Jgkee,
Thank you for posting and it’s kind of you to think of your friend.
Coco for short in large quantities is never great. I and many other have quite easily tripled that on a daily basis so your friend is at the start of a slippery slope. He’s basically trying to achieve that feeling that codeine gives you but unfortunately his body is becoming familiar with the opioid and needs larger quantities to achieve this. The worrying thing is the paracetamol that he’s consuming will almost certainly do DAMAGE. 20x will become 30x then 40x then his prescription will run out which I assure you it already has, and he will start purchasing lower grads from the pharmacy and will spiral quickly. He needs to try an take control and his GP needs to take control of his pain in a different way. Is sweating will be fro the large quantities of codeine but the paracetamol is poisoning him. Perhaps a strong suggestion of a visit to his doctor with his wife/friend but I guarantee you he is in fear of upsetting the flow of coco. Get him to see the doctor please.