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Why is opioid addiction almost absent in countries with OTC opioids but rampant in the west?

9804 Not more than 1.8 grams of codeine per 100 milliliters or not more than 90 milligrams per dosage unit, with one or more active, nonnarcotic ingredients in recognized therapeutic amounts.
 
Uden said:
I know it's just a movie, but has anyone seen "Running With The Devil?"

I think that even in movies we sometimes get a glimpse of the truth. Those people know things the average person probably doesn't. Check that shit out if you haven't seen it. Good flick.
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Never heard of it, but I see it has Nicholas Cage in it, so it's probably a good movie!
Gonna have to check this one out!
 
DeathIndustrial88 said:
Never heard of it, but I see it has Nicholas Cage in it, so it's probably a good movie!
Gonna have to check this one out!
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I promise it actually has something to do with the topic of this post if you're paying attention. It's either got some truth in it or it's all bullshit. I'm not the one that can make that call. *shrug*
 
LucidSDreamr said:
In like half the world tramadol and codiene (at least) are OTC. South American countries, carribean, Southeast Asia. All OTC. No heroin or fentanyl epidemics.

Why is the west so fucked despite the restrictions? Is it because of the restrictions? Or are there more issues at play like culture and socioeconomics?

This issue is not discussed in the academic research based on my searching.

You could also say the same for benzos.
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They didn't have a major pharmaceutical company engage in mass distribution and wide scale lying and PR manipulation to get millions of people hooked through doctor's visits.
 
DeathIndustrial88 said:
This is absolutely not true at all.
If codeine, DHC & opium tincture were as easy to access as psuedoephedrine, then everybody would be doing this.
Codeine, DHC & opium are all controlled/scheduled drugs in the US. Psuedoephedrine is not.

If a drug is controlled/scheduled,. then you can only obtain it with a doctors prescription in the US. There is no legal/over the counter DHC, Codeine or opium in the US.
The closest "over the counter" opioid one could access in the US is loperamide. That's it.

Trust me, in the throes of withdrawals, I've discovered every OTC drug out there that could possibly get one high. And there are no OTC opioids here in the US.

I'm pretty sure our neighbors to the north (Canada) have over the counter codeine though.
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Honestly certain state's allow them but cause no one knows about them I guess hardly anywhere sells them.
 
Gaz_hmmmm said:
Honestly certain state's allow them but cause no one knows about them I guess hardly anywhere sells them.
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What states exactly?

If those states are doing that, then they're breaking huge laws & I'm skeptical of it.

What are the products called that contain codeine, DHC or opium then? Who manufacturers them? And how do the pharmacies get away with selling them over the counter when they're controlled? Pretty sure opium is a schedule II drug. You're telling me places are legally selling schedule II drugs over the counter? Not happening. There's prescription monitoring programs & I'm pretty sure the DEA & the government keep track of every opioid being sold & how & to whom.
 
DeathIndustrial88 said:
What states exactly?


If those states are doing that, then they're breaking huge laws & I'm skeptical of it.

What are the products called that contain codeine, DHC or opium then? Who manufacturers them? And how do the pharmacies get away with selling them over the counter when they're controlled? Pretty sure opium is a schedule II drug. You're telling me places are legally selling schedule II drugs over the counter? Not happening. There's prescription monitoring programs & I'm pretty sure the DEA & the government keep track of every opioid being sold & how & to whom.
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The pharmacist is given authority to prescribe see
 
helpingout said:
The pharmacist is given authority to prescribe see
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"Prescribing" and "over the counter" are two different things tho.
Pharmacists are also pretty limited on what they can prescribe.

I'm sure in some very very rare instances, pharmacists have been able to hook people up with narcotics, but in this current climate, I highly doubt that's happening.

And having to get a pharmacist to write you a prescription for an opioid doesn't sound as simple as "asking for something behind the counter" like pseudoephedrine.

If anyone knows a state where this can be done, be sure to let me know cause I'll pack my things & move immediately. lol
 
DeathIndustrial88 said:
"Prescribing" and "over the counter" are two different things tho.
Pharmacists are also pretty limited on what they can prescribe.

I'm sure in some very very rare instances, pharmacists have been able to hook people up with narcotics, but in this current climate, I highly doubt that's happening.

And having to get a pharmacist to write you a prescription for an opioid doesn't sound as simple as "asking for something behind the counter" like pseudoephedrine.

