Solpadeine Addiction

You're not alone

Solpadeine is a brand name used for several pain-relief products. Some contain codeine, an opioid that can cause physical dependence and addiction. Other Solpadeine products do not contain codeine. Understanding exactly which product you take is the first step towards getting the right support. [1, 2]

If you are finding it difficult to cut down, taking more tablets than directed or worrying about how you will cope without them, a confidential conversation can help. Step by Step Recovery can discuss your circumstances and arrange an assessment.

What is Solpadeine Addiction?

Codeine-containing Solpadeine products combine an opioid painkiller with other ingredients, which may include paracetamol and caffeine. Codeine can lead to tolerance, meaning the same amount has less effect over time, and physical dependence, when the body adapts to regular use. Addiction is different: it involves impaired control over use and continuing despite harmful consequences. Physical dependence on prescribed or pharmacy medicines does not, by itself, mean that someone has an addiction. [1, 3]

Because formulations vary, never assume all Solpadeine products carry the same risks or contain the same amount of medicine. Check the active ingredients and strength on the packaging, and ask a pharmacist if you are unsure. [2]

Signs of Solpadeine Addiction

These signs warrant an assessment; no single sign establishes a diagnosis. A clinician will also consider pain, other health conditions and whether the medicine has been taken as directed. [1, 3]

Why Can Dependence Develop?

Codeine acts on opioid receptors and can produce tolerance and dependence with repeated use. People may begin taking it for genuine pain and gradually find that reducing it becomes difficult. Others may continue taking it to avoid withdrawal or for effects beyond pain relief. The reasons are individual and should be discussed without judgement. [1, 3]

The Health Risks of Solpadeine Misuse

The risks depend on the product and how it is taken. Excess codeine can cause marked drowsiness and dangerously slow breathing, particularly when combined with alcohol, benzodiazepines or other sedating medicines. [1, 4]

Many codeine-containing Solpadeine formulations also contain paracetamol. Taking too much paracetamol can cause severe liver injury, even if someone initially feels well. Taking several cold, flu or pain products together may unintentionally duplicate paracetamol. Do not wait for symptoms if you think you have exceeded the recommended amount. Seek urgent medical advice immediately through NHS 111 or an emergency department; call 999 if someone is unconscious, has difficulty breathing or is seriously unwell. [2, 5]

Some formulations contain caffeine, which can contribute to restlessness or sleep disturbance in susceptible people. Check the specific packet for the ingredients and warnings. [2]

Solpadeine Withdrawal Symptoms

People who are physically dependent on codeine may experience anxiety, restlessness, sweating, runny nose, disturbed sleep, abdominal cramps, diarrhoea and muscle aches when they reduce or stop it. Symptoms and their duration vary with the amount taken, how long it has been used and individual health factors. [1, 3]
If you have been taking codeine regularly, speak to your prescriber or pharmacist before making changes. NICE recommends an individualised, gradual reduction for most people taking dependence-forming medicines, with monitoring and adjustments if symptoms become difficult. [3]

When to Ask for Help

Ask for advice if you are taking more than directed, cannot cut down, need tablets to avoid feeling unwell, or are using several pain medicines at once. If you have taken too much paracetamol, seek urgent assessment rather than waiting for a routine addiction appointment. [1, 5]

Speak to Step by Step Recovery

You can speak confidentially with our admissions team about codeine-containing Solpadeine use, your health and the treatment options that may be appropriate. Call 0800 170 1222 to discuss an assessment. An enquiry does not commit you to treatment.

Common Questions

FAQs

Here are some common questions based on the information already covered on this page. If you would rather speak to someone privately, our team is available to help.

No. Solpadeine is a range of products with different formulations. Check the active ingredients on the packet and ask a pharmacist if you are unsure. [2]

Yes. Physical dependence can develop during repeated codeine use, even when treatment began for a legitimate medical reason. Dependence alone is not the same as addiction. [1, 3]

Abrupt stopping after regular use can cause withdrawal. Seek advice on a suitable reduction plan from a prescriber or pharmacist. If there is a suspected overdose, urgent assessment takes priority. [1, 3, 5]

Check the ingredients. If the product contains paracetamol and you may have exceeded the recommended dose, seek urgent medical advice immediately, even if you feel well. Call 999 for breathing difficulties, collapse or reduced consciousness. [5]

Other Addictions We Treat

Solpadeine contains codeine and is part of the wider group of prescription and opioid medications that can lead to dependence. Step By Step Recovery also provides support for other substance addictions.

Prescription Drug Addiction

Learn more about prescription drug addiction, dependence and treatment support.

Cannabis Addiction

Learn more about cannabis addiction, dependency and treatment support.

Cocaine Addiction

Learn more about cocaine addiction, its effects and available treatment support.

Three specialised Clinics

Drug and Alcohol Treatment in Essex, London and Birmingham

Step By Step Recovery operates three specialist clinics providing residential detox and rehabilitation in Essex and outpatient treatment in London and Birmingham. Wherever you are in the country, help is closer than you think.

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Clinical References

[1] NHS, Codeine: about, side effects and stopping codeine. https://www.nhs.uk/medicines/codeine/

[2] Electronic Medicines Compendium / manufacturer patient leaflets: verify the exact Solpadeine formulation before publication. https://www.medicines.org.uk/emc/

[3] NICE NG215, Medicines associated with dependence or withdrawal symptoms. https://www.nice.org.uk/guidance/ng215/chapter/Recommendations

[4] MHRA, Benzodiazepines and opioids: risk of respiratory depression. https://www.gov.uk/drug-safety-update/benzodiazepines-and-opioids-reminder-of-risk-of-potentially-fatal-respiratory-depression

[5] NHS, Paracetamol for adults, taking too much. https://www.nhs.uk/medicines/paracetamol-for-adults/

[6] NICE CG52, Drug misuse in over 16s: opioid detoxification. https://www.nice.org.uk/guidance/cg52/chapter/recommendations

[7] NICE CG51, Drug misuse in over 16s: psychosocial interventions. https://www.nice.org.uk/guidance/cg51/chapter/recommendations