The following undesirable effects have been reported for use of morphine or opioid analgesics and may arise from use of J. Collis Browne’s Mixture. Allergic reactions and dyspepsia may also be attributable to peppermint oil. The frequency of adverse effects cannot be estimated from available data.
Psychiatric disorders: hallucinations, dysphoria, euphoria, mood changes, confusion, dependence, restlessness, agitation, delirium, disorientation, excitation Nervous system disorders: dizziness, drowsiness, sleep disturbances, headache, vertigo, raised intracranial pressure, malaise, seizures, paraesthesia, opioid-induced hyperalgesia (OIH) Eye disorders: miosis, visual disturbances, nystagmus Cardiac disorders: palpitations, bradychardia, tachycardia Vascular disorders: postural hypotension, hypotension, hypothermia, facial flushing, oedema, hypertension, syncope Respiratory, thoracic and mediastinal disorders: respiratory depression (with larger doses), bronchospasm, inhibition of cough reflex, central sleep apnoea syndrome.
Gastrointestinal disorders: nausea, vomiting, constipation, abdominal pain, anorexia, pancreatitis, exacerbation of pancreatitis, dry mouth, paralytic ileus, dyspepsia, taste disturbances Hepatobiliary disorders: biliary spasm, spasm of sphincter of Oddi.
Skin and subcutaneous tissue disorders: rashes, urticaria, pruritis, sweating, acute generalised exanthematous pustulosis (AGEP). Musculoskeletal and connective tissue disorders: muscular rigidity (with higher doses), muscle fasciculation, myoclonus, weakness.
Renal and urinary disorders: difficulty with micturition, urinary retention, ureteric spasm Reproductive system and breast disorders: decreased libido or potency, amenorrhoea. Drug dependence Repeated use of J Collis Browne's Mixture can lead to drug dependence, even at therapeutic doses.
4). Reporting of suspected adverse reactions Reporting suspected adverse reactions after authorisation of the medicinal product is important. It allows continued monitoring of the benefit/risk balance of the medicinal product. uk/yellowcard or search for ‘MHRA Yellow Card’ in the Google Play or Apple App Store.