Narcogin Forte Tablet: Comprehensive Medicine Guide
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026
When to Call Your Doctor IMMEDIATELY
- Slow, shallow, or difficult breathing
- Severe drowsiness or difficulty waking up
- Yellowing of skin or eyes (jaundice)
- Severe abdominal pain or vomiting blood
- Swelling of face, lips, or throat
- Seizures or convulsions
- Decreased urine output
If experiencing severe symptoms, call emergency services immediately.
What is oxymark-cd tablet used for?
This medicine is a combination of Paracetamol 650 mg and Codeine 30 mg used for short-term relief of moderate to severe pain. It works by reducing pain signals in the brain and is available only by prescription.
- Generic Name: Paracetamol (650mg) + Codeine (30mg)
- Manufacturer: Unimarck Pharma India Ltd
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 oxymark-cd tablet के बारे में (Hindi Summary)
उपयोग: यह दवा पैरासिटामोल 650 मिलीग्राम और कोडीन 30 मिलीग्राम का संयोजन है। इसका उपयोग मध्यम से गंभीर दर्द के अल्पकालिक उपचार के लिए किया जाता है, जैसे सर्जरी के बाद का दर्द, दांत का दर्द, या चोट के कारण होने वाला दर्द। यह दवा केवल डॉक्टर के पर्चे पर ही मिलती है और इसे निर्धारित अवधि से अधिक नहीं लेना चाहिए।
साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में नींद आना, चक्कर आना, मतली, उल्टी, कब्ज और सिर हल्का लगना शामिल हैं। गंभीर दुष्प्रभाव दुर्लभ हैं लेकिन सांस लेने में कठिनाई, गंभीर एलर्जी प्रतिक्रिया, या लीवर की क्षति हो सकती है। यदि कोई भी दुष्प्रभाव लंबे समय तक बना रहे तो डॉक्टर से संपर्क करें।
सुरक्षा सलाह: इस दवा को डॉक्टर के निर्देशानुसार ही लें। निर्धारित मात्रा से अधिक न लें। इस दवा के साथ शराब का सेवन न करें। जब तक आपको पता न चले कि यह दवा आप पर कैसे असर करती है, तब तक वाहन न चलाएं। यदि आपको सांस लेने में कठिनाई, अत्यधिक नींद, या आंखों या त्वचा का पीलापन दिखे तो तुरंत चिकित्सा सहायता लें।
💊 oxymark-cd tablet Uses & Benefits
[{"condition":"Moderate to severe acute pain","description":"This medicine is used for short-term relief of moderate to severe pain that is not adequately controlled by non-opioid analgesics alone.","evidence":"Well-established"},{"condition":"Post-operative pain","description":"It may be prescribed to manage pain following surgical procedures.","evidence":"Well-established"},{"condition":"Dental pain","description":"Used for relief of moderate to severe dental pain, such as after tooth extraction.","evidence":"Well-established"},{"condition":"Musculoskeletal pain","description":"May be used for short-term management of pain from injuries or musculoskeletal conditions.","evidence":"Moderate"}]
Off-label uses: [{"condition":"Chronic pain","description":"Sometimes used off-label for chronic pain conditions, but this is not recommended due to risk of dependence.","evidence":"Limited"}]
Primary treatment for: Moderate to severe acute pain
Also treats: Post-operative pain, Dental pain, Musculoskeletal pain
📋 Drug Information
| Generic Name(s) | Paracetamol (650mg) + Codeine (30mg) |
| Brand Name | oxymark-cd tablet |
| Manufacturer | Unimarck Pharma India Ltd |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | RESPIRATORY |
| Action Class | |
| Route of Administration | Oral |
| Storage | Store at room temperature between 15°C and 30°C (59°F to 86°F). Protect from light and moisture. Keep in the original container, tightly closed. |
| Shelf Life | 24 months from the date of manufacture. |
| WHO Guideline | Not established from the available information. |
| ICMR Guideline | Not established from the available information. |
👨⚕️ Doctor's Practical Tips
Evidence-based practical advice from experienced clinicians
🔍 Is This Medicine Right for Your Symptom?
Educational reference. Always consult a doctor for diagnosis.
🔬 How This Medicine Works (Pharmacology)
Pharmacokinetics
How It Works
This medicine combines two analgesics with different mechanisms. Paracetamol acts primarily in the central nervous system to reduce pain and fever, though its exact mechanism is not fully understood; it may inhibit prostaglandin synthesis in the brain. Codeine is a prodrug that is metabolized by the liver enzyme CYP2D6 to morphine, which then binds to mu-opioid receptors in the brain and spinal cord, inhibiting pain signal transmission. The combination provides additive pain relief.
