Bg pattern

PARACODINA 2.4 mg/ml SYRUP

Prescription review online

Prescription review online

A doctor will review your case and decide whether a prescription is medically appropriate.

Talk to a doctor about this medicine

Talk to a doctor about this medicine

Discuss your symptoms and possible next steps in a quick online consultation.

This page is for general information. Consult a doctor for personal advice. Call emergency services if symptoms are severe.
About the medicine

How to use PARACODINA 2.4 mg/ml SYRUP

Translated with AI

This page provides general information and does not replace a doctor’s consultation. Always consult a doctor before taking any medication. Seek urgent medical care if symptoms are severe.

Show original

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

Not sure if this medicine is right for you?

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?

Discuss your symptoms and treatment with a doctor online.

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.

5.0 (140)
Doctor

Yevgen Yakovenko

General surgery 12 years exp.

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.

Camera Book a video appointment
€50
5.0 (29)
Doctor

Anna Biriukova

General medicine 6 years exp.

Dr Anna Biriukova is an internal medicine doctor with clinical experience in cardiology, endocrinology, and gastroenterology. She provides online consultations for adults, offering expert medical support for heart health, hormonal balance, digestive issues, and general internal medicine.

Cardiology – Diagnosis and treatment of:

  • High blood pressure, blood pressure fluctuations, and cardiovascular risk prevention.
  • Chest pain, shortness of breath, arrhythmias (tachycardia, bradycardia, palpitations).
  • Leg swelling, chronic fatigue, reduced exercise tolerance.
  • EKG interpretation, lipid profile evaluation, cardiovascular risk assessment (heart attack, stroke).
  • Post-COVID-19 cardiac monitoring and care.
Endocrinology – Diabetes, thyroid, metabolism:
  • Diagnosis and management of type 1 and type 2 diabetes, and prediabetes.
  • Individual treatment plans including oral medications and insulin therapy.
  • GLP-1 therapy– modern pharmacological treatment for weight management and diabetes control, including drug selection, monitoring, and safety follow-up.
  • Thyroid disorders – hypothyroidism, hyperthyroidism, autoimmune thyroid diseases (Hashimoto’s, Graves’ disease).
  • Metabolic syndrome – obesity, lipid disorders, insulin resistance.
Gastroenterology – Digestive health:
  • Abdominal pain, nausea, heartburn, gastroesophageal reflux (GERD).
  • Stomach and intestinal conditions: gastritis, irritable bowel syndrome (IBS), indigestion.
  • Management of chronic digestive disorders and interpretation of tests (endoscopy, ultrasound, labs).
General internal medicine and preventive care:
  • Respiratory infections – cough, colds, bronchitis.
  • Lab test analysis, therapy adjustments, medication management.
  • Adult vaccinations – planning, contraindications assessment.
  • Cancer prevention – screening strategies and risk assessment.
  • Holistic approach – symptom relief, complication prevention, and quality of life improvement.
Dr Biriukova combines internal medicine with specialist insight, offering clear explanations, personalised treatment plans, and comprehensive care tailored to each patient.
Camera Book a video appointment
€60
5.0 (29)
Doctor

Dmytro Horobets

Family medicine 7 years exp.

Dr. Dmytro Horobets is a licensed family medicine physician in Poland, specialising in endocrinology, diabetology, obesity management, gastroenterology, pediatrics, general surgery, and pain medicine. He offers online consultations for adults and children, providing personalised medical support for a wide range of acute and chronic health concerns.

Areas of expertise:

  • Endocrinology: diabetes type 1 and type 2, prediabetes, thyroid disorders, metabolic syndrome, hormonal imbalance.
  • Obesity medicine: structured weight management plans, nutritional counselling, obesity-related health risks.
  • Gastroenterology: acid reflux (GERD), gastritis, irritable bowel syndrome (IBS), liver and biliary conditions.
  • Pediatric care: infections, respiratory symptoms, digestive issues, growth and development monitoring.
  • General surgery support: pre- and post-surgical consultations, wound care, rehabilitation.
  • Pain management: chronic and acute pain, back pain, joint pain, post-traumatic pain syndromes.
  • Cardiovascular health: hypertension, cholesterol control, risk assessment for heart disease.
  • Preventive medicine: regular check-ups, health screenings, long-term management of chronic conditions.

Dr. Horobets combines evidence-based medicine with a patient-centred approach. He carefully evaluates each patient’s medical history and symptoms, offering clear explanations and structured treatment plans adapted to individual needs.

Whether you need help managing diabetes, tackling weight-related health issues, interpreting lab results, or receiving general family medicine support, Dr. Horobets provides professional online care tailored to your specific health goals.

Camera Book a video appointment
€60

Frequently Asked Questions

Is a prescription required for PARACODINA 2.4 mg/ml SYRUP?
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.
What is the active substance in PARACODINA 2.4 mg/ml SYRUP?
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.
Who manufactures PARACODINA 2.4 mg/ml SYRUP?
PARACODINA 2.4 mg/ml SYRUP is manufactured by Teofarma S.R.L.. Pharmacy brands and packaging may differ depending on the distributor.
Which doctors can assess the use of PARACODINA 2.4 mg/ml SYRUP online?
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.
What are the alternatives to PARACODINA 2.4 mg/ml SYRUP?
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.
bg-pattern-dark

Stay informed about Oladoctor

News about new services, product updates and useful information for patients.

Follow us on social media