Relevant answers to your frequent questions...

Codeine: Frequently Asked Questions

Does ALEVE contain codeine?

ALEVE does not contain codeine. ALEVE should not be taken with codeine or any codeine-containing product except under the supervision of a doctor. ALEVE is a non-narcotic pain reliever.

What is the difference between morphine, heroin and codeine?

Chemically speaking - nothing. All three of these drugs are derived from opium or the opium chemical structure and are in the Opiate class of drugs. The difference is primarily in the manner in which opium is refined or synthetically manufactured and the form and method of delivery.
Chemically, nothing. All three of these drugs are derived from opium or the opium chemical structure and are in the Opiate class of drugs. The difference is primarily in the manner in which opium is refined or synthetically manufactured and the form and method of delivery.
Source: bp.kmdc.ru
Chemically, nothing. All three of these drugs are derived from opium or the opium chemical structure and are in the opiate class of drugs. The difference is primarily in the manner in which opium is refined or synthetically manufactured and the form and method of delivery. Heroin is quickly metabolized to morphine. The body also changes codeine (used in some cold medicines) to morphine. Thus, the presence of morphine in the urine indicates heroin, morphine and/or codeine use.

Can medications with codeine be shipped to the US?

A Some codeine products are available in Canada or other countries without a prescription, but it is against those countries law to export narcotics. Codeine is considered a narcotic. Also, it is illegal to ship non-approved FDA drugs like codeine into the US.
Although some codeine products are available in Canada without a prescription, it is against Canadian law to export narcotics. Codeine is considered a narcotic. Your free drug discount charge card will provide you with discounts at your local US pharmacies.
Some codeine products are available in Canada without a prescription, but it is against Canadian law to export narcotics. Codeine is considered a narcotic. Also, it is illegal to ship non-approved FDA drugs like codeine into the US.

Can it differentiate between heroin and codeine?

As with other On-Site and laboratory immunoassay screening tests, the screen is designed to detect all opiates and will give positive results for many of the opiate family. A confirmation test will allow the differentiation between heroin and OTC (over the counter) medicines.

What about testing for codeine and morphine?

Codeine and morphine are an opiate. When using either an iCup (4 panel or more) or Oral Fluids test, it will detect the use of codeine and/or morphine.

Can medications with codeine be shipped outside Canada?

A Some codeine products are available in Canada without a prescription, but it is against Canadian law to export narcotics. Codeine is considered a narcotic. Also, it is illegal to ship controlled drugs like codeine outside Canada.

Q) What is Codeine?

A) Codeine is a member of the drug class opiates . Opiates include all naturally occurring drugs with morphine-like effects such as codeine and all semi and fully synthetic drugs with morphine-like effects such as heroin and meperidine (Demerol). Codeine was first discovered as a natural constituent of opium in very small concentrations, in the range of 0.7% - 2.5% by weight. Most codeine found in pharmaceutical products today is synthetically produced via the methylation of morphine

What about positive opiate results from codeine?

Codeine is an opiate, so it can cause a positive opiates test result. Ask about painkillers or cough mixture use, which both contain codeine, before testing. Our tests use an opiates 2000 test that has higher cut-off level than the usual 300 test, and is unlikely to detect normal dosage level.

Why can’t I buy Valium, Codeine or similar drugs?

AffordMeds does not handle habit forming or narcotic pharmaceuticals. These types of drugs are known as controlled substances. AffordMeds’s mission is to provide safe and affordable chronic care medicines that improve quality of life.

Q) What are the effects of Codeine addiction?

A) Codeine is absorbed quickly from the GI tract and it's first pass through the liver results in very little loss of the drug. This contrasts with morphine in which over 90% of the drug is metabolized in the first pass through the liver resulting in a considerable loss of potency when administered orally. Narcotics induce an "opioid analgesia" by altering the perception of pain at the spinal cord and brain. They also affect emotional responses to pain. ...

Q) How is Codeine used?

A) Codeine can be administered orally (PO), subcutaneously (SC), intramuscularly (IM) and rectally (PR). Codeine cannot be safely administered by an intravenous (IV) injection as it may result in pulmonary oedema, facial swelling, dangerous release of histamines, and various cardiovascular effects. It cannot be administered intranasally (snorting). Codeine free base can be smoked on the aluminum foil ("chasing the dragon") similarly to smoking heroin

Q) What is Codeine addiction?

