Tylenol with Codeine

Generic name: Acetaminophen with codeine.

Other brand names: Aceta with Codeine, Capital with Codeine, Phenaphen with Codeine, Ty-tabs.

Tylenol with Codeine is an antipyretic (fever-reducing) and narcotic analgesic combination. It relieves pain and gives the patient a feeling of well-being.

Quick Facts About Tylenol with CodeineTylenol with Codeine


Used to treat mild to moderately severe pain.

Tylenol with Codeine Dosage

Take with meals or milk to avoid upset stomach, unless doctor advises otherwise. More effective if taken at onset of pain than when pain is intense. Take only per your doctor’s instructions.

  • Usual adult dose: to relieve pain — 15 to 60 milligrams of codeine and 300 to 1,000 miligrams of acetaminophen taken every 4 hours as needed. Maximum dose per day — 360 milligrams of codeine and 4,000 milligrams of acetaminophen. Doctor may also prescribe elixir form; usual dose is 1 tablespoonful taken every 4 hours as needed. Seniors — prescribed with caution.
  • Usual child dose: children 12 years and over — prescribed adult doses. Children 3 to 6 years — 1 teaspoonful taken 3 or 4 times per day. Children 7 to 12 years — 2 teaspoonfuls taken 3 or 4 times per day.
  • Missed dose: if taking on a regular schedule — take as soon as possible, unless almost time for next dose. In that case, do not take missed dose; go back to regular schedule. Do not double doses.

Tylenol with Codeine Side Effects

Overdose symptoms:

bluish skin; cold and clammy skin; coma due to low blood sugar; decreased, irregular, or stopped breathing; extreme sleepiness progressing to stupor or coma; general bodily discomfort; heart attack; kidney failure; liver failure; low blood pressure; muscle weakness; nausea; slow heartbeat; vomiting. If you suspect an overdose, immediately seek medical attention.

Severe overdosage of Tylenol with Codeine can cause death.

More common side effects: dizziness, light-headed-ness, nausea, sedation, shortness of breath, vomiting.

Less common Tylenol with Codeine side effects: abdominal pain, allergic reactions, constipation, depressed feeling, exaggerated feeling of well-being, itchy skin. Rare side effects: decreased breathing at higher doses.


Inform your doctor before combining Tylenol with Codeine with:

antipsychotic drugs such as Clozaril and Thorazine; anticholinergic drugs such as Cogentin; general anesthetics; mao inhibitors such as Nardil; other narcotic painkillers such as Darvon; tranquilizers such as Xanax and Valium; tricyclic antidepressants such as Elavil and lofranil.

Alcohol may increase sedative effects; do not drink alcohol when taking this medication.

Special Cautions

If pregnant or planning to become pregnant, inform your doctor immediately. Regular use in large doses during pregnancy can result in fetal addiction. At higher doses may cause breathing difficulty in mother and newborn.

Seniors should use with caution.

Follow doctor’s instructions carefully for children 3 years and older. Not generally prescribed for children under 3 years.

  • Contains sulfites, which may cause serious, even life-threatening allergic reaction. People with asthma at higher risk.
  • May cause drowsiness and impair your ability to drive a car or operate machinery. Do not take part in any activity that requires alertness.
  • Should not take if sensitive to or allergic to Tylenol or codeine.
  • If taken for prolonged periods, may cause physical and psychological addiction. Those with prior addiction problems are more at risk for Tylenol with Codeine addiction.
  • Tell your doctor if you have or currently experience the following: asthma; difficulty urinating; enlarged prostate; head injury; liver, kidney, thyroid, or adrenal disease; problems with drug or alcohol addiction; stomach problems such as an ulcer.


HealthSurvey.org provides accurate and independent information prescription pills, over-the-counter medicines and natural products. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. If you have questions about  dosage, or Tylenol with Codeine side effects, please contact your healthcare provider