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Tencon
Tencon is a prescription medication used for the management of moderate to severe pain. It contains acetaminophen and codeine, a combination of an analgesic (acetaminophen) and an opioid (codeine). Acetaminophen works by reducing fever and relieving pain, while codeine, an opioid analgesic, works by altering how the brain and nervous system respond to pain. Tencon is typically prescribed for short-term pain management and should be used under close supervision due to the risk of opioid dependence.
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Frequently Asked Questions
How long does it take for Tencon to start working?
Tencon usually starts to relieve pain within 30 to 60 minutes after taking the medication, with effects lasting 4 to 6 hours.
Can I drive while taking Tencon?
No, you should avoid driving or operating heavy machinery while taking Tencon, as it can cause drowsiness, dizziness, and impair your ability to focus.
Can I take Tencon for long-term pain management?
Tencon is generally prescribed for short-term use due to the risk of opioid dependence. If you need long-term pain management, discuss alternative options with your healthcare provider.
What should I do if I miss a dose of Tencon?
If you miss a dose, take it as soon as you remember. If it’s close to the time of your next dose, skip the missed dose and continue with your regular dosing schedule. Do not double the dose.
Can I drink alcohol while taking Tencon?
No, you should avoid alcohol while taking Tencon. Combining alcohol with acetaminophen increases the risk of liver damage, and combining it with codeine increases the risk of respiratory depression.
Comprehensive Drug Guide
How Does Tencon Work?
- Acetaminophen reduces pain and fever by inhibiting the synthesis of prostaglandins in the brain, which are responsible for pain and inflammation.
Codeine binds to opioid receptors in the brain and spinal cord, reducing the perception of pain and altering the emotional response to pain.
Common Dosages
- 300 mg of acetaminophen combined with 15 mg, 30 mg, or 60 mg of codeine per tablet.
Typical Dosing
- For adults: The typical dose is 1 to 2 tablets every 4 to 6 hours as needed for pain. The total daily dose should not exceed 4 grams of acetaminophen, due to the risk of liver toxicity.
Typical Dosing
FDA Approved Indications
- Moderate to moderately severe pain that is not adequately controlled with non-opioid analgesics alone.
Who Shouldn't Take Tencon?
- Known hypersensitivity to acetaminophen, codeine, or other opioid medications
- Severe respiratory depression or acute asthma
- Paralytic ileus (a type of bowel obstruction)
- Children under 12 years of age or post-surgery in children younger than 18 following tonsillectomy or adenoidectomy (due to the risk of severe respiratory depression)
Advice From The Pharmacist
- Take Tencon exactly as prescribed, and do not exceed the recommended dose due to the risk of opioid dependence and acetaminophen toxicity.
- Avoid alcohol while taking Tencon, as it can increase the risk of liver damage and worsen drowsiness.
- Monitor for signs of opioid dependence, especially if using Tencon for an extended period.
- Store Tencon securely to prevent misuse by others, especially children and individuals with a history of substance abuse.
Side Effects of Tencon
Common Side Effects
- Drowsiness
- Dizziness
- Nausea or vomiting
- Constipation
- Lightheadedness
Uncommon/Severe Side Effects
- Severe respiratory depression
- Liver toxicity (due to acetaminophen)
- Opioid addiction or dependence
- Allergic reactions (swelling, rash, difficulty breathing)
Risks and Warnings of Tencon
- Opioid Dependence: Codeine in Tencon is habit-forming, and prolonged use can lead to physical dependence and addiction. Use only for short-term pain management.
- Respiratory Depression: Codeine can cause life-threatening respiratory depression, especially in children, elderly patients, or those with lung conditions.
- Liver Toxicity: Exceeding the maximum daily dose of acetaminophen can cause severe liver damage, potentially leading to liver failure or death.
Interactions with Tencon
Common Drug Interactions
- Other central nervous system depressants: Combining Tencon with sedatives, alcohol, or benzodiazepines increases the risk of excessive sedation and respiratory depression.
- Monoamine oxidase inhibitors (MAOIs): Concurrent use of MAOIs and opioids like codeine may result in severe adverse effects, including serotonin syndrome.
- Warfarin: Acetaminophen can increase the risk of bleeding in patients taking blood thinners like warfarin.
Alternatives to Tencon
- Hydrocodone-acetaminophen: Another combination opioid analgesic often used for moderate to severe pain.
- Tramadol: An opioid analgesic with a lower risk of respiratory depression, sometimes used as an alternative for pain management.
- Ibuprofen or naproxen: Non-opioid alternatives for mild to moderate pain relief.
- Oxycodone-acetaminophen: A stronger opioid alternative for severe pain.
