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  3. Koxma Tablet 10's

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Koxma Tablet 10's, Pack of 10 TABLETS
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Written By Lakshmithulasi Yarragunta ,
Reviewed By Dr Aneela Siddabathuni , MPharma., PhD

Koxma Tablet is used to treat acute or short-term painful conditions in adults. Secondly, due to its antitussive properties, it can also be used to treat dry cough. It contains Ethylmorphine, which has both analgesic and antitussive properties. As an analgesic, it works by preventing pain signal transmission along the nerves to the brain. When used as an antitussive medicine, it also lowers activity in the brain's area, which produces coughing.

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Composition :

ETHYLMORPHINE-10MG

Manufacturer/Marketer :

West Coast Pharmaceuticals Pvt Ltd

Consume Type :

ORAL

Return Policy :

Not Returnable

Expires on or after :

About Koxma Tablet

Koxma Tablet is an opioid analgesic medicine. It is used to treat acute or short-term painful conditions in adults. Secondly, due to its antitussive properties, it can also be used to treat dry cough. Pain is a widely used term to describe an unpleasant feeling or discomfort. It ranges from mild to severe. A dry cough means it's tickly and doesn't produce any phlegm (thick mucus). 

Koxma Tablet contains Ethylmorphine, which has both analgesic and antitussive properties. As an analgesic, it works by preventing pain signal transmission along the nerves to the brain. When used as an antitussive medicine, it also lowers activity in the brain's area, which produces coughing.

Koxma Tablet may cause side effects such as constipation, nausea, vomiting, feeling sleepy, confusion, dizziness, withdrawal symptoms, restlessness, vertigo, dry mouth, and headaches. These side effects are usually mild and temporary. However, if these side effects persist or worsen, inform your doctor immediately.

Avoid taking it and immediately inform your doctor if you are allergic to Koxma Tablet or its components. Before taking Koxma Tablet , keep your doctor informed about your health condition and all the medicines you are taking to rule out any side effects. This medicine is not recommended for children, pregnant women, and breastfeeding mothers. It should be used with caution in elderly patients.

Uses of Koxma Tablet

Koxma Tablet is used in the treatment of Pain and Dry cough. The detailed uses of Koxma Tablet are as follows:<br/>• Relieve moderate to severe pain: Koxma Tablet acts as an opioid analgesic by blocking pain signals in the brain, helping reduce discomfort from conditions such as injury, surgery, or chronic pain.<br/>• Suppress persistent cough: Koxma Tablet has antitussive properties that reduce nerve signals triggering the cough reflex, making it effective for dry or irritating coughs.<br/>• Reduce respiratory tract congestion: Koxma Tablet may help ease breathing by calming the respiratory system, especially in cases of bronchial irritation.<br/>• Support symptomatic treatment in respiratory infections: Koxma Tablet is sometimes used in combination therapies to manage symptoms like cough and chest discomfort in upper respiratory tract infections.<br/>

Directions for Use

• Take Koxma Tablet with or without food or as advised by a doctor.• Follow your doctor's instructions on the dosage and timing of this medication, to ensure the safety.• Swallow the medicine as a whole with glass of water.• Do not crush, break, or chew it.

Medicinal Benefits

Koxma Tablet contains Ethylmorphine, which is used to treat acute or short-term painful conditions in adults. On the other hand, it can also use to treat dry cough. As an analgesic, it works by preventing pain signal transmission along the nerves to the brain. When used as an antitussive medicine, it also lowers activity in the brain's area, which produces coughing.

How Koxma Tablet Works

Koxma Tablet contains Ethylmorphine, which has both analgesic and antitussive properties. As an analgesic, it works by preventing pain signal transmission along the nerves to the brain. When used as an antitussive medicine, it also lowers activity in the brain's area, which produces coughing.

