Product image of Kapake (Paracetamol, Codeine Phosphate) supplied by GNH India

Kapake

Active Ingredient:
Paracetamol, Codeine Phosphate
Origin:
EU

Kapake (Paracetamol, Codeine Phosphate)

Paracetamol, the active ingredient in Kapake, is an analgesic presented as an oral tablet for oral use. It is combined with codeine phosphate to provide relief of mild to moderate pain and to reduce fever in adult patients. The formulation leverages the synergistic action of a central COX inhibitor and a μ‑opioid receptor agonist, offering effective symptom control in various acute and chronic conditions.

GNH India supplies Kapake as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies, clinics and other healthcare institutions worldwide.

Manufacturer / TM Owner

Kent Pharma Uk Limited

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Indications & Clinical Uses

Kapake, containing paracetamol and codeine phosphate, is used to manage pain and fever through central analgesic pathways.

  • Mild to moderate pain: provides effective analgesia for conditions such as headache, dental pain, musculoskeletal discomfort.
  • Post‑operative pain: helps control pain after surgical procedures, facilitating recovery and mobilization.
  • Fever: reduces elevated body temperature associated with infections or inflammatory states.
  • Dysmenorrhea: alleviates menstrual cramps by diminishing uterine muscle contractions and pain perception.

How It Works

  • Paracetamol acts as a central cyclo‑oxygenase (COX) inhibitor, lowering prostaglandin synthesis in the brain and spinal cord, which reduces pain signalling and thermoregulation. Codeine phosphate is a μ‑opioid receptor agonist that binds to receptors in the central nervous system, producing analgesia, sedation and antitussive effects. The combination yields additive pain relief while allowing lower doses of each component.

Side Effects

Kapake may cause a range of adverse reactions, varying from mild to severe.

Common Side Effects

  • Nausea
  • Dizziness
  • Constipation
  • Drowsiness

Serious or Rare Side Effects

  • Respiratory depression
  • Severe allergic reaction (anaphylaxis)
  • Hepatotoxicity with overdose
  • Dependence or addiction potential

Precautions & Warnings

When prescribing Kapake, clinicians should consider several safety measures to minimise risk.

  • Assess liver function: evaluate hepatic status before initiating therapy.
  • Monitor respiratory status: watch for signs of depression, especially in opioid‑naïve patients.
  • Avoid concurrent CNS depressants: limit use with benzodiazepines, antihistamines or alcohol.
  • Use caution in renal impairment: adjust dosing if necessary.
  • Store at room temperature: keep in original packaging, protect from moisture and heat.

Avoid Interactions

Kapake can interact with other medicines, altering its efficacy or safety profile.

Major Interactions (Avoid)

  • Alcohol: increases risk of hepatotoxicity and central nervous system depression.
  • MAO inhibitors: may potentiate opioid effects leading to severe sedation.
  • Other opioid analgesics: additive respiratory depression risk.

Moderate Interactions (Monitor Closely)

  • Anticoagulants (e.g., warfarin): may enhance bleeding tendency.
  • Antihistamines: can increase drowsiness and dizziness.
  • CYP2D6 inhibitors (e.g., fluoxetine): may raise codeine plasma levels, increasing opioid effects.

Frequently Asked Questions

Kapake is prescribed for the relief of mild to moderate pain such as headache, dental or musculoskeletal pain, and for the reduction of fever. The combination of paracetamol and codeine phosphate provides both analgesic and antipyretic effects, making it suitable for acute pain episodes and febrile conditions in adult patients.

Paracetamol reduces pain and fever by inhibiting central cyclo‑oxygenase enzymes, which lowers prostaglandin production in the brain. Codeine phosphate binds to μ‑opioid receptors in the central nervous system, producing analgesia, sedation, and a mild cough‑suppressing effect. Together they act synergistically, allowing effective symptom control at lower individual doses.

The appropriate dose of Kapake is determined by the prescribing healthcare professional based on the patient’s age, weight, clinical condition, and response to therapy. Dosage instructions are individualized and must follow the prescriber’s written order; patients should not adjust the dose without medical guidance.

Safety of Kapake in pregnancy or while breastfeeding has not been fully established. Paracetamol is generally considered low‑risk when used at recommended doses, but codeine crosses the placenta and can affect the newborn. Women who are pregnant, planning pregnancy, or nursing should discuss potential risks and benefits with their healthcare provider before using this medication.

To order Kapake, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India works with hospitals, pharmacies and procurement teams worldwide, and will request verification of trade or institutional credentials. After confirmation, the sales team provides pricing, availability, shipping details (including any temperature requirements) and assists with import documentation.

Kapake combines a non‑opioid analgesic (paracetamol) with a weak opioid (codeine), offering stronger pain relief than paracetamol alone while typically requiring lower opioid doses than stronger opioids such as morphine. Compared with NSAIDs like ibuprofen, Kapake does not carry the same gastrointestinal or cardiovascular risks, but it does have opioid‑related concerns such as dependence and respiratory depression.

Kapake should be stored at room temperature, below 25 °C (77 °F). Keep the tablets in the original container, protect them from moisture, direct sunlight and excessive heat. Do not store in bathrooms or near kitchen appliances that generate steam or high temperatures.

Kapake is taken orally. The tablets should be swallowed whole with a full glass of water. It can be taken with or without food, but patients who experience stomach upset may prefer to take it with a meal. The exact timing and frequency must follow the prescriber’s instructions.

The most serious risks include respiratory depression, especially when combined with other central nervous system depressants; severe liver injury if paracetamol is taken in excess or in patients with pre‑existing liver disease; and the potential for dependence, tolerance or addiction related to the codeine component. Prompt medical attention is required if breathing becomes shallow, yellowing of the skin occurs, or signs of misuse develop.

Kapake should be avoided in individuals with known hypersensitivity to paracetamol, codeine or any excipients, in patients with severe hepatic impairment, uncontrolled respiratory disorders, or a history of opioid dependence. It is also contraindicated in children under the age specified by local regulations for codeine‑containing products. Clinicians must evaluate each patient’s medical history before prescribing.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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