Ultracod pairs acetaminophen with codeine — two ingredients in distinct pharmacological classes — within a single oral preparation aimed at the management of moderate pain. Combination analgesics of this kind are common in many national formularies because the two ingredients act through different routes, and pairing them in a single tablet formalises a co-prescribing pattern that prescribers in several countries already use in everyday practice.
Acetaminophen is classified as an analgesic and antipyretic, while codeine belongs to the opioid class and is also recognised as an antitussive opioid. In Ultracod the two are used together for pain relief across a range of indications listed further down this page, including neuralgia, period pain, headache, toothache, and migraine. The structured indication block records the registered uses recognised by the regulators in the markets where Ultracod is sold.
Ultracod has a fairly contained regional footprint, registered in five countries that cluster across Central and Eastern Europe — the Czech Republic, Poland, Romania, Lithuania, and Latvia. Travellers familiar with the brand from this region are unlikely to find Ultracod itself in Western Europe, North America, or Asia, although acetaminophen-plus-codeine combinations exist in many other countries under different brand names, with notable variation in dosage ratios and prescription status.
Combination products that include an opioid component are regulated very differently from one country to another, and what is dispensed routinely in one market may require a stricter prescription pathway in another. A local pharmacist can confirm whether a comparable combination is registered in the destination country. Decisions about starting, continuing, or substituting a codeine-containing analgesic belong with a healthcare provider who knows the patient's history.
Incompatibilities
None known.
Preclinical safety data
None.
Pharmacotherapeutic group
Other Analgesics and Antipyretics, ATC code: N02B.
Pharmacodynamic properties
Pharmacotherapeutic group: Other Analgesics and Antipyretics, ATC code: N02B.
Ultracod has analgesic and antipyretic actions.
Codeine is a centrally acting weak analgesic. Codeine exerts its effect through μ opioid receptors, although codeine has low affinity for these receptors, and its analgesic effect is due to its conversion to morphine. Codeine, particularly in combination with other analgesics such as paracetamol, has been shown to be effective in acute nociceptive pain.
Pharmacokinetic properties
Not applicable.
Special precautions for disposal and other handling
None.