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Date: 26.03.2010
From: Verity

Subject: Dihydrocodeine advice

Hi guys!

Got put on Tramadol the other week and was taking 50mg 4 times a day. They didn't help after about the 2nd day. So when Im desperate Ive been taking two at a time in the hope that it'll help more! Yesterday tried some dihydrocodeine and it really helped (my cousin takes it who has arthritis and missing discs etc). Ive spoken to the doc today and shes increased my Tramadol to 100mg 4 times a day and in the evenings I asked for dihydrocodeine. She tols me that they were exactly the same as the 30/500 co-codamol. This surprised me coz the 30/500's don't really touch me anymore (which is why i went up to tramadol). She also said that to just keep it to the evenings for now so I don't become too dependent bla bla bla. Now what I don't understand is, if theyre the same as the 30/500's, howcome I didnt get addicted to the co-codamol? and howcome the dihydrocodeine actually works?!?!? (last night after taking it I was quite out of it)

Any comments, advice or opinions would be appreciated! lol

Cheers guys xx
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Date: 26.03.2010
From: Sally

Subject: Re: Dihydrocodeine advice

hi verity,
Dihydracodeine is a different drug to cocodamol. It might be the same strength but can work differently. I prefer it and find it better. There is a national protocol for pain relief which is, as far as I remember: Paracetamol, plus codeine, plus tramadol. You start on the first one and add in the others if it is not enough. You can be on all of them. Lots of docs don't seem to implement this protocol which is a shame for people in lots of pain. Obviously, you can't take co-codamol and diydrocodeine with paracetamol as it has it in already.

I've taken dozens of meds over the years and never got addicted to any of them. Stop them when I want. Not everyone does get addicted. Also, if you are in pain, what is the problem with being dependent on painkillers? You wouldn't be taking them if you didn't need to!! I used to have a really good doctor years ago who told me there is no reason for people to be in pain in this day and age as the drugs are so good. I wish more were like him.
xx
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Date: 26.03.2010
From: Verity

Subject: Re: Dihydrocodeine advice

Hi Sally, after having a look online I got the impression that they are just different although I couldn't finda hell of a lot that compares the two. My doc said that theyre the same and that I prob just had a placebo effect! Im sorry, but I know when Im in pain and when Im not! And the dihydrocodeine flippin helped!

Same story again isn't it....... Everyones different! x
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Date: 26.03.2010
From: sally

Subject: Re: Dihydrocodeine advice

hi Verity, I can't believe your doc said that! What a patronising remark!! There is a difference. As far as I am aware codeine is a natural opiate and dihydracodeine is man made. Also, I take co-dydramol which is 10mg dihydracodeine and paracetamol. Maybe it's the addition of paracetamol that helps its effectiveness....? It is known that stronger drugs along with paracetamol offer more pain relief than just the opiates themselves. They also always ask me which drug I prefer and I don't have any trouble getting it. Have you been offered co-drydamol? Why don't you get a prescription from your rheumy and then the gp will have to prescribe it for you. I can't imagine that dihydracodeine is any worse for you than tramadol!
xx
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Date: 26.03.2010
From: Verity

Subject: Re: Dihydrocodeine advice

I havent tried co-dydramol yet. Im takin 60mg of dihydrocodeine at night and 100mg tramadol 2 or3 times in the day. The DHC seems to have helped a bit so gonna see how it goes. I think I actually would rattle if ya shook me lol

xx
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Date: 26.03.2010
From: Sally

Subject: Re: Dihydrocodeine advice

perhaps the codydramol wouldn't be enough for you! Glad something is working for you :)
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Date: 26.03.2010
From: Verity

Subject: Re: Dihydrocodeine advice

aye, even just a little bit of relief is something isn't it. Hope youre OK xx
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Date: 26.03.2010
From: sally

Subject: Re: Dihydrocodeine advice

yeah, I'm fine thanks. Bit achy but nothing too bad. Glad it's the weekend!
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Date: 27.03.2010
From: Abbie

Subject: Re: Dihydrocodeine advice

Before it all stopped working and I was put on the morphine this week I was on Co Dydramol 4 times a day and Tramadol just as a top up mainly at night when i'd had all my co Dydramol doses. Before this was on Co Codamol and it did nothing and yes they are different! I did get bad withdrawals If I went without the co Dydramol though but this Monday went straight from co Dydramol to morphine without a problem. Think it's a good idea to get your Rheumy to prescribe ur script. Good luck hun! X
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Date: 27.03.2010
From: Verity

