Vomiting After Taking Panadeine Forte- Medical Abortion

Panadeine Forte is a prescription pain medication containing 500 mg of paracetamol and 30 mg of codeine per tablet. It is commonly used for moderate to severe pain relief when other painkillers are insufficient. Understanding how Panadeine Forte is absorbed and when it is safe to retake a dose after vomiting is crucial for effective pain management while avoiding overdose.

Absorption of Panadeine Forte

• Paracetamol: Absorbed rapidly from the stomach and small intestine, reaching peak blood levels within 30 to 60 minutes.
• Codeine: Absorbed in the small intestine and converted into morphine by the liver. Peak levels occur within 1 to 2 hours.

Since Panadeine Forte has a two-component absorption process, the timing of vomiting determines how much of the medication has been absorbed and whether it is safe to redose.

When to Consult a Doctor or Pharmacist About a Repeat Dose

The decision to take another dose after vomiting depends on how soon after ingestion vomiting occurs:

• After 60 minutes or more: The medication has been mostly absorbed, and a repeat dose is likely not necessary.
• Between 30 to 59 minutes: Some absorption has occurred, but not fully. A healthcare professional may recommend a half-dose in certain cases.
• Within 0 to 29 minutes: Minimal absorption has taken place. A repeat dose may be appropriate, but this should be confirmed with a pharmacist or doctor.

Maximum Dosage Guidelines (TGA Recommendations)

The Therapeutic Goods Administration (TGA) provides clear guidelines on the maximum safe dosage of Panadeine Forte:

• Adults: No more than 8 tablets in 24 hours (equivalent to 4000 mg of paracetamol and 240 mg of codeine).
• Dosing Interval: Take 1 to 2 tablets every 4 to 6 hours as needed, but do not exceed the daily limit.

Important Safety Considerations

• Do not exceed the recommended dose: Taking too much paracetamol can cause serious liver damage.
• Codeine Warning: Some people metabolize codeine into morphine faster than others, which can lead to dangerous effects such as slowed breathing and drowsiness.
• Drug Interactions: Avoid alcohol and other sedatives, as they can increase the risk of side effects.

Conclusion

If vomiting occurs shortly after taking Panadeine Forte, determining whether a repeat dose is needed depends on timing and absorption. When in doubt, consult a doctor or pharmacist before re-dosing to ensure safe and effective pain management.

The information provided on this website by Aunty Jane in any format or medium, are for general information purposes only and are not intended as medical advice or as a substitute for consultation with a qualified healthcare professional. The information made available by Aunty Jane do not provide personalised medical advice, diagnosis, or treatment.  To the extent permitted by law, Aunty Jane disclaims all liability for any outcomes resulting from reliance on the information provided.  For specific medical concerns, please consult a qualified healthcare professional.

1. Australian Government Department of Health. (2023). Codeine-containing analgesics: Therapeutic Goods Administration (TGA) safety update. Retrieved from https://www.tga.gov.au
2. Drugs.com. (2023). Panadeine Forte dosage guide and safety information. Retrieved from https://www.drugs.com/dosage/panadeine-forte.html
3. Mayo Clinic. (2023). Codeine: Uses and precautions. Retrieved from https://www.mayoclinic.org
4. NPS MedicineWise. (2023). Paracetamol and codeine: What you need to know. Retrieved from https://www.nps.org.au