Sival-B Syrup (Codeine p + Ephedrine)


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Price: $231.00 per bottle
Generic Name: Codeine p + Ephedrine

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What is Codeine (Sival-B)

Codeine (Sival-B) is an opioid pain medication. An opioid is sometimes called a narcotic. Codeine (Sival-B) is used to treat mild to moderately severe pain. Codeine (Sival-B) may also be used for purposes not listed in Codeine (Sival-B) guide.

Codeine (Sival-B) side effects

Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.
Seek emergency medical attention if a child taking Codeine (Sival-B) has any of the following life-threatening side effects: noisy breathing, sighing, slow breathing with long pauses between breaths, being unusually sleepy, or hard to wake up; blue colored lips.
Call your doctor at once if you have:

  • slow heart rate, weak pulse, fainting, shallow breathing;
  • feeling like you might pass out;
  • confusion, agitation, hallucinations, unusual thoughts or behavior;
  • feelings of extreme happiness or sadness;
  • seizure (convulsions); or
  • problems with urination.

Common side effects include:

  • feeling dizzy or drowsy;
  • nausea, vomiting, stomach pain;
  • constipation;
  • sweating; or
  • mild itching or rash.

This is not a complete list of side effects, and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
See also: Side effects (in more detail)

Codeine (Sival-B) dosing

Usual Adult Dose for Cough:

Initial dose: 15 mg orally every 6 hours as necessary.
May titrate up to 20 mg every 4 hours.
Maximum 120 mg/day.

Usual Adult Dose for Pain:

Initial dose: 30 mg orally, IM, subcutaneously, or IV every 6 hours as necessary. May titrate dose to achieve the desired analgesic effect. Doses up to 60 mg orally, IM, subcutaneously, or IV every 4 hours have been used.

Usual Geriatric Dose for Cough:

Initial dose: 10 mg orally every 6 hours as necessary.
May titrate cautiously up to 20 mg every 4 hours.
Maximum 120 mg/day.

Usual Geriatric Dose for Pain:

Initial dose: 15 mg orally, IM, subcutaneously, or IV every 6 hours as necessary. May titrate dose to achieve the desired analgesic effect. Doses up to 60 mg orally, IM, subcutaneously, or IV every 4 hours have been used.

Usual Pediatric Dose for Cough:

2 to 6 years: 2.5 to 5 mg orally every 4 to 6 hours
Maximum 30 mg/day
6 to 12 years: 5 to 10 mg orally every 4 to 6 hours
Maximum 60 mg/day

Usual Pediatric Dose for Pain:

One year or greater: 0.5 mg/kg or 15 mg/m2 orally, IM, or subcutaneously every 4 to 6 hours as needed

Ephedrine (Sival-B)

What is Ephedrine (Sival-B)

You are treating allergy conditions, increasing blood pressure, strengthening heart contractions, treating narcolepsy and depression, and treating myasthenia gravis. It may also be used for other conditions as determined by your doctor.

Ephedrine (Sival-B) is a vasoconstrictor. It works in various areas of the body to produce many different reactions.

Important safety information:

  • Ephedrine may cause dizziness. Do not drive, operate machinery, or do anything else that could be dangerous until you know how you react to Ephedrine (Sival-B). Using Ephedrine (Sival-B) alone, with certain other medicines, or with alcohol may lessen your ability to drive or to perform other potentially dangerous tasks.
  • If your symptoms do not improve or if they worsen, contact your doctor immediately.
  • Diabetes patients – Ephedrine (Sival-B) may affect your blood sugar. Check blood sugar levels closely and ask your doctor before adjusting the dose of your diabetes medicine.
  • Ephedrine (Sival-B) is not recommended for use in CHILDREN younger than 2 years of age. Safety and effectiveness in this age group have not been confirmed.
  • PREGNANCY and BREAST-FEEDING: If you become pregnant, discuss the benefits and risks of using Ephedrine (Sival-B) during pregnancy with your doctor. If you are or will be breastfeeding while using Ephedrine (Sival-B), check with your doctor or pharmacist to discuss the risks to your baby.

