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Paramol Tablets

Paramol Tablets (32 tablets )

Order before 3pm for delivery from Fri. 02 Oct and Mon. 05 Oct.

Description for Paramol Tablets

Paramol Tablets are designed to give you relief from the symptoms of headaches, fever, migraine, dental pain and much more. Its active ingredients include paracetamol and dihydrocodeine which work together to provide you with rapid relief from the aforementioned symptoms.

Product Information

  • Age: 18

    Maximum per order: 1

  • Pregnancy: Not suitable

    Breastfeeding: Not suitable

Paramol is a proven medication for moderate acute pain associated with conditions such as:

  • Headaches
  • Migraines
  • Menstrual pain
  • Toothache
  • Muscular pain
  • Back pain
  • Nerve pain
  • Joint pain

It is important to bear in mind that Paramol should only be used if other pain medications, such as paracetamol and ibuprofen, haven’t worked. Paramol should only be used as a short term pain treatment (three days maximum).

Paramol tablets are the only treatment available over the counter which contains the active ingredient known as dihydrocodeine. This ingredient acts as a painkiller, giving you quick relief from any of the pains listed above.

The painkilling ingredients present in Paramol tablets work in two distinct ways:

The paracetamol works by decreasing the amount of prostaglandins produced by the brain and spinal cord. Your body naturally produces prostaglandins as a response to injury, creating pain in the affected area. It is thought that the evolutionary reason for this is to alert you to potential problems, helping you to prevent further injury or harm. By reducing the production of prostaglandins, the painful sensations associated with problem nerve endings will be decreased, increasing your pain threshold. This means that, although the cause of the pain is still present, you won’t feel it in the same way.

Dihydrocodeine is a stronger form of painkillers known as an opioid. Painkilling medication containing opioids works differently to paracetamol. They mimic your body’s natural pain reducing chemicals, known as endorphins, and work to decrease pain around your body. Dihydrocodeine works on your body’s natural opioid receptors, acting in the same way as natural endorphins – blocking the transmission of pain to the brain.

There is 7.46mg of dihydrocodeine in each tablet of Paramol. Because it also makes use of paracetamol, Paramol is an effective treatment for relieving mild or moderate pain. Dihydrocodeine and paracetamol, when used in conjunction with each other, are known as Co-dydramol.

Ideally, Paramol tablets should be consumed either with food, or shortly afterwards. 

If you are over the age of 12 then you should take one or two Paramol tablets every four or six hours as and when needed. Do not exceed more than eight tablets in any one 24 hour period.

Never take more than the recommended dose.

Paramol should not be used for longer than a three day period without first speaking to your doctor. Using any medication which contains opioids can lead to physical addiction if used for more than a three day period, and you may begin to experience withdrawal symptoms.

If Paramol does not decrease your pain then you should cease usage immediately.

Do not use any other medications which also contain paracetamol at the same time as using Paramol. Doing so could lead to you taking more than the recommended daily allowance of paracetamol. Some cold and flu treatments also contain paracetamol, so that should be taken into consideration when using Paramol.

If you have taken any kind of monoamine oxidase inhibitor (MAOI) in the last 14 days then you should consult with your doctor before using Paramol. MAOIs include:

  • Phenelzine
  • Tranylcypromine
  • Isocarboxacid
  • Moclobemide

It is unlikely that taking Paramol will cause drowsiness, however the chance of this can be increased if you take any of the following medications:

  • Antipsychotics such as haloperidol and chlorpromazine
  • Barbiturates such as phenobarbital and amobarbital
  • Benzodiazepines such as diazepam and temazepam
  • Opioids such as morphine and codeine
  • Sedating antihistamines such as chlorphenamine and hydroxyzine
  • Sleeping tablets such as zopiclone
  • Tricyclic antidepressants such as amitriptyline
  • Other medicines containing paracetamol and dihydrocodeine
  • Remedeine and Remedeine forte

If you find that Paramol makes you drowsy or sleepy then you should not operate any machinery and also avoid consuming alcohol.

Since 2015, UK police have been able to use roadside drug testing kits to test levels of certain prohibited drugs in the saliva of drivers. Because dihydrocodeine is an opioid it is possible that it may be an offence to drive while using Paramol. If you believe that taking this medication affects your ability to drive in any way then you should avoid getting behind the wheel.

