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Promethazine/Codeine

Promethazine/Codeine Side Effects

Robert Chad Hakim, PharmD, BCCCPAllison Gourley, PharmD
Reviewed by Robert Chad Hakim, PharmD, BCCCP, Allison Gourley, PharmD
Last reviewed on April 1, 2024

The following side effects may get better over time as your body gets used to the medication. Let your healthcare provider know immediately if you continue to experience these symptoms or if they worsen over time.

Common Side Effects

  • Sleepiness
  • Trouble concentrating
  • Lightheadedness
  • Dizziness
  • Headache
  • Dry mouth
  • Nausea
  • Vomiting
  • Constipation
  • Trouble breathing
  • Sweating

Less Common Side Effects

  • Tired feeling
  • Falling
  • Swelling of the arms or legs
  • High or low blood pressure
  • Blurry vision
  • Confusion
  • Sensitivity to light
  • Hallucinations
  • Heartburn
  • Diarrhea
  • Stomach pain

Promethazine/Codeine serious side effects

Contact your healthcare provider immediately if you experience any of the following.

  • Dangerously slow breathing: trouble breathing; bluish-colored lips, fingers, or toes
  • Accidentally taking too much (overdose): not responding to sound or touch, slowed breathing, extreme sleepiness, slow heartbeat, upper right-sided stomach pain, dark urine, cold or clammy skin, yellowing of your skin or eyes
  • Opioid withdrawal: anxiety, suicidal thoughts, restlessness, runny nose, yawning, sweating, chills, wide pupils, irritability
  • Neuroleptic malignant syndrome (NMS): fever, sweating, stiff muscles, confusion, not aware of your surroundings, fast or irregular heartbeat
When do Promethazine/Codeine possible side effects begin and end?
Time passed since treatment started:
M
H
D
W
M
Sleepiness
Dizziness
Nausea or vomiting
Constipation
Trouble breathing
Seek immediate medical care if you experience this side effect.

Source: DailyMed

The following Promethazine/Codeine side effects have also been reported

Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Check with your doctor immediately if any of the following side effects occur:

Incidence not known

Bluish lips or skin

chills

clay-colored stools

cold sweats

confusion

cough

dark urine

decrease in the frequency of urination

decrease in the urine volume

diarrhea

difficult or troubled breathing

difficulty in passing urine (dribbling)

dizziness

dizziness, faintness, or lightheadedness when getting up from lying or sitting position

fast, pounding, or irregular heartbeat or pulse

feeling of warmth

fever

headache

high fever

hives or welts, itching, or rash

increased sweating

irregular, fast or slow, or shallow breathing

large, hive-like swelling on the face, eyelids, lips, tongue, throat, hands, legs, feet, or sex organs

loss of appetite

loss of bladder control

nausea

noisy breathing

not breathing

painful urination

pale or blue lips, fingernails, or skin

rectal bleeding

redness of the face, neck, arms, and occasionally, upper chest

redness of the skin

seeing, hearing, or feeling things that are not there

seizures

severe muscle stiffness

shakiness in the legs, arms, or hands

stomach pain

sweating

tightness in the chest

tiredness

trembling or shaking of the hands or feet

unpleasant breath odor

unusual tiredness or weakness

unusually pale skin

vomiting of blood

yellow eyes or skin

Get emergency help immediately if any of the following symptoms of overdose occur:

Symptoms of overdose

Cold, clammy skin

dry mouth

fainting

no blood pressure or pulse

no muscle tone or movement

pinpoint pupils (black part of the eye)

stopping of the heart

unconsciousness

Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:

Incidence not known

Bad dreams

blurred or loss of vision

confusion as to time, place, or person

continuing ringing or buzzing or other unexplained noise in the ears

difficulty having a bowel movement

disturbed color perception

double vision

drowsiness

false or unusual sense of well-being

halos around lights

hearing loss

holding false beliefs that cannot be changed by fact

increased sensitivity of the skin to sunlight

night blindness

overbright appearance of lights

redness or other discoloration of the skin

relaxed and calm feeling

severe sunburn

sleepiness

trouble sleeping

tunnel vision

unusual excitement, nervousness, or restlessness

vomiting

Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.

Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.

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