git add

Skip to main content

Can I take Codeine linctus and Sertraline together?

Drug interaction guide

Taking codeine and sertraline together can increase the risk of a rare but serious condition called serotonin syndrome. It can also make the codeine less effective at relieving your symptoms and may increase side effects like drowsiness, dizziness, and constipation.

Video picks for Drug interactions

Continue reading below

Why this happens

Sertraline can block the liver enzyme (CYP2D6) that your body needs to convert codeine into its active form, morphine. This means the codeine may not work as well. Additionally, both drugs affect serotonin levels in the brain, which can lead to an unhealthy buildup.

You should consult your doctor or pharmacist before taking these together. If your doctor confirms it is safe for you, watch out for signs of serotonin syndrome, such as shivering, sweating, a fast heartbeat, agitation, or muscle stiffness. If you feel very drowsy or find the codeine isn't helping your cough, let your doctor know.

Continue reading below

Serotonin Syndrome

Taking codeine and sertraline together increases the risk of serotonin syndrome, a potentially life-threatening condition. Seek urgent medical help if you experience agitation, hallucinations, fast heartbeat, or severe muscle stiffness.

Breathing Problems (e.g. Asthma, COPD)

Do not take codeine if you have severe asthma or breathing difficulties, as it can dangerously slow down your breathing.

Addiction and Withdrawal

Codeine is an opioid that can cause addiction and physical dependence even at low doses. Do not use it for longer than 3 days without medical supervision.

Taking multiple medicines? Our Medicines Interaction Checker helps you check whether your prescriptions, over-the-counter medicines, and supplements are safe to take together. Simply search for your medicines to see potential interactions and what to do about them.

Disclaimer

This information is for general educational purposes only and should not be relied upon as a substitute for professional medical advice. Always consult your GP, pharmacist, or another qualified healthcare professional before making decisions about your medications. Individual circumstances may vary, and only a healthcare professional who knows your medical history can provide personalised guidance.

Continue reading below

Article history

The information on this page is written and peer reviewed by qualified clinicians.

  • 12 May 2026 | Originally published
flu eligibility checker

Ask, share, connect.

Browse discussions, ask questions, and share experiences across hundreds of health topics.

symptom checker

Feeling unwell?

Assess your symptoms online for free

Sign up to the Patient newsletter

Your weekly dose of clear, trustworthy health advice - written to help you feel informed, confident and in control.

Please enter a valid email address

By subscribing you accept our Privacy Policy. You can unsubscribe at any time. We never sell your data.