Mechanism Steps
💡 How to Take oxymark-cd tablet
Strength: Each tablet contains Paracetamol 650 mg and Codeine Phosphate 30 mg.
Dosage Information
| Adult Dosage | The usual adult dose is one tablet taken orally every 4 to 6 hours as needed for pain. The maximum recommended dose is 6 tablets in 24 hours. Do not exceed the prescribed dose. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. This medicine is intended for short-term use only. |
| Pediatric Dosage | Pediatric dosing is not established from available information. This medicine is contraindicated in children under 12 years of age. Consult a pediatrician for appropriate pain management in children. |
| Elderly Dosage | Elderly patients (above 65 years) may be more sensitive to the effects of codeine, especially respiratory depression and constipation. Use with caution and consider lower initial doses. Dose must be individualized by a qualified clinician. |
| Renal Impairment | In patients with renal impairment, the elimination of codeine and its metabolites may be prolonged. Dose reduction or extended dosing intervals may be necessary. Consult a clinician for individualized dosing. |
| Hepatic Impairment | In patients with hepatic impairment, the metabolism of paracetamol and codeine may be altered. Use with caution and consider dose reduction. Avoid in severe hepatic impairment. Consult a clinician for individualized dosing. |
| Maximum Daily Dose | The maximum daily dose is 6 tablets (3900 mg paracetamol and 180 mg codeine) in 24 hours. Do not exceed this dose. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of oxymark-cd tablet
✅ Common Side Effects
🚨 Serious Side Effects
⚠️ Rare Side Effects
Consult your doctor if you experience any unusual symptoms.
🔬 Drug Interactions
| Drug | Severity | Effect |
|---|---|---|
| Warfarin | Major | |
| MAOIs | Major | |
| Benzodiazepines | Major | |
| Fluoxetine | Moderate | |
| Rifampin | Moderate | |
| Anticholinergics | Moderate | |
| Antacids | Minor | |
| Cholestyramine | Minor |
🚨 Major Interactions
- Monoamine oxidase inhibitors (MAOIs)
- CNS depressants (e.g., benzodiazepines, alcohol)
- Warfarin
⚡ Moderate Interactions
- CYP2D6 inhibitors (e.g., fluoxetine, quinidine)
- CYP3A4 inducers (e.g., rifampin, carbamazepine)
- Anticholinergics
🍷 Alcohol Interaction
Avoid alcohol while taking this medicine. Alcohol increases the risk of liver damage from paracetamol and enhances the sedative and respiratory depressant effects of codeine, which can be dangerous.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Known hypersensitivity to paracetamol, codeine, or any component of the formulation","Severe respiratory depression or acute or severe bronchial asthma","Paralytic ileus or suspected gastrointestinal obstruction","Children under 12 years of age","Post-tonsillectomy or adenoidectomy in children under 18 years","Concurrent use with MAOIs or within 14 days of stopping MAOIs","Severe hepatic impairment"]
⚠️ Warnings & Precautions
["May cause respiratory depression; use with caution in elderly or debilitated patients.","Risk of dependence and withdrawal with prolonged use; use for the shortest duration possible.","Do not exceed the recommended dose of paracetamol; overdose can cause severe liver damage.","Avoid alcohol while taking this medicine.","May impair ability to drive or operate machinery; avoid until you know how it affects you.","Use with caution in patients with head injury, increased intracranial pressure, or seizure disorders.","Codeine may cause constipation; monitor and manage appropriately.","Not recommended for breastfeeding mothers due to risk of infant opioid toxicity."]
🤱 Lactation Safety
Codeine and paracetamol are excreted in breast milk. Codeine may cause serious adverse reactions in nursing infants, including excessive drowsiness and respiratory depression. Breastfeeding is not recommended while taking this medicine, especially for mothers who are ultra-rapid metabolizers of codeine.
💊 Overdose Management
Overdose of this medicine can cause severe liver damage from paracetamol and respiratory depression from codeine. Seek immediate medical attention. Treatment may include administration of N-acetylcysteine for paracetamol toxicity and naloxone for opioid toxicity. Supportive care and monitoring of vital signs are essential.
⏰ Missed Dose
If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not take a double dose to make up for a missed one.
Additional Safety Advice
Take this medicine exactly as prescribed by your doctor. Do not exceed the recommended dose or duration of treatment. Avoid alcohol while taking this medicine, as it can increase the risk of liver damage and respiratory depression. Do not drive or operate heavy machinery until you know how this medicine affects you. Inform your doctor if you have a history of liver or kidney disease, breathing problems, or substance abuse. Do not use this medicine for longer than directed without medical supervision. Keep out of reach of children. Store at room temperature away from moisture and heat. If you experience difficulty breathing, severe drowsiness, or yellowing of the eyes or skin, seek immediate medical attention.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients are more sensitive to the effects of codeine, especially respiratory depression, constipation, and drowsiness. Lower doses and close monitoring are recommended. Avoid use in frail elderly patients if possible.
