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Codeine Sulfate 15 mg Rectal Suppositories

Codeine Sulfate 15 mg Rectal Suppositories are a solid dosage form designed for insertion into the rectum, where they dissolve or melt to release medication for systemic absorption. This formulation is primarily used to manage moderate to severe pain and can also be utilized in the treatment of cough and diarrhea. By providing an alternative route of administration, these suppositories offer an effective option for patients who may have difficulty swallowing oral medications or require rapid relief.

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Codeine Sulfate
Suppository
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Formula Information

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Codeine Sulfate 15 mg Rectal Suppositories provide a valuable alternative for pain management in patients who are unable to take medications orally. This solid dosage form is designed to be inserted into the rectum, where it dissolves or melts, allowing the medication to be absorbed through the rectal mucosa into the systemic circulation. This route bypasses the gastrointestinal tract, making it particularly beneficial for patients experiencing nausea, vomiting, or difficulty swallowing.

Codeine is an opioid analgesic that works by binding to specific receptors in the central nervous system, altering the perception of and response to pain. It is effective in treating mild to moderate pain and can also exhibit antitussive (cough suppressant) properties. The rectal administration of codeine provides a steady absorption rate, which can lead to consistent and sustained pain relief.

For patients, it is important to use this medication exactly as prescribed by a healthcare professional. Before inserting the suppository, hands should be washed thoroughly. If possible, emptying the bowels can enhance absorption. The suppository should be unwrapped and gently inserted into the rectum pointed end

Drug Interactions

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Codeine sulfate is an opioid analgesic that is used to treat mild to moderate pain. When formulated as a rectal suppository, it is inserted into the rectum where it dissolves or melts, allowing the medication to be absorbed into the bloodstream for systemic effects. This route of administration can be particularly useful for patients who are unable to take oral medications due to nausea, vomiting, or difficulty swallowing.

Patients and prescribers should be aware of potential drug interactions when using codeine sulfate rectal suppositories. Codeine is metabolized in the liver by the cytochrome P450 enzyme CYP2D6. Medications that inhibit or induce this enzyme can alter the metabolism of codeine, potentially leading to increased side effects or reduced efficacy. For example, strong CYP2D6 inhibitors such as fluoxetine, paroxetine, and quinidine can decrease the conversion of codeine to its active metabolite, morphine, reducing its analgesic effect. Conversely, CYP2D6 inducers may increase the conversion rate, potentially leading to enhanced effects and increased risk of side effects.

Concomitant use of other central nervous system (CNS) depressants, such as benzodiazepines, other opioids, alcohol, or sedative-hypnotics, can result in additive CNS depression. This can lead to profound sedation, respiratory depression, coma, or even death. It is crucial to assess the patient's medication regimen for any CNS depressants and adjust dosages accordingly or consider alternative therapies.

Codeine sulfate may also interact with monoamine oxidase inhibitors (MAOIs), which are used to treat depression and other psychiatric disorders. The combination can lead to serotonin syndrome, a potentially life-threatening condition characterized by symptoms such as agitation, hallucinations, rapid heart rate, and increased body temperature. Patients should avoid using codeine sulfate suppositories if they are currently taking MAOIs or have taken them within the last 14 days.

Additionally, codeine can interact with anticholinergic drugs, which may exacerbate constipation, a common side effect of opioids. Patients using medications with anticholinergic properties, such as certain antihistamines, tricyclic antidepressants, or medications for overactive bladder, should be monitored for increased constipation and other gastrointestinal side effects.

Patients with a history of substance abuse or addiction should use codeine sulfate with caution, as it has the potential for abuse and dependence. Prescribers should evaluate the patient's risk factors for opioid addiction and consider alternative pain management strategies if necessary.

It is important for both patients and prescribers to be aware of these potential drug interactions and to monitor for any adverse effects. If you have any questions or concerns about using codeine sulfate rectal suppositories, please reach out to us at Bayview Pharmacy for further guidance and support.

How Does it Work

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Codeine Sulfate 15 mg Rectal Suppositories are a specialized formulation designed to deliver the active ingredient, codeine sulfate, directly into the rectal cavity. This method of administration is particularly beneficial for patients who may have difficulty swallowing oral medications or for those who require an alternative route due to gastrointestinal issues. The suppository is a solid dosage form that, once inserted into the rectum, dissolves or melts at body temperature. This process allows the medication to be absorbed through the rectal mucosa, providing both local and systemic effects.

Codeine sulfate is an opioid analgesic, which means it works by binding to specific receptors in the brain and spinal cord, known as opioid receptors. This binding action alters the perception of pain and the emotional response to it, providing relief from moderate to severe pain. The rectal route of administration can offer a more rapid onset of action compared to oral administration, as it bypasses the first-pass metabolism in the liver, potentially leading to more efficient absorption and quicker relief of symptoms.

In addition to pain management, codeine sulfate can also have antitussive effects, meaning it can help suppress coughing. This makes it a versatile option for treating conditions where both pain and cough are present. However, it is important to note that the use of codeine should be carefully monitored due to its potential for dependence and abuse, as well as its side effects, which can include drowsiness, constipation, and respiratory depression.

