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new codeine regulations, period pain, and emotions

  • 23-09-2010 4:35pm
    #1
    Closed Accounts Posts: 32 catkingcole


    Hi all..
    i just felt like i needed to vent somewhere as i ended up bursting into tears because of a run in with a male pharmacist over trying to get nurofen+ for my period pains.
    I'm aware of the new regulations and I know they have to ask questions and so on, and i'm ok with that, i don't mind telling the whole pharmacy i'm having horrible period pains. i just want them to give me the over the counter pain-killer i'm looking for after all of that. the guy today, i know he's doing his job and trying to be nice and everything, but as soon as i said what i wanted it for (this is after waiting for about 5 mins nearly passing out at the counter from pain), he goes into this big story about how there's just been some new study or other that shows that the amount of codeine in nurofen+ has a minimal effect on period pain and that regular nurofen should be all i need, and if i needed anything stronger than the regular nurofen i'd have to go to my doctor about it. i was dumbstruck and just wanted to get out of there and get home before i fainted, so i ended up buying the regular nurofen. (even so, hours later i was still curled up in bed in pain.)

    i started tearing up on the way home, mostly because i was in terrible pain and hadn't slept last night, but also just being frustrated with having to try to argue about my period pain to a male stranger and getting nowhere. last time i tried to buy it a different male pharmacist started on asking me if i'd ever tried using a hot water bottle instead! i felt so insulted.

    is anyone else out there having this trouble? i really don't want to have to start going to my doctor about this. going on the pill doesn't work for me, and it's not every month that the pain this bad. i know by now that when its bad a couple of nurofen+ sorts it out almost immediately. the pharmacist today was telling me i should be taking the nurofen a few days before i even get my period, 2 every 6 hours. that's versus just two or 3 nurofen+ on the worst day.

    this has basically meant that i've ended up taking the day off work today because of period pain and i'm so angry about it. sorry for the rant. i'm just wondering how should i deal with this next time it happens. maybe i should shop around until i get to speak to a female pharmacist who understands? maybe i should do that sometime when i'm not in pain to stockpile and make sure i have n+ when i need it? do they have these restrictions up north?


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Comments

  • Closed Accounts Posts: 43,045 ✭✭✭✭Nevyn


    Ok it sucks that you couldn't get the pain meds you used to and that you are in that much pain, but honestly no woman should suffer like what you are right now with that level of pain from period cramps.

    You do need to go to the dr and get it checked out, you shouldn't have to take a day off work cos you got your period, tell this to your dr and get them to refer you to a gynie so they can have a look.

    There are a whole range of medical conditions which just seem to be horrendus period pains.


  • Closed Accounts Posts: 9,376 ✭✭✭metrovelvet


    He should have just given you the pills. Jesus Christ. FEminax has codeine in it.

    Are you over 18? If so and you are ever stuck like that, nip into the nearest pub for a double brandy. Its better than codeine.

    I used to get such terrible pain that I'd take 800 milligrams of ibuprofin. But its not nearly as effective as a double brandy.


  • Closed Accounts Posts: 32 catkingcole


    Thaedydal wrote: »
    Ok it sucks that you couldn't get the pain meds you used to and that you are in that much pain, but honestly no woman should suffer like what you are right now with that level of pain from period cramps.

    You do need to go to the dr and get it checked out, you shouldn't have to take a day off work cos you got your period, tell this to your dr and get them to refer you to a gynie so they can have a look.

    There are a whole range of medical conditions which just seem to be horrendus period pains.

    thanks Thaedydal.
    I really don't think its anything worth a special visit to the doctor over. I've been talking to doctors about periods since i was a teenager and was passing out regularly with them. As i've gotten older the pain is much milder than that usually. Every now and then it gets horrible, but as long as I don't force myself to do anything physical there's no fainting or anything (I blame most of my fainting episodes as a teen to our nations PE teachers who faced with a class full of "i can't, i've cramps" every week have no choice but to prescribe "gentle exercise"). No doctor I've ever talked to has thought it's been necessary to look into it deeper, and none have suggested anything more than continuing n+ when i need it and trying evening primrose oil.
    it just feels so unfair that I might end up having to spend a lot of money going to doctors to convince pharmacists to sell me something i already know is the answer for me, all because some minority of people have gotten addicted to codeine. i guess a lot of the over-the-counter-codeine addicts are going in saying they have period pain and that's why they're being so harsh? is there a way to convince them? though i'd say all the time of the month spots on my chin, pale face and the automatic welling up reaction i had today should've convinced him i was a genuine case.


  • Closed Accounts Posts: 32 catkingcole


    He should have just given you the pills. Jesus Christ. FEminax has codeine in it.

    Are you over 18? If so and you are ever stuck like that, nip into the nearest pub for a double brandy. Its better than codeine.

    I used to get such terrible pain that I'd take 800 milligrams of ibuprofin. But its not nearly as effective as a double brandy.

    wow, really? i never drink brandy, but i will have to try that next time.

