instruction: hello doctor I am addicted to codeine for the past years after my marriage my wife had conceived but that time we did not want it so we aborted and it has been years now we are trying to conceive but it is not happening
output: hi welcome to icliiq com I read your query and understand your concerns first of all I would like to inform you that codeine can be stopped in gradual manner scientifically speaking you can go for 10 reduction of original dose every week leading to complete abstinence at the end of 3 months in case this is not possible or you are not able to tolerate the lower dose of codeine you can get yourself treated form local psychiatrist we often recommend clonidine for this purpose which helps in the withdrawal symptoms of codeine the medication dose is decided depending on the dose of codeine age of the patient duration of abuse and blood pressure I mean to say that this is high time to say no to addiction and take this opportunity to come out of this addiction without delay I understand that your concern is not addiction but inability of your wife to get pregnant despite repeated efforts but we need to understand that addiction and infertility are related to some extent and removal of one risk factor might pave for fathering a child in addition it is also important to get semen analysis done for yourself and follicular study for your wife to rule out other causes