🤰 Pregnancy Planning (TTC)
If you are planning to become pregnant, consult your doctor before taking this medicine. Prolonged use during pregnancy can lead to neonatal opioid withdrawal syndrome. Use only if clearly needed and prescribed by a doctor.
🏥 Post-Surgery Considerations
This medicine may be prescribed for post-surgical pain. Take it exactly as directed and do not exceed the recommended dose. Inform your surgeon if you experience excessive drowsiness or difficulty breathing.
🦷 Dental Procedures
This medicine may be used for dental pain after procedures. Inform your dentist if you are taking this medicine before any dental work. Avoid alcohol-based mouthwashes as they may increase drowsiness.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
Avoid strenuous exercise or activities that may worsen pain while taking this medicine. Gentle stretching and low-impact exercises may be beneficial, but consult your doctor before starting any exercise program.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine may cause drowsiness and dizziness, which can impair your ability to drive or operate machinery. Avoid these activities until you know how the medicine affects you. It may also affect your ability to concentrate, so take precautions at work.
🛑 When to Stop This Medicine
Stop taking this medicine when your pain is controlled or as directed by your doctor. Do not stop abruptly after prolonged use without consulting your doctor, as withdrawal symptoms may occur. If you experience severe side effects, stop and seek medical attention.
📅 Long-Term Use Effects
Long-term use of this medicine can lead to physical dependence, tolerance, and withdrawal symptoms upon discontinuation. It may also cause chronic constipation, liver damage from paracetamol, and hormonal changes. Regular monitoring of liver function and pain control is recommended. Use for the shortest duration possible.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Can help manage pain and improve function without medication.
Evidence: Well-establishedMedications like ibuprofen or naproxen may be sufficient for mild to moderate pain.
Evidence: Well-establishedRelaxation, meditation, and cognitive behavioral therapy can help manage chronic pain.
Evidence: Moderate💉 Vaccination Considerations
💉 If You're Getting Vaccinated
No specific interactions with vaccines are established. However, if you are scheduled for vaccination, inform your healthcare provider about this medicine.
📦 Storage Guide
✅ DO
Store at room temperature (15-30°C)
❌ DON'T
Do not refrigerate unless specified
✅ DO
Keep in original container
❌ DON'T
Do not transfer to unmarked containers
✅ DO
Keep away from direct sunlight
❌ DON'T
Do not store in bathroom cabinet
✅ DO
Keep out of reach of children
❌ DON'T
Do not use after expiry date
✈️ Traveling with This Medicine
When traveling with this medicine, carry it in its original packaging along with a copy of your prescription. Check the laws of your destination country regarding opioid medications, as some countries have strict regulations. Store it in a cool, dry place away from direct sunlight. If crossing time zones, adjust dosing intervals as advised by your doctor. Never share this medicine with others.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: This medicine usually starts relieving pain within 30 to 60 minutes after taking it.
A: This medicine is intended for short-term use only, typically not more than 3-5 days. Prolonged use can lead to dependence.
A: No, alcohol should be avoided as it increases the risk of liver damage and respiratory depression.
A: No, this medicine is contraindicated in children under 12 years of age.
A: If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not double dose.
🤔 Common Patient Concerns
🔄 Substitutes for oxymark-cd tablet
View AllAlternative brands with exact same active ingredient:
-
parataj 650mg/30mg tabletTaj Pharma India Ltd ₹48.75 58.7% CHEAPER
-
paracod tabletCipla Ltd ₹63.42 46.3% CHEAPER
-
codcalm 650mg/30mg tabletBenthos Biosciences Pvt Ltd ₹90.68 23.2% CHEAPER
-
narcogin forte tabletSomatico Pharmacal Pvt Ltd ₹172.10 45.7% COSTLIER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: This medicine is safe for long-term use.
Fact: This medicine is intended for short-term use only. Prolonged use can lead to dependence and other serious side effects. - Myth: It is safe to take extra doses if pain is severe.
Fact: Taking more than the recommended dose can cause severe liver damage and respiratory depression. Always follow the prescribed dose. - Myth: This medicine is safe for children.
Fact: This medicine is contraindicated in children under 12 years due to risk of severe respiratory depression.
🔄 Alternative Options
Generic Alternatives
- Paracetamol 650 mg + Codeine 30 mg tablet (generic)