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Narcogin Forte Tablet
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Narcogin Forte Tablet

Manufactured bySOMATICO PHARMACEUTICALS LTD
ContainsParacetamol (650 mg) + Codeine (30 mg)
Description
Narcogin Forte Tablet is used to relieve mild to moderately severe pain. It provides fast and effective relief from migraine headaches, toothaches, backaches, period pain, and musculoskeletal pain especially arthritis-related pain. Narcogin Forte Tablet is used in patients where treatment with an opioid is appropriate or who have not adequately responded to non-opioid analgesics. Side effects of Narcogin Forte Tablet are stomach pain, constipation, sleepiness, dizziness, nausea, and vomiting. It can also cause life-threatening breathing problems and the risk of abuse, misuse, and addiction. Narcogin Forte Tablet is banned for use in India due to its severe adverse effects.
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Side effectsConcernsUsage

Side effects

Major & minor side effects for Narcogin Forte Tablet

  • Nausea or vomiting
  • Bloody and cloudy urine
  • Stomach pain
  • Dizziness and Drowsiness
  • Skin rash
  • Constipation
  • Difficulty in breathing
  • Increased heartbeat
  • Confusion
  • Loss of appetite

Uses of Narcogin Forte Tablet

What is it prescribed for?

  • Mild to moderately severe pain
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Concerns

Commonly asked questions

  • How long does it take for this medicine to take effect?
    Narcogin Forte Tablet provides fast and effective relief from pain within 30 to 60 minutes.
  • How long do the effects of this medicine last?
    Narcogin Forte Tablet makes you feel better for about 4-6 hours. You may have to take your next dose of this medicine if your pain continues.
  • Is it safe to consume alcohol while taking this medicine?
    Limit or avoid drinking alcohol while you are taking Narcogin Forte Tablet. Taking it with alcohol may cause serious side effects such as dizziness, fatigue, weakness, rashes, nausea, joint pain, fever, jaundice, stomach or intestinal bleeding.
  • Is this a habit forming medicine?
    Narcogin Forte Tablet may be habit-forming in some cases, especially after prolonged use.
  • Can this medicine be taken during pregnancy?
    Narcogin Forte Tablet is not recommended for use during pregnancy due to the risk of harmful effects on your baby.
  • Can this medicine be taken while breast-feeding?
    Narcogin Forte Tablet is not recommended for use in breastfeeding women. An alternate medicine may be preferred, especially while nursing a newborn or preterm infant. If required, it should only be used upon your doctor's recommendation.

Allergy

Avoid taking Narcogin Forte Tablet if you are previously allergic to it. Serious allergic reactions to this medicine are rare. However, seek immediate medical attention if you notice any symptoms of serious allergic reactions such as skin rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, or breathing difficulties.

Severe liver impairment

Patients with liver diseases need special dose consideration while taking Narcogin Forte Tablet. This medicine gets converted to its active form in the liver. Therefore, if you take large amounts of this medicine, more active forms are formed which can damage your liver. The use of this medicine is not recommended in patients with severe liver diseases because it can further increase the risk of liver damage.

Respiratory depression

Respiratory depression is a condition of slow and ineffective exchange of breathing gases- oxygen and carbon dioxide in the lungs. Narcogin Forte Tablet can cause respiratory depression, in part by a direct effect on the brainstem respiratory centres. Hence it is not recommended for use in patients with respiratory depression, in the absence of resuscitative equipment, due to the increased risk of worsening of the patient's condition.

Asthma

Patients with asthma may experience allergic reactions while taking Narcogin Forte Tablet. Hence it is not recommended for use in patients with asthma, especially those who had experienced allergic reactions with the use of non-steroidal anti-inflammatory medicines.
Warnings for special population

Pregnancy

Narcogin Forte Tablet is not recommended for use during pregnancy due to the risk of harmful effects on your baby.

Breast-feeding

Narcogin Forte Tablet is not recommended for use in breastfeeding women. An alternate medicine may be preferred, especially while nursing a newborn or preterm infant. If required, it should only be used upon your doctor's recommendation.
General warnings

Liver diseases

Patients with liver diseases should ask their pharmacist how the Narcogin Forte Tablet may affect their liver or react with other medicines they take. The conversion of Narcogin Forte Tablet to its active form happens in the liver. Overdose can produce more active forms and leads to liver damage.

Driving or operating machinery

Narcogin Forte Tablet may cause sleepiness, blurred vision or dizziness in some patients. Hence it is advised not to drive vehicles and operate heavy machinery after taking this medicine.

Drug dependence

Long-term treatment with Narcogin Forte Tablet may result in drug dependence. This can increase the risk of abuse, misuse, and addiction.