Storage

• Store in a cool and dry place away from sunlight.• Keep Koxma Tablet out of the sight and reach of children.• Non cold chain - To be stored in cool places at 10ºC to 25ºC or below 30ºC.
Side effects of Koxma Tablet
Here are the few steps for dealing with itching caused by drug use:
  • Report the itching to your doctor immediately; they may need to change your medication or dosage.
  • Use a cool, damp cloth on the itchy area to help soothe and calm the skin, reducing itching and inflammation.
  • Keep your skin hydrated and healthy with gentle, fragrance-free moisturizers.
  • Try not to scratch, as this can worsen the itching and irritate your skin.
  • If your doctor prescribes, you can take oral medications or apply topical creams or ointments to help relieve itching.
  • Track your itching symptoms and follow your doctor's guidance to adjust your treatment plan if needed. If the itching persists, consult your doctor for further advice.
  • Do pelvic floor exercises (Kegel exercises) to gain more control over urinary sphincters (muscles used to control flow of urine out of the bladder).
  • Drink fluids only at certain times to control when you will urinate.
  • If you feel frequent urge to urinate or have problems starting to urinate or if your urine stream is weak or starts and stops, or feel pain in your genitals, lower abdomen or lower back, consult your doctor.
To prevent, manage, and treat Constipation caused by medication usage, follow these steps:
  • Preventing Vomiting (Before it Happens)
  • Take medication exactly as prescribed by your doctor. This can help minimize side effects, including vomiting.
  • Having a small meal before taking your medication can help reduce nausea and vomiting.
  • Talk to your doctor about taking anti-nausea medication along with your prescribed medication.
  • Managing Vomiting (If it Happens)
  • Try taking ginger in the form of tea, ale, or candy to help alleviate nausea and vomiting.
  • What to Do if Vomiting Persists
  • Consult your doctor if vomiting continues or worsens, consult the doctor for guidance on adjusting your medication or additional treatment.
Here are the steps to cope with constipation as a side effect of medication:
  • Inform your doctor about your constipation symptoms. They may adjust your medication or advise alternative treatments.
  • Stay hydrated by drinking sufficient of water (at least 8-10 glasses a day) to help soften stool and promote bowel movements.
  • Increase fibre intake by eating foods high in fibre, such as fruits, whole grains, vegetables and legumes, to help bulk up the stool.
  • Establish a bowel routine by trying to go to the bathroom at the same time each day to train your bowels.
  • Engaging in regular exercise, like walking or yoga, can support in bowel movement stimulation.
  • Consult your doctor if constipation persists, and discuss alternative treatments or adjustments to your medication.
Dealing with Medication-Induced Headache:
  • Hydrate your body: Drink enough water to prevent dehydration and headaches.
  • Calm Your Mind: Deep breathing and meditation can help you relax and relieve stress.
  • Rest and Recharge: Sleep for 7-8 hours to reduce headache triggers.
  • Take rest: lie down in a quiet, dark environment.
  • Cold or warm compresses can help reduce tension.
  • Stay Upright: Maintain good posture to keep symptoms from getting worse.
  • To treat headaches naturally, try acupuncture or massage therapy.
  • Over-the-counter pain relievers include acetaminophen and ibuprofen.
  • Prescription Assistance: Speak with your doctor about more substantial drug alternatives.
  • Severe Headaches: Seek emergency medical assistance for sudden, severe headaches.
  • Frequent Headaches: If you get reoccurring headaches, consult your doctor.
  • Headaches with Symptoms: Seek medical attention if your headaches include fever, disorientation, or weakness.
  • Avoid driving or operating machinery or activities that require high focus until you know how the medication affects you.
  • Maintain a fixed sleeping schedule, create a relaxing bedtime routine and ensure your sleeping space is comfortable to maximize your sleep quality.
  • Limit alcohol and caffeine as these may worsen drowsiness and disturb sleep patterns.
  • Drink plenty of water as it helps with alertness and keeps you hydrated and for overall well-being.
  • Moderate physical activity can improve energy levels, but avoid intense workouts right before bedtime.
  • Drink water or other clear fluids.
  • To prevent worsening of pain, limit intake of tea, coffee, or alcohol.
  • Include bland foods like rice, toast, crackers, and rice in your diet.
  • Avoid lying down immediately after eating as it may cause indigestion or heartburn.
  • Avoid acidic and spicy food as it may cause indigestion.