Ephedrine (Sival-B) side effects

All medicines may cause side effects, but many people have no or minor side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:

  • Anxiety; confusion; difficulty sleeping; dizziness; headache; nausea; nervousness; pale skin; restlessness; sweating; tension; tremors; weakness. Seek medical attention right away if any of these SEVERE side effects occur:
  • Severe allergic reactions (rash; hives; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); chest pain; difficulty urinating; eye pain; hallucinations; increased irregular heartbeat; nausea; pounding in the chest; vomiting.
    This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. To report side effects to the appropriate agency, please read the Guide to Reporting Problems to FDA.

Select the most affordable brand or generic drug

A generic drug is a primary drug with an active substance in it, and the name of the generic drug is the same as an active substance most of the time. Like Acetaminophen/Paracetemol is a Generic name, and it has different brand names like Tylenol, Acimol, Crocin, Calpol, etc. All these Brand names contain the same Paracetemol, but other companies manufacture the medications, so they have different brand names. The generic drug is always cheaper and affordable, and it can be replaced in place of brand-name drugs prescribed by the healthcare practitioner. Generic medicine has the same properties as branded medicine in terms of uses, indications, doses, side effects, so no need to worry about that. Just select the most affordable generic or branded drug.

Sival-B – FAQ’s

Can Sival-B be stopped immediately, or do I have to stop the consumption gradually to ween off?

In some cases, it is always advisable to gradually stop the intake of some medicines because of the treatment’s rebound effect.

It’s wise to get in touch with your doctor as a professional advice is needed regarding your health, medications, and further recommendation to give you a stable health condition.

How should I take Codeine (Sival-B)?

Follow all directions on your prescription label. Codeine (Sival-B) can slow or stop your breathing. Never use Codeine (Sival-B) in more significant amounts or for longer than prescribed. Tell your doctor if the medicine seems to stop working as well in relieving your pain.

Codeine (Sival-B) may be habit-forming, even at regular doses. Never share this medicine with another person, especially someone with a history of drug abuse or addiction. MISUSE OF NARCOTIC MEDICINE CAN CAUSE ADDICTION, OVERDOSE, OR DEATH, especially in a child or other person using the medicine without a prescription. Selling or giving away Codeine (Sival-B) is against the law.

Take Codeine (Sival-B) with food or milk if it upsets your stomach.

Measure liquid medicine with a special dose-measuring spoon or medicine cup. If you do not have a dose-measuring device, ask your pharmacist for one.

Drink 6 to 8 full glasses of water daily to help prevent constipation while taking Codeine (Sival-B). Do not use a stool softener (laxative) without first asking your doctor.

Do not stop using Codeine (Sival-B) suddenly after long-term use, or you could have unpleasant withdrawal symptoms. Ask your doctor how to avoid withdrawal symptoms when you cease using Codeine (Sival-B).

Store at room temperature away from moisture and heat.

Keep track of the amount of medicine used from each new bottle. Codeine (Sival-B) is a drug of abuse, and you should be aware if anyone is misusing your medication or without a prescription.

After you have stopped using this medication, flush any unused pills down the toilet. Disposal of medicines by flushing is recommended to reduce the danger of accidental overdose causing death. This advice applies to a minimal number of drugs only. The FDA, working with the manufacturer, has determined this method to be the most appropriate disposal route and presents the least risk to human safety.

Who should not take Codeine (Sival-B)?

You should not use this medication if you are allergic to it or if you have:

  • untreated or uncontrolled asthma or other breathing disorder;
  • a bowel obstruction called paralytic ileus; or
  • frequent asthma attacks or hyperventilation.

Medicines that contain Codeine (Sival-B) should not be given to a child just after surgery to remove the tonsils or adenoids.

In some people, Codeine (Sival-B) breaks down rapidly in the liver and reaches higher than normal levels in the body. This can cause dangerously slow breathing and may cause death, especially in a child.

To make sure this medicine is safe for you, tell your doctor if you have:

  • liver disease;
  • asthma, COPD, sleep apnea, or other breathing disorders;
  • the curvature of the spine that affects breathing;
  • kidney disease;
  • a history of head injury or brain tumor;
  • low blood pressure;
  • blockage in your digestive tract (stomach or intestines);
  • a gallbladder or pancreas disorder;
  • underactive thyroid;
  • Addison’s disease or other adrenal gland disorder;
  • enlarged prostate, urination problems;
  • mental illness; or
  • a history of drug or alcohol addiction.