Intracranial pressure

Narcogin Forte Tablet is not recommended to be used in patients with head injury or intracranial lesions as it is reported to increase the intracranial pressure (pressure inside the skull and on the brain) and worsen the patient's condition.

Allergic skin reactions

Narcogin Forte Tablet may cause serious skin allergies without any warnings. These events may be fatal in rare cases. Signs and symptoms like rashes, hives, fever, or other allergic symptoms should be reported to the doctor immediately. The treatment should be discontinued if these symptoms appear.

Missed Dose

Take the missed dose of Narcogin Forte Tablet as soon as you remember. If it is almost the time for your next dose, skip the missed dose. Do not double your dose to make up for the missed dose.

Overdose

Seek medical emergency in case of an overdose with Narcogin Forte Tablet.
All drugs interact differently for person to person. You should check all the possible interactions with your doctor before starting any medicine.
Interaction with Alcohol

Description

N/A

Instructions

Limit or avoid drinking alcohol while you are taking Narcogin Forte Tablet. Taking it with alcohol may cause serious side effects such as dizziness, fatigue, weakness, rashes, nausea, joint pain, fever, jaundice, stomach or intestinal bleeding.
Interaction with Medicine

Carbamazepine

Linezolid

Phenytoin

Sodium Nitrite

Leflunomide

Prilocaine

Ramelteon

Aripiprazole

Disease interactions

Liver Disease

Patients with liver diseases need special dose consideration while taking Narcogin Forte Tablet. The conversion of Narcogin Forte Tablet to its active form happens in the liver. Overdose can produce more active forms and leads to liver damage.

Hypotension

Narcogin Forte Tablet may potentially lower the blood pressure and hence should be used with caution in patients with low blood pressure.

Addison's Disease

Use Narcogin Forte Tablet with caution in patients with Addison's disease, a condition where the adrenal glands do not produce enough hormones. This medicine can cause respiratory depression in such patients.

Hypothyroidism

Use Narcogin Forte Tablet with caution in patients with hypothyroidism (a condition where the thyroid gland does not make enough hormones) due to the increased risk of respiratory depression.
Food interactions
Information not available.
Lab interactions

5-HIAA Urine Test

Narcogin Forte Tablet can interfere with a urine test and may give a false-positive result. It is advised to inform the doctor and lab technician about all your current medicines before undergoing any lab test.
This is not an exhaustive list of possible drug interactions. You should consult your doctor about all the possible interactions of the drugs you’re taking.
Take Narcogin Forte Tablet with or without food. Never take more than the prescribed dose. Overuse and long-term treatment can increase the risk of abuse, misuse, and addiction. Take this medicine at the same time every day. Do not give your medicine to other people even if their condition appears to be the same as yours.
Miscelleneous

Can be taken with or without food, as advised by your doctor

To be taken as instructed by doctor

Causes sleepiness

How it works
Paracetamol decreases the severity of pain signals to the brain by stopping the release of chemicals called prostaglandins which cause pain. Codeine works by changing the way the brain and nervous system respond to pain.
Legal Status

Banned

Unknown

Unknown

Unknown

Classification

Category

Analgesic combinations, Narcotic analgesics

Schedule

Schedule H

Pubchem.ncbi.nlm.nih.gov. 2021. Acetaminophen. [online] Available at: < [Accessed 24 May 2021].

https://pubchem.ncbi.nlm.nih.gov/compound/1983>

Drugbank.ca. 2021. Acetaminophen | DrugBank Online. [online] Available at: < [Accessed 23 April 2021].

https://www.drugbank.ca/drugs/DB00316>

Drugbank.ca. 2021. Codeine | DrugBank Online. [online] Available at: < [Accessed 23 April 2021].

https://www.drugbank.ca/drugs/DB00318>

Dailymed.nlm.nih.gov. 2021. DailyMed - Codeine Sulfate tablet. [online] Available at: < [Accessed 25 May 2021].

https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=5819bdf7-300e-45b8-8f3a-447b53656293>
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Information on this page was last updated on 25 May 2021

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We’ve made all possible efforts to ensure that the information provided here is accurate, up-to-date and complete, however, it should not be treated as a substitute for professional medical advice, diagnosis or treatment. Practo only provides reference source for common information on medicines and does not guarantee its accuracy or exhaustiveness. The absence of a warning for any drug or combination thereof, should not be assumed to indicate that the drug or combination is safe, effective, or appropriate for any given patient. Practo does not assume any responsibility for any aspect of healthcare administered with the aid of information provided above. If you have any doubts about your medication then we strongly recommend that you consult with your doctor, nurse or healthcare provider. See detailed T&C here.