For long term use consider prescribing "when required" codeine separately
Paracetamol and dihydrocodeine (Co-dydramol®)
Dihydrocodeine 10mg and Paracetamol 500mg
NB other strengths of co-dydramol now available
Codeine-containing medicines should only be used in children over 12 years old to treat acute (short lived) moderate pain, and only if it cannot be relieved by other painkillers such as paracetamol or ibuprofen. Contra-indicated in any patient under 18 years old who undergoes the removal of tonsils or adenoids for the treatment of sleep apnoea. Not recommended in 12-18 yr olds with breathing problems.