eating Nurofen

[RussellG]

check out this generic brand called panafen plus.

same as nurofen plus and they split easily.

 

[mongman]

In response to RussellG and Panafen Plus. I have done some "research" today regarding these pills. However the formulation appears to be significantly different to that of Nurophen+.
I got a 48 pack and atempted to splitt the pills in a way similar to nurofen+. However the pills are not as hard as the N+ pills and have a different coating (I suspect a synthetic latex of some sort)
Here is a photo of the marquis reaction resulting from a N+ side of a nurofen (left) and the P+ side of a Panafen+ (right). Note the considerable opiate reaction on the left and the weeker reaction on the right.

note: taking a cross section of the P+ pill resulted in idencial reagent reactions as just the "+" side of the P+ pill.

From these facts I have concluded that new Panafen+ product is not abusable without a water extraction. Please be carefull as large amounts of iboprofen found in this product could cause liver damage and stomach ulsers.

 

[whyme]

Having read the posts on neurofen I was going to give it a try until I read some of the negative replys on itching. I was taking Es for a while and came out in really bad hives so I thought I'd give them a long break and try something else.

To the people that took the anti-histamine - how many did you take [of say the one a day tabs] to counteract the effects of rashes etc. and did it stop any rashes appearing ? I'm wanting to give it a go but due to the last hives I received [still there nearly 3 weeks later !] I can't afford to experiment too much myself.

Thanks in advance for any help.

 

[frankenberry_bishop]

mongman: Maybe they need to be split in a different way, like down the middle or something, rather than lengthways (if you know what I mean). Just an idea?

 

[mongman]

I considered that, I tested various parts of the pill with Marquies and got positive results from all over it. So I came to the conclusion that maybe the codiene is mixed throughout the pill matrix.

 

[whyme]

Where I was really keen to try codeine for the first time, I will now wait a bit longer to at least get rid of the last lot of hives. I am currently taking a one a day anti-histamine to try and clear those up and the packet describes them as 'non drowsy'.

You're right about starting on a lower dose too.

Cheers

 

[eccitude]

I paid AU$10.15 but I suspect it may be cheaper in larger pharmacies.

I guess this whole thread barely makes it into the realm of harm minimisation, in that you need to split the Nurofen so as to not suffer harm from taking the ibuprofen - but doesn't this post (as some others) contravene the no sources/prices rule?
Do NOT make posts containing URLs or sources to obtain ANYTHING. This includes quasi-legal and legal substances (e.g., mushrooms, spores, nitrous oxide, pharmaceuticals etc).

 

[armadilliO]

4mg of Benztropine while enjoying your Codeine buzz will help with itching...

However, in some people i suppose it could make you pass the fuck out.

Watch for that

 

[armadilliO]

(Atropine like drugs have a synergy with opiates, AFAIK)

 

[deano]

4mg of Benztropine while enjoying your Codeine buzz will help with itching...

However, in some people i suppose it could make you pass the fuck out.

Watch for that

I find that most of the OTC antihistamines help with the itching, last time the palms of my hands were itchy and it was driving me CRAZY.

 

[eccitude]

Naughty Pharmacist:

At an Inquiry commenced on 4 August and concluded on 6 October 2004, the Pharmacy Board of Victoria found Mr Jason Chris Alexander Hosemans guilty of discreditable conduct having found two alleged charges to be proven. Mr Hosemans was alleged to have, at his pharmacy in Ararat, contrary to good pharmaceutical practice, supplied quantities of Nurofen Plus 48 tablets® to a consumer:

• when there was reason to believe that the consumer may have been misusing or abusing the Nurofen Plus®, without his taking all reasonable steps to ensure a therapeutic need existed for that poison, contrary to the provisions of regulation 61 of the Drugs Poisons and Controlled Substances Regulations 1995 (hereinafter called “the DPCS Regulations”); in that he:
• failed to make a record of such supply, similar to the records made for schedule 4 substances, so that he and other pharmacists employed in his pharmacy could monitor the consumer’s use;
• failed to ensure that a therapeutic need existed for the third party(s) for whom the consumer was also purporting to purchase the Nurofen Plus®;
• failed to refer the consumer to their medical practitioner regarding or to confirm their medical condition and or treatment;
• without providing directions for the use of that Schedule 3 Poison, contrary to the provisions of regulation 63(1)(b) of the DPCS Regulations.

