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Oral liquid cough medicines containing codeine: should not be used in children and young people under 18 years

Please note: In October and November 2010, the MHRA moved from its Market Towers address to a new location on Buckingham Palace Road. Please go to the contact us section of the website for updated contact details.

11 October 2010

Codeine has been used in medicines for many years for cough suppression and pain relief. Medicines that contain codeine for the relief of dry, non-productive coughs are available over the counter in pharmacies in the UK.  All products containing codeine indicated for cough are sold or supplied under the supervision of a pharmacist (Pharmacy (P) legal status).

A UK review of scientific evidence has concluded that the risks associated with over-the-counter oral liquid cough medicines containing codeine outweigh the benefits in children and young people under 18 years. Therefore:

  • over-the-counter oral liquid medicines containing codeine should no longer be used to treat cough in children and young people under 18 years.

In addition:

  • all over-the-counter oral liquid codeine medicines will be supplied in child-resistant containers.

The following Drug Safety Update article (published October 2010) and Public Assessment Report (published October 2010) present a summary of the evidence and conclusions from the review:

DSU - Codeine-containing liquid over-the-counter medicines: should not be used for cough under 18 yearsPDF file (opens in new window) (469Kb)

MHRA Public Assessment Report - Oral liquid cough medicines containing codeine: should not be used in children and young people under 18 yearsPDF file (opens in new window) (205Kb)

Page last modified: 10 November 2010