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Why are pure codeine products prescription-only?

  • 11-10-2020 7:15pm
    #1
    mr_fegelien
    Banned (with Prison Access) Posts: 1,483 ✭✭✭


    Seems a bit backwards to me. In the past I have tried to get codeine from a pharmacy. The ones they have are Solpadeine (codeine + paracetamol) and Nurofen Plus (codeine + ibuprofen).

    Looking at the HPRA website, it seems that Codinex (codeine only) is prescription.

    It seems like faulty reasoning to make it prescription-only if it's to prevent abuse . People who are already addicted to codeine won't care about the ibuprofen/paracatemol. They'll take an excessive amount which might cause them to develop GI issuess/peptic ulcer down the line or die of liver failure.

    If Nurofen Plus/Solpadeine was prescription-only and Codinex OTC then I believe we'd see less codeine related complications in hospitals.


Comments

  • #2
    [Deleted User]
    Posts: 8,647 ✭[Deleted User]


    mr_fegelien wrote: »
    Seems a bit backwards to me. In the past I have tried to get codeine from a pharmacy. The ones they have are Solpadeine (codeine + paracetamol) and Nurofen Plus (codeine + ibuprofen).

    Looking at the HPRA website, it seems that Codinex (codeine only) is prescription.

    It seems like faulty reasoning to make it prescription-only if it's to prevent abuse . People who are already addicted to codeine won't care about the ibuprofen/paracatemol. They'll take an excessive amount which might cause them to develop GI issuess/peptic ulcer down the line or die of liver failure.

    If Nurofen Plus/Solpadeine was prescription-only and Codinex OTC then I believe we'd see less codeine related complications in hospitals.

    No offence but the rationale you put forward is exactly the rationale of somebody with a severe addiction. Not many would risk liver failure to get a mild euphoria from their codeine. Also, if i remember correctly, the codeine in OTC (with pharmacist approval) is 8mg whereas prescription codeine by itself is usually tablets containing 15 or 30mg.


  • #3
    The Hound Gone Wild
    Registered Users Posts: 255 ✭✭The Hound Gone Wild


    [Deleted User] wrote: »
    No offence but the rationale you put forward is exactly the rationale of somebody with a severe addiction. Not many would risk liver failure to get a mild euphoria from their codeine. Also, if i remember correctly, the codeine in OTC (with pharmacist approval) is 8mg whereas prescription codeine by itself is usually tablets containing 15 or 30mg.

    Up to 12.8mg in Neurofen plus & solpaplus.

    Also Codinex IS available OTC at 15mg/5mls


  • #4
    Graces7
    Registered Users Posts: 32,634 ✭✭✭✭Graces7


    Solpadol and Tylex have 30 mgs codeine and are prescription only. They are the only meds that reduce my pain enough to let me function. I would prefer them without the paracetamol.

    Addiction is a choice.

    I have never heard of Codinex


  • #5
    iamwhoiam
    Registered Users Posts: 16,069 ✭✭✭✭iamwhoiam


    Graces7 wrote: »
    Solpadol and Tylex have 30 mgs codeine and are prescription only. They are the only meds that reduce my pain enough to let me function. I would prefer them without the paracetamol.

    Addiction is a choice.

    I have never heard of Codinex

    You can get a prescription for Codeine phosphate 30mgs with no added pain relief


  • #6
    Effects
    Registered Users Posts: 9,761 ✭✭✭Effects


    Graces7 wrote: »
    Addiction is a choice.

    A choice for you maybe. Most people aren't the same as you.


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  • #7
    Abel Ruiz
    Registered Users Posts: 887 ✭✭✭Abel Ruiz


    mr_fegelien wrote: »
    Seems a bit backwards to me. In the past I have tried to get codeine from a pharmacy. The ones they have are Solpadeine (codeine + paracetamol) and Nurofen Plus (codeine + ibuprofen).

    This is not the first time you've posted about these types of medication.

    I wonder do you have issues with painkillers.
    Your posting history is very strange.


  • #8
    Abel Ruiz
    Registered Users Posts: 887 ✭✭✭Abel Ruiz


    https://www.boards.ie/vbulletin/showthread.php?p=111047919

    Here is another thread. Are you addicted to pain medication?


  • #9
    Iodine1
    Registered Users Posts: 376 ✭✭Iodine1


    Had a look at that reference. The moment I saw op using the USA as a standard, I stopped reading.


  • #10
    un5byh7sqpd2x0
    Closed Accounts Posts: 1,862 ✭✭✭un5byh7sqpd2x0


    Abel Ruiz wrote: »
    https://www.boards.ie/vbulletin/showthread.php?p=111047919

    Here is another thread. Are you addicted to pain medication?

    He’s addicted to opening inane threads on boards. A major Walter Mitty character.


  • #11
    Graces7
    Registered Users Posts: 32,634 ✭✭✭✭Graces7


    Effects wrote: »
    A choice for you maybe. Most people aren't the same as you.


    What does that mean?

    Yes we make choices about what and how we medicate. I have experienced addiction through wrongly prescribed meds in the past and getting clear is sheer hell. That was not my choice, but now I research anything that is prescribed and make a clear choice. Taking only what I absolutely need.

    Yes we have choice.


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  • #12
    Graces7
    Registered Users Posts: 32,634 ✭✭✭✭Graces7


    iamwhoiam wrote: »
    You can get a prescription for Codeine phosphate 30mgs with no added pain relief

    Really? Thank you.. That would be good.


  • #13
    [Deleted User]
    Posts: 0 ✭[Deleted User]


    Abel Ruiz wrote: »
    https://www.boards.ie/vbulletin/showthread.php?p=111047919

    Here is another thread. Are you addicted to pain medication?

    He’d better be careful or he’ll need dialysis for ruined kidneys.