The Board made the following statement on imposing the penalty:
“This inquiry involved the sale of excessive quantities of a Pharmacist Only Medicine (S3) namely Nurofen Plus 48 tablets® from your pharmacy in Ararat to one particular consumer over a prolonged period.

The active constituents of Nurofen Plus® are ibuprofen and codeine phosphate. Each Nurofen Plus® tablet contains 200 mg ibuprofen and 12.8 mg. codeine phosphate.

12.8 mg of codeine phosphate is equivalent to 9.42mg of anhydrous codeine, a drug which is known to be subject to abuse.
Nurofen Plus® is labelled with a maximum daily dose of 6 tablets per day, yet account records from your pharmacy showed that between:
(1) 30/10/02 – 28/11/02, a 30 day period, you supplied the consumer with Nurofen Plus® on 14 different occasions making a total of eleven packets of Nurofen Plus® 48 and nine packets of Nurofen Plus® 12 (S2)
(2) 31/12/02 – 2/1/03, a 3 day period – you supplied the same consumer with two packets of Nurofen Plus® 48. Then on 14/1/03 a further packet of 48 tablets was supplied
(3) 3/3/03-11/3/03, a 9 day period, you supplied this consumer with two packets of Nurofen Plus® 48 at the same time on 3 separate occasions, making a total of six packets in nine days.

Evidence was presented that additional purchases may have been obtained and paid for by cash.
The Drugs, Poisons and Controlled Substances Regulations 1995 (the Regulations) set out the legal requirements for pharmacists when supplying a Pharmacist Only Medicine and detailed guidance of how these requirements can be met in practice is provided in the Guide to the Regulations, and in the Pharmacy Board Guidelines for Good Pharmaceutical Practice which is provided to pharmacists annually.
Regulation 61 states, inter alia, that a pharmacist who supplies a Schedule 3 poison other than by wholesale or on prescription must do so only for the therapeutic use of a person after having taken all reasonable steps to ensure a therapeutic need exists for that poison.

Generally, for a pharmacist to “take all reasonable steps to ensure a therapeutic need exists” the following would need to be taken into account:

(a) with respect to the person who requests the supply of, or to whom it is proposed to prescribe or supply the substance -
(i) medical or medication history,
(ii) presenting symptoms or described condition
(iii) past or current drug therapy
(iv) signs of misuse or abuse of medicines/drugs

(b) with respect to the substance requested or proposed to be prescribed or supplied –
(i) its suitability for the treatment of the presenting symptoms or described condition
(ii) its potential for misuse or abuse

The Board Guidelines state that this means not merely agreeing to supply a product on request, but actually being aware of the symptoms of the patient; being satisfied that they are either severe enough to warrant treatment with the substance, or are not so severe as to warrant referral to a medical practitioner; and making a personal professional judgment that the substance is the treatment of choice for the condition of that patient. It is not sufficient merely to rely on the patient requesting the supply of a particular substance.
It means the pharmacist should inform himself/herself of:
• the history
• the range of symptoms
• whether there might be a more serious condition requiring referral
• past or current drug therapy
• contra-indications
• signs of misuse or abuse of medicines/drugs before making the rational selection of an appropriate medication for the condition.

On subsequent requests the emphasis will change more to:
• the duration of the condition and whether referral should now be made
• compliance with the recommended dose regimen of the medication
• the suitability of the medication for continued use.

