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Active pharmaceutical ingredient

Codeine Phosphate

Codeine Phosphate is a potent opioid analgesic commonly utilized in compounded formulations to manage mild to moderate pain and alleviate cough.

Compounded to order
Prescription required
Warwick, Rhode Island

About this ingredient

Codeine Phosphate is a widely utilized active pharmaceutical ingredient known for its potent analgesic and antitussive properties. As a derivative of opium, it functions primarily as a mild to moderate pain reliever and cough suppressant, making it a valuable component in various compounded formulations. Its efficacy in managing pain and reducing cough reflexes is attributed to its ability to bind to opioid receptors in the central nervous system, thereby altering the perception of pain and suppressing the cough reflex.

In clinical practice, Codeine Phosphate is often prescribed for patients who require relief from mild to moderate pain or persistent cough that is not responsive to non-opioid medications. Its pharmacokinetic profile allows for effective absorption and distribution within the body, providing therapeutic effects that are both reliable and predictable. However, prescribers should be mindful of its potential for dependence and the necessity for careful dosage management, particularly in patients with a history of substance abuse or those who are concurrently using other central nervous system depressants.

Codeine Phosphate is metabolized in the liver, primarily through the cytochrome P450 enzyme CYP2D6, into morphine, which is responsible for much of its analgesic effect. This metabolic pathway can vary significantly among individuals, leading to differences in drug efficacy and risk of adverse effects. Therefore, understanding patient-specific factors, such as genetic polymorphisms affecting CYP2D6 activity, is crucial for optimizing therapeutic outcomes and minimizing risks. Additionally, prescribers should consider potential drug interactions and contraindications, particularly in patients with respiratory conditions, as Codeine Phosphate can depress respiratory function.

Given its therapeutic benefits and potential risks, Codeine Phosphate should be prescribed with caution, ensuring that the benefits outweigh the risks for each individual patient. It is essential for healthcare providers to educate patients on the proper use of Codeine Phosphate, including adherence to prescribed dosages and awareness of possible side effects, such as drowsiness, constipation, and nausea. By doing so, prescribers can enhance patient safety and treatment efficacy, while minimizing the potential for misuse and adverse reactions.

Available formulations

Compounded formulations containing this ingredient

Each of these is compounded to order at our Warwick, Rhode Island pharmacy and requires a prescription.

We do not have a patient page for this ingredient yet. That does not mean we cannot make it. Bayview compounds this ingredient to a prescriber's order, and our full compounding formulary lists every preparation we make. Viewing the formulary requires a prescriber account.

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Compounding formulary

Formulas we compound with this ingredient

A sample of preparations from our formulary. Strengths and dose forms are customised to the prescription.

Common questions

Frequently asked questions

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Related

Related active ingredients

Other salt forms of this molecule, and ingredients commonly compounded alongside it.

Important information

This page describes an active pharmaceutical ingredient, not a finished drug product. Bayview Pharmacy compounds preparations containing it only on a prescriber's order for an individual patient.

Compounded preparations are not FDA-approved, and the FDA has not evaluated them for safety, effectiveness, or manufacturing quality. Nothing on this page is a claim that any preparation is effective for any condition.

A valid prescription is required. Availability depends on Bayview's licensure in your state. This page is general information, not medical advice — discuss your situation with a licensed healthcare provider.

Talk to a compounding pharmacist

Our pharmacists work with prescribers to build preparations around a patient's dose, form and tolerances. Ask us what is possible with this ingredient.