Codeine Phosphate is a prescription opioid medicine used to relieve mild to moderate pain, reduce cough, and occasionally to treat diarrhea. It belongs to a class of medications called opioid analgesics, which work by changing the way the brain and nervous system respond to pain.
Generic Name: Codeine Phosphate
Type: Opioid analgesic and antitussive (cough suppressant)
Form: Tablets, capsules, oral solution, or syrup
Common Strengths: 15 mg, 30 mg, and 60 mg per tablet or dose
Pain Relief
For short-term management of mild to moderate pain (e.g., injury, dental pain, post-surgery).
Often combined with paracetamol or ibuprofen for better effect (e.g., co-codamol).
Cough Suppressant
Reduces dry, irritating coughs by acting on the cough center in the brain.
Occasionally Used For
Treating diarrhea (off-label and not a primary use)
Codeine is converted in the liver into morphine, which binds to opioid receptors in the brain and spinal cord.
This blocks pain signals and reduces the urge to cough.
Drowsiness
Dizziness
Nausea or vomiting
Constipation
Dry mouth
Can cause breathing problems, especially in children or those with lung conditions.
Addiction, dependence, and tolerance can develop with long-term use.
Should not be used in children under 12 or during breastfeeding.
Avoid alcohol and other sedating drugs while taking codeine.
Take only as prescribed by your doctor.
Do not drive or operate machinery if you feel drowsy.
Store safely away from children to avoid accidental ingestion.
Do not share this medicine with others.
Codeine Phosphate (usually as Codeine Phosphate Hemihydrate)
– Common strengths: 15 mg, 30 mg, or 60 mg per tablet
– This is the active opioid compound responsible for pain relief and cough suppression.
These may vary by brand or manufacturer but typically include:
Lactose monohydrate – used as a filler or binder
Maize starch or pregelatinized starch – helps tablet disintegrate in the body
Povidone (PVP) – a binder to hold ingredients together
Magnesium stearate – a lubricant to prevent ingredients from sticking during manufacture
Talc – used as a flow agent or anti-caking agent
Colloidal anhydrous silica – improves powder flow
Stearic acid – lubricant in tablet formulation
Gelatin – sometimes used in capsule form
Lactose: Present in many formulations — may not be suitable for lactose-intolerant individuals.
Always check the patient information leaflet (PIL) or ask a pharmacist for the exact list of ingredients, especially if you have known allergies or intolerances.