Subject: Re: Dihydrocodeine advice

Hey Abbie, how much tramadol did ya take? And what was the dosage of the co dydramol? Was speakin to sally and she said there was only 10 mg in hers?
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Date: 27.03.2010
From: Verity

Subject: Re: Dihydrocodeine advice

of dihydrocodeine I mean!
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Date: 29.03.2010
From: Abbie

Subject: Re: Dihydrocodeine advice

Hi Verity! Sorry for not getting back quicker. Then Tramadol I was taking was x2 tablets so 100mg and was allowed up to 4 doses a day. The Co dydramol was two pills so 20mg dyhydracodine/1g paracetamol. I was able to take up to 4 doses of that a day also.
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Date: 29.03.2010
From: Sally

Subject: Re: Dihydrocodeine advice

that's interesting Abbie as I was told not to take Tramadol and co dydramol together! Nice to know I can :)
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Date: 31.03.2010
From: Abbie

Subject: Re: Dihydrocodeine advice

I was alternating them at 2hrly intervals If pain was bad so Co D at 10am, tram at 12pm, co D at 2pm tram at 4pm and so on. If pain not so bad just Co D 4hrly (it worked better for me than tram) then tram with my Co D at bedtime. I hope this hasn't been too confusing for you lol XXX
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Date: 21.04.2010
From: Patricia Treacher

Subject: Re: Dihydrocodeine advice

Sirs, My sister has been on Dihyrocodeine for a crumbling back for many years. She also has arthritus. Dihydocodeine stops the pain of arthritus for a few hours. But her gp has now stated that she cannot take dihydrocodeine as they are too strong. Can you advise on how to obtain Dihydrocodeine.
Sincerely Trish Treacher
ptreacher@hotmail.co.uk
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Date: 21.04.2010
From: Verity

Subject: Re: Dihydrocodeine advice

Hey Patricia,

Is the DHC affecting her in a negative way? I cant understand why they would take her off something that works if it wasn't having a negative effect. You could always try seeing a different GP? Or what about a specialist consultant? Does she have one? Surely they will give adequate pain relief.

Take care xx
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Date: 21.04.2010
From: Jill

Subject: Re: Dihydrocodeine advice

Hi Patricia, welcome, has your sister seen a rhumatologist for her back?, my back is terrible have DDD, and having a 2nd spine op, as discs r crumbling away, however, Im aware that there r other parts of the spine that can crumble, I do think tho, that she shld be seen by a specialist, she must be in agony! let us know how sh3e get son thankd Jill
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Date: 17.04.2012
From: Linda

Subject: Re: Dihydrocodeine advice

My gp of about 25 years and knew me really well and kows im not a malingerer retired recently and the new gp who has taken over is really giving me a hard time. Id been suffering pain for ages when my gp done a blood test which indicated i may be developing ra. Refered to rhym who checked me over and said he did not think it was ra but deff oa. I had previously suffered tennis elbow and bursitis on my right side within months of each other and still get pain in these areas. I have pain in small bones in both feet, both knees, lower back, right hip, right shoulder and both hands. My own gp treated with cocodamol. Ive seen a couple of locums due to ongoing pain and been given dihydracodene then tramadol. Then i was given a slow release tramadol 100mg morning and night and this worked really well. I was to go back to this new gp and tell her how i was coping with this and when i told her how well I was doing she suggested paretail which does not touch the pain but which she recons is the best treatment for oa. She then went on to say if i find tramadol working well I should just take the ordinary one as the slow release is much more expensive. Think she's more interested in cost rather than patient care.
Sorry to vent.
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Date: 17.04.2012
From: marlene

Subject: Re: Dihydrocodeine advice

Hi Linda, i don't blame you one bit for venting off. How dare she even mention the cost???? Just one day in your shoes!!!! I bet she wouldn't count the cost then. Don't let them change your pain meds when you are doing so well. I also suffer from OA in most joints and have had two surgeries one being back and the other elbow. No its not just older people that get OA as you are probably aware.
Now I will get off my soapbox LOL. Take Care and I hope you stay doing well.
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Date: 18.04.2012
From: bsk

Subject: Re: Dihydrocodeine advice

Hi Linda, unfortunately, with the changes in the NHS, the GPs are in charge of the budget and they can prescribe cheaper drugs if they want. I think we will all see more and more of this.
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Date: 18.04.2012
From: marlene

