Quick info

Benylin® with Codeine N, Codeine Knoll®, Codicalm®, Escotussin, Néo-Codion® N, Paracodin®, Resyl® plus, Gelonida® etc.

Codeine is a substance found in opium and belongs to the group of opiates. In medicine, codeine is used as a painkiller (mostly in combination with paracetamol) and as a cough suppressant.

Effect

Dosage

Risks

Safer Use

Mixed use

Sex

Extender

LSD analogues

Synthesis impurities

Contents

Effect

The effect is individual and dose-dependent. It varies from sedative and analgesic effects, mild sedation to euphoria or excitement. In high doses (100-200 mg) codeine is strongly sedating.

Duration

Onset of effect

Varies with the form of application.

Swallowed: 15 - 90 minutes
Snorted and rectally (suppositories): after approx. 10 minutes
Injected: after a few seconds

Duration of action

Swallowed: 4 - 12 hours
Snorted 3 - 6 hours

Dosage

light: 20 - 100 mg
medium: 100 - 150 mg
strong: 150 - max. 200 mg/day

The effect occurs more quickly when codeine is mixed with carbonic acid and sugar. From 100 mg, a strong sedative and depressant effect can already occur. Higher doses mainly increase the risk of side effects. An increase in effect at high doses is rarely seen, as the body can only absorb limited amounts of codeine.


Information on dosage in liquid form
(e.g., syrup)

The information is usually given in %, which you can use to calculate the dosage as follows:

Examples:

0.1%: (1mg codeine in 1ml) = 100mg in 1dl

0.2%: (2mg codeine in 1ml) = 200mg in 1dl

0.3%: (3mg codeine in 1ml) = 300mg in 1dl


Appearances

Mono- and combination preparations in the form of tablets, capsules, pastilles, drops or syrup, rarely in suppositories.

A mixture of codeine, crushed candy in sweet drinks (often lemonade) is called Lean, Texas Tea, Purple Drank, or Sizzurp.

Risks

  • The effects triggered by a combination of two or more substances are difficult to assess. As a rule, they do not correspond to the sum of the individual effects: Mixing involves additional, sometimes high health risks.
  • The simultaneous consumption of depressant substances such as alcohol, ketamine, GHB/GBL, nitrous oxide, benzodiazepines and/or other opioids/opiates is dangerous, as there is an increased risk of vomiting and unconsciousness. The risk of suffocation is high!
  • The combination with methoxetamine (MXE, Metha-Keta) increases the opioid effect.
  • Mixed use of opioids with DXM is generally not recommended - there is an increased risk of central nervous system disorders as well as cardiac and respiratory problems. In addition, DXM lowers the individual opioid tolerance, which is why the risk of overdose increases considerably.
  • The mixed consumption of opiates with stimulants (such as cocaine, amphetamine, methamphetamine) places a heavy burden on the body and the cardiovascular system. The effects can mask each other so that they are subjectively perceived as weaker. If the effect of the stimulants wears off before the opioids, there is a risk of delayed overdose and even respiratory depression.

Safer Use

  • Do not use opioids with other downers, especially substances that have an inhibitory effect on breathing: Alcohol, cannabis, benzodiazepines/sleep aids, GHB/GBL, antihistamines.
  • With Sizzurp: The mixture with carbonic acid and sugar makes the codeine more difficult to dose. In addition, the effect is much faster and more intense.
  • Opiates are highly effective drugs that should only be used for a limited time and, at best, with a doctor's supervision.
  • Start with a low dose and wait for the effect and tolerance before adding more.
  • After a period of abstinence, use a much lower dose! The usual dose before the abstinence phase can otherwise quickly have life-threatening consequences.
  • When injecting opiates, use even more caution, as the range between desired effect (rush) and dangerous overdose is even more difficult to judge. Avoid injecting opiates; the risk of overdose is particularly high. Always use new (clean and sterile) syringe material! Never exchange syringes, filters, water, disinfection swabs to avoid transmission of hepatitis and HIV.
  • Do not rely on dosage information from colleagues who regularly use opiates. Due to habituation or dependence, their doses are significantly higher and can be fatal for new users.
  • Take longer breaks (at least several days) between consumption.
  • Refrain from citrus fruits (especially grapefruit) before or during consumption. The combination can lead to an increase in the effect of the opiate and/or respiratory depression.

