SCHEDULE 13G

Amendment No. 1
CARDIOME PHARMA CORP
COMMON STOCK
Cusip #14159U301
Check the appropriate box to designate the rule pursuant to which this
Schedule is filed:
[x] 	  Rule 13d-1(b)
[ ] 	  Rule 13d-1(c)
[ ] 	  Rule 13d-1(d)
Cusip #14159U301
Item 1: 	   	Reporting Person - FMR LLC
Item 2: 	   	(a)  	[ ]
   	   	(b)  	[ ]
Item 4: 	   	Delaware
Item 5: 	   	0
Item 6: 	   	0
Item 7: 	   	1,103,771
Item 8: 	   	0
Item 9: 	   	1,103,771
Item 11: 	   	6.681%
Item 12: 	   	HC
Cusip #14159U301
Item 1: 	   	Reporting Person - Edward C. Johnson 3d
Item 2: 	   	(a)  	[ ]
   	   	(b)  	[ ]
Item 4: 	   	United States of America
Item 5: 	   	0
Item 6: 	   	0
Item 7: 	   	1,103,771
Item 8: 	   	0
Item 9: 	   	1,103,771
Item 11: 	   	6.681%
Item 12: 	   	IN
Cusip #14159U301
Item 1: 	   	Reporting Person - Abigail P. Johnson
Item 2: 	   	(a)  	[ ]
   	   	(b)  	[ ]
Item 4: 	   	United States of America
Item 5: 	   	0
Item 6: 	   	0
Item 7: 	   	1,103,771
Item 8: 	   	0
Item 9: 	   	1,103,771
Item 11: 	   	6.681%
Item 12: 	   	IN
Cusip #14159U301
Item 1: 	   	Reporting Person - Fidelity Value Fund
Item 2: 	   	(a)  	[ ]
   	   	(b)  	[ ]
Item 4: 	   	Massachusetts
Item 5: 	   	1,092,700
Item 6: 	   	0
Item 7: 	   	0
Item 8: 	   	0
Item 9: 	   	1,092,700
Item 11: 	   	6.614%
Item 12: 	   	IV

Item 1(a). 	    	Name of Issuer:

  	  	          	CARDIOME PHARMA CORP

Item 1(b). 	    	Address of Issuer's Principal Executive Offices:

  	  	          	6190 Agronomy Rd
6th floor
  	  	          	Vancouver, British Columbia V6T 1Z3
  	  	          	Canada

Item 2(a). 	     	 Name of Person Filing:

  	   	               	 FMR LLC

Item 2(b). 	     	 Address or Principal Business Office or, if None,
Residence:

  	   	               	 245 Summer Street, Boston, Massachusetts 02210

Item 2(c). 	     	 Citizenship:

  	   	               	 Not applicable

Item 2(d). 	     	 Title of Class of Securities:

  	   	               	 COMMON STOCK

Item 2(e). 	     	 CUSIP Number:

  	   	               	 14159U301

Item 3. 	    	This statement is filed pursuant to Rule 13d-1(b) or 13d-2(b)
or (c) and the
person filing, FMR LLC, is a parent holding company in accordance with
Section 240.13d-1(b)(1)(ii)(G).   (Note:  See Exhibit A).

Item 4. 	    	Ownership

  	  	     	(a)    Amount Beneficially Owned: 	1,103,771

  	  	     	(b)    Percent of Class: 	6.681%

  	  	     	(c)    Number of shares as to which such person has:

  	  	     	       (i)    sole power to vote or to direct the vote: 	0

  	  	     	       (ii)    shared power to vote or to direct the vote: 	0

  	  	     	       (iii)    sole power to dispose or to direct the
disposition of: 	1,103,771

  	  	     	       (iv)    shared power to dispose or to direct the
disposition of: 	0

Item 5. 	    	Ownership of Five Percent or Less of a Class.

  	    	     	Not applicable.

Item 6. 	    	Ownership of More than Five Percent on Behalf of Another
Person.

  	    	     	Not applicable.

Item 7. 	    	Identification and Classification of the Subsidiary Which
Acquired the Security Being Reported on By the Parent Holding Company.

  	    	     	See attached Exhibit A.

Item 8. 	    	Identification and Classification of Members of the Group.

  	    	     	Not applicable.

Item 9. 	    	Notice of Dissolution of Group.

  	    	  	Not applicable.

Item 10. 	    	Certifications.



