Klipal contains two active ingredients, paracetamol and codeine phosphate. Klipal is used to relieve pain and reduce fever. Unlike aspirin, it does not relieve the redness, stiffness, or swelling caused by rheumatoid arthritis. However, it may relieve the pain caused by mild forms of arthritis.
Paracetamol is a medicine used in the treatment of mild to moderate pain. It is also useful for reducing fever. It is not fully understood how paracetamol produces these effects.
Codeine belongs to group of medicines called opioids. Opioids mimic the effects of naturally occurring pain reducing chemicals (endorphins) that are found in the brain and spinal cord. They act on the opioid receptors in the brain and block the transmission of pain signals.
This combination is used to reduce fever and to relieve mild to moderate pain caused by a variety of conditions (eg headache, toothache, neuralgia, migraine, period pains).
This medicine is available without a prescription; however, your medical doctor or dentist may have special instructions on the proper dose of Klipal for your medical condition.

If you are taking Klipal without a prescription, carefully read and follow any precautions on the label. For Klipal , the following should be considered:
Allergies - tell your doctor if you have ever had any unusual or allergic reaction to Klipal or aspirin. Also tell your health care professional if you are allergic to any other substances, such as foods, preservatives, or dyes.
Pregnancy - although studies have not been done in pregnant women, Klipal has not been reported to cause birth defects or other problems.
Breast-feeding - although Klipal passes into the breast milk in small amounts, it has not been reported to cause problems in nursing babies.
Children - this medicine has been tested in children and has not been shown to cause different side effects or problems than it does in adults.
Older adults - Klipal has been tested and has not been shown to cause different side effects or problems in older people than it does in younger adults.
Other medicines - although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary.
Other medical problems - the presence of other medical problems may affect the use of Klipal . Make sure you tell your doctor if you have any other medical problems, especially:

• Alcohol abuse or
• Kidney disease (severe) or
• Hepatitis or other liver disease - The chance of serious side effects may be increased

Check with your doctor immediately if any of the following side effects occur:

• Rare
  • Yellow eyes or skin 

• Symptoms of overdose
  • Diarrhea;  increased sweating;  loss of appetite;  nausea or vomiting ;  stomach cramps or pain;  swelling, pain, or tenderness in the upper abdomen or stomach area 

Also, check with your doctor as soon as possible if any of the following side effects occur:

• Rare
• Bloody or black, tarry stools;  bloody or cloudy urine;  fever with or without chills (not present before treatment and not caused by the condition being treated);  pain in lower back and/or side (severe and/or sharp);  pinpoint red spots on skin;  skin rash, hives, or itching;  sores, ulcers, or white spots on lips or in mouth;  sore throat (not present before treatment and not caused by the condition being treated);  sudden decrease in amount of urine;  unusual bleeding or bruising;  unusual tiredness or weakness