Do not take any other medications which contain paracetamol as this can lead to an overdose. Overdosing on paracetamol can cause you serious harm, leading to severe liver and kidney damage. Never take more than the maximum recommended daily dose. In the event of an overdose you should seek immediate medical attention, even if you feel fine as the negative effects may be delayed.

Drinking alcohol can also increase your chance of liver damage if used at the same time as paracetamol. The risks increase for heavy drinkers and in individuals with liver disease.

Using painkillers too regularly or for long periods at a time can reduce their effectiveness and even make some symptoms worse.

Non-Prescription Alternatives for the treatment of Pain are;

  • Ibuprofen
  • Paracetamol
  • Aspirin
  • Topical Treatments (Ibuprofen gel)
  • Rest the area

If your pain does not ease or becomes severe, contact your GP or Pharmacist for further advice.

*Prescription medicines are supplied subject to a medical consultation at the discretion of a doctor.

Adults, including the elderly and children 12 years and over: 

Take 1-2 Paramol Tablets after or during meals every 4-6 hours. 

Not recommended for children.

Avoid taking more than 8 Paramol Tablets in 24 hour period.

Not everyone will experience side effects when they take Paramol Tablets, however if you do they can include: 

  • Paramol Tablets might cause constipation. 
  • Unwanted effects with paracetamol are usually rare but you should consult your doctor or pharmacist if you experience effects such as skin rash or other effects. 
  • Paracetamol, if taken in high doses may affect use of drugs, such as anticoagulants, for instance warfarin, domperidone or metoclopramide.

If you are concerned about these effects, or if the product affects you in any other way, stop using it and talk to your doctor or pharmacist.

The active ingredients contained in Paramol Tablets are:

Dihydrococodeine Tartarate 7.46mg and Paracetamol 500mg 

Paramol Tablets also contains the following inactive ingredients to make up the complete product: 

Maize Starch, Macrogol 400, Magnesium Stearate, Povidone, Hypromellose and Titanium Dioxide.

Reading the following warnings carefully will help to ensure you are selecting an appropriate product.

  • Avoid taking more than the recommended dosage. In case of an overdose seek medical advice immediately, even if you feel fine, to avoid risk of severe delayed liver damage. 
  • Avoid taking Paramol Tablets with other drugs containing Paracetamol. 
  • If you suffer from alcoholism, or if you have liver or kidney problems, or if you are taking any other medication or if you are expectant, you should consult your pharmacist or doctor before taking these tablets. 

Please read all packaging and the Product Information Leaflet before taking any new medicine and inform your doctor of medicines you are taking or intend to take.

Delivery & Shipping Information

Please note that due to the current situation with COVID-19, Royal Mail are experiencing some delays. This may mean that your order takes longer to arrive than you would normally expect. We are working hard to ensure that, where possible, all orders placed before 15:00 are still dispatched the same working day.


UK Orders

We offer FREE standard tracked delivery on orders over £40.

The following delivery options are available:

  • Standard Tracked Delivery - 3 - 5 day delivery - £2.95
  • Express Tracked Delivery - 1 - 3 day delivery - £4.45
  • DPD Next Day - 1 - 2 working days - £6.95
  • Special Delivery (Guaranteed before 21:00) - £8.95
  • Saturday Guaranteed before 21:00 - £10.45

Important Delivery Information

All our orders are sent out using Royal Mail (unless stated). We always aim to dispatch all Royal Mail orders received before 15:00 the same working day. Any orders received after 15:00 or over the weekend will be dispatched the next working day. Orders will not be dispatched on weekends or bank holidays.

All orders are subject to approval by our team of doctors and pharmacists. Your delivery date in the checkout is subject to your consultation being approved by our healthcare team.

All orders can be fully tracked from your dispatch email and in your account.

We ensure all parcels are in plain packaging for discreet delivery of your medicines and pharmacy goods. Where possible, we will attempt to size all parcels to fit through your letterbox in tamper-proof packaging. By placing an order on our website, you confirm that it is safe and appropriate for a package containing medicines to be posted through your letterbox, if the carrier is able to do so. You should notify our customer support team if it is not safe for the package to be posted through the letterbox, for example due to animals or small children.

