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The Forum > General Discussion > Nanny State Limits Access to Codeine

Nanny State Limits Access to Codeine

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Hmm, I noticed that I had to show my license about a year ago, to buy a packet of cold medicine. I really wanted the girl to make a note of my sneezing and sniffling, so the authorities dont decide I am cooking up a batch of drugs. Its a bit of a humiliating thing to have to do, but there is a reasonable intention behind the idea, that is to help stop people cooking up batches of speed.
From what I hear out there on the streets, all it has done is make speed more expensive than cocaine. There really hasnt been any hiccup in the availability of such substances, just created a more intense market place for ephedrine-containing medicine.
We actually make heaps of opium drugs in Tasmania, and do it very cheaply. I reckon just give the junkies what they want, the problem will sort itself out in time, and they dont have to rip people off or sell themselves any more.
Posted by PatTheBogan, Tuesday, 4 May 2010 1:40:58 PM
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Suzeonline, as I said, these changes are not about reducing the risk of accidental overdosing. The is a potential wider problem of people not realising that medication with different brand names have the same active components, but that wouldn't be a reason to target medications containing Codeine to exclusion of others.

Mikk, It's not enough to assert that Codeine is addictive. While anecdotal evidence is sufficient to show that some people have become addicted to Codeine, and have endangered themselves by taking excessive amounts of Paracetamol or Ibuprofen, that evidence does not tell us the extent of the problem, and thus doesn't tell us whether we're justified in restricting access to these medications. I'm somewhat sceptical of the existence of a significant level of abuse because of the constipation causing side effect. Further, without proper study, we don't know what the actual results of restrictions would be. The road to hell is paved with good intentions.

The idea that anyone with pain enough to seek these medications should see a doctor ignores that fact that the medical profession are frequently powerless to help. Certainly a person who experiences severe pain of a given type for the first time should seek medical attention, but when they've been examined, and nothing untoward found, they should not then be tied to the medical profession for ever more, when all they actually need is reasonable strength analgesia.
Posted by Sylvia Else, Tuesday, 4 May 2010 5:28:52 PM
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I think it's really annoying and I expect the company packaging and marketing these products will profit by the changes toward restriction by selling smaller amounts.

However I am wondering if there is any age restriction on purchasing. I didn't see any in the document posted by the OP.

One thing I have noticed is that there seems to me to have been an increase in young people taking some sort of analgesic cocktail in attempted suicide. Some of them don't really think it will work. None that I've met are aware that if they do survive the liver damage will probably still mean an early and painful death. I don't know all the implications of the conditions that arise if the results of LFTs aren't good. Suzie can probably enlighten me/us on that.

The point is that although I find it irritating to have these tiny packs - and I rarely use such products - I won't mind the inconvenience if it helps restrict access to lethal or damaging amounts by young people. Trouble is, I don't think it will stop it.
Also, the 5 day supply - that could still be a lethal or damaging dose if it's all taken at once couldn't it Suze?
Posted by Pynchme, Tuesday, 4 May 2010 10:34:46 PM
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Yes Pynchme, the amount of paracetamol needed to be a lethal dose to the liver is 30 tabs for a small adult- that's all!
5 days supply equals 40 tabs, so technically they could still destroy their liver if they took them all at once.

I have looked after a couple of failed panadol suicide patients in the liver disease unit several years ago.

They destroyed their liver's ability to function correctly- leaving them jaundiced, nauseous and vomiting until the day they died.

They were only in their 20's but they took a few months to die after their overdoses, plenty of time to reconsider their original reason for dying. It was a heartbreaking thing to watch.

I don't think they want to restrict the codeine meds for just the panadol problem though. As I said above, there are many other problems associated with codeine use.
Posted by suzeonline, Wednesday, 5 May 2010 12:31:02 AM
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This is rubbish- the ONLY reason people would by so much of this drug is because they're in a LOT of constant pain- especially considering those people are going to be providing some medical evidence to support this notion, you know, in case the chemist wasn't sure.

I mean, really?
So, here's a person deciding they're going to take drugs for pleasure.
"WEll let's see- I could just stroll down to kings cross, an industrial area where dealers hang, and purchase an unlimited quantity under total anonymity, OR I could walk into the chemist and keep buying it from them- who would need my identification and medical needs disclosed, and hope they don't get suspicious."

This should be the proof that nanny-state doesn't work- because the 'nanny' in question tends to be completely out of her league when trying to judge what actually IS best for us.
Posted by King Hazza, Wednesday, 5 May 2010 11:09:37 AM
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suzeonline,

Codeine has some other side effects, with constipation being the most noticeable. But that one aside, and at the doses available on OTC medication, none are as significant as the toxicity of the analgesics they're packaged with. It makes no sense to target medications containing Codeine, but to leave straight Paracetamol and Ibuprofen on sale not just in front of the counter at pharmacists, but in supermarkets (not sure about the latter in supermarkets). As far as I can see, having read the statement of reasons, the sole motive for restricting access to Codeine medications is the unquantified risk that people will become addicted to it and then abuse medications containing it.
Posted by Sylvia Else, Wednesday, 5 May 2010 12:19:16 PM
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