Subject: Re: Dihydrocodeine advice

I know it is all about budget but, slow release tramadol is different to the normal tramadol capsules. Taking away patients meds that work well for something that doesn't touch the pain is outrageous. Cheaper meds are fine as long as they work. Some branded drugs are cheaper from different suppliers and this is fair enough, but changing to a lesser pain med is not fair at all. I am fully aware of all the cut backs but I am also aware this goverment could cut back on many other things rather than the NHS.
I would be furious if my GP mentioned cost and I would voice my opinion very loudy, I have paid all my dues and now expect like many other to be rewarded with medical help no matter what the cost. Sorry about my views but I have strong ones on this!!!!
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Date: 18.04.2012
From: Linda

Subject: Re: Dihydrocodeine advice

Thanks for the support guys. I live in Scotland where prescription meds are free for all so that could be why she is concerned about costs but I've worked full time all my adult life and paid into the system. Iv taken the decision to change my gp and go to the gp who was my original docs partner.
Good luck to all in your quest for a comfy life
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Date: 18.04.2012
From: bsk

Subject: Re: Dihydrocodeine advice

Marlene, I don't sanction it by any means!
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Date: 18.04.2012
From: marlene

Subject: Re: Dihydrocodeine advice

Hi Linda, Sorry you have to change Gp but if you are not happy I think you are right.Take Care.
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Date: 06.05.2013
From: bawbag

Subject: Re: Dihydrocodeine advice

Codeine is the dogsbaws btw man, am pure burst
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Date: 06.05.2013
From: marlene

Subject: Re: Dihydrocodeine advice

I am not sure what the last post is about?????
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Date: 12.05.2013
From: Ron.

Subject: Re: Dihydrocodeine advice

What a lot of good advice all you guys relate. I take DF118 for OA and appreciate my now doctor has prescribed me them. I like Linda had my doctor, Scotland, retiring after me seeing him for twenty years so subsequently I had to see another doctor in the practice who stopped my prescription for DF118 saying they are toxic and not good for me. Although I had taken them for over twenty years, he went on to prescribe me tramadol which unfortunately didn't help; this doctor was young and new to the practice but although he meant well I was the one in agonizing pain and only able to walk with the aid of a walking stick. Happily I am now on DF118 again after seeing a long time doctor who took my condition more seriously and boy! am I glad.
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Date: 22.05.2013
From: Patsy

Subject: Re: Dihydrocodeine advice

Hi everyone, my doc really cautious bout meds and has dropped mine frm 100 mg tramadol to 50mg. Im in agony most of the tme now. Even before he put me on them he stated how he hated them as they are highly addictive. I thought yea alright for you but walk a day in my shoes.Its now 4:15 am and i havent slept a wink due to my knees and back. Any suggestions bar taking my gp hostage?
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Date: 22.05.2013
From: marlene

Subject: Re: Dihydrocodeine advice

Hi Patsy, you need to talk to your GP again and ask for a pain plan. You can take something along with your tramadol. I take 50mg Tramadol along with Co-Dydramol I find this extra boost very helpful when the the pain is bad. Good luck
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Date: 22.05.2013
From: Patsy

Subject: Re: Dihydrocodeine advice

Thanks Marlene i might just do that. I think cuz my past history of alcohol abuse its affecting how he treats me. Want pills for pain not to get high. He's very hard to talk to, when i tried to discuss RA with him he got very lofty and superior. I was just asking general questions.
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Date: 22.05.2013
From: marlene

Subject: Re: Dihydrocodeine advice

Hi Patsy, you could be right that your GP is being cautious. I t will only be that he has your best interest at heart. Some of the pain killers can become addictive. Do you have another GP at the practice you could talk to.
Do you not have a Rhumy Dr at the hospital you could talk to about your concerns with the RA.
Do you take anything else at all apart from pain meds?
I know it must be frustrating for you but Patsy your GP is only looking out for you!
I hope you get sorted soon because being in pain is awful for anyone. Take care and chin up you will get sorted xx
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Date: 24.05.2013
From: Patsy

Subject: Re: Dihydrocodeine advice

Yes im aware they can be addictive Marlene but i dont really see any other alternative at this point. I also dont think i deserve to be allowed to suffer because of past issues that i dealt with a long time ago. I understand addiction better than most so im well equipped to discuss further with him. Thanks for the support though Marlene. X
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Date: 24.05.2013
From: bsk

Subject: Re: Dihydrocodeine advice

Hi Patsy, could you ask for a referral to a pain clinic? I've heard they can be helpful in sorting out pain control. I think you could argue that you need to be under a clinic because of your past addiction! How can he refuse lol!

