An NHS GP has issued a warning to patients who take co-codamol, urging them to avoid taking additional paracetamol due to the risk of accidental overdose. Dr Abdul, who shared the advice on social media, highlighted that many people are unaware that co-codamol already contains paracetamol.
Paracetamol is one of the most widely used painkillers in the UK, with around 200 million packets sold over the counter each year. It is effective for mild-to-moderate pain and fever, but excessive intake can cause severe liver and kidney damage, especially when combined with alcohol.
Co-codamol is a combination painkiller containing both paracetamol (typically 500mg per tablet) and codeine, an opioid. Dr Abdul explained that patients may take co-codamol at the maximum dosage—two tablets every six to eight hours—and then add paracetamol if the pain persists, not realising they are doubling up on the same drug.
The maximum safe dose of paracetamol is four grams per day. Exceeding this can lead to a medical emergency, including liver failure or even death. The NHS advises that if co-codamol is insufficient, patients should consider other painkillers such as ibuprofen or aspirin, which are safe to take alongside it.
Other medications containing paracetamol, including Tramacet, co-dydramol, and some cold and flu remedies like Lemsip and Night Nurse, should also be avoided when taking co-codamol. Patients are advised to inform their doctor of all medications they are taking to ensure compatibility.