Mixed use

  • The effects triggered by a combination of two or more substances are difficult to assess. As a rule, they do not correspond to the sum of the individual effects: Mixing involves additional, sometimes high health risks.
  • The simultaneous consumption of depressant substances such as alcohol, ketamine, GHB/GBL, nitrous oxide, benzodiazepines and/or other opioids/opiates is dangerous, as there is an increased risk of vomiting and unconsciousness. The risk of suffocation is high!
  • The combination with methoxetamine (MXE, Metha-Keta) increases the opioid effect.
  • Mixed use of opioids with DXM is generally not recommended - there is an increased risk of central nervous system disorders as well as cardiac and respiratory problems. In addition, DXM lowers the individual opioid tolerance, which is why the risk of overdose increases considerably.
  • The mixed consumption of opiates with stimulants (such as cocaine, amphetamine, methamphetamine) places a heavy burden on the body and the cardiovascular system. The effects can mask each other so that they are subjectively perceived as weaker. If the effect of the stimulants wears off before the opioids, there is a risk of delayed overdose and even respiratory depression.
Cocaine

Lower risk

Learn about the substances, their effects, how quickly they take effect, and the proper dosage. Get to know each substance on its own first, and see how they affect you and whether they suit you before mixing them. Allow enough time between doses, mix as few substances as possible, and start with low doses.

More about poly-drug use

Lower risk

Learn about the substances, their effects, how quickly they take effect, and the proper dosage. Get to know each substance on its own first, and see how they affect you and whether they suit you before mixing them. Allow enough time between doses, mix as few substances as possible, and start with low doses.

More about poly-drug use

Lower risk

Learn about the substances, their effects, how quickly they take effect, and the proper dosage. Get to know each substance on its own first, and see how they affect you and whether they suit you before mixing them. Allow enough time between doses, mix as few substances as possible, and start with low doses.

More about poly-drug use

Lower risk

Learn about the substances, their effects, how quickly they take effect, and the proper dosage. Get to know each substance on its own first, and see how they affect you and whether they suit you before mixing them. Allow enough time between doses, mix as few substances as possible, and start with low doses.

More about poly-drug use

Lower risk

Learn about the substances, their effects, how quickly they take effect, and the proper dosage. Get to know each substance on its own first, and see how they affect you and whether they suit you before mixing them. Allow enough time between doses, mix as few substances as possible, and start with low doses.

More about poly-drug use

Lower risk

Learn about the substances, their effects, how quickly they take effect, and the proper dosage. Get to know each substance on its own first, and see how they affect you and whether they suit you before mixing them. Allow enough time between doses, mix as few substances as possible, and start with low doses.

More about poly-drug use

Lower risk

Learn about the substances, their effects, how quickly they take effect, and the proper dosage. Get to know each substance on its own first, and see how they affect you and whether they suit you before mixing them. Allow enough time between doses, mix as few substances as possible, and start with low doses.

More about poly-drug use

Risk

This combination already poses a significant risk. The effects can reinforce each other or change in unpredictable ways. Therefore, use these substances with caution, test new or unfamiliar substances individually first, and keep the doses as low as possible. Allow sufficient time between doses and avoid taking additional doses on a whim. Be aware of the varying durations of action for each substance.

More about poly-drug use

Risk

This combination already poses a significant risk. The effects can reinforce each other or change in unpredictable ways. Therefore, use these substances with caution, test new or unfamiliar substances individually first, and keep the doses as low as possible. Allow sufficient time between doses and avoid taking additional doses on a whim. Be aware of the varying durations of action for each substance.

More about poly-drug use

Increased risk

We strongly advise against this combination. If possible, stick to a single substance. The health risks are significantly increased—including the risk of overdose, respiratory and circulatory problems, and mental health crises.

More about poly-drug use

Risk

This combination already poses a significant risk. The effects can reinforce each other or change in unpredictable ways. Therefore, use these substances with caution, test new or unfamiliar substances individually first, and keep the doses as low as possible. Allow sufficient time between doses and avoid taking additional doses on a whim. Be aware of the varying durations of action for each substance.

More about poly-drug use

Increased risk

We strongly advise against this combination. If possible, stick to a single substance. The health risks are significantly increased—including the risk of overdose, respiratory and circulatory problems, and mental health crises.

More about poly-drug use

Danger of death!

Please do not mix these substances; it is dangerous. Even small amounts or taking additional doses can lead to serious circulatory problems, loss of consciousness, respiratory arrest, overheating, or death.

More about poly-drug use

Increased risk

We strongly advise against this combination. If possible, stick to a single substance. The health risks are significantly increased—including the risk of overdose, respiratory and circulatory problems, and mental health crises.

More about poly-drug use

Danger of death!

Please do not mix these substances; it is dangerous. Even small amounts or taking additional doses can lead to serious circulatory problems, loss of consciousness, respiratory arrest, overheating, or death.

More about poly-drug use

Danger of death!

Please do not mix these substances; it is dangerous. Even small amounts or taking additional doses can lead to serious circulatory problems, loss of consciousness, respiratory arrest, overheating, or death.

More about poly-drug use

Extender

In the case of codeine obtained from a legal source (doctor or pharmacy), we are not aware of any extenders. If medication is obtained on the black market or online and not from a pharmacy/medical facility, the contents are unclear. Have the medication tested for the exact ingredients in a drug check!

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Emergency

If you or someone else needs urgent help after taking drugs or alcohol, call an ambulance on 144. Tell the emergency responders everything you know.
It could save lives.

Things to know

Current warnings

Advisory service