    (oh yeah, i'm 27, so i've tried a lot of remedies over the past 15 years or so of periods, but brandy is still a new one on me)


  • Closed Accounts Posts: 3,265 ✭✭✭SugarHigh


    He should have just given you the pills. Jesus Christ. FEminax has codeine in it.

    Are you over 18? If so and you are ever stuck like that, nip into the nearest pub for a double brandy. Its better than codeine.

    I used to get such terrible pain that I'd take 800 milligrams of ibuprofin. But its not nearly as effective as a double brandy.
    Why should a trained professional listen to someone who isn't trained?

    Instead of going to a doctor to get her symptoms checked out you recommend her go to a pub so she can find it easier to ignore her symptoms, instead of trying to treat them?

    This is the equivalent of turning off a fire alarm instead of putting out the fire.


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  • Closed Accounts Posts: 9,376 ✭✭✭metrovelvet


    SugarHigh wrote: »
    Why should a trained professional listen to someone who isn't trained?

    So instead of going to a doctor to get her symptoms checked ou recommend her go to a pub so she can find it easier to ignore her symptoms instead of trying to treat them?

    This is the equivalent of turning off a fire alarm instead of putting out the fire.

    Have you ever found yourself on the street doubled over in pain bleeding from your genitals?

    You think its so easy to get to the doctor? You think you can get appointments just like that?

    All the doctor is going to do is prescibe ibuprofin.

    The trained professional should listen to someone who isnt trained because the person who isnt trained knows his or her body better than anyone.


  • Registered Users, Registered Users 2 Posts: 12,440 ✭✭✭✭Sardonicat


    OP, follow the pharmacist's advice. The type of period pain you desribe does not sound like it should be ignored. If your GP keeps dismissing it then go to another one.

    I have to be honest with you, you have stated in your post that you have spoken to several Dr.s about your period pain and they all dismissed it. I find that hard to believe.


  • Registered Users, Registered Users 2 Posts: 14,404 ✭✭✭✭Pembily


    Have you ever found yourself on the street doubled over in pain bleeding from your genitals?

    You think its so easy to get to the doctor? You think you can get appointments just like that?

    All the doctor is going to do is prescibe ibuprofin.

    The trained professional should listen to someone who isnt trained because the person who isnt trained knows his or her body better than anyone.

    My cousin is a pharmacist and has to ask every person the same question and give the same story too!!! Its her job, and if someone asks her for coedine products and she doesn't give them the story then she could loose her licence!!!! The trained professional is trained and has to listen to the training they have been given!!!!!!!!!!

    Yes I am a woman and I have been doubled over in pain and you really should go to visit a dr as that kind of pain is not normal - seriously!!!!!!!!!!! They should seriously investigate it more...


  • Closed Accounts Posts: 43,045 ✭✭✭✭Nevyn


    thanks Thaedydal.
    I really don't think its anything worth a special visit to the doctor over. I've been talking to doctors about periods since i was a teenager and was passing out regularly with them.

    As i've gotten older the pain is much milder than that usually. Every now and then it gets horrible, but as long as I don't force myself to do anything physical there's no fainting or anything (I blame most of my fainting episodes as a teen to our nations PE teachers who faced with a class full of "i can't, i've cramps" every week have no choice but to prescribe "gentle exercise").

    No doctor I've ever talked to has thought it's been necessary to look into it deeper, and none have suggested anything more than continuing n+ when i need it and trying evening primrose oil.
    it just feels so unfair that I might end up having to spend a lot of money going to doctors to convince pharmacists to sell me something i already know is the answer for me, all because some minority of people have gotten addicted to codeine.

    i guess a lot of the over-the-counter-codeine addicts are going in saying they have period pain and that's why they're being so harsh? is there a way to convince them? though i'd say all the time of the month spots on my chin, pale face and the automatic welling up reaction i had today should've convinced him i was a genuine case.


    Listen it's not normal, a lot of irish drs don't seem to listen to female patients and fob them off and tell them they will be grand, when there is an under lying medical issue.

    I have had friends and family in a state like you are once a cycle and there were other medical issues, you need to find a dr who will listen to you and give you a referral to a gynie or find a dr who deal with those issues as part of their general practice.

    Many women go in diagnosed and suffering with conditions they shouldn't have to cos they think what you are going through it normal, it's not. It is worth going to the dr about as it's making you that ill and has you taking days off work.

    If your dr won't listen then try a different dr.


  • Posts: 3,505 ✭✭✭ [Deleted User]


    i'm just wondering how should i deal with this next time it happens. maybe i should shop around until i get to speak to a female pharmacist who understands? maybe i should do that sometime when i'm not in pain to stockpile and make sure i have n+ when i need it?

    I totally feel your pain. Literally. Up until 4 months ago I was getting terrible pains, thankfully found that microlite sorts it for the most part for me. I know it must have been really upsetting, even just getting to the pharmacy in such a state of pain, I can't imagine how bad it was to have to go home without what you wanted.