What if I have taken an overdose of Koxma Tablet

Do not take more than prescribed dose. Using more medication will not improve your symptoms; rather they may cause poisoning or serious side-effects. If you suspect that you may have overdosed of Koxma Tablet , please go to the emergency department of the closest hospital or nursing home.

Drug Warnings

Avoid taking it and immediately inform your doctor if you are allergic to Koxma Tablet or its components. Before taking Koxma Tablet , inform your doctor if you have hypothyroidism, adrenocortical insufficiency, asthma, impaired liver or kidney function, prostatic hyperplasia, hypotension, shock, inflammatory or obstructive bowel disorders, or myasthenia gravis. Koxma Tablet is a habit-forming drug, so there is a risk of dependence on Koxma Tablet . Hence, do not stop taking Koxma Tablet on your own as it may cause withdrawal symptoms like anxiety, increased heart rate, or tremors. It should be used with caution in elderly patients. Avoid the consumption of alcohol as it may increase the risk of side effects. Koxma Tablet may cause dizziness or drowsiness, so do not drive or operate heavy machinery if you are not fully alert. Taking monoamine oxidase inhibitors (MAOI) and Koxma Tablet is not recommended simultaneously. If you are a pregnant or breastfeeding mother, inform your doctor before taking Koxma Tablet . Koxma Tablet is contraindicated in patients with respiratory depression, COPD, and asthma. Acute alcoholism, convulsive disorders, head injuries, comatose patients, and raised intracranial pressure.

Drug-Drug Interactions

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MorphineNaltrexone
Critical
MorphineAlvimopan
Critical

Drug-Drug Interactions

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MorphineNaltrexone
Critical
How does the drug interact with Koxma Tablet:
Using Koxma Tablet with Naltrexone can block Koxma Tablet's effects, which reduces its ability to effectively treat illness.

How to manage the interaction:
Taking Koxma Tablet with Naltrexone together is generally avoided as it can result in an interaction, but it can be taken if a doctor has advised it. Do not discontinue any medications without consulting a doctor.
MorphineAlvimopan
Critical
How does the drug interact with Koxma Tablet:
Combining Koxma Tablet with Alvimopan can increase the risk and severity of side effects.

How to manage the interaction:
Taking Alvimopan with Koxma Tablet is generally not recommended as it can result in an interaction, it should be taken if a doctor has advised it. However, if you notice any abdominal pain, nausea, vomiting, diarrhea, severe headache, or weakness, you should contact a doctor immediately. Do not stop using any medications without consulting a doctor.
MorphineIsocarboxazid
Critical
How does the drug interact with Koxma Tablet:
Coadministration of Koxma Tablet with Isocarboxazid can lead to or increase the risk of Koxma Tablet side effects.

How to manage the interaction:
Taking Koxma Tablet with Isocarboxazid together can result in an interaction, but it can be taken if a doctor has advised it. If you feel very sleepy, have small pupils, feel confused, have sweaty skin, a weak pulse, shallow breathing, or if you faint, make sure to contact a doctor right away. Do not stop using any medications without consulting a doctor.
MorphineTapentadol
Severe
How does the drug interact with Koxma Tablet:
Using Koxma Tablet together with Tapentadol can increase the risk of central nervous system depression (a physiological state that can result in a decreased rate of breathing, decreased heart rate, and loss of consciousness).