Although pain meds can become addictive they don't if they are used properly and your GP should know that. You shouldn't be suffering pain because of his ignorance. I don't think many of them understand addiction or management of pain properly. One of my gps (most of them are great) told me not to take any painkillers at one point because my liver results were high. I couldn't walk or sleep a wink and, in the end, he decided the liver results weren't that bad so I suffered for nothing.
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Date: 24.05.2013
From: marlene

Subject: Re: Dihydrocodeine advice

Hi Patsy, you sound like a lady that is well clued up. Your GP must listen to you and provide you with a good pain relief. I know they are the qualified ones but they don't always understand what is best for us.
I have to go back to my GP although I have good painkillers they are not touching my pain at the moment so I understand where you are coming from.
You are right you don't deserve to be left to suffer at all. You need to be assertive and tell your GP exactly how you feel, tell him you feel like you are being ignored because of your past. Can I also say well done you!!!!
Patsy I do hope you get some help soon. Take care sweetheart. xx
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Date: 25.05.2013
From: Wayne

Subject: Re: Dihydrocodeine advice

Hi Patsy,
Ref: to the pain clinic just might pay off for you and anyone else who is having problems with their Doctor not seeing your pain from your point of view. At the pain clinic I once attended the Doctor told me, we patients, are the experts on pain as we experience it; with trying certain drugs we should be able to come to a decision on the appropriate medication to use.

I remember being prescribed Df118 & Tramadol together, DF118 8x30mgs daily and Tramadol 8x 50mgs daily and honestly I felt well, slept well for the first time in 12 years and was almost pain free. I stayed on them for 6 years but a new Doctor on the block said, they ain't good for you and stopped the DF118. So again I was back on the pain-train and am still on it suffering from osteoarthritis which is bad. Now I medicate myself and am doing better. X
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Date: 27.05.2013
From: Patsy

Subject: Re: Dihydrocodeine advice

Thanks for advice everyone. Good to hear everyones experience cuz sometmes you feel very alone with ur pain. Past few days i've been bad with knees and exhausted now at this stage. Going call Rheumy and see what he says first. Xxx
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Date: 11.07.2013
From: elizasbeth

Subject: Re: Dihydrocodeine advice

Can you take co-codamol with dehydracodiene I'm taking both?
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Date: 26.12.2013
From: Zla

Subject: Re: Dihydrocodeine advice

hi all, new to this forum.
i have been suffering from AS now for several years and was taking Arcoxia for most of them to ease the pain, this was topped up with co-codamol when needed, this was fine until something caused a heart attack! after this they stopped the arcoxia and left me on co-codamol. this has been ok for most of the pain episodes....but sometimes this is not enough. a friend who had his hips replaced gave me a pack of dihydrocodeine and said i would be ok to take one of these along with a couple of the co-codamol? has anyone ever had experience of having these together? i dont wanna ask my gp as he will just say i should not take other peoples meds. i have been prescribed DHC continus from the my gp before so i know i am ok with dhc, just wanted to know if they are ok to take together?
the doses are/would be 30/500 x 2 co codamol and 30 x 1 DHC
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Date: 27.12.2013
From: bsk

Subject: Re: Dihydrocodeine advice

Hi Zla, None of us are medially trained and we don't know what other drugs you are on. You really need to run this past a medical professional as there may be a reason you can't take it any longer.
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Date: 27.12.2013
From: Zla

Subject: Re: Dihydrocodeine advice

Hi bsk, thanks for the reply, the reason i cant take the arcoxia is due to the heart attack, i am on heart medication now, aspirin beta blockers and blood pressure tabs. i was taking 30/500 co-codamol with 30mg of codeine but i cant get them of the gp now as he says co-codamol should be enough....it is 99% of the time, there is just other times when it is not, that when i used to take the extra codeine to give it a boost. most days i am ok with 30/500. i must admit, since writing this the pain got too bad and i just took the dhc with the 30/500, it did the trick, i will now be able to get to sleep now and should be ok to go back to just having the 30/500s now until the next time i have a bad pain issue - hopefully get at least a month before it comes back again.
anyways, thanks for listening.
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Date: 27.12.2013
From: Colin W