    To be honest though, I think blaming the pharmacist's gender is a wrong turn. I was reading this article in the Irish Times, and it said that there's no allowance in the new regulations for the pharmacist to avoid talking in depth with the patient even if the pharmacist knows the patient. So even if that pharmacist had known you and your problem already, he couldn't have just asked a quick "what's it for?" and let you have it. He's obligated to make sure that you're in need of it, which unfortunately includes a slightly lengthy convo sometimes. I realise that in your condition you weren't up to pushing the issue when he was trying to steer you away from the plus, and he could have been more helpful, but if I were a pharmacist at the moment I'd probably be terrified of selling codeine. With the regulations being new and all, I wouldn't be surprised if <insert governing body's name here> were sending people into pharmacies just to check how the new regulations were being handled by pharmacists. While a different pharmacist may have been more relaxed with it once you gave a reason, I don't think that pharmacist would have to be female to understand, or that a female would understand necessarily.

    Also you mentioned stockpiling it. I'd say that even if you had convinced a pharmacist to give you the neurofen+, if you tried buying a few packs at a time they could very well end up giving you none at all, it would look pretty suspicious.

    I'm really sorry you were put in such a terrible position, and I wish I could give you helpful advice rather than just an opinion. Here's that article in case you wanna have a look.
    http://www.irishtimes.com/newspaper/health/2010/0824/1224277436013.html


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  • Closed Accounts Posts: 9,376 ✭✭✭metrovelvet


    Thaedydal wrote: »
    Listen it's not normal, a lot of irish drs don't seem to listen to female patients and fob them off and tell them they will be grand, when there is an under lying medical issue.

    I have had friends and family in a state like you are once a cycle and there were other medical issues, you need to find a dr who will listen to you and give you a referral to a gynie or find a dr who deal with those issues as part of their general practice.

    Many women go in diagnosed and suffering with conditions they shouldn't have to cos they think what you are going through it normal, it's not. It is worth going to the dr about as it's making you that ill and has you taking days off work.

    If your dr won't listen then try a different dr.

    I find the GPs here are very bad at listening to you.


  • Closed Accounts Posts: 9,376 ✭✭✭metrovelvet


    Pembily wrote: »
    My cousin is a pharmacist and has to ask every person the same question and give the same story too!!! Its her job, and if someone asks her for coedine products and she doesn't give them the story then she could loose her licence!!!! The trained professional is trained and has to listen to the training they have been given!!!!!!!!!!

    Yes I am a woman and I have been doubled over in pain and you really should go to visit a dr as that kind of pain is not normal - seriously!!!!!!!!!!! They should seriously investigate it more...

    In the mean time...until they can get to the doctor... a double brandy.


  • Registered Users, Registered Users 2 Posts: 14,404 ✭✭✭✭Pembily


    I find the GPs here are very bad at listening to you.

    So you have to make them listen to you!!! I am 26 and if I hadn't made my GP listen to me I would have gone untreated and might have found at 32 that I can't have kids all cos I didn't kick up a fuss when I was 24!!!!

    Its your body and you shouldn't be in so much pain that you pass out - its not normal no matter what anyone says!!! We are in the 21st Century FFS!


  • Moderators, Society & Culture Moderators Posts: 30,662 Mod ✭✭✭✭Faith


    I agree that the new regulations are irritating. I normally take ibuprofen, and I know well when I need something a little stronger. But in this case, like the others have said, you just have to go to your doctor. INSIST that they listen to you.

    Alternatively, if they refuse, tell them to write you a note saying you need Nurofen Plus for period pains and you can give that to the pharmacist. It's not a prescription, but it saves you the long talk.


  • Closed Accounts Posts: 43,045 ✭✭✭✭Nevyn


    In the mean time...until they can get to the doctor... a double brandy.

    Mixing pain meds and drink can be dangerous.


  • Closed Accounts Posts: 9,376 ✭✭✭metrovelvet


    Thaedydal wrote: »
    Mixing pain meds and drink can be dangerous.

    Yes I know. It was in lieu of... not along with.


  • Closed Accounts Posts: 32 catkingcole


    I totally feel your pain. Literally. Up until 4 months ago I was getting terrible pains, thankfully found that microlite sorts it for the most part for me. I know it must have been really upsetting, even just getting to the pharmacy in such a state of pain, I can't imagine how bad it was to have to go home without what you wanted.

    To be honest though, I think blaming the pharmacist's gender is a wrong turn. I was reading this article in the Irish Times, and it said that there's no allowance in the new regulations for the pharmacist to avoid talking in depth with the patient even if the pharmacist knows the patient. So even if that pharmacist had known you and your problem already, he couldn't have just asked a quick "what's it for?" and let you have it. He's obligated to make sure that you're in need of it, which unfortunately includes a slightly lengthy convo sometimes. I realise that in your condition you weren't up to pushing the issue when he was trying to steer you away from the plus, and he could have been more helpful, but if I were a pharmacist at the moment I'd probably be terrified of selling codeine. With the regulations being new and all, I wouldn't be surprised if <insert governing body's name here> were sending people into pharmacies just to check how the new regulations were being handled by pharmacists. While a different pharmacist may have been more relaxed with it once you gave a reason, I don't think that pharmacist would have to be female to understand, or that a female would understand necessarily.

