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Independent analysis of NHS open data
PharmaInsight

Co-dydramol (Dihydrocodeine/paracetamol) vs Tramadol hydrochloride

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

Tramadol hydrochloride was dispensed 4.4× as often as Co-dydramol (Dihydrocodeine/paracetamol) in May 2026 — 398,142 items versus 90,303 in England.

90,303items

Co-dydramol (Dihydrocodeine/paracetamol) · May 2026

NHSBSA Prescription Cost Analysis

398,142items

Tramadol hydrochloride · May 2026

NHSBSA Prescription Cost Analysis

Figure 1. Co-dydramol (Dihydrocodeine/paracetamol) versus Tramadol hydrochloride: national items dispensed by month

▬ Co-dydramol (Dihydrocodeine/paracetamol)   ·   ╌ Tramadol hydrochloride

0 253k 506k Jan 2021 Nov 2021 Sep 2022 Jul 2023 May 2024 Mar 2025 May 2026 Tramadol hydroch… 90,303 Jan 2021: 128k Feb 2021: 119k Mar 2021: 134k Apr 2021: 129k May 2021: 123k Jun 2021: 131k Jul 2021: 130k Aug 2021: 123k Sep 2021: 129k Oct 2021: 122k Nov 2021: 126k Dec 2021: 130k Jan 2022: 122k Feb 2022: 114k Mar 2022: 129k Apr 2022: 119k May 2022: 123k Jun 2022: 119k Jul 2022: 117k Aug 2022: 119k Sep 2022: 119k Oct 2022: 116k Nov 2022: 118k Dec 2022: 116k Jan 2023: 115k Feb 2023: 106k Mar 2023: 120k Apr 2023: 107k May 2023: 114k Jun 2023: 113k Jul 2023: 109k Aug 2023: 112k Sep 2023: 109k Oct 2023: 109k Nov 2023: 109k Dec 2023: 107k Jan 2024: 110k Feb 2024: 102k Mar 2024: 103k Apr 2024: 107k May 2024: 109k Jun 2024: 101k Jul 2024: 109k Aug 2024: 104k Sep 2024: 101k Oct 2024: 106k Nov 2024: 100k Dec 2024: 102k Jan 2025: 104k Feb 2025: 91k Mar 2025: 97k Apr 2025: 97k May 2025: 100k Jun 2025: 96k Jul 2025: 101k Aug 2025: 93k Sep 2025: 97k Oct 2025: 100k Nov 2025: 90k Dec 2025: 98k Jan 2026: 94k Feb 2026: 86k Mar 2026: 95k Apr 2026: 93k May 2026: 90k

Source: NHSBSA Prescription Cost Analysis, to May 2026

Co-dydramol (Dihydrocodeine/paracetamol) versus Tramadol hydrochloride, May 2026
Measure Co-dydramol (Dihydrocodeine/paracetamol) Tramadol hydrochloride
Items, May 2026 90,303 398,142
Items, last 12 months 1,134,570 4,985,868
Net ingredient cost, May 2026 £438,059 £1,423,810

See the full profile for Co-dydramol (Dihydrocodeine/paracetamol) or Tramadol hydrochloride.