Deliveries containing pharmacy-only or prescription medicines may require a signature on receipt. 

Delivery is free for all NHS prescriptions.


Royal Mail

Royal Mail are the most widely recognised mail delivery company in the UK. Being on the UK’s 29 million doorsteps six days a week means they offer unparalleled price and convenience. The Independent Pharmacy uses Royal Mail’s Tracked 48, Tracked 24, and Special Delivery Guaranteed parcel services to offer reliable, fully-tracked delivery at very competitive prices. Your Royal Mail parcel will arrive with your normal daily delivery of post.

Please note: Royal Mail do not deliver on Sundays or Bank Holidays - this should be taken into account when ordering. 

If you are not home to accept your delivery, a card should be left by the Royal Mail representative. This card will provide details of where you can collect the order or how to arrange re-delivery.

Should you be unable to collect your missed delivery or arrange for your medication to be redelivered by Royal Mail, the pharmacy can resend your medication to the same, or a different address provided it has been returned to us and this happens within a 30 day window.

Once a package has been shipped with Royal Mail we advise that you are bound to the terms and conditions of their use together with the terms and conditions contained herein.

You have the right to cancel your order up to the point when your treatment is dispatched. The pharmacist must destroy any medication within 30 days of it being returned, even un-opened boxes, so we are not able to offer refunds once your treatment has been dispatched.



DPD Local is the most innovative parcel carrier around. Thanks to their industry-leading Predict service, they provide parcel recipients with a one hour delivery window, notified by email, so you don't have to wait in all day. What's more, it enables receivers to watch the progress of their delivery on a real-time map, all the way down to a final 15 minute time-slot. 

As well as keeping customers informed at every stage of the journey, DPD believe in maximising choice and convenience. That's why DPD provide access to a suite of options both on the day of delivery and the night before, allowing customers to take delivery of their goods in a way that suits. If you wish to reschedule, you can:

  • Select an alternative delivery date
  • Opt for delivery to a nominated neighbour
  • Have the parcel left in a specified safe place
  • Collect the parcel from your local DPD Pickup Shop
  • Upgrade delivery to By 12

Please note: DPD do not deliver on Saturdays, Sundays or Bank Holidays - this should be taken into account when ordering. 

Once a package has been shipped with DPD we advise that you are bound to the terms and conditions of their use together with the terms and conditions contained herein.

You have the right to cancel your order up to the point when your treatment is dispatched. The pharmacist must destroy any medication within 30 days of it being returned, even un-opened boxes, so we are not able to offer refunds once your treatment has been dispatched.


Forwarding houses

We are unable to ship orders to mailing or forwarding houses for onwards shipping to locations outside of the UK.


BFPO Postcodes

Unfortunately we are unable to deliver medicines to BFPO postcodes.


Remote Areas

Please be aware that Royal Mail Guaranteed services are not available to all customers in the UK, especially those that live in remote postcodes. Royal Mail advise customers of the following:

We deliver by 17:30 the next working day in the following postcode areas:
AB30 - 39, 41 - 45, 51 - 56
GY9 Alderney (Channel Islands)
HS1, 3 - 9
IV21 - 28, 40 - 49, 51 - 56
KA27, 28
KW1 - 3, 5 - 15
KW16 Stromness Town only
PA20 (0&9)
PA28 - 38, 41 - 49, 76, 77
PH15, 17 - 26, 31 - 40, 49, 50


We deliver within two working days by 17:30 to the following postcodes areas:
GY1 Herm (Channel Islands)
GY9 Sark (Channel Islands)
PA60 - 75, 78
ZE2, 3


We deliver within three working days by 17:30 to the following postcode areas:
KW16 - non-Town
PH30, 41 - 44


Please note: This applies to our 'Special Delivery' and 'Saturday Guaranteed' services.


International Orders

We are currently unable to ship orders outside of the UK.

We are unable to ship orders to mailing or forwarding houses for onwards shipping to locations outside of the UK.

Need to know more about Pain?

Visit our advice area or contact our support team

Paramol Tablets Reviews

Unsure about a treatment?
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Frequently Asked Questions

  • What does Paramol contain?

    Paramol tablets contain paracetamol 500mg and dihydrocodeine 7.46mg per tablet. Paracetamol is a pain killer, that when combined with dihydrocodeine, can offer significant pain relief for conditions such as headache & migraine, dental pain, rheumatic & muscular pain, period pain, and neuralgia.