    Also you mentioned stockpiling it. I'd say that even if you had convinced a pharmacist to give you the neurofen+, if you tried buying a few packs at a time they could very well end up giving you none at all, it would look pretty suspicious.

    I'm really sorry you were put in such a terrible position, and I wish I could give you helpful advice rather than just an opinion. Here's that article in case you wanna have a look.
    http://www.irishtimes.com/newspaper/health/2010/0824/1224277436013.html

    thanks. I actually read that article earlier in my search for these studies that show that 'codeine has no affect on period pain' (haven't found any evidence, instead just lots of people recommending it.. and as someone already pointed out, Feminax, which is marketed exclusively for period pain contains codeine).
    I have sympathy for the pharmacists in this actually, I know they're trying to make a living, trying to help patients, and trying to follow the rules. It just made me inexplicably angry today to be told by this guy that the thing I've been taking for my pain has no effect when I know from years of experience that it does. Even though part of my whole argument with this is that period pain is different for everyone, I'd still find that advice easier to take from a person who's at least had periods before (and I know - a doctor or pharmacist doesn't have to have had every illness to be able to properly and knowledgeably prescribe their remedies, i guess this comes down to once a month sexism).

    And re: the doctor thing. Thanks for the concern everyone, I go to a womens practice and I've seen many different female and male doctors in my time with this pain. No one yet, not even me, has been convinced this is anything other than period pain. I've read the other period thread on the board at the moment, and it seems like there's a fair few others who've had similar pain? so it seems normal enough. or else i'm just a wimp.

    i'm really glad microlite and the pill works for some people for this, unfortunately for me it lead to horrible mood swings and constant breast tenderness :(


  • Closed Accounts Posts: 9,376 ✭✭✭metrovelvet


    Pembily wrote: »
    So you have to make them listen to you!!! I am 26 and if I hadn't made my GP listen to me I would have gone untreated and might have found at 32 that I can't have kids all cos I didn't kick up a fuss when I was 24!!!!

    Its your body and you shouldn't be in so much pain that you pass out - its not normal no matter what anyone says!!! We are in the 21st Century FFS!

    Og god Pembly. Ive had it with doctors here. Had it.

    If I had a penny....


  • Registered Users, Registered Users 2 Posts: 38 sallystar


    Hey OP, after many years of painful periods (now controlled thanks to Mirena Coil and childbirth!) I fully empathise with you. I would suggest that you make an appointment with a Well Woman clinic based GP. I found that Ponstan worked really well for me and my GP used to give me a repeat prescription for a few months. What works for me though, will not necessarily work for someone else so it'll just be a case of trial and error! If you find that the only relief you will get is from Nurofen Plus, your GP can maybe prescribe it for you, a few of tablets a month, and repeat for a few months. You and your GP can review it after a few months and repeat if successful.


  • Registered Users, Registered Users 2 Posts: 29,089 ✭✭✭✭LizT


    You can buy Nurofen + in the North over the counter. But as others have said before if the pain is really bad, you need to go to a doctor.


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  • Closed Accounts Posts: 32 catkingcole


    sallystar wrote: »
    Hey OP, after many years of painful periods (now controlled thanks to Mirena Coil and childbirth!) I fully empathise with you. I would suggest that you make an appointment with a Well Woman clinic based GP. I found that Ponstan worked really well for me and my GP used to give me a repeat prescription for a few months. What works for me though, will not necessarily work for someone else so it'll just be a case of trial and error! If you find that the only relief you will get is from Nurofen Plus, your GP can maybe prescribe it for you, a few of tablets a month, and repeat for a few months. You and your GP can review it after a few months and repeat if successful.

    Yeah, a friend of mine takes ponstan too. Her period pain tends to last days though, mine is usually a case of a few intense hours on the first day and sometimes some dull pain the next day. It's just that it seems a bit unnecessary and really expensive to have to go back to the doctor for repeat prescriptions if there's nothing particularly wrong and something over the counter that could do it.


  • Registered Users, Registered Users 2 Posts: 4,470 ✭✭✭Ectoplasm


    +1 on the Ponstan. I suffer from period pain every month and my doc prescribed it to me. It really is worth going to the doctor, even if it's only to avoid horribly frustrating (and potentially embarrassing) incidents in the chemist.

    I had the same experience last week. I hadn't been back to my doc for my repeat prescription of the Ponstan and was caught short. As I was aware of the fact that codeine is now harder to get, I tried regular Neurofen first; I might as well have taken smarties for all the difference that made.

    I hauled myself up to the chemist only to have an argument with this weapon of a pharmacist which culminated in me bursting into tears in the shop. I was mortified, but I'm already a bit emotional due to the totm, and now this wagon was giving out to me because I hadn't given the Neurofen 3 DAYS to work!

    I really do get the point of the new regulations, but I've been having periods for 20 years now. (Oh dear, that made me feel old :eek:) I know my body and what works and I don't think it is reasonable for me to suffer for 3 days and take a rake load of tablets when two doses of the N+ will sort me out.