FDA pregnancy category C. It is not known whether Codeine (Sival-B) will harm an unborn baby. Codeine (Sival-B) may cause breathing problems, behavior changes, or life-threatening addiction and withdrawal symptoms in your newborn if you use the medication during pregnancy. Tell your doctor if you are pregnant.

Codeine (Sival-B) can pass into breast milk and may harm a nursing baby. The use of Codeine (Sival-B) by some nursing mothers may lead to life-threatening side effects in the baby. Do not breastfeed while taking this medicine.

Older adults may be more sensitive to the effects of this medicine.

What other drugs will affect Codeine (Sival-B)?

Taking this medicine with other drugs that make you sleepy or slow your breathing can cause dangerous or life-threatening side effects. Ask your doctor before taking Codeine (Sival-B) with a sleeping pill, other narcotic pain medicine, muscle relaxer, or medicine for anxiety, depression, or seizures.

Other drugs may interact with Codeine (Sival-B), including prescription and over-the-counter medicines, vitamins, and herbal products. Tell each of your health care providers about all medicines you use now and any medicine you start or stop using.

How should I take Ephedrine (Sival-B)?

Use Ephedrine (Sival-B) as directed by your doctor. Check the label on the medicine for exact dosing instructions. Check the label on the medicine for clear dosing instructions.

  • Ephedrine (Sival-B) is usually administered as an injection at your doctor’s office, hospital, or clinic. If you are using Ephedrine (Sival-B) at home, carefully follow the injection procedures taught to you by your health care provider.
  • If Ephedrine (Sival-B) contains particles or is discolored, or if the vial is cracked or damaged in any way, do not use it.
  • Do not reuse needles, syringes, or other materials.
  • Keep this product, as well as syringes and needles, out of the reach of children and away from pets. Do not reuse needles, syringes, or other materials. Dispose of properly after use. Ask your doctor or pharmacist to explain local regulations for proper disposal.
  • If you miss a dose of Ephedrine (Sival-B), contact your doctor right away.

Ask your health care provider any questions you may have about how to use Ephedrine (Sival-B).

Who should not take Ephedrine (Sival-B)?

Some medical conditions may interact with Ephedrine (Sival-B). Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

  • if you are pregnant, planning to become pregnant, or are breastfeeding
  • if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
  • if you have allergies to medicines, foods, or other substances
  • if you have glaucoma, irregular heartbeat or other heart problems, diabetes, high blood pressure, overactive thyroid, or low blood volume

Some MEDICINES MAY INTERACT with Ephedrine (Sival-B). Tell your health care provider if you are taking any other medicines, especially any of the following:

  • Rauwolfia alkaloids (e.g., reserpine) or tricyclic antidepressants (e.g., amitriptyline) because the effectiveness of Ephedrine (Sival-B) may be decreased, or its actions and side effects may be increased
  • Droxidopa, furazolidone, methyldopa, monoamine oxidase (MAO) inhibitors (e.g., phenelzine), oxytocic medicines (e.g., oxytocin), or urinary alkalinizers (e.g., daily antacids) because the actions and side effects of Ephedrine (Sival-B) may be increased
  • Bromocriptine or cocaine because the actions and side effects of these medicines may be increased
  • Guanethidine because its effectiveness may be decreased by Ephedrine (Sival-B)

This may not be a complete list of all interactions that may occur. Ask your health care provider if Ephedrine (Sival-B) may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.

Can Sival-B be taken or consumed while pregnant?

Please visit your doctor for a recommendation as such a case requires special attention.

Can Sival-B be taken for nursing mothers or during breastfeeding?

Kindly explain your state and condition to your doctor and seek medical advice from an expert.


  1. Dailymed.”Ephedrine sulfate: dailymed provides trustworthy information about marketed drugs in the united states. dailymed is the official provider of FDA label information (package inserts).”.… (accessed August 28, 2018).
  2. Dailymed.” Codeine sulfate: dailymed provides trustworthy information about marketed drugs in the united states. dailymed is the official provider of FDA label information (package inserts).”.… (accessed August 28, 2018).
  3. “Ephedrine”.… (accessed August 28, 2018).


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