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Dihydrocodeine belongs to a group of medicines called opioid analgesics. Dihydrocodeine is indicated for the relief of moderate to severe pain, and may be prescribed when other painkillers, such as paracetamol or ibuprofen have proved ineffective.

See Dihydrocodeine Tablets Patient Information Leaflet

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Dihydrocodeine Tablets
  • Unexpected weight loss
  • Change in bowel habit
  • Abnormal sweating
  • Unexpected bleeding
  • Feeling unwell in yourself
  • Pain or numbness in both your legs
  • Numbness in your anal area
  • Urinary incontinence
  • Faecal incontinence
  • Loss of sexual function in yourself

Where "0" is no pain and "10" is the worst pain you have ever had.


This includes:

  • X-Ray
  • MRI scan
  • CAT scan
  • Blood tests


  • site of the pain (e.g. arm, leg, wrist, headache)
  • frequency (e.g. continuous, stabbing aching)
  • type of pain (e.g. sharp, dull, tightness, stabbing or aching)

Please use a minimum of 30 words.

  • NSAIDs (Non-steroidal anti-inflammatory drugs) e.g. ibuprofen
  • Ketoconazole, itraconazole, posaconazole or voriconazole (used to treat infections caused by a fungus)
  • Digoxin (used to treat heart problems)
  • Diazepam (used to treat anxiety, relax muscles or in epilepsy) 
  • Ulipristal (used as emergency contraception or treatment for fibroids) 
  • Phenytoin or fosphenytoin (used in epilepsy) 
  • Medicines that are used to thin your blood, such as warfarin or other Vitamin K blockers. 
  • Rifampicin (used to treat tuberculosis) 
  • Atazanavir, rilpivirine, tripranavir, saquinavir, nelfinavir, raltegravir (used to treat hiv infection)
  • Ledipasvir (used for hepatitis c treatment) 
  • Ciclosporin or tacrolimus (in cases of organ transplantation) 
  • St John's Wort (hypericum perforatum) (used to treat mild depression) 
  • Cilostazol (used to treat intermittent claudication) 
  • Clopidogrel (used to prevent blood clots (thrombi)) 
  • Vitamin B12, cyanocobalamin, hydroxocobalamin erlotinib, dabrafenib, lapatinib or pazopanib (for cancer treatment)
  • Clarithromycin (an antibiotic)
  • Methotrexate (for cancer or rheumatoid arthritis treatment) 
  • Escitalopram (an antidepressant) 
  • Clozapine (for schizophrenia)

Have you taken opiates before? How effective were they?


For example:

  • physiotherapy
  • osteopathy
  • acupuncture
  • chiropractic

Exercise such as:

  • Yoga
  • Pilates
  • stretches
  • walking
  • cycling

Please note: we advise you to always inform your own GP when you purchase medication online.

We advise that you register with a GP as soon as possible. 

  • You will read the Patient Information Leaflet supplied with your medication
  • You will contact us and inform your GP of your medication if you experience any side effects of treatment, if you start new medication, or if your medical conditions change during treatment
  • The treatment is solely for your own use
  • You have answered all the above questions accurately and truthfully
  • You understand our doctors take your answers in good faith and base their prescribing decisions accordingly, and that incorrect information can be hazardous to your health
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Dihydrocodeine belongs to a group of medicines called opioid analgesics. Dihydrocodeine is indicated for the relief of moderate to severe pain, and may be prescribed when other painkillers, such as paracetamol or ibuprofen have proved ineffective.

See Dihydrocodeine Tablets Patient Information Leaflet


What is Dihydrocodeine and what does it do?

Dihydrocodeine belongs to a group of medicines called opioid analgesics. Dihydrocodeine is indicated for the relief of moderate to severe pain, and may be prescribed when other painkillers, such as paracetamol or ibuprofen have proved ineffective.

Opioid analgesics work by stimulating opiate receptors in the brain. When stimulated, these receptors reduce pain, however, they do not treat the cause of the pain.

When is Dihydrocodeine prescribed?