Subject: Re: Dihydrocodeine advice

Hi Zia , agree with bsk & you should check with a professional , there is so much else they can give you to treat your AS or treat the pain
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Date: 27.12.2013
From: marlene

Subject: Re: Dihydrocodeine advice

Hi Zia, I can understand your frustration but please don't take other peoples medication. I guess your friend is trying to help but some meds can interfere with others please be careful.
Go to your GP and be a bit tougher and tell them you really have to have a back up pain med for the worst times.
Take care Zia and I hope your pain is easier today. x
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Date: 28.12.2013
From: Zla

Subject: Re: Dihydrocodeine advice

Hi all, thanks for your advice, i will make an appt with gp, but will have to wait till monday now. as for the meds i took last night. that was the first time i have slept all night in a very long time and today has been the first day i have not taken any co-codamol???
i will keep you all posted on his reactions.
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Date: 29.12.2013
From: Zla

Subject: Re: Dihydrocodeine advice

ok, pain free didnt last long, back to the meds. gonna go see the doc tomorrow, see what he says.
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Date: 04.01.2014
From: Zla

Subject: Re: Dihydrocodeine advice

went to see the GP, i now have a new one !!
She was very nice, listened to what i had to say, was very sympathetic and said i should not put up with the pain when there are meds out there to help us!
breath of fresh air she was.
she has tried me on tramadol for when the pain gets to bad that the co-codamol does not work. i have not had to try them yet as i am coping on the co-codamol at the mo. she has asked me to get back to her after i have tried them to let her know if they are to much.....or not enough.
will keep you all posted.
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Date: 13.02.2015
From: Harold

Subject: Re: Dihydrocodeine advice

Would dehydrecodeine show the same as co codamal on a swab drug test if only took 2 the day before
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Date: 11.04.2016
From: Stephen G

Subject: Re: Dihydrocodeine advice

Hi everyone
I've just been given a prescription last week for 8-30mg daily of DHC. Off my new doctor as my old doctor thought I was lying about the pain in my lower back and both knees, as I am a ex drug user and still prescribed methadone 40ml daily, my old doctor wouldn't even give me a xray, I knew something was wrong, my new doctor got me xrayed and prescribed me straight away and it really helps my moderate arthritis.
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Date: 11.04.2016
From: lucy

Subject: Re: Dihydrocodeine advice

That's good that they are helping you Stephen, and pleased that the new doctor seen sense and got you an x-ray.
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Date: 25.04.2016
From: Adam

Subject: Re: Dihydrocodeine advice

I've been taking incapsulated a variety of 30 different fruits, vegetables and berries for the past 8 months and my arthritis is hardly an issue anymore. This is because of all the nutrients and berries reduce inflammation. Hope this helps everyone.
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Date: 05.07.2016
From: Hilary Embling

Subject: 065960

I am taking this medicine as I have Osteoarthritis,it seems to take the edge off my pain,thankgoodness.The thing I worry about is for the last 4 weeks I have been waking up at about 2am screaming in a sit up position.It frighteneds me any advice.
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Date: 03.10.2017
From: Lissypie

Subject: Re: Dihydrocodeine advice

I take 10/500 co-dydromol 8 a day f0r athritis it does help have tried all the others tramadol did nothing for me is this a safe dose
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Date: 01.11.2017
From: Jules

Subject: Re: Dihydrocodeine advice

No, as they both contain paracetamol.
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Date: 09.12.2017
From: Laura

Subject: Re: Dihydrocodeine advice

Hey I'm looking for some advice on dihydracodeine as well.
I had a suggestion from the pain clinic I attended to try dihydracodeine with amitrypline instead of cocodamol and the amitrypiline.

I was on 30/500 cocodomal and the gp has changed it to 10/500 dihydracodeine.
Is it stronger or something?
( I have really bad joints, they come out of place and its bringing on arthritis early)
Am I better sticking with the cocodomal?
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Date: 08.08.2018
From: Jojo

Subject: 930790

Hi..
Does anyone have any dyhidrocodeine they want to sell
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Date: 12.08.2018
From: disgusted

Subject: Re: Dihydrocodeine advice

this is not a place to ask that sort of question. Go to your GP.
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