  • #14
    banie01
    Registered Users Posts: 16,440 ✭✭✭✭banie01


    Deleted User wrote: »
    He’d better be careful or he’ll need dialysis for ruined kidneys.

    He's already trying to see if he can rock up to a hospital for treatment in other threads.
    That Boards make an ongoing conscious decision to let Mr Feg keep posting threads where he is very deliberately provocative and skirts the law.
    Then that they let him repeat the same threads ad nauseaum only reinforces the germ of an idea that Mr Feg is a boards employee here to drum up post and reaction rates.

    If this WUM is actually a real person, there is a need for serious intervention and allowing them to continue posting here is no help to them.


  • #15
    mr_fegelien
    Banned (with Prison Access) Posts: 1,483 ✭✭✭mr_fegelien


    banie01 wrote: »
    He's already trying to see if he can rock up to a hospital for treatment in other threads.
    That Boards make an ongoing conscious decision to let Mr Feg keep posting threads where he is very deliberately provocative and skirts the law.
    Then that they let him repeat the same threads ad nauseaum only reinforces the germ of an idea that Mr Feg is a boards employee here to drum up post and reaction rates.

    If this WUM is actually a real person, there is a need for serious intervention and allowing them to continue posting here is no help to them.

    In what way do you think I need serious intervention?


  • #16
    un5byh7sqpd2x0
    Closed Accounts Posts: 1,862 ✭✭✭un5byh7sqpd2x0


    mr_fegelien wrote: »
    In what way do you think I need serious intervention?

    Because you're a loon, if any intervention is required it should be the CMH for you.


  • #17
    mr_fegelien
    Banned (with Prison Access) Posts: 1,483 ✭✭✭mr_fegelien


    Veda Rough Bill wrote: »
    Because you're a loon, if any intervention is required it should be the CMH for you.

    What in my posting history would lead you to believe that I'm a loon.

    Are you genuinely serious or just having a laugh? What would you do if you met someone like me IRL?


  • #18
    kg703
    Registered Users Posts: 984 ✭✭✭kg703


    You can get Codinex over the counter. I have a bottle of it in my house! Expect a good questioning from the pharmacist though


  • #19
    un5byh7sqpd2x0
    Closed Accounts Posts: 1,862 ✭✭✭un5byh7sqpd2x0


    mr_fegelien wrote: »
    What in my posting history would lead you to believe that I'm a loon.

    Are you genuinely serious or just having a laugh? What would you do if you met someone like me IRL?

    All of it. I’m genuinely serious.


  • #20
    Ash.J.Williams
    Registered Users Posts: 20,929 ✭✭✭✭Ash.J.Williams


    mr_fegelien wrote: »
    Seems a bit backwards to me. In the past I have tried to get codeine from a pharmacy. The ones they have are Solpadeine (codeine + paracetamol) and Nurofen Plus (codeine + ibuprofen).

    Looking at the HPRA website, it seems that Codinex (codeine only) is prescription.

    It seems like faulty reasoning to make it prescription-only if it's to prevent abuse . People who are already addicted to codeine won't care about the ibuprofen/paracatemol. They'll take an excessive amount which might cause them to develop GI issuess/peptic ulcer down the line or die of liver failure.

    If Nurofen Plus/Solpadeine was prescription-only and Codinex OTC then I believe we'd see less codeine related complications in hospitals.

    because it's a nice buzz


  • #21
    banie01
    Registered Users Posts: 16,440 ✭✭✭✭banie01


    Veda Rough Bill wrote: »
    Because you're a loon, if any intervention is required it should be the CMH for you.

    Veda Rough Bill wrote: »
    All of it. I’m genuinely serious.

    All of this, Mr Feg your posting history is littered with incidences that can charitably be described as misguided.

    Yet you repeat not only the behaviour, but the posts about that behaviour too.
    There are a few axioms that spring to mind that you fit surprisingly well.
    The definition of insanity is doing the same thing over and over again, but expecting different results

    Which segues nicely into a psychology today article you might find interesting (but I doubt it)
    https://www.psychologytoday.com/ie/blog/matter-personality/201509/what-makes-people-do-the-same-stupid-things-repeatedly

    You may eventually reach that level of repetition that Voltaire outlined...
    The more often a stupidity is repeated, the more it gets the appearance of wisdom.
    But then I would seriously worry for anyone who found your own "wisdom" in anyway appealing.


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  • #22
    Kurtosis
    Moderators, Science, Health & Environment Moderators Posts: 2,881 Mod ✭✭✭✭Kurtosis


    mr_fegelien wrote: »
    Seems a bit backwards to me. In the past I have tried to get codeine from a pharmacy. The ones they have are Solpadeine (codeine + paracetamol) and Nurofen Plus (codeine + ibuprofen).

    Looking at the HPRA website, it seems that Codinex (codeine only) is prescription.

    It seems like faulty reasoning to make it prescription-only if it's to prevent abuse . People who are already addicted to codeine won't care about the ibuprofen/paracatemol. They'll take an excessive amount which might cause them to develop GI issuess/peptic ulcer down the line or die of liver failure.

    If Nurofen Plus/Solpadeine was prescription-only and Codinex OTC then I believe we'd see less codeine related complications in hospitals.

    OP, you're comparing medications for pain relief with another for treatment of dry cough. These are not interchangeable - the only thing they have in common is that they contain codeine.

    Mod note

    I'm closing this thread as it's descended into bickering.

    mr_fegelien - your posts on this forum are focused on medications with potential for misuse and skirting legal controls around medicines, starting more threads along these lines will result in sanctions.

    Abel Ruiz, banie01, Dogg Munde - please keep your posting civil, play the ball not the man.

    Any queries, please PM me.

    Kurt


This discussion has been closed.
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