I did not get asked for ID this morning. I wonder if it is more of an opt in thing for pharmacists. I bet you that most pharamcists will not want to have to go to such lengths considering how much they would sell of codeine combination...
This thread is also discussing the same/similar things.
Hi everyone. I've joined just to post on this thread as I came across it while googling this MedsASSIST program.
Personally, I am not happy with this system. I purchased some Nurofen Plus at the end of March and I had my details recorded. That was fine, then I purchased some at a different place 10 days later and I was absolutely hounded. They questioned me beyond belief. "How often do you need it?" "What do you take it for?" "You bought some 10 days ago" She was pretty much going through my health history like, "Okay so last week you had period pain, what do you need it for now?". It didn't make me feel good at all. It made me feel like a junkie. And I never have any trouble buying it because I tend to present myself nicely. Most of the time I get, "Make sure you take it with food" and that's it. I eventually lied and said I took what I needed, then gave the rest to my mother for her migraines and she reluctantly put it through. I suffer from chronic migraines and this system is not going to be good for people like me. Somedays I have to take the maximum amount and somedays I don't take any at all. Do I have to have a doctors note with me now to say I have migraines? I understand what they're trying to do but they're going the wrong way about it. Although I don't think making them prescription only will help either. So far my experience with this system has not been great, but I'm hoping I just got an off pharmacist as you guys seem to have had far more luck with much lower time between days.
I also agree about the privacy. Whether you're using it as directed or recreationally, everyone is entitled to their privacy and it's not particularly clear about what is shared and what isn't, and that it will actually be shared between all pharmacies Australia wide. The ID requested is drivers license, so they can get a few things from that: Name, age, address. Do they also put in notes? I wasn't aware that it was nationwide when I first did it. I just feel like 1984 is becoming more like a reality.
Kinda sad TBH, one of the least useful skills I've gained over the last few years... I am willing to argue the point with these people and refuse to give details to them and ensure that they know I will simply go elsewhere. Ultimately, this won't change the system and I don't think is the point, I just want to take a pleasant opiate and enjoy the feeling. Though it tends to make me highly nauseated, weak and sweaty now. I assume you mean adverse effects of ibuprofen/paracetamol in products that contain codeine? Because ibuprofen and paracetamol are available on the shelves of supermarkets...i honestly think they're more concerned with the adverse affects of ibuprofen and paracetamol than codeine, and wouldn't be suprised if that's the real agenda.
if you have to provide id for something like codeine, you might as well go the whole hog and buy large bottles of rykodeine. or better still, sign up for the 'done %)
I assume you mean adverse effects of ibuprofen/paracetamol in products that contain codeine? Because ibuprofen and paracetamol are available on the shelves of supermarkets...
While i think you have a point, in saying that the real duty of care being exercised by pharmacists in this instance is (possibly) an attempt to prevent people from deliberately ODing on OTC pain pills for a buzz, i still don't think it is the driving force behind this.
I think pharmacies adopting a voluntarily enacted, non-compulsory form of self-regulation is far more likely to be motivated by the codeine itself; being that it is an opiate, a drug of addiction/recreation/abuse - and the statistical evidence that Australia has a pretty high rates of addictiont ride of codeine addiction.
It seems likely to me that the concern from the perspective of a pharmacist would relate to OTC codeine preparations both because of the addictive nature of the mild opiate, as well as the risk of para/ibu OD.
So in that sense i agree with you to some extent, because i'm sure there are significant amounts of people using OTC codeine products "recreationally" or to maintain a habit, who don't perform a CWE on them first, and simply down handfuls of pills (which can be life threatening and very physically harmful).
So sadly, the attempt to make the OTC version of pills like panadeine less abusable, by adding lots of paracetamol to tiny amounts of codeine, is the thing that has become one of the more prominent health issues with this one.
It would
As for rykodeine - i was never a fan of that stuff. DHC seemed nice, but the gastrointestinal reaction from a sorbitol overdose (bloating, gurgling, gas, diarreoh) made rykodeine a far worse option, at least in my experience.
And like willow, i think methadone would be a step in the wrong direction for most, if not all, codeine addicts.
If pain is a problem, doctors can always be consulted.
But having said that, being addicted to codeine at the moment must absolutely suck.
So my thoughts go out to anyone in that situation.
My tip -seek out any local drug and alcohol services that may be available to you.
I don't mean NA/AA (nothing against 'em - some folks get great help in those groups) - but the sort of drug-focused clinic that can help you through a detox (inpatient or outpatient) and get counselling and whatever else may help.
Because codeine is a drug of diminishing returns anyway (in my experience) - so escalating your use by changing to a different opiate might be tempting, but from what i understand, detoxing from codeine is not as difficult as most opiates. Not to downplay any withdrawal - they can all be brutal - but i think codeine withdrawals are over fairly quickly (due to halflife, metabolism etc) - especially compared to buprenorphine, methadone or even PST for that matter. That can drag on for weeks, even months.
If codeine is getting too hard to obtain, i hope people at least try kicking their habits before moving on to other opiates.

Its actually a good time to discuss maintenance treatments given the state of affairs regarding codeine.
Codeine was the first opiate I got addicted to. I eventually told my doctor and he started to prescribe me codeine only pills. No combo. Didn't help though, I was determined and got onto heroin/morphine and then methadone and finally suboxone. Only thing to help me was cold turkey in detox facility... Painful but I couldnt do it the other way.![]()