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Is codeine addictive?

  • 28-06-2022 2:19pm
    #1
    Registered Users, Registered Users 2 Posts: 16


    Excuse the title if it seems stupid but I've always heard from doctors and watched documentaries about the opioid epidemic and they say that these class of medicines are one of the most psychologically addictive. Given that, why is codeine still available OTC in Ireland and a few other European countries.

    Codeine gets converted to morphine like many opioids albeit in much smaller amounts yet I seldom here of patients in Ireland building tolerance and moving on to harder stuff like oxycodone, hydromorphine, morphine, or diamorphine/heroin.

    Does the fact that it's a pro-drug make any difference with varying effects between people?



Comments

  • Moderators, Computer Games Moderators, Social & Fun Moderators Posts: 18,809 Mod ✭✭✭✭Kimbot


    This is an interesting read: https://www.drugsandalcohol.ie/25048/



  • Registered Users, Registered Users 2 Posts: 1,674 ✭✭✭Muppet Man


    Good luck buying Nurofen plus without a barrage of questions from the chemist. Makes you feel like a criminal sometimes, but I guess they are just doing a job, as the Patient Information Leaflet is quite clear:

    I think some people are more susceptible to addiction than other people. Thats just my opinion though as opposed to a fact. I wouldnt tempt fate either way.



  • Registered Users, Registered Users 2 Posts: 16 newgrangepets


    I'm pretty sure this is just legislation and is seldom practiced in reality. I've bought Nurofen plus numerous times in various pharmacies and never been grilled (only denied once).



  • Registered Users, Registered Users 2 Posts: 1,674 ✭✭✭Muppet Man


    You must have a very pretty face :) I've never bought Nurofen plus without at least the following 3 questions (seems consistent across pharmacies)

    1. Is it for you?

    2. Have you taken it before / are you taking other medication?

    3. Have you tried / would you consider other medication?


    Interesting that you were denied once... goes to show how serious they are about ensuring medication isnt mistreated.



  • Posts: 18,962 ✭✭✭✭ [Deleted User]


    Neurofen Plus has been implicated in some people losing the run of themselves and to pull their flute out in row 1 on a 737 and going into maual override in view of the female passenger beside him and the air hostesses sitting in the jump seats across

    (could have been a cover story for a load of coke and scoops)

    But yes codeine is an opioid, is addictive and will produce unpleasant physical withdrawal symptoms in such a situation of addiction

    There are people in Ireland going around on pharmacy circuits to buy it

    Possible risk of stomach damage from ingesting too much ibuprofen continuously




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  • Registered Users, Registered Users 2 Posts: 220 ✭✭put_the_kettle_on


    I'm on 90 mg of dihydrocodeine twice a day. I do worry about long term dependency but severe pain really wrecks your life.

    Rock and a hard place, I guess.



  • Registered Users, Registered Users 2 Posts: 1,674 ✭✭✭Muppet Man


    :( sorry to hear that... just curious - is it back pain? None of my business of course, so don't feel compelled to answer.



  • Registered Users, Registered Users 2 Posts: 6,412 ✭✭✭Jequ0n


    2 threads on codeine at the same time? Strange interest l you have there, OP..



  • Registered Users, Registered Users 2 Posts: 32,634 ✭✭✭✭Graces7


    You need it to function... So be at peace? I am in similar state, I have severe CFS/ME with disabling pain and am thankful for Tylex ie containing codeine at night I would never think of it as in your last sentence...



  • Registered Users, Registered Users 2 Posts: 2,827 ✭✭✭madmaggie


    Re codeine, I'm not a medical person, only speaking from experience. My grandmother took it for over 20 years for arthritis pain. When her gp tried to wean her off it, she refused to even try. He warned her it was potentially addictive. She developed bowel cancer, and took even more for the pain. She used to sleep most of the day, and cranky as hell when awake.

    I know it can cause constipation, but cannot say if it played a part in her illness. It is a medication of which I am extremely wary.



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  • Moderators, Business & Finance Moderators Posts: 10,612 Mod ✭✭✭✭Jim2007


    But presumably you are taking it under medical supervision? I need to take pain killers daily but I would not take anything with codeine in it. Therefore I’m on a prescription drug instead.



  • Registered Users, Registered Users 2 Posts: 220 ✭✭put_the_kettle_on


    Apologies for the tardy reply, I've only just seen your post.

    Yes, it's lower back pain. I use sticks to walk and can only be vertical for limited periods.



  • Registered Users, Registered Users 2 Posts: 220 ✭✭put_the_kettle_on


    A stoic upbringing is largely responsible for my reluctance to take tablets. The closest I got to medication as a kid was either boiled lemonade or a dab of calamine lotion.