Evidence was presented that non-pharmacist staff at your pharmacy would receive the request for Nurofen Plus®, obtain minimal information from the consumer, enter the dispensary, select the Nurofen Plus®, label it with the pharmacy identification, show it to the pharmacist who would nod acknowledgment, and then the non-pharmacist staff would supply the Nurofen Plus® to the consumer with minimal advice.
The pharmacist must personally be involved with each transaction, up to at least the point where the product is given to a staff member to complete the purchase. It can NEVER be taken to mean that a staff member can initiate and carry out a supply of a potent substance, with the pharmacist momentarily authorising the supply by a nod of the head or other such action.
Indeed, evidence was presented that requests purported to be on behalf of third parties were made by the consumer and Nurofen Plus® was provided without determination of a therapeutic need for the third parties. Supply was never refused for any request even though the situation was identified as a problem in November 2002.

The Board noted that the consumer was alleged to have used a convincing manner which is a well-recognised characteristic of people with drug seeking behaviour.

You relied on information gained from initial discussion with the consumer and assumed that the condition had remained unchanged for more than four months and your pharmacy continued to supply the Nurofen Plus® without review. The Board believes that over-the-counter medications of this nature are scheduled on the basis of providing short-term relief of minor symptoms and are not intended for chronic use.

Your personal intervention in these sales and referral to the consumer’s medical practitioner for confirmation of their condition and/or their treatment may have minimised the ultimate harm suffered by this particular consumer’s abuse of Nurofen Plus®.
Your failure to comply with the legislation and good pharmaceutical practice placed a member (or members) of the public at risk and fell well below the standard expected.

The Board noted the significant submissions made on your behalf regarding your previous good record and that you have implemented changes in procedures at your pharmacy. Nevertheless, the Board believes that your further study of the legal and professional obligations, staff training and implementation of professional practice standards is necessary.”

The Board imposed the following penalties:
• Reprimanded Mr Hosemans for his failure to comply with the legislation and good pharmaceutical practice in the supply of schedule 3 poisons;
• Fined him 25 penalty units with respect to the first charge; and
• Fined him 10 penalty units with respect to second charge being a total in fines of $3578.75

The Board also ordered him to pay the costs of and incidental to the Inquiry, being $14,138..

Original report

 

[deano]

From what I'm reading here, stick to the smaller packs (24 or under) and pay cash would be good advice.

 

[mongman]

thats interesting particularly in relation to the pharmacists responsiblility regarding dispensing the medication. I know of maybe one pharmacy that actauly complies with that...... thats 1/9 !!! probably widespread practice really.

 

[turkish]

just wanna say some people fuckin repeat themselves way too much.. if someethings been said you dont have to fucking say it again your not the only person that read the previous post..
my question is will combining phenergan 25mg with say 150 mg of codiene be alright? phenergans my fav antihistamine coz it sedates me really well but one time i had bout 75 mg with a few drinks n i was really out of it so im gonna be careful this time

 

[katmeow]

/\/\/\

I normally take one or two 25mg phenergan tabs when I use codeine. I use up to 250mg of codeine and have no problems with this mix.

 

[Jabberwocky]

I wonder when the company will catch on to the fact that people abuse this drug.. and also if they might re-arrange what side they put the codiene into...

One day they might put ibroprofen in the n+ side..and if someone pops 30 of those they will od.........is this possible to happen?

 

[BigTrancer]

^ IMHO it is precisely that reason that it is not possible to happen. The company would never change the formulation of the tablet without altering the shape, packaging and labelling of the drug.

BigTrancer

 

[eccitude]

I wonder when the company will catch on to the fact that people abuse this drug..

You'll notice from the report further back that the Pharmacy Board of Victoria are certainly aware:

... contrary to good pharmaceutical practice, supplied quantities of Nurofen Plus 48 tablets® to a consumer:

• when there was reason to believe that the consumer may have been misusing or abusing the Nurofen Plus®,

 

[frankenberry_bishop]

Batch: 18ZZ

Not splitable at all!

Not even sure if the codeine is on the N+ side, will test it to see.

Not good news.

 

[frankenberry_bishop]

I did a water test and its still the N+ side that dissolves.