine is too strong or too weak, tell your doctor or pharmacist.

If you take more Paracodina than you should

Taking very high doses can cause initial excitement, anxiety, insomnia, and later, in certain cases, drowsiness, lack of reflexes that progresses to stupor or coma, headache, contraction of the pupil, changes in blood pressure, arrhythmias (irregular heartbeats), dry mouth, allergic reactions, cold and viscous skin, decrease or increase in heart rate, convulsions, gastrointestinal disorders, nausea, vomiting, and respiratory depression (slow or insufficient breathing). In severe poisoning, apnea (pauses in breathing or shallow breathing), circulatory collapse (loss of basal tone of blood vessel walls, insufficient blood return to the heart), cardiac arrest, and death may occur.

If you have taken more Paracodina than you should, consult your doctor or pharmacist immediately or the Toxicology Information Service, phone 91 562 04 20. If severe poisoning has occurred, the doctor will take the necessary measures.

If you forget to take Paracodina

Do not take a double dose to make up for forgotten doses.

If you stop taking Paracodina

Administration should be gradually suspended after prolonged use, as physical and psychological dependence (addiction) and tolerance may occur with repeated administration of this drug.

If you have any further questions about the use of this medicine, ask your doctor or pharmacist.

Medicine questions

Started taking the medicine and have questions?

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4. Possible side effects

Like all medicines, this medicine can cause side effects, although not everybody gets them.

The assessment of the frequency of adverse reactions is based on the following criteria: Very common (may affect more than 1 in 10 patients), common (may affect up to 1 in 10 patients), uncommon (may affect up to 1 in 100 patients), rare (may affect up to 1 in 1,000 patients), very rare (may affect up to 1 in 10,000 patients).

  • The following side effects have been observed, whose frequency has not been established: stomach upset, constipation, vomiting, nausea, fatigue, drowsiness, dizziness, inability to urinate, breathing problems (dyspnea), respiratory depression.
  • Rare side effects: headache, itching, hives.
  • Very rare side effects: euphoria, allergic skin reaction known as Quincke's edema, contraction of the pupil of the eye, loss of vision, circulation problems, angina pectoris.

Reporting of side effects

If you experience any side effects, talk to your doctor, pharmacist, or nurse, even if it is a possible side effect not listed in this package leaflet. You can also report them directly through the Spanish Medicines and Health Products Agency (AEMPS) website: www.notificaram.es. By reporting side effects, you can help provide more information on the safety of this medicine.

5. Storage of Paracodina

Keep this medicine out of the sight and reach of children.

Do not store above 25°C.

Do not use this medicine after the expiry date stated on the package after CAD. The expiry date is the last day of the month indicated.

Medicines should not be disposed of via wastewater or household waste. Place the package and any unused medicine in the pharmacy's SIGRE collection point. If in doubt, ask your pharmacist how to dispose of the package and any unused medicine. This will help protect the environment.

6. Package Contents and Additional Information

Composition of Paracodina

  • The active ingredient is dihydrocodeine bitartrate. Each 5 ml of syrup (one spoon) contains approximately 12 mg of dihydrocodeine bitartrate.
  • The other ingredients are: glycerol (E-422), sucrose, benzoic acid (E-210), cherry flavor, and purified water.

Appearance of the product and package contents

Paracodina is presented in the form of a slightly yellowish syrup. Each package contains 125 ml of syrup.

Marketing Authorization Holder and Manufacturer

Marketing Authorization Holder:

TEOFARMA S.r.l. Via F.lli Cervi, 8 Valle Salimbene (Pavia).

Manufacturer:

Teofarma S.r.l. Viale Certosa, 8/A Pavia, Italy.

Date of the last revision of this package leaflet: July 2020

Detailed and updated information on this medicine is available on the website of the Spanish Agency for Medicines and Health Products (AEMPS) (http://www.aemps.es/).

Online doctors for PARACODINA 2.4 mg/ml SYRUP

Discuss questions about PARACODINA 2.4 mg/ml SYRUP, including use, safety considerations and prescription review, subject to medical assessment and local regulations.

Doctor
5.0(38)

Andrei Popov

General medicinePain medicine7 years of experience

Dr. Andrei Popov is a General Practitioner with specialized training in chronic pain. He provides online consultations for adult patients in Spain and other European countries.

Dr. Popov understands that seeking help with weight-related concerns or pain that has persisted for months can be difficult. Many patients come to him after trying different approaches without feeling truly heard. During the consultation, the doctor creates a comfortable and supportive, non-judgmental environment where the patient’s medical history can be discussed in detail, questions can be answered, and the next steps can be decided together.

