I find it bizarre how we're all being told different things about the amounts of codeine we can take safely! I am still under GP/MW care, with no mention of an obs referral and I am taking 30mg of dihydrocodeine and x2 500mg paracetomal every 4-5 hours. Although I am going back tomorrow to see if I can get anything stronger, I suspect I will just be told to rest more though!
I did originally have 60mg of dihydrocodeine which I could take 3 times a day with normal paracetomal. Mind the specialist interest in obs GP I am now seeing wasn't happy I was taking the 60mg 3 times a day.
The big problem is -that there is no recommended dosage for pregnant women - there are no clinical trials carried out on pregnant women for obvious reasons so therefore there is no data to back up theories.
Codeine is morphine based and just like heroin is highly addictive -there more you take the higher the risk of addiction for you, and also for your baby
'' This medication should be used only when clearly needed during pregnancy. It is not recommended for use for long periods or in high doses near the expected delivery date because of the potential for harm to your unborn baby. Discuss the risks and benefits with your doctor. Infants born to mothers who have been using this medication for a long time may have withdrawal symptoms such as irritability, abnormal/persistent crying, vomiting, or diarrhea. Tell your doctor immediately if you notice any of these symptoms in your newborn. '' Copied from medical Journal
Side effects also include respiratory distress, circulatory problems and can cause cardiac arrest.
However, my sis has lupus and needs to take 30/500 cocodamol regualarly without missing any doses at all. She was advised to take them continuously thoughout her recent pregnancy.
Unfortuantely we'll never know if my nephew was affected by the codeine, as he was born prematurely due to placental previa and ended up in NICU on morphine (due to 2 x collapsed lungs shortly after birth) -which he did have to go through withdrawal from.
Dont want to scare anyone but make sure you are asking your GP's about recommended safe limits etc and take the minimum you need to get through. My GP only recommends 8/500 cocodamol; one a day with paracetemol when I really need it.