If anyone knows a state where this can be done, be sure to let me know cause I'll pack my things & move immediately. lol
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Codeine regulation varies widely across countries and states. In some states, including North Carolina, Florida, Oklahoma, and Iowa,1,2 pharmacists can dispense a small quantity of cough syrup containing codeine OTC. Based on individual state law, this information may not be logged into the prescription drug monitoring program, which may contribute to providers being unaware of their patients’ use of codeine.

www.pharmacytimes.com

Behind the Counter Codeine Preparations Require Diligent Care | Pharmacy Times

It is the role of the pharmacist to ensure patients are adequately counseled on the adverse effects and potential harms of codeine.
www.pharmacytimes.com www.pharmacytimes.com
 
DeathIndustrial88 said:
"Prescribing" and "over the counter" are two different things tho.
Pharmacists are also pretty limited on what they can prescribe.

I'm sure in some very very rare instances, pharmacists have been able to hook people up with narcotics, but in this current climate, I highly doubt that's happening.

And having to get a pharmacist to write you a prescription for an opioid doesn't sound as simple as "asking for something behind the counter" like pseudoephedrine.

If anyone knows a state where this can be done, be sure to let me know cause I'll pack my things & move immediately. lol
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You’re right and I’m wrong. But also I have you the details on how it’s prescribed so where are you headed?
 
www.pharmacytimes.com

Behind the Counter Codeine Preparations Require Diligent Care | Pharmacy Times

It is the role of the pharmacist to ensure patients are adequately counseled on the adverse effects and potential harms of codeine.
www.pharmacytimes.com www.pharmacytimes.com

There we go - four states.

I recall last year that isolated incidents of krokodil which strongly suggests that not only is codeine syrup availabile but a compound medication such as acetaminophen with codeine, aspirin with codeine OR if you are extremely lucky, ibuprofen with codeine.
 
4DQSAR said:
www.pharmacytimes.com

Behind the Counter Codeine Preparations Require Diligent Care | Pharmacy Times

It is the role of the pharmacist to ensure patients are adequately counseled on the adverse effects and potential harms of codeine.
www.pharmacytimes.com www.pharmacytimes.com

There we go - four states.

I recall last year that isolated incidents of krokodil which strongly suggests that not only is codeine syrup availabile but a compound medication such as acetaminophen with codeine, aspirin with codeine OR if you are extremely lucky, ibuprofen with codeine.
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Homegrown synthesis of krokodil?
 
helpingout said:
Homegrown synthesis of krokodil?
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Sorry - I meant to specify 'within the US and latterly Canada'.

I don't remember where and it was just a handful of reports. But in one case at least, medical staff were able to detect desomorphine in 'fluid samples' so it's a substitiion. Many US sites claim it to be an 'urban myth' but at least in one case, it did occur. Or at least, the case study SAID desomorphine was detected although they did not provide instrumentation. So questionable, but the damage at injection sites and bone necrosis were also noted so I suggest not 'tranq' or just bad injecting technique.
 
4DQSAR said:
Sorry - I meant to specify 'within the US and latterly Canada'.

I don't remember where and it was just a handful of reports. But in one case at least, medical staff were able to detect desomorphine in 'fluid samples' so it's a substitiion. Many US sites claim it to be an 'urban myth' but at least in one case, it did occur. Or at least, the case study SAID desomorphine was detected although they did not provide instrumentation. So questionable, but the damage at injection sites and bone necrosis were also noted so I suggest not 'tranq' or just bad injecting technique.
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Seems easy enough to make. Personally I’d rather be sick off a five year habit than use krokodil. Properly synthesized does desimorphine cause necrosis?
 
helpingout said:
Seems easy enough to make. Personally I’d rather be sick off a five year habit than use krokodil. Properly synthesized does desimorphine cause necrosis?
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Nope - desomorphine was used medically in Germany, Austria, and Switzerland under thr brand-name 'Permonid'. A couple of BLers have reported that at least in a couple of Eastern European nations, someone figured out that PURE desomorphine was actually a very euphoric drug and by means I known not how, they were able to produce proper clean white microcrystals and the price reflected just how special it is.

I sgould add that any opioid that is ten times more potent than morphine and which has a short duration of action means even when pure, it's likely to produce highly addictive in people who have experimented with weaker opioids. Sounds like oral bioavailability is quite high. One report mentioned just putting a wrap (10mg) into a glass of water and drinking same.
 
Yeah I heard they kept a log just bc they were worried ppl were changing the codeine syrup to krokodil somehow..but yeah..my mom n pop store caught on quickly, especially after covid when no one could wear a mask anymore lol. They were like, we will need a note from your doc...

For a 4 fluid oz of cherry syrup codeine gtfo! I would continue looking but forget it, I want the OTC tablets to become available like forever ago damnit!!@
 
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