By signing below I certify that, to the best of my knowledge and belief,
the securities referred to above were acquired and are held in the ordinary
course of business and were not acquired and are not held for the purpose
of or with the effect of changing or influencing the control of the issuer
of the securities and were not acquired and are not held in connection with
or as a participant in any transaction having that purpose or effect.


Signature



After reasonable inquiry and to the best of my knowledge and belief, I
certify that the information set forth in this statement is true, complete
and correct.

  	February 13, 2015
  	Date

  	/s/ Scott C. Goebel
  	Signature

  	Scott C. Goebel
  	 Duly authorized under Power of Attorney effective as of June 1, 2008,
by and on behalf of FMR LLC and its direct and indirect subsidiaries*


* This power of attorney is incorporated herein by reference to Exhibit B
to the Schedule 13G filed by FMR LLC on June 10, 2014, accession number:
0000315066-14-003512.


Exhibit A


                 Pursuant to the instructions in Item 7 of Schedule 13G,
the following table lists the identity and Item 3 classification, if
applicable, of each relevant entity that beneficially owns shares of the
security class being reported on this Schedule 13G.


Entity 	ITEM 3 Classification
FMR CO., INC * 	IA


* Entity beneficially owns 5% or greater of the outstanding shares of the
security class being reported on this Schedule 13G.



                Edward C. Johnson 3d is a Director and the Chairman of FMR
LLC and Abigail P. Johnson is a Director, the Vice Chairman, the Chief
Executive Officer and the President of FMR LLC.



                Members of the family of Edward C. Johnson 3d, including
Abigail P. Johnson, are the predominant owners, directly or through trusts,
of Series B voting common shares of FMR LLC, representing 49% of the voting
power of FMR LLC. The Johnson family group and all other Series B
shareholders have entered into a shareholders' voting agreement under which
all Series B voting common shares will be voted in accordance with the
majority vote of Series B voting common shares. Accordingly, through their
ownership of voting common shares and the execution of the shareholders'
voting agreement, members of the Johnson family may be deemed, under the
Investment Company Act of 1940, to form a controlling group with respect to
FMR LLC.



                Neither FMR LLC nor Edward C. Johnson 3d nor Abigail P.
Johnson has the sole power to vote or direct the voting of the shares owned
directly by the various investment companies registered under the
Investment Company Act ("Fidelity Funds") advised by Fidelity Management &
Research Company ("FMR Co"), a wholly owned subsidiary of FMR LLC, which
power resides with the Fidelity Funds' Boards of Trustees. Fidelity
Management & Research Company carries out the voting of the shares under
written guidelines established by the Fidelity Funds' Boards of Trustees.



                This filing reflects the securities beneficially owned, or
that may be deemed to be beneficially owned, by FMR LLC, certain of its
subsidiaries and affiliates, and other companies (collectively, the "FMR
Reporters"). This filing does not reflect securities, if any, beneficially
owned by certain other companies whose beneficial ownership of securities
is disaggregated from that of the FMR Reporters in accordance with
Securities and Exchange Commission Release No. 34-39538 (January 12, 1998).


RULE 13d-1(k)(1) AGREEMENT


                The undersigned persons, on February 13, 2015, agree and
consent to the joint filing on their behalf of this Schedule 13G in
connection with their beneficial ownership of the COMMON STOCK of CARDIOME
PHARMA CORP at December 31, 2014.


  	FMR LLC

  	By /s/ Scott C. Goebel
  	Scott C. Goebel
  	Duly authorized under Power of Attorney effective as of June 1, 2008, by
and on behalf of FMR LLC and its direct and indirect subsidiaries*

  	Edward C. Johnson 3d

  	By /s/ Scott C. Goebel
  	Scott C. Goebel
  	Duly authorized under Power of Attorney effective as of June 1, 2008, by
and on behalf of Edward C. Johnson 3d*

  	Abigail P. Johnson

  	By /s/ Scott C. Goebel
  	Scott C. Goebel
  	Duly authorized under Power of Attorney effective as of April 24, 2014,
by and on behalf of Abigail P. Johnson*

  	Fidelity Value Fund

  	By /s/ Scott C. Goebel
  	Scott C. Goebel
  	Secretary


* This power of attorney is incorporated herein by reference to Exhibit B
to the Schedule 13G filed by FMR LLC on June 10, 2014, accession number:
0000315066-14-003512.