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This is a very broad question and instead of getting into the science of it I will explain it simply. It like many other narcotic pain relievers is an opiate. When consumed It is metabolized and converted in your blood into other chemicals one being morphine. It is used for slightly more severe pain than a normal over the counter pain reliever can.

IF you are really interested in the science behind it I recommend starting your own personal research on a site like wikipedia.

http://en.wikipedia.org/wiki/Codeine

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