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Detailed medicine guidance

Who can and cannot take dihydrocodeine

NHS medicines information on who can take dihydrocodeine and who may not be able to take it.

About this information

This NHS content is written for people in England. Medicine names, availability, prescribing and services may differ in other countries.

Who can take dihydrocodeine

Most adults can take dihydrocodeine. Although it can be given to children from the age of 1 year, it is usually only given to children aged 4 and over.

Who may not be able to take dihydrocodeine

Dihydrocodeine is not suitable for some people. To make sure it's safe for you, tell a pharmacist or doctor before taking the medicine if you:

  • have ever had an allergic reaction to dihydrocodeine or any other medicine
  • have any stomach problems, such as irritable bowel syndrome (IBS) or Crohn's disease, or if you're taking medicines for these conditions
  • have lung problems, asthma, breathing difficulties or allergies
  • have a head injury or a condition that causes seizures or fits
  • have an underactive thyroid gland (hypothyroidism)
  • have an addiction to alcohol
  • have liver or kidney problems
  • have myasthenia gravis, a rare illness that causes muscle weakness
  • are trying to become pregnant, are already pregnant or are breastfeeding
  • are under 18 years and have had your tonsils or adenoids taken out to treat obstructive sleep apnoea
  • have a rare condition causing problems with galactose intolerance

View the original NHS website page ↗. Refreshed 19 August 2026.

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