Tilidine

Before you can buy Tilidine online, you will need to complete an online consultation with an EU registered doctor. Use the links above to get started.

UK ORDERS: Due to post Brexit issues, affiliated pharmacies can no longer dispense to UK addresses. If you are visiting from the Republic of Ireland or some other EU country, use the consultation links above.

So what exactly is Tilidine?

Tilidine is an opioid painkiller used to treat moderate-to-severe pain. The tablets available here are Extended Release (ER) formulations, which means the medication is released gradually into your system over time rather than all at once. These tablets also contain Naloxone — an opioid antidote added specifically to reduce the risk of overdose and to discourage misuse. If you try to tamper with the tablets or take too many, the Naloxone kicks in and blocks the opioid effect. It is there for your protection.

What is Tilidine used for?

Tilidine is prescribed for a wide range of painful conditions where milder painkillers simply haven’t done the job. These include:

• Cancer-related pain
• Post-surgical pain
• Pain from injuries
• Chronic back pain
• Arthritis
• Fibromyalgia

If you are dealing with persistent or significant pain that is affecting your day-to-day life, Tilidine may be an option worth discussing with the doctor during your consultation.

How does Tilidine work?

Tilidine works by binding to opioid receptors in the brain and spinal cord. In simple terms, it changes the way your body perceives pain — it doesn’t eliminate the source of the pain, but it significantly reduces the signal your brain receives. When taken as prescribed, this can make a real difference to your ability to function, sleep, and get through the day without being overwhelmed by pain.

Available strengths:

Tilidine ER tablets are available in two strengths:

• Tilidine 50mg / Naloxone 4mg
• Tilidine 100mg / Naloxone 8mg

The strength that is right for you will depend on your pain levels, your medical history, and what the doctor determines is appropriate following your consultation. Do not assume that a higher dose is better — the right dose is the one that controls your pain with the fewest side effects.
Is Tilidine right for me?

That is exactly the kind of question the online consultation is there to answer. Tilidine is not suitable for everyone, and the doctor will need to take a number of things into account before deciding whether to prescribe it. These include:

• Your current medical conditions
• Any other medications you are taking
• Your age and general health
• Your history with substance use or addiction
• Whether you have any breathing problems or lung conditions

Tilidine is not suitable for people with severe respiratory problems, those with a history of substance abuse or addiction, or people with certain liver conditions. It should also be avoided during pregnancy and breastfeeding unless specifically directed by a physician. Make sure you complete the consultation questionnaire honestly and in full — this is how the doctor determines whether Tilidine is appropriate for you.
Does Tilidine have side effects?

Yes, like all prescription-strength medications, Tilidine can cause side effects. Many people tolerate it well, but you should be aware of what to look out for.

Common side effects include:

• Drowsiness
• Dizziness
• Nausea
• Constipation
• Sweating

Seek medical attention if you experience:

• Slow or shallow breathing
• Very low blood pressure or fainting
• Confusion or disorientation
• Signs of an allergic reaction such as hives, swelling of the face or throat, or difficulty breathing
• Seizures

If something feels wrong, stop taking the medication and contact a medical professional. Do not wait to see if it passes.
What about addiction?

Tilidine is an opioid and carries a real risk of dependence and addiction. It must only be taken exactly as prescribed by your doctor.

This is not a medication you should take more of than prescribed, take more frequently than prescribed, or continue taking for longer than your doctor recommends. The Naloxone in these tablets offers some protection against misuse, but it is not a substitute for responsible use. Only the person for whom Tilidine has been prescribed should take it. Keep it stored securely and out of reach of children and anyone else who might be tempted to misuse it.

What happens if I miss a dose?

If you miss a dose, take it as soon as you remember — unless it is nearly time for your next scheduled dose, in which case simply skip the missed dose and carry on as normal. Do not double up or take extra tablets to compensate for a missed dose.

What happens in the event of an overdose?

Call emergency services immediately. A Tilidine overdose can be fatal. Signs of overdose include extreme drowsiness, pinpoint pupils, slow or stopped breathing, cold or clammy skin, and loss of consciousness. Do not wait for symptoms to worsen — get help right away.

What should I avoid while taking Tilidine?

Do not drink alcohol while taking Tilidine. The combination can be extremely dangerous and potentially fatal.

You should also be cautious with any other medications that cause drowsiness or slow your breathing. These include sleeping tablets, anti-anxiety medications, other opioids, and certain antihistamines. Always tell the doctor about every medication you are currently taking — including supplements and over-the-counter products — before starting Tilidine.

TILIDINE CAN CAUSE DEPENDENCE AND ADDICTION. TAKE IT ONLY AS DIRECTED BY YOUR DOCTOR AND DO NOT SHARE IT WITH ANYONE ELSE.