  • Registered Users, Registered Users 2 Posts: 3,470 ✭✭✭DonJose


    lizt wrote: »
    You can buy Nurofen + in the North over the counter. But as others have said before if the pain is really bad, you need to go to a doctor.

    Nurofen plus can be bought online at <snip>, like the above posters said, if the pains persist, consult a doctor.
    <snip>

    Mod note: Purchasing controlled medication online is against the law. Links removed.


  • Registered Users, Registered Users 2 Posts: 867 ✭✭✭giddybootz


    Ah i love Ireland....gotta stop those bleeding wimmins from getting at the codeine but yet every day i step over heroin junkies to get in and out of work....sigh!

    Roughly every 3rd month i get reall really bad pains for the first 2 or 3 days and on those months i NEED my codeine !! I hadn't heard about these new laws til now...can't wait to discuss my period with a stranger in boots :(


  • Registered Users, Registered Users 2 Posts: 7,245 ✭✭✭psycho-hope


    cat think everything that can be said has been said, i found the only way to get a dr to listen to me about the pain i was in at totm was to find a younger female one and refuse to leave on till they listened to me, like you I cant take the combined pill cause of a family history of breast cancer, but there is other options out there, from prescribed painkillers to other types of contraception

    hope you get sorted soon


  • Registered Users, Registered Users 2 Posts: 2,766 ✭✭✭squeakyduck


    I've got a massive box of aspirin in my bathroom. It is the business. I also have a little heat up duck that you put in the microwave. He does the job while I wait on it to work!

    It is ridic that he wouldn't give you the drugs though. He'd obviously be reaching for it too if he had those pains!


  • Closed Accounts Posts: 32 catkingcole


    EMF2010 wrote: »
    +1 on the Ponstan. I suffer from period pain every month and my doc prescribed it to me. It really is worth going to the doctor, even if it's only to avoid horribly frustrating (and potentially embarrassing) incidents in the chemist.

    I had the same experience last week. I hadn't been back to my doc for my repeat prescription of the Ponstan and was caught short. As I was aware of the fact that codeine is now harder to get, I tried regular Neurofen first; I might as well have taken smarties for all the difference that made.

    I hauled myself up to the chemist only to have an argument with this weapon of a pharmacist which culminated in me bursting into tears in the shop. I was mortified, but I'm already a bit emotional due to the totm, and now this wagon was giving out to me because I hadn't given the Neurofen 3 DAYS to work!

    I really do get the point of the new regulations, but I've been having periods for 20 years now. (Oh dear, that made me feel old :eek:) I know my body and what works and I don't think it is reasonable for me to suffer for 3 days and take a rake load of tablets when two doses of the N+ will sort me out.

    that's exactly my feelings on it. they want you to start taking the regular nurofen before your period even starts. I was on the pill for a while about a year ago, and I'm only just getting to know my cycle now, and I can still be days off on the expected due date. If I was to follow that advice I'd be taking the nurofen for days and days. That just doesn't make sense to me. I got horrible gastritis when I was in the hospital for a few days a while back, they said it was due to all the ibuprofen they'd been giving me and how it's just a risk some times when you have to take ibuprofen regularly for a few days! I do NOT want that to have to go through that again, it felt like a heart attack or something.


  • Closed Accounts Posts: 32 catkingcole


    Thanks for everyone's responses. I feel totally fine today. I think I'd just needed to vent my frustrations to some other women. Think it's just going to be a case of forward planning and being prepared for it in future.


  • Closed Accounts Posts: 9,376 ✭✭✭metrovelvet


    I've got a massive box of aspirin in my bathroom. It is the business. I also have a little heat up duck that you put in the microwave. He does the job while I wait on it to work!

    It is ridic that he wouldn't give you the drugs though. He'd obviously be reaching for it too if he had those pains!

    You know aspirin is a blood thinner right?


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  • Registered Users, Registered Users 2 Posts: 7,987 ✭✭✭_Whimsical_


    Thaedydal wrote: »
    Mixing pain meds and drink can be dangerous.

    This is true but it's also very effective.I'm not saying anyone should do it regularly but in instances in the past where I've been fainting and vomiting from period pain that painkillers didn't touch, brandy was the only thing that ever helped. Only a little small amount worked for me,maybe 3 or 4 teaspoons,probably because I don't drink at all. If you are in violent pain and can't find anything to help in the house it's worth remembering to try a very small amount...only in emergencies though.


  • Registered Users, Registered Users 2 Posts: 3,538 ✭✭✭flutterflye


    It's actually driving me mad.

    I've taken to going in and saying (in quick succession) "can I have 24 nurofen plus please, I know about the new regulations, I know about the recommended daily dosage, I need them for extremely bad period pains, which I take instead of my ponsten depending on the level of pain"

    But still, they insist on giving me the lecture and asking the same questions I have just answered!!!

    btw.. I'm not sure if using alcohol in place of pain killers is the best advice really.