How to manage the interaction:
Co-administration of Koxma Tablet with Tapentadol can result in an interaction, but it can be taken if a doctor has advised it. However, if you experience any symptoms like trouble breathing, feeling tired, or having a cough, dizziness, drowsiness, difficulty concentrating, impaired judgment, reaction speed, and motor coordination, make sure to contact a doctor immediately. Do not stop using any medications without consulting a doctor.
MorphineClobazam
Severe
How does the drug interact with Koxma Tablet:
Using Koxma Tablet together with Clobazam can cause central nervous system depression (a physiological state that can result in a decreased rate of breathing, decreased heart rate, and loss of consciousness).

How to manage the interaction:
Taking Koxma Tablet with Clobazam can result in an interaction, but it can be taken if a doctor has advised it. However, if you experience any symptoms like trouble breathing, feeling tired, or having a cough, dizziness, drowsiness, difficulty concentrating, impaired judgment, reaction speed, and motor coordination, make sure to contact a doctor immediately. Do not stop using any medications without consulting a doctor.
MorphineErythromycin
Severe
How does the drug interact with Koxma Tablet:
Coadministration of Koxma Tablet with erythromycin may increase the blood levels and side effects of Koxma Tablet including difficulty breathing, and extreme sleepiness.

How to manage the interaction:
Co-administration of Koxma Tablet with erythromycin can result in an interaction, but it can be taken if a doctor has advised it. However, if you experience dizziness, sleepiness, difficulties concentrating, or impairment in judgement, contact a doctor right away. Do not stop using any medications without consulting a doctor.
MorphineLorazepam
Severe
How does the drug interact with Koxma Tablet:
Using Lorazepam together with Koxma Tablet can increase the risk of central nervous system depression (a physiological state that can result in a decreased rate of breathing, decreased heart rate, and loss of consciousness).

How to manage the interaction:
Co-administration of Koxma Tablet with Lorazepam can result in an interaction, but it can be taken if a doctor has advised it. However, if you experience any symptoms like trouble breathing, feeling tired, or having a cough, dizziness, drowsiness, difficulty concentrating, impaired judgment, reaction speed, and motor coordination, make sure to contact a doctor immediately. Do not stop using any medications without consulting a doctor.
MorphineClarithromycin
Severe
How does the drug interact with Koxma Tablet:
Co-administration of Koxma Tablet with Clarithromycin may increase the blood levels and side effects of Koxma Tablet.

How to manage the interaction:
Co-administration of Koxma Tablet with Clarithromycin can result in an interaction, but it can be taken if a doctor has advised it. However, if you experience any symptoms like trouble breathing, feeling tired, or having a cough, dizziness, drowsiness, difficulty concentrating, impaired judgment, reaction speed, and motor coordination, make sure to contact a doctor immediately. Do not stop using any medications without consulting a doctor.
MorphineSimvastatin
Severe
How does the drug interact with Koxma Tablet:
Co-administration of Koxma Tablet and simvastatin can increase the blood levels and side effects of Koxma Tablet.

How to manage the interaction:
Co-administration of Koxma Tablet with Simvastatin can result in an interaction, but it can be taken if a doctor has advised it. However, if you experience any symptoms like trouble breathing, feeling tired, or having a cough, dizziness, drowsiness, difficulty concentrating, and impairment in judgment, reaction speed, and motor coordination make sure to contact a doctor right away. Do not stop using any medications without consulting a doctor.
MorphineMeprobamate
Severe
How does the drug interact with Koxma Tablet:
Using Koxma Tablet together with Meprobamate can increase the risk of central nervous system depression (a physiological state that can result in a decreased rate of breathing, decreased heart rate, and loss of consciousness).

How to manage the interaction:
Co-administration of Koxma Tablet with Meprobamate can result in an interaction, but it can be taken if a doctor has advised it. However, if you experience any symptoms like trouble breathing, feeling tired, or having a cough, dizziness, drowsiness, difficulty concentrating, impaired judgment, reaction speed, and motor coordination, make sure to contact a doctor immediately. Do not stop using any medications without consulting a doctor.

Drug-Food Interactions

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No Drug - Food interactions found in our database. Some may be unknown. Consult your doctor for what to avoid during medication.

