Pharmer.org

Wilson's back with scoreWilson's: Wilson's light yellow w/darker yellow speckles scored

Thanks for the image. It's an interesting tablet. In fact the background on the imprint side closely resembles a Canadian Tylenol #4 with Codeine:

Image courtesy of Aesthir

One other poster asked about this imprint and thought it was codeine. And you think it's codeine, so it very well could be some type of combo product containing codeine.

Here is the other thread:

http://www.pharmer.org/node/8383

No one replied to the previous question apparently because no one has access to references covering Pakistani meds.

sjd0103, please measure the tablet for us. Millimeters are best. But if you don't have a ruler handy, then compare the tablet to a penny, nickel or dime and give us an approximate size. Thanks.

Thank you very much, cohnnyjash, for the closeup image and especially for the measurements.

Okay, based on the measurements the tablet is probably not pure codeine. The size is the same size as most US round tablets containing 500 mg acetaminophen - see these images:

http://www.pharmer.org/node/11290

http://www.pharmer.org/node/2309

http://www.pharmer.org/node/8354

And the diameter is the same as two US generic Tylenol with Codeine tablets. See these images:

http://www.pharmer.org/node/7583

http://www.pharmer.org/node/7336

So the Wilson's tablet, if it actually does contain codeine, has another ingredient - probably APAP.

I've only seen one pure codeine tablet (30 mg) and it was tiny - about the same size as Dulcolax (5 mm diameter). I'm guessing 60 mg pure codeine is probably a little larger, maybe 6 or 7 mm.

I guess it's possible the tab is extended-release codeine or codeine that's effervescent (like Alka Seltzer), and these would probably be bigger than plain codeine. But you could probably tell by the texture if it's those types of tablets.

Thanks, cohnnyjash.

I guess we're back to square one with this pill ID. If you say the tablet doesn't leave much residue, then apparently it doesn't contain APAP.

Maybe someone with a chemical background can help us out here. What other drugs are water soluble and likely to be combined with codeine? Carisoprodol, aspirin, diclofenac and ibuprofen are about the only drugs I can think of that are common all over the world and sometimes combined with codeine, but there are probably others.  And I have no idea about solubility of these meds.

And one other important question - is there any significant size difference between codeine sulfate and codeine phosphate? The tiny pill I mentioned earlier is codeine phosphate.

I have seen them in blister packs going by the name Codogesic. The package says that each tablet consists of 15 mg of Codeine and 500 mg of Acetaminophen and that it was manufactured in Pakistan.

Hope this helps!