    My advice would be what I am planning to do the next time I'm at the doctor - get the doctor to write a short note explaining that he/she has cautioned you on the matter and they have advised you to take neurofen plus for your periods.

    Something we shouldn't have to do, but I think the only way to ensure we actually definitely, consistently receive what we need.

    I have talked to people who have been refused them from the pharmacist. It's ridiculous.


  • Registered Users, Registered Users 2 Posts: 14,404 ✭✭✭✭Pembily


    But still, they insist on giving me the lecture and asking the same questions I have just answered!!!

    It is their job!!!
    If they weren't doing their job they would be getting abuse too so damned if you do and damned if you don'!!!!


  • Closed Accounts Posts: 23,316 ✭✭✭✭amacachi


    Ya can't blame the pharmacists in this case, if they're caught out not following the guidelines they'll be in the ****ter. Get onto your local TDs if you want to complain, bloody coming up with ways to stop people getting painkillers seems to be all they have on their plates right now.
    The other advice I'd give is any time you know anyone going north get them to stock up on the pills for you. They're far cheaper apart from anything else. Only thing is they're very fussy up there about the amount of painkillers being bought in one go, but they're only fussy to the letter of the guidelines, if you try to buy more than you're allowed and the person with you buys the surplus that's fine. :pac:


  • Moderators, Business & Finance Moderators, Science, Health & Environment Moderators, Society & Culture Moderators Posts: 51,690 Mod ✭✭✭✭Stheno


    My advice here is that if you can then cultivate a relationship with your local pharmacist.

    My bf and I use the one pharmacy all of the time and today we went in as he had been at the dentist and had had three fillings and was told by his dentist to take painkillers for the next couple of days if needed.

    We went into our pharmacist, explained that the dentist had recommended painkillers and asked what was best.

    He said Neurofen plus, asked if the bf had any reaction/problems with them in the past, advised not to use them for more than three days, and then sold them to us.

    I then asked him out of curiousity if feminax would not be better, and he explained that feminax contains a muscle relaxant as well as codeine and is specific for period pain, but that neurofen plus is better and stronger for normal pain.

    Now I have to stress here we are not in there every week or even month with prescriptions or needing to buy painkillers, we've just built up a relationship and he is a lovely lovely person to deal with.


  • Registered Users, Registered Users 2 Posts: 3,538 ✭✭✭flutterflye


    Pembily wrote: »

    It is their job!!!
    If they weren't doing their job they would be getting abuse too so damned if you do and damned if you don'!!!!


    ha! i know!

    and by the way some of them are (ie body language, tone etc) i get the feeling that they feel uncomfortable having to say it over and over aswell..

    I know it's their job, and they have to say it, and I understand that. Doesn't make it any less infuriating though!

    My local pharmacy know me well, they know about all my recurring ailments, but they continue to ask me the exact same questions, even though the answers never change!

    Again, I'm not giving out about them. I just find the whole nanny state thing a bit ridiculous, and a bit pointless really. It's hardly going to help codeine addiction in the slightest.


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  • Closed Accounts Posts: 6 20questions


    I too have suffered for years with horrendus period pain every 2 or 3 months, having spoken to countless doctors about it they all tell me I'll just have to get on with it and prescribed Ponstan, however I dont want to have to spend €60 every time I need a repeat perscription so for years have used N+. Last week was the first time I went in to buy it and I was amazed, I understand they have to ask these questions but after finally walking out clucthing the magical box of N+ it struck me of how much I must have looked like an addict. These regulations are to stop people becoming addicted, there was me doubled over the counter, shaking, cold sweats, glazed eyes and pleading for the N+, 'yes I have tried regular N, no it doesnt help, I NEED the N+ PLEASE I NEED IT' So realistically how is any pharmasist supposed to tell the different between a crazed woman in desperate need of some relief from the pain or a crazed addict in desperate need of their next fix..


  • Closed Accounts Posts: 9,376 ✭✭✭metrovelvet


    I too have suffered for years with horrendus period pain every 2 or 3 months, having spoken to countless doctors about it they all tell me I'll just have to get on with it and prescribed Ponstan, however I dont want to have to spend €60 every time I need a repeat perscription so for years have used N+. Last week was the first time I went in to buy it and I was amazed, I understand they have to ask these questions but after finally walking out clucthing the magical box of N+ it struck me of how much I must have looked like an addict. These regulations are to stop people becoming addicted, there was me doubled over the counter, shaking, cold sweats, glazed eyes and pleading for the N+, 'yes I have tried regular N, no it doesnt help, I NEED the N+ PLEASE I NEED IT' So realistically how is any pharmasist supposed to tell the different between a crazed woman in desperate need of some relief from the pain or a crazed addict in desperate need of their next fix..

    This is Ireland. What's the point of doing anything unless you are sufferring?

    Honest to god. Shouldnt they be working on methodone clinics instread of pestering premenstrual women. FFS.


  • Closed Accounts Posts: 265 ✭✭ORLY?


    You know aspirin is a blood thinner right?