For prescribers, it is crucial to assess the patient's overall health status, current medications, and history of opioid use before prescribing codeine sulfate suppositories. This ensures that the benefits outweigh the risks and that the patient is an appropriate candidate for this form of treatment. Patients should be instructed on the proper insertion technique to maximize the efficacy of the suppository and minimize discomfort. It is also important for patients to be aware of the potential side effects and to report any adverse reactions to their healthcare provider promptly.

If you have any questions about Codeine Sulfate 15 mg Rectal Suppositories or need further information on how this formulation can be used to treat specific conditions, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to provide guidance and support for both patients and prescribers.

Other Uses

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Codeine Sulfate 15 mg Rectal Suppositories are primarily used for the management of mild to moderate pain, particularly when oral administration is not feasible. However, this formulation may have other potential uses that could be beneficial for both patients and prescribers to consider. One such use is in the management of severe diarrhea, where codeine's constipating effects can be advantageous. By slowing down intestinal motility, codeine can help reduce the frequency and urgency of bowel movements, providing relief for patients suffering from debilitating diarrhea, especially when other treatments have failed or are not suitable.

Additionally, Codeine Sulfate Rectal Suppositories may be considered for use in palliative care settings. In patients with advanced illnesses, where oral administration of medications is often challenging due to nausea, vomiting, or difficulty swallowing, rectal suppositories offer an alternative route for systemic pain relief. This can be particularly beneficial in maintaining patient comfort and quality of life when other routes of administration are not viable.

Furthermore, in certain cases, codeine suppositories might be used off-label for the management of cough in patients who cannot tolerate oral medications. Codeine's antitussive properties can help suppress persistent coughing, providing relief and improving rest and recovery. However, it is crucial for prescribers to carefully evaluate the risk-benefit profile for each patient, considering factors such as potential for abuse, tolerance, and the patient's overall health status.

As with any medication, it is important for both patients and prescribers to be aware of the potential side effects and interactions associated with codeine use. Common side effects may include dizziness, sedation, and constipation, while more serious risks involve respiratory depression and potential for dependence. Patients should be monitored closely, and prescribers should ensure that the benefits of using codeine suppositories outweigh the risks for each individual case.

If you have any questions or need further information about the use of Codeine Sulfate 15 mg Rectal Suppositories, please do not hesitate to reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to assist you with any inquiries or concerns you may have.

Frequently Asked Questions

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What is Codeine Sulfate 15 mg Rectal Suppository used for?

Codeine Sulfate 15 mg Rectal Suppositories are used to relieve mild to moderate pain. They may also be used in certain cases to manage cough or diarrhea, as prescribed by a healthcare provider.

How do I use a Codeine Sulfate Rectal Suppository?

To use a Codeine Sulfate Rectal Suppository, wash your hands thoroughly, remove the wrapper, and gently insert the suppository into the rectum. It is best to lie on your side with one leg bent to make insertion easier. Remain lying down for a few minutes to ensure the suppository stays in place.

How does a rectal suppository work?

A rectal suppository is a solid dosage form that is inserted into the rectum, where it dissolves or melts to release medication. This allows the medication to be absorbed into the bloodstream for systemic effects or to act locally in the rectal area.

What should I do if I miss a dose?

If you miss a dose of Codeine Sulfate Rectal Suppository, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular dosing schedule. Do not double the dose to catch up.

Are there any side effects associated with Codeine Sulfate Rectal Suppositories?

Common side effects may include dizziness, drowsiness, constipation, nausea, and vomiting. If you experience severe side effects such as difficulty breathing, severe drowsiness, or allergic reactions, seek medical attention immediately.

Can I use Codeine Sulfate Rectal Suppositories if I am pregnant or breastfeeding?

Codeine can pass into breast milk and may harm a nursing baby. It is important to consult your healthcare provider before using this medication if you are pregnant or breastfeeding.

How should I store Codeine Sulfate Rectal Suppositories?

Store Codeine Sulfate Rectal Suppositories at room temperature, away from moisture and heat. Keep them out of reach of children and pets.

Can I use other medications while using Codeine Sulfate Rectal Suppositories?

Before using other medications, including over-the-counter drugs and supplements, consult your healthcare provider. Codeine can interact with other medications, potentially causing harmful effects.

What should I do in case of an overdose?

If you suspect an overdose of Codeine Sulfate Rectal Suppositories, seek emergency medical attention immediately. Symptoms of overdose may include extreme drowsiness, confusion, cold and clammy skin, slow heart rate, and difficulty breathing.

Who should not use Codeine Sulfate Rectal Suppositories?

Individuals with a known allergy to codeine or any of the ingredients in the suppository should not use this medication. Additionally, it should not be used by individuals with certain medical conditions such as severe asthma, respiratory depression, or bowel obstruction without consulting a healthcare provider.

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Formulas and/or material listed are not to be interpreted as a promise, guarantee or claim of therapeutic efficacy or safety. The information contained herein is not intended to replace or substitute for conventional medical care, or encourage its abandonment. Every patient is unique, and formulas should be adjusted to meet their individual needs.

No compounded medications are reviewed by the FDA for safety or efficacy.