Dihydrocodeine may be prescribed to relieve mild to severe pain, for example due to sciatica, Paget’s disease and shingles. It is primarily prescribed when a milder painkiller has been tested but proved ineffective.

Chronic use of dihydrocodeine may lead to dependence and tolerance. It is important that you consult your doctor before stopping the treatment or adjusting the dose. Do not take for longer than instructed by the doctor.

Is Dihydrocodeine suitable for my condition?

This depends on your medical history and whether you are taking any other medication. Some conditions and medicines can affect the suitability of dihydrocodeine, and may lead to side effects and other health implications.

Dihydrocodeine may not be prescribed if any of the following applies to you:

  • If you are allergic to dihydrocodeine, any other opioid analgesic or any of the ingredients listed in the patient information leaflet.
  • If you have been told you have pheochromocytoma, a tumour of the adrenal gland near your kidney.
  • If you have severe problems with breathing.
  • If you are pregnant or breastfeeding.
  • If you have increased pressure of the brain or have just had a head injury.
  • If you are suffering from alcoholism, are at risk from a blocked intestine or severe stomach cramps caused by biliary colic.
  • If you have been told you have a liver disease or are suffering from severe diarrhoea.

It is important that you include any medical condition you may have, both diagnosed and undiagnosed when you fill in the medical questionnaire.

What is the recommended dosage of Dihydrocodeine?

You should follow the doctor’s instructions on how to take this medicine. The doses outlined below is for your reference only. Unless instructed differently by the doctor or pharmacist, take your tablet(s) with a glass of water.

Never exceed the stated dose.

Dihydrocodeine doses for adults:

The usual dose is one tablet (30mg) every four to six hours.

This dose should be reduced in elderly patients, if you have kidney or liver problems or have a medical condition.

The doctor will decide what dose is best for you based on the information you provide in the medical questionnaire. Never double the dose.Do not stop taking this medicine without telling your doctor first.

Does Dihydrocodeine cause any side effects?

All medicines can cause side effects, although not everyone gets them. Common side effects from taking dihydrocodeine include:

  • Drowsiness.
  • Feeling sick or being sick (vomiting).
  • Constipation.
  • Sweating.

You can find more information about side effect in the patient information leaflet. It is important that you familiarise yourself with the possible side effects of this medicine so that you know when to seek medical care.

Can I reduce the risk of getting side effects?

Yes. You should always read the patient information leaflet thoroughly before use as this can help reduce the risk of side effects and interactions between medicines. Below are a few things you can do:

  • Do not drink alcohol while taking dihydrocodeine tablets.
  • While filling in the medical questionnaire, remember to include any other medicines you are taking. Dihydrocodeine can affect how other medicines work, so it is important that you tell our doctors about all medicine you take. Don’t forget to also include over the counter medication and supplements.
  • Read through the patient information leaflet to find out whether to take the medicine with food or on empty stomach. Some medicines can cause stomach upset when taken on an empty stomach.

How do I buy Dihydrocodeine online?

To legally and safely buy dihydrocodeine online you need a prescription from a GMC (General Medical Council) registered doctor. Our online doctor service allows you to request a prescription through a medical questionnaire.

Once you have chosen your medicine and submitted the questionnaire, it will be reviewed by one of our doctors. If suitable, the doctor will accept your request and a prescription will be issued. Your medicine will then be dispensed by our UK pharmacy and sent by tracked delivery to your chosen address. Your medicine is usually dispatched within 24 hours after ordering.

Pain Relief & Addiction

Below information is for your reference only. If you believe you may have developed an addiction, please contact your GP or local drug treatment service. 

Always read the patient information leaflet for dihydrocodeine before use.

You may also want to read:

NHS Choices - Which painkiller?

NHS Choices - Living with pain

Please be aware that this type of medicine can cause addiction.
You can find more information about addiction and drug dependence below:

Action on Addiction - Prescription and over the counter drugs

NHS Choices - Drug addiction: getting help

Dosage instructions
Take ONE up to a max. of FOUR times per day. IF using more than this please visit your GP. Try to use in short spells