    So is ibuprofen (neurofen) but the effect just reverses more quickly after stopping than with aspirin.


  • Registered Users, Registered Users 2 Posts: 7,245 ✭✭✭psycho-hope


    It's actually driving me mad.

    I've taken to going in and saying (in quick succession) "can I have 24 nurofen plus please, I know about the new regulations, I know about the recommended daily dosage, I need them for extremely bad period pains, which I take instead of my ponsten depending on the level of pain"

    But still, they insist on giving me the lecture and asking the same questions I have just answered!!!

    btw.. I'm not sure if using alcohol in place of pain killers is the best advice really.

    My advice would be what I am planning to do the next time I'm at the doctor - get the doctor to write a short note explaining that he/she has cautioned you on the matter and they have advised you to take neurofen plus for your periods.

    Something we shouldn't have to do, but I think the only way to ensure we actually definitely, consistently receive what we need.

    I have talked to people who have been refused them from the pharmacist. It's ridiculous.

    tbh to rattle off that you know all about the requlations etc is probalbly the worst thing to do, the guidelines we were sent out in work state that if somebody seems to know all bout the new regulations etc that they may be abusing codeine, one of the pharmacies near where i work was spotted checked last week and they got read the riot act on not quizzing someone more carefully when they rattled off the answers with out being asked.


  • Registered Users, Registered Users 2 Posts: 12,440 ✭✭✭✭Sardonicat


    It's actually driving me mad.

    I've taken to going in and saying (in quick succession) "can I have 24 nurofen plus please, I know about the new regulations, I know about the recommended daily dosage, I need them for extremely bad period pains, which I take instead of my ponsten depending on the level of pain"

    But still, they insist on giving me the lecture and asking the same questions I have just answered!!!

    btw.. I'm not sure if using alcohol in place of pain killers is the best advice really.

    My advice would be what I am planning to do the next time I'm at the doctor - get the doctor to write a short note explaining that he/she has cautioned you on the matter and they have advised you to take neurofen plus for your periods.

    Something we shouldn't have to do, but I think the only way to ensure we actually definitely, consistently receive what we need.

    I have talked to people who have been refused them from the pharmacist. It's ridiculous.


    Hang on!

    These new measures came in in July.So, and I don't mean to be personal, that means, since the regulations came in, you will have had three periods(at most).

    You say you've "taken to" rattling of a speel, asking for 24 nurofen + each month.

    How many of these are you getting through?If you've been listening to your pharmacist then you will know that you shouldn't take them for more than three days in a row. Are you honestly saying you get through 24 over the course of your period each month?

    If so, I'm surprised they give them to you at all!


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  • Registered Users, Registered Users 2 Posts: 3,538 ✭✭✭flutterflye


    tbh to rattle off that you know all about the requlations etc is probalbly the worst thing to do, the guidelines we were sent out in work state that if somebody seems to know all bout the new regulations etc that they may be abusing codeine, one of the pharmacies near where i work was spotted checked last week and they got read the riot act on not quizzing someone more carefully when they rattled off the answers with out being asked.


    lol! really?! ooops!

    I'm not addicted! I promise! I just need them for my awful periods and cyst.
    Hmmm... Think I'll just get a note from the doctor like I initially said - think it's the only way around it.


  • Registered Users, Registered Users 2 Posts: 7,606 ✭✭✭Jumpy


    If you have seen what happens to someone who is seriously addicted to codeine meds you will understand how maybe these restrictions can save a few people who dont understand addiction. Its horrible.
    However, they arent going to stop you from buying it, they will only explain alternatives.
    Just state that you are aware they are addictive, that you understand the risks, but you wish to purchase what you came in for.


  • Registered Users, Registered Users 2 Posts: 3,538 ✭✭✭flutterflye


    Sardonicat wrote: »
    Hang on!

    These new measures came in in July.So, and I don't mean to be personal, that means, since the regulations came in, you will have had three periods(at most).

    You say you've "taken to" rattling of a speel, asking for 24 nurofen + each month.

    How many of these are you getting through?If you've been listening to your pharmacist then you will know that you shouldn't take them for more than three days in a row. Are you honestly saying you get through 24 over the course of your period each month?

    If so, I'm surprised they give them to you at all!


    Not meaning to get personal eh?!

    I have bought 5 packs since they came in. One pack was a 24 pack. The others were 12 packs (they wouldn't give me more)

    I get PMDD, I have a large cyst, and I have problems with my womb related to pelvic inflammatory disease.

    My period symptoms begin 10-14 days before my period, and last right up until the second day of my period.

    Some months, the pain is worse than others, but it's aways so bad that I have to get my partner to take a few days off work.

    The doctor and gynae know this, they give my prescription painkillers, but I use n+ for the times where I'm not in excruciating, roll about the floor pain..

    Is this okay with you, doctor ;)


  • Registered Users, Registered Users 2 Posts: 7,606 ✭✭✭Jumpy


    lol! really?! ooops!

    I'm not addicted! I promise! I just need them for my awful periods and cyst.
    Hmmm... Think I'll just get a note from the doctor like I initially said - think it's the only way around it.