  • How do I take Paramol?

    In adults and children 12 years and over, the dose of Paramol tablets is 1 or 2 tablets every 4 – 6 hours. You should not take more than 8 tablets in a 24-hour period.

  • Can I take other painkillers with Paramol?

    You can combine Paramol with ibuprofen tablets and some topical pain relief such as Deep Heat, Ibuleve or CuraHeat patches. Paramol should not be taken with any other products containing paracetamol, dihydrocodeine or codeine.

  • Why does the box say I can only take Paramol for 3 days?

    Paramol contains dihydrocodeine, which is potentially addictive if misused. It is therefore advised that you do not take Paramol for more than 3 consecutive days. If you feel like you need to take Paramol tablets for more than 3 consecutive days because you are suffering with pain that is not getting better, you should consult your GP to discuss effective long-term pain relief.

  • Why can I only buy one box of Paramol?

    Paramol is a painkiller that contains dihydrocodeine. For that reason, to ensure the safety of our patients and the legal operating of our pharmacy, we only supply one box of any codeine or dihydrocodeine containing treatment at one time.

  • Will I get addicted to Paramol if I take it?

    Paramol tablets are not addictive if they are taken according to the manufacturers instructions. If they are used occasionally for short-term episodes of pain that last for no more than 3 days and the maximum dose is not exceeded, there is no need to worry.

    Paramol tablets can become addictive if incorrectly used for long periods. If you are concerned about addiction to Paramol or dihydrocodeine, you should talk to your GP in confidence.

  • Should I take Paramol with food?

    There is no specific need to take Paramol with or without food; it is down to personal preference.

  • Can I break Paramol tablets in half or crush them so that they are easier to swallow?

    No, Paramol tablets should be swallowed whole, not broken or crushed. They come in an easy-to-swallow caplet shape so you should have no problems swallowing them.

  • Will Paramol affect my asthma?

    No, neither paracetamol or dihydrocodeine have any affect on asthma.

  • I have stomach problems, should I take Paramol?

    Even if you have previously had stomach problems including stomach ulcers, perforation or bleeding, you should not experience any problems when taking Paramol. It does not contain ibuprofen or aspirin therefore it should not cause any stomach issues, whether it is taken with or without food.

  • Is taking Paramol bad for my liver?

    There should be no adverse effects on your liver if you take Paramol following the manufacturers instructions. It contains paracetamol which is toxic to the liver in overdose, it is therefore extremely important you do not exceed 8 Paramol tablets in 24 hours.

  • Is it safe to buy Paramol online?

    Yes, as long as you are buying from a website that is a legally operating and regulated pharmacy it is perfectly safe to buy Paramol online. The Independent Pharmacy is an NHS Online Pharmacy based in Bristol and has all the necessary regulation to be able to safely provide convenient access to genuine Paramol tablets through our Online Pharmacy.

  • How do I buy Paramol online?

    It's simple! Just select 'Buy' above, you will need to fill in a simple health questionnaire in the checkout so we can ensure it is safe for us to supply your Paramol to you. It all takes less than 2 minutes and Paramol can be delivered to your door.

  • What are the advantages of buying Paramol online?

    There are many advantages to buying Paramol tablets online, some include:

    • It's quick & easy - there is no need to spend time at the doctor or pharmacy.
    • Fast delivery - sometimes when you are in pain we understand you can't get around as easily. We offer fast delivery to your door with Royal Mail.
    • Great prices - we are able to offer very competitive prices.
    • Tons of information - we provide all the information you could need on Paramol tablets and other painkillers, in easy to digest formats, at a time to suit you.

Authored By:

A photo of Dr Donald Grant

Dr Donald Grant

MB ChB DRCOG MRCGP Dip.orth.med

Published on: 29-05-2019

Last modified on: 29-05-2019

Dr Don Grant is a GP with over 30 years experience and is the Clinical Advisor at The Independent Pharmacy

Reviewed By:

A photo of  Leanne Sinclair

Leanne Sinclair


Reviewed on: 29-05-2019

Next review date: 29-05-2021

Leanne is a clinical pharmacist with years of experience working in pharmacy.

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