Weight Management and Metabolic Health

Dr. Popov can help assess overweight, obesity, and related conditions such as hypertension, diabetes, or metabolic disorders. During the consultation, the patient’s medical history, test results, current medications, and previous treatments will be reviewed.

If you would like to learn about possible medication options or have already started treatment, the doctor can assess your situation, review the effectiveness and tolerability of the therapy, and clearly explain its benefits, potential risks, and alternatives.

Not every patient requires the same treatment. A consultation does not guarantee a prescription — it provides an objective medical assessment and a plan tailored to your individual situation.

Pain and General Medicine

You can also consult Dr. Popov regarding:

* chronic pain, migraines, neuralgia, and fibromyalgia;

* back, neck, lower back, or joint pain;

* hypertension, diabetes, and follow-up of chronic conditions;

* review of test results, medical reports, and current treatment;

* preventive medicine and a second medical opinion.

How the Consultation Works

The video consultation lasts up to 30 minutes. The doctor will listen carefully, review the information you provide, and explain the next steps in clear and understandable language.

If additional tests, an in-person consultation, or urgent medical care are required, the doctor will inform you directly.

Dr. Popov’s goal is to make sure the patient feels heard and leaves the consultation with a clear understanding of their condition and the next steps they can take.

Book a video appointment
€86
Doctor
5.0(12)

Yevgen Yakovenko

General medicine12 years of experience

Dr. Yevgen Yakovenko is a licensed surgeon and general practitioner in Spain and Germany. He specialises in general, paediatric, and oncological surgery, internal medicine, and pain management. He offers online consultations for adults and children, combining surgical precision with therapeutic support. Dr Yakovenko works with patients across different countries and provides care in Ukrainian, Russian, English, and Spanish.

Areas of medical expertise:

  • Acute and chronic pain: headaches, muscle and joint pain, back pain, abdominal pain, postoperative pain. Identifying the cause, selecting treatment, and creating a care plan.
  • Internal medicine: heart, lungs, gastrointestinal tract, urinary system. Management of chronic conditions, symptom control, second opinions.
  • Pre- and postoperative care: risk assessment, decision-making support, follow-up after surgery, rehabilitation strategies.
  • General and paediatric surgery: hernias, appendicitis, congenital conditions, both planned and urgent surgeries.
  • Injuries and trauma: bruises, fractures, sprains, soft tissue damage, wound care, dressing, referral when in-person care is required.
  • Oncological surgery: diagnosis review, treatment planning, and long-term follow-up.
  • Obesity treatment and weight management: a medical approach to weight loss, including assessment of underlying causes, evaluation of comorbidities, development of a personalised plan (nutrition, physical activity, pharmacotherapy if needed), and ongoing progress monitoring.
  • Imaging interpretation: analysis of ultrasound, CT, MRI, and X-ray results, surgical planning based on imaging data.
  • Second opinions and medical navigation: clarifying diagnoses, reviewing current treatment plans, helping patients choose the best course of action.

Experience and qualifications:

  • 12+ years of clinical experience in university hospitals in Germany and Spain.
  • International education: Ukraine – Germany – Spain.
  • Member of the German Society of Surgeons (BDC).
  • Certified in radiological diagnostics and robotic surgery.
  • Active participant in international medical conferences and research.

Dr Yakovenko explains complex topics in a clear, accessible way. He works collaboratively with patients to analyse health issues and make evidence-based decisions. His approach is grounded in clinical excellence, scientific accuracy, and respect for each individual.

If you are unsure about a diagnosis, preparing for surgery, or want to discuss your test results – Dr Yakovenko will help you evaluate your options and move forward with confidence.

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€72
Doctor
5.0(3)

Lina Travkina

General medicine13 years of experience

Dr. Lina Travkina is a licensed family and preventive medicine doctor based in Italy. She provides online consultations for adults and children, supporting patients across all stages of care – from acute symptom management to long-term health monitoring and prevention.Areas of medical care include:

  • Respiratory conditions: colds, flu, acute and chronic bronchitis, mild to moderate pneumonia, bronchial asthma.

  • ENT and eye conditions: sinusitis, tonsillitis, pharyngitis, otitis, infectious and allergic conjunctivitis.

  • Digestive issues: gastritis, acid reflux (GERD), IBS, dyspepsia, bloating, constipation, diarrhoea, functional bowel symptoms, intestinal infections.

  • Urological and infectious diseases: acute and recurrent cystitis, bladder and kidney infections, prevention of recurrent UTIs, asymptomatic bacteriuria.