  • Moderators, Science, Health & Environment Moderators, Social & Fun Moderators, Regional West Moderators Posts: 60,977 Mod ✭✭✭✭Gremlinertia


    I have been a litany of medications over the last 23 years, plenty would be addicitve if not used as directed and imho that's where the problem is.. Use them as directed and when prescribed only, hence it's called drug abuse.



  • Registered Users, Registered Users 2 Posts: 32,634 ✭✭✭✭Graces7


    Yes I get it on prescription.. I t is not "supervised" as such as I just apply for repeats. NB small island with no resident GP , I had to upgrade it a while back and the pharmacy made a fuss! May I ask what you are on for pain? I take it at night only as pain totally prevents sleep. In need in daytime aspirin or brufen. NB I am nearly 80 and disabled with CFS/ME and other issues so my priority is keeping mobile and getting some pleasure out of life .



  • Registered Users, Registered Users 2 Posts: 32,634 ✭✭✭✭Graces7


    When pain is severe enought to inhibit mobility? It needs alleviating to prevent more medical issues. I was raised in an age when if you saw the doctor enter a house you knew the undertaker/funeral director would be the next to arrive and the doctor was as God. When serious illness struck?



  • Registered Users, Registered Users 2 Posts: 32,634 ✭✭✭✭Graces7


    Why? It works for disabling severe pain and enables living.



  • Registered Users, Registered Users 2 Posts: 32,634 ✭✭✭✭Graces7


    and you are right to be wary. So was I before disabling pain made its home in my body... Without proper pain relief I would be in a dire state and codeine works. Nb I only take it at night due to side effects.



  • Moderators, Business & Finance Moderators Posts: 10,612 Mod ✭✭✭✭Jim2007


    Well at 80 the long term effects are not exactly paramount. Even at 60 I’m loosing at lot of my concerns about long term effects of meds for myself, but not for society.



  • Registered Users, Registered Users 2 Posts: 32,634 ✭✭✭✭Graces7




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  • Registered Users, Registered Users 2 Posts: 220 ✭✭put_the_kettle_on




  • Registered Users, Registered Users 2 Posts: 1,674 ✭✭✭Muppet Man


    Interesting thread to be fair. Hope ye are all doing OK. Thankfully i am not dependent on anything and i feel lucky for it after reading the above. Stay safe!



  • Registered Users, Registered Users 2 Posts: 32,634 ✭✭✭✭Graces7


    Society is made up of individuals making individual choices for which they take full responsibility.



  • Registered Users, Registered Users 2 Posts: 32,634 ✭✭✭✭Graces7


    We were raised like that. Good old calamine! But untreated pain? I came to terms with that decades ago as I wanted a LIFE. And chronic pain drains. All drugs have side effects.



  • Registered Users, Registered Users 2 Posts: 220 ✭✭put_the_kettle_on


    I think I'd likely feel better about the dihydrocodeine if it worked better. I'm also on duloxetine for peripheral neuropathy and that has been effective in shutting down the pain in my feet but the back pain remains largely unresolved.

    The dihydrocodeine is a sort of compromise. Doc had me on some synthetic morphine patches that are often used in palliative care but whilst a patch was meant to be effective for 7 days, I found I was mobile for about three days then it was used up hence I'm now on a high dose twice daily of dihydrocodeine. The back pain is something that I bend my life around now.



  • Registered Users, Registered Users 2 Posts: 32,634 ✭✭✭✭Graces7


    Chronic pain is indeed part of a way of life. And is little understood. It drains. Today I can barely walk, as the ME/CFS is reacting to a situation here that has needed far too much activity. So I am abed being very careful. Minmum drive style! Just been to the gate to collect post and i could hardly get back inside. Not bad pain and unless I am pushed or there is a dire need I will rest the day through without codeine until late today. Organisation... getting up and walking around every hour to keep systems functional. That is my job!



  • Registered Users, Registered Users 2 Posts: 220 ✭✭put_the_kettle_on


    It sounds as though you've developed a good coping strategy there :)

    PS. V sorry to read about the business with your cats. I just have one cat and the thought of someone taking him is too awful to contemplate. I genuinely hope you get some help to sort it out.



  • Registered Users, Registered Users 2 Posts: 32,634 ✭✭✭✭Graces7


    As for addiction... breathing is addictive.. so is eatingand drinking,,ie necessary for survival and health.

    I stopped feeling "guilt tripped" re taking codeine let alone antidepressants when I was on them decades ago. .. They are life savers.

    The only reason I did not try what was offered was the cost ongoing. As I told them I get codeine free on prescription. God bless HSE



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