    24 is an awful lot over the space of a week (Im a guy, I am assuming thats how long the pains last, so forgive my ignorance).
    Nurofen also is very bad for the stomach.
    Dont go into the doctor for just a note, explain how much you need to use, ask about alternatives. Thats what doctors are for.


  • Registered Users, Registered Users 2 Posts: 7,606 ✭✭✭Jumpy


    Ah ok, ignore my assumption above then.


  • Registered Users, Registered Users 2 Posts: 1,628 ✭✭✭Truley


    Ok I'm probably going to come across as very patronising here, but as someone who has direct expereince of dealing with codeine addicts, I need to add my two cents.

    Firstly, codeine addiction is a hugely endemic and under reported problem in this country, to the extent that many believe that it overtakes alcoholism in terms of numbers. It's not conspicious like heroin or even alcohol because it can be bought legally, and most importantlly, it's socially acceptable. However effects of abuse are serious and very often irreversable, effecting the stomach, the kidneys and the respiratory system. And believe me, if you know what to look for it is very easy to spot a person suffering from codeine addiction.

    It's not just about addiction though, long term use is simply not good for you. It is counter productive in solving the problem anyway, as gradual or long term use will lead to tolerance. A pharmacist knows all too well the extent of the problem, they have heard every excuse in the book. 'My pains are different,' 'my pains are real,' 'I know my own body', 'I know what works'... Try and see it from their point of view, they are not trying to lecture you for the craic of it, or to dismiss your pains because they don't care.

    Do I think making codeine persription only will solve the problem? No. But I do think people need to know the inherent risks involved in regularly using it. I do think it is a pharmacists job to discuss it with clients, and to do whatever they can to intervene when they suspect the drug is being misused.

    Regardless of how embarrassing or inconvienient it may seem to the customer.


  • Registered Users, Registered Users 2 Posts: 3,538 ✭✭✭flutterflye


    truely, I agree. I think we all know at least one person who has had a codeine addiction. I just don't see how these regulations help at all. The addict can pharmacy crawl to get their required amount, they can learn very quickly, how to act/what to say, to get the pharmacist to believe them.

    As for the people who are not aware of drug interactions or how often you can take them - education is surely the key. Why can they not start a massive nationwide campaign to inform people? Instead of restricting painkillers to people who are in pain!


  • Closed Accounts Posts: 35 Stella2010


    I concur with the OP - I suffer horrendous cramps every month and not being able to buy over the counter meds is a nightmare. Had to shell out 60 euro weds to get a prescription for Ponstan - I'm lucky he gave me a repeat for a few months. Just wondering if it's worth a trip up to Newry to stockpile on some meds - can you still buy stuff over the counter there.
    It's very unfair even still that doctors here really don't take P pains are a dibilitating condition.
    From the age of 13 to 23 I would pass out every month - would be sick , unable to move with pains etc and was always told " that's the way it is put up with it " Ended up having major emergency surgery at 24 when finally someone took me seriously and sent me for a scan. I had several large ovarian cysts and diagnosed with severe Endometriosis and the fact I'd had it so long I was left with bad bad scarring and have had to have 3 operations since. I would urge people who suffer really bad to get a referral to a specialist and see if there are any medical conditions causing the pains.
    I wish I could get a letter from a GP or something to say I NEED painkillers lol - I really can't afford to be paying so much money to doctors just for a prescription every month when I could easily buy what I need - this country is gone mad ! As for Brandy for the pain - make sure you buy it before 10pm too - a nanny state or what folks ! You can deal drugs openly in the city but god forbid you'd buy a pack or 2 of Feminax !


  • Registered Users, Registered Users 2 Posts: 4,788 ✭✭✭ztoical


    As for the people who are not aware of drug interactions or how often you can take them - education is surely the key. Why can they not start a massive nationwide campaign to inform people? Instead of restricting painkillers to people who are in pain!

    Cost and effectiveness. You can't guarantee that the message will reach everyone no matter how much money you throw at it and the money isn't there. Just look at the cost figures for alerting people to the recent swine flu outbreak and the number of people who still hadn't a clue what was going on and that was a one off, something related to over the counter pain meds would have to be on going. If someone is in pain there is a reason for the pain and they should be seeing their GP. If the GP rec's them using over the counter meds on an on going basis then they should get a note from the GP but honestly can't see a GP rec'ing the long term use of over the counter pain meds. It's all well and good saying I know my body and what I need but the truth is you will build up a resistance to the medication and need more or have to switch to much stronger prescription medication.

    There are alternative methods of treatment but people [using 'people' in general its not aimed at anyone on this thread] tend to just reach for pills. I suffered from really bad period pain that would leave me in bits for days, unable to walk or get out of bed and I dreaded it ever month. I altered my diet and haven't had anything beyond mild cramps since.


  • Closed Accounts Posts: 35 Stella2010


    Interesting on the change of diet - just bought a book there about nutrition and the effects of certain foods etc - will see how I go.


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