Drug-Food Interactions

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Diet & Lifestyle Advise

  • Physical activity helps strengthen muscles and relieves joint stiffness. Gentle exercises like 20-30 minutes of walking or swimming would be helpful.
  • Performing yoga may also help in improving joint flexibility and pain management.
  • Maintain a healthy weight by performing regular low-strain exercises and eating healthy food.
  • Get adequate sleep, as resting the muscles can help reduce inflammation and swelling.
  • Follow heat or cold therapy, and apply a cold or hot compress on the joints for 15-20 minutes regularly.
  • Acupuncture, massage, and physical therapy may also be helpful.
  • Eat foods rich in antioxidants such as berries, spinach, kidney beans, dark chocolate, etc.
  • Foods containing flavonoids, such as soy, berries, broccoli, grapes, and green tea, help reduce inflammation.
  • Drink plenty of fluids to avoid a dry throat while you have a cough. It also helps loosen mucus.
  • Avoid citrus fruits as they may worsen the cough.
  • Avoid smoking and alcohol consumption.

Habit Forming

Yes

Therapeutic Class

ANTITUSSIVE
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Alcohol

Unsafe

Consumption of alcohol increases the risk of side effects, such as dizziness, drowsiness, liver damage, and bleeding in the stomach.

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Pregnancy

Caution

Koxma Tablet should not be used during pregnancy unless clearly necessary. Hence, inform your doctor if you are pregnant or suspect pregnancy. Your doctor will weigh the benefits and potential risks before prescribing Koxma Tablet .

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Breast Feeding

Caution

Koxma Tablet should not be used in breastfeeding unless clearly necessary. Hence, inform your doctor if you are a nursing mother. Your doctor will weigh the benefits and potential risks before prescribing Koxma Tablet .

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Driving

Unsafe

Koxma Tablet may cause drowsiness and dizziness; Hence, avoid driving or using machinery after taking this medicine or until you are alert.

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Liver

Caution

Inform your doctor before taking Koxma Tablet if you have a history of liver disease. Your doctor may adjust your dose or prescribe a suitable alternative, depending on your medical condition.

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Kidney

Caution

Inform your doctor before taking Koxma Tablet if you have a history of kidney disease. Your doctor may adjust your dose or prescribe a suitable alternative depending on your medical condition.

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Children

Unsafe

Koxma Tablet is not recommended for children below 12 years of age as safety and efficacy are not established.

Have a query?

FAQs

Koxma Tablet is used to treat acute or short-term painful conditions in adults. Secondly, due to its antitussive properties, it can also be used to treat dry cough.

When Ethylmorphine is used to relieve pain, it alters how the brain and nervous system respond to pain.

When Ethylmorphine is used to treat coughing, it lowers activity in the brain&#039;s area that produces coughing.

If you&#039;re addicted to Ethylmorphine, you may want to take it more often or feel agitated if you delay taking a dose for any reason.

Do not take Koxma Tablet with alprazolam, as co-administration may increase adverse effects such as sedation, respiratory depression, coma, and death. However, please inform a doctor before taking any medicines with Koxma Tablet .

Country of origin

INDIA

Manufacturer/Marketer address

Meldi Estate, Near Prasang Party, Sayona City, Road, Gota, Ahmedabad, Gujarat 382481
Other Info - KOX0006

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Author Details

Dr Aneela SiddabathuniDoctor badge

Reviewed By

Dr Aneela Siddabathuni

MPharma., PhD

Last Updated

Jul 18, 2025 | 7:06 AM IST

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Reference

  1. https://go.drugbank.com/drugs/DB01466
  2. https://pubmed.ncbi.nlm.nih.gov/10460420/
  3. https://www.mims.com/malaysia/drug/info/ethylmorphine%20hcl?mtype=generic
  4. https://www.sciencedirect.com/topics/medicine-and-dentistry/ethylmorphine

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