Is there anything to worry if use of Paracodin is long term?

In general, generally healthy patients can safely use dihydrocodeine for long periods of time under the care of a doctor. If you have chronic conditions you may want to review your use of this medicine with your doctor, especially if you have:

• liver problems
• kidney problems
• inactive thyroid (hypothyroidism)
• severe enlargement of a part of the heart (cor pulmonale)
• inflammation of the pancreas (pancreatitis)
• constipation or other bowel problems

The higher end of the dosing scale is most commonly used to treat pain, and using higher doses does put you at a higher risk for side effects. Common side effects are:

• constipation
• feeling sick
• abdominal pain
• drowsiness
• giddiness
• headache

Many patients do not experience side effects while taking this medicine. There is also concern that you may develop tolerance to analgesic effects over time and eventually need a higher dose. You should not adjust your dose without talking with your GP (general practitioner). If you are concerned about this medicine, if you are using it for other reasons than pain control, or if you think you may be experiencing side effect, please follow up with your GP to review your use of this medicine.