  • Chronic conditions: hypertension, diabetes, hypercholesterolemia, metabolic syndrome, thyroid disorders, excess weight.

  • Neurological and general symptoms: headache, migraine, dizziness, fatigue, sleep disturbances, reduced concentration, anxiety, asthenia.

  • Chronic pain support: back, neck, joint, and muscle pain, tension syndromes, pain associated with osteochondrosis and chronic conditions.

Additional care areas:

  • Preventive consultations and check-up planning.

  • Medical advice and follow-up consultations.

  • Test interpretation and diagnostic guidance.

  • Structured support for undiagnosed complaints.

  • Second opinion on diagnoses and treatment plans.

  • Nutritional and lifestyle support for vitamin deficiencies, anaemia, metabolic issues.

  • Post-operative recovery support and pain management.

  • Preconception counselling and postpartum support.

  • Immunity support and strategies to reduce frequency of infections.

Dr. Travkina combines evidence-based medicine with an attentive, personalised approach. Her consultations focus not only on treatment, but also on prevention, recovery, and long-term wellbeing.If during the consultation it becomes clear that your case requires in-person assessment or specialised care outside of her scope, the session will be terminated and the payment fully refunded.

Book a video appointment
€75
Doctor
5.0(21)

Nuno Tavares Lopes

General medicine18 years of experience

Dr. Nuno Tavares Lopes is a licensed physician in Portugal with 17 years of experience in emergency medicine, family and general practice, and public health. He is the Director of Medical and Public Health Services at an international healthcare network and serves as an external consultant for the WHO and ECDC.

  • Emergency care: infections, fever, chest/abdominal pain, minor injuries, paediatric emergencies

  • Family medicine: hypertension, diabetes, cholesterol, chronic disease management

  • Travel medicine: pre-travel advice, vaccinations, fit-to-fly certificates, travel-related illnesses

  • Sexual and reproductive health: PrEP, STD prevention, counselling, treatment

  • Weight management and wellness: personalised weight loss programmes, lifestyle guidance

  • Skin and ENT issues: acne, eczema, allergies, rashes, sore throat, sinusitis

  • Pain management: acute and chronic pain, post-surgical care

  • Public health: prevention, health screenings, long-term monitoring

  • Sick leave (Baixa médica) connected to Segurança Social in Portugal

  • IMT medical certificates for driving licence exchange

Dr. Nuno Tavares Lopes provides medical support for patients using GLP-1 medications (Mounjaro, Wegovy, Ozempic, Rybelsus) as part of a weight loss strategy. He offers individualised treatment planning, regular follow-up, dose adjustment, and advice on combining medication with sustainable lifestyle changes. Consultations follow the medical standards accepted in Europe.Dr. Lopes also provides interpretation of medical tests, follow-up care for complex patients, and multilingual support. Whether for urgent concerns or long-term care, he helps patients act with clarity and confidence.

Book a video appointment
€70

Frequently Asked Questions

PARACODINA 2.4 mg/ml SYRUP requires a prescription in Spain. You can check with a doctor online whether this medicine may be appropriate for your situation.

The active ingredient in PARACODINA 2.4 mg/ml SYRUP is dihydrocodeine. This information helps identify medicines with the same composition but different brand names.

PARACODINA 2.4 mg/ml SYRUP is manufactured by Teofarma S.R.L.. Pharmacy brands and packaging may differ depending on the distributor.

Doctors such as Family doctors, Psychiatrists, Dermatologists, Cardiologists, Endocrinologists, Gastroenterologists, Pulmonologists, Nephrologists, Rheumatologists, Hematologists, Infectious disease physicians, Allergists, Geriatricians, Paediatricians, Oncologists may assess whether PARACODINA 2.4 mg/ml SYRUP is appropriate, depending on your situation and local regulations. You can book an online consultation to discuss your symptoms and possible next steps.

The prescription is issued by a doctor after assessing your health. In Spain, PARACODINA 2.4 mg/ml SYRUP is then dispensed in pharmacies with that prescription. An online consultation does not guarantee that a prescription will be issued: the decision always rests with the doctor.

To request a review, you can use Oladoctor:

Other medicines with the same active substance (dihydrocodeine) include TOSIDRIN 10 mg/ml ORAL DROPS IN SOLUTION, DOLODENS 100 mg/15 mg/10 mg FILM-COATED TABLETS, DUOXONA 10 mg/5 mg PROLONGED-RELEASE TABLETS. These may have different brand names or formulations but contain the same therapeutic ingredient. Always consult a doctor before switching or starting a new medicine.

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