Medicines

Toseina Syrup: Uses, Benefits, Dosage, Side Effects, Warnings

Toseina is a medication that contains codeine phosphate as its active ingredient. It is a type of opioid analgesic that is used to relieve mild to moderate pain and suppress coughs.

Codeine phosphate is an opioid medication that works by binding to specific receptors in the brain and nervous system called mu-opioid receptors. By binding to these receptors, codeine can block the transmission of pain signals and reduce the perception of pain.

In addition to its pain-relieving effects, codeine can also cause sedation, drowsiness, and feelings of euphoria. These effects are thought to occur because codeine also affects other neurotransmitters in the brain, such as dopamine, which can have an impact on mood and emotions.

Some of the potential benefits of using Toseina include:

  • Pain relief: Toseina can be an effective painkiller, especially for mild to moderate pain. It works by binding to specific receptors in the brain and spinal cord, which reduces the perception of pain.
  • Cough suppression: Toseina can help to suppress coughing by reducing the sensitivity of the cough reflex in the brain.
  • Diarrhea treatment: Toseina can also be used to treat diarrhea by reducing the contractions of the intestinal muscles, which helps to slow down the movement of food through the digestive system.
  • Improved quality of life: By providing relief from pain, coughing, and diarrhea, Toseina can help to improve the overall quality of life for people who are experiencing these symptoms.

However, it is important to note that Toseina can also have significant risks and potential side effects, especially when misused or abused. It can be addictive and can lead to respiratory depression, which can be life-threatening. Therefore, it should only be used as directed by a healthcare professional, and people should be aware of the risks before using this medication.

How to use this medication

Toseina is produced by Italfarmaco a private Italian multinational company located in Milan and is available as a syrup. It is usually taken by mouth every 4 to 6 hours as needed for pain relief or every 6 to 8 hours for cough suppression. Toseina is a prescription medication and should only be used under the supervision of a doctor.

Pain relief: The recommended dose of Toseina for pain relief is 15 mg to 60 mg every 4 to 6 hours as required, not to exceed 360 mg in one day.

Cough: The recommended adult dose of Toseina as a cough suppressant is 15 mg to 30 mg every 6 to 8 hours as needed, up to a maximum of 120 mg daily.

Toseina is no longer recommended for children, due to the increased risk of breathing difficulty and other complications of this medication.

Toseina may be taken with or without food. Swallow the tablets whole with a glass of water. Tablets should not be chewed, cut, broken or crushed, as this can be dangerous and lead to serious harm or death.

Pregnancy and Breastfeeding

Toseina is an opioid pain medication that is sometimes prescribed during pregnancy and breastfeeding. However, its use during pregnancy and breastfeeding should be carefully considered, as it can have potential risks for both the mother and the baby.

During pregnancy, codeine use can lead to neonatal withdrawal syndrome in newborns, which can cause symptoms such as tremors, excessive crying, and irritability. It can also increase the risk of respiratory depression in the mother, which can be life-threatening.

Codeine can also pass into breast milk, which can have potential risks for the nursing baby. It can cause drowsiness, respiratory depression, and even death in breastfed infants, especially in those who are metabolically compromised or have a history of apnea.

Therefore, it is recommended that women avoid using Toseina during pregnancy and breastfeeding if possible. If the use of Toseina is deemed necessary, it should be used at the lowest effective dose for the shortest duration possible, and under the close supervision of a healthcare provider. Women should also be aware of the potential risks and should carefully monitor their newborns for any signs of adverse effects. Alternatives to Toseina should be considered whenever possible.

Side Effects

Like all medications, Toseina can cause side effects in some people. Here are some possible side effects of Toseina:

  • Drowsiness: Toseina can cause drowsiness or sleepiness, which may impair your ability to operate heavy machinery or drive a vehicle.
  • Constipation: Toseina can cause constipation, which can be relieved with a high-fiber diet, drinking plenty of fluids, and exercise.
  • Nausea and vomiting: These are common side effects of Toseina, which may be relieved with an antiemetic medication.
  • Dizziness: Some people may experience dizziness or lightheadedness when taking Toseina.
  • Sweating: Toseina can cause sweating or perspiration, especially in high doses.
  • Itching: Toseina can cause itching or skin rash, which may be treated with an antihistamine medication.
  • Slow breathing: Toseina can slow down your breathing rate, especially when taken in high doses, which can be dangerous.
  • Addiction: Toseina is a narcotic medication that can be habit-forming, especially when taken for long periods or in high doses.

It is important to tell your doctor if you experience any of these side effects or any other unusual symptoms while taking Toseina.

Interactions

Toseina can interact with other medications, supplements, and substances, which can affect its effectiveness or increase the risk of side effects. Here are some examples of interactions:

1.      Alcohol: Drinking alcohol while taking Toseina can increase the risk of side effects such as drowsiness, dizziness, and difficulty breathing.

2.      Sedatives and tranquilizers: Taking Toseina with other medications that have a sedative effect can increase the risk of side effects such as drowsiness, confusion, and difficulty breathing.

3.      Monoamine oxidase inhibitors (MAOIs): Taking Toseina with MAOIs can cause a dangerous increase in blood pressure and should be avoided.

4.      Anticholinergics: Taking Toseina with medications that have anticholinergic effects can increase the risk of side effects such as dry mouth, constipation, and blurred vision.

5.      CYP2D6 inhibitors: Medications that inhibit the CYP2D6 enzyme, which is responsible for metabolizing codeine, can decrease the effectiveness of Toseina.

6.      Serotonin-norepinephrine reuptake inhibitors (SNRIs): Taking Toseina with SNRIs can increase the risk of serotonin syndrome, a potentially life-threatening condition that can cause symptoms such as agitation, hallucinations, and seizures.

It is important to tell your doctor about all medications, supplements, and substances you are taking before starting codeine phosphate to avoid any potential interactions. Your doctor may need to adjust your dosage or monitor you closely for side effects if you are taking other medications or substances that can interact with codeine.

Storage

Toseina should be stored properly to ensure its effectiveness and safety. Here are some tips for storing codeine phosphate:

  • Store in a cool, dry place: Toseina should be stored at room temperature between 68°F and 77°F (20°C to 25°C) in a cool, dry place. Avoid storing it in humid areas such as bathrooms or kitchens.
  • Keep out of reach of children and pets: Codeine Toseina should be kept in a safe place, out of the reach of children and pets.
  • Use the original container: Keep Toseina in the original container with the label attached. This will help you keep track of the expiration date and other important information.
  • Protect from light: Toseina should be protected from light, so it is best to keep it in its original container or another opaque container.
  • Check the expiration date: Check the expiration date of the medication before using it. Expired Toseina may not work as well and can be potentially harmful.
  • Dispose of unused medication properly: If you have unused Toseina, dispose of it properly according to your local guidelines. Do not flush it down the toilet or pour it down the drain.

By following these storage guidelines, you can help ensure that your Toseina is safe and effective when you need it.

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Dr. Oche Otorkpa PG Cert, MPH, PhD

Dr. Oche is a seasoned Public Health specialist who holds a post graduate certificate in Pharmacology and Therapeutics, an MPH, and a PhD both from Texila American University. He is a member of the International Society of Substance Use Professionals and a Fellow of the Royal Society for Public Health in the UK. He authored two books: "The Unseen Terrorist," published by AuthorHouse UK, and "The Night Before I Killed Addiction."
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