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Co-codamol (Codeine phosphate/paracetamol) vs Tramadol hydrochloride

National NHS prescribing compared (Prescription Cost Analysis)
Data updated March 2026

Co-codamol (Codeine phosphate/paracetamol) was dispensed 2.9× as often as Tramadol hydrochloride in March 2026 — 1,232,381 items versus 418,216 in England.

1,232,381items

Co-codamol (Codeine phosphate/paracetamol) · March 2026

NHSBSA Prescription Cost Analysis

418,216items

Tramadol hydrochloride · March 2026

NHSBSA Prescription Cost Analysis

Figure 1. Co-codamol (Codeine phosphate/paracetamol) versus Tramadol hydrochloride: national items dispensed by month

▬ Co-codamol (Codeine phosphate/paracetamol)   ·   ╌ Tramadol hydrochloride

Tramadol hydroch… 1,232,381

Source: NHSBSA Prescription Cost Analysis, to March 2026

Co-codamol (Codeine phosphate/paracetamol) versus Tramadol hydrochloride, March 2026
Measure Co-codamol (Codeine phosphate/paracetamol) Tramadol hydrochloride
Items, March 2026 1,232,381 418,216
Items, last 12 months 14,910,786 5,034,175
Net ingredient cost, March 2026 £7,059,673 £1,567,875

See the full profile for Co-codamol (Codeine phosphate/paracetamol) or Tramadol hydrochloride.