A) Addiction is a major risk with prolonged use (over 2-3 weeks) of narcotics. Even moderate doses of some narcotics can result in a fatal overdose. When increasing doses of narcotics, the person may first feel restless and nauseous and then progress to loss of consciousness and abnormal breathing. Other risks include withdrawal symptoms that may last for months. Addictive drugs activate the brain’s reward systems. ...
A) Addiction is a major risk with prolonged use (over 2-3 weeks) of narcotics. Even moderate doses of some narcotics can result in a fatal overdose. When increasing doses of narcotics, the person may first feel restless and nauseous and then progress to loss of consciousness and abnormal breathing. Other risks include withdrawal symptoms that may last for months. Addictive drugs activate the brain’s reward systems. ...

Can buprenorphine be used to treat addiction to prescription pain relievers, such as oxycodone or codeine?

Prescription pain relievers like oxycodone and codeine are opioids. Buprenorphine is used to treat addiction to opioids. Buprenorphine prevents withdrawal symptoms so that a person can stop taking the opioid drug to which he or she is addicted. A doctor who is qualified in the use of buprenorphine can determine if it is a good choice for a patient who is addicted to opioid pain relievers.
Prescription pain relievers like oxycodone and codeine are opioids. Buprenorphine is used to treat addiction to opioids. Buprenorphine prevents withdrawal symptoms so that a person can stop taking the opioid drug to which he or she is addicted. A doctor who is qualified in the use of buprenorphine can determine if it is a good choice for a patient who is addicted to opioid pain relievers. ...

Is it true that Extra Strength Bayer Aspirin is as strong as Tylenol® with Codeine #3?

Yes, it's true. Clinical testing (in dental and headache pain) has shown that two ESB Gelcaps are just as effective on tough pain as Tylenol with Codeine #3 in the most prescribed dosage. No over-the-counter pain reliever is more effective at powering away your toughest pain.

How much damage is being done to a person who is on morphine, drinks and is on tylenol with codeine plus regular medication?

I can't say specifically....it would depend how much, how often. A physician can assess the function of the liver by a blood test.

Do I need a controlled prescription (formerly triplicate/duplicate) to compound codeine 60 mg/5 ml in acetaminophen syrup?

Yes, the controlled prescription guidelines state that a controlled prescription is required for codeine when prescribed as a single entity or when included in a preparation containing 60 mg or more per dosage unit.

Do you sell narcotics or other controlled substances for pain (Hydrocodone, Oxycodone, Percocet, Codeine) sleep or tranquilizers?

No, we do NOT carry or sell any controlled prescription drugs. This type of medicine includes psychotropics, narcotics and anabolic steroids , male hormone.

Can we buy products containing codeine, such as 222, form your site if I live in USA ?

We cannot ship codeine containing medications to USA because of the US customs laws. Personal shopping and bringing home up to 3 month supply is fine, but not as mail orders.

Can we buy products containing codeine, such as 222, from your site if I live in USA ?

We cannot ship codeine containing medications to USA because of the US customs laws. Personal shopping and bringing home up to 3 month supply is fine, but not as mail orders.

I severely sprained my ankle and took a few of my husbands Tylenol 3 tablets with codeine to alleviate the pain. Is it true that I might test positive for drugs?

Codeine is an opiate metabolite and sufficient ingestion may cause a positive test for opiates. Under most circumstances, it is considered illicit use of drugs to ingest prescription medications originally prescribed for another individual.

Lonely Planet says that it is illegal to bring Codeine into the country and I use a prescription drug that contains codeine. Will I have any problems? Who can I contact to get the official ruling?

Nobody will put you in jail for having a drug with codeine in it and unless you tell them nobody will know. If you have a perscription you have nothing to worry about. E-mail Tom Mazarakis and he can give you the un-official ruling which will be closer to reality to further reassure you. This is what he says: " Don't worry about it. There are hundreds of drugs that are considered to be controlled substances in Greece, just as they are throughout the world. ...

I’ve had codeine, Vicodin, Percocet and Demerol before and they all make me sick to my stomach. What else can I take to relieve pain?

This is a problem. All oral narcotics will cause some nausea, especially if taken on an empty stomach. So always take prescription pain-relievers with plenty of liquid and/or some food. Also, the larger the dose of narcotic the more nausea, so try a smaller dose more frequently. You can even grind up the pill (two spoons work well) and put it in yogurt or applesauce, then eat this mix slowly over a period of half-an-hour. This problem is also why you should be taking ibuprofen as your “basic” pain reliever. ...

Some patients report no benefit of paracetamol / codeine combination over paracetamol alone. Is this true?

Yes this is correct, the analgesic activity of codeine codeine relates to its metabolism to morphine via cytochrome P450 2D6. Up to 10% of Caucasians and 2% of Asians are poor metabolisers of codeine to morphine and have no detectable analgesic effect from codeine. A number of commonly used medications inhibit this cytochrome system including SSRIs and haloperidol. 2 .My patient is nil-by-mouth, what is the dose of intravenous paracetamol relative to oral administration? ...
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