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NEWS: Nurofen + etc to be made Prescription only!!!

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TripppAR

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Oh no...our worst fears have ben realised. Well not QUITE yet...

AUSTRALIA's peak pharmacy body has condemned calls to prevent a common headache tablet from being sold over the counter, saying it would cost the nation millions of dollars and inconvenience thousands of patients.

Nurofen Plus, the biggest selling strong painkiller on the market, is being blamed for a spate of hospital admissions where codeine addicts have taken up to 24 tablets a day, not realising the medication's other active ingredient, ibuprofen, a non-steroidal anti-inflammatory, can cause ulcers in the stomach and duodenum.

A recent study found that after three months of regular use, up to 20 per cent of people developed ulcers in the stomach and 10 per cent developed ulcers in the duodenum. Bleeding, perforation or obstruction of the intestines occurred in about 4 per cent of patients who took the medication for a year.

The national president of the Pharmacy Guild of Australia, Kos Sclavos, said yesterday making Nurofen Plus a prescription-only medication would affect thousands of legitimate patients who had no intention of abusing the drug.

"We work closely with the police and health groups to monitor medication abuse and there has not been a spike in the number of people abusing Nurofen Plus lately, nor have we had any complaints about any pharmacists doing the wrong thing," Mr Sclavos said.

"It would not be sensible for people who require stronger analgesia to go a doctor and have their Medicare card swiped every time they had a toothache, not to mention what that would cost the health system."

But a professor of pharmacy at the University of Tasmania, Greg Peterson, said Nurofen Plus, which contains 200 milligrams of ibuprofen and 12.8 milligrams of codeine and is thought to be used by about half of Australians, should not be available over the counter because it had the propensity to cause major damage or death if misused. "Ibuprofen is fine if used in low doses, but about 20 per cent of people should not take Nurofen or Nurofen Plus at all because they have a history of heart disease, stomach problems, asthma, are pregnant or elderly, so these drugs need to be prescribed by doctors who can take a detailed medical history," Professor Peterson said.

"Unfortunately, ibuprofen is heavily promoted and very popular. It poses a real risk and the only solution, and it isn't fail-safe, is that Nurofen Plus is available only on prescription."

In this week's Medical Journal of Australia, Martin Dutch, of Melbourne's Angliss Hospital, wrote that misuse of Nurofen Plus was a "significant" problem, outlining two cases of patients with perforated ulcers from consuming up to a packet a day.

"Misuse of these medications appears to be an emerging cause of significant morbidity in patients with codeine addiction," Dr Dutch said.

A British woman, Linda Docherty, 49, died in March last year after taking up to 64 Nurofen Plus tablets a day for two years.

SMH -

Well i personally think its a bit shitty if that happens..

Not only from an "abusers" point of view but it doesn't make sense to make this prescription only, as it would cause so many hassles and doctors lines are already long enough!!

Thoughts? :-)
 
There's been a few other articles like this lately so there must be a fair bit of discussion going on surrounding it.

I just don't see how people can be so stupid as to take like 24 of them, even if they are after a buzz. The most logical option I can see here would be a bit of an education program surrounding these drugs, as it's obvious some don't know the risks. Maybe some compulsory information booklets coupled with N+ or something? Perhaps they could make straight codeine available by prescription to those who are 'addicted', just to reduce harm (not sure how you could get so addicted to such a weak drug, especially without knowing about CWE, but eh, seems like people will get addicted to anything these days :P).

Article source at http://www.smh.com.au/news/national...say-pharmacists/2008/01/09/1199554742694.html btw
 
The obvious solution would be to educate people properly about the effects of long term ibuprofen consumption. Or better yet, remove the ibuprofen from the formula and just give people codeine, which is basically harmless.

Obviously that won't happen, because it's 'too addictive' (as opposed to, say, alcohol, or nicotine), instead they'll just tighten restrictions and continue with this absurd habit of spiking weak opiates with toxic additives to prevent 'abuse,' laboring under the false impression that by hurting people, they're saving them from themselves.

Panadeine will still be available on request, I think? But prepare to be stared down like some junky with a needle hanging out his arm if you ask for it and happen to be a male under the age of 45. (I was interrogated thoroughly by a pharmacist the other day just for asking for a 48 box of panadeine, the irony being that I actually needed it for my wisdom teeth, not for recreational use.)

Ah well, it was fun while it lasted. My tolerance is too high to get much from codeine anyway. I'll just do more oxy instead! (go prohibition!)
 
"But prepare to be stared down like some junky with a needle hanging out his arm if you ask for it and happen to be a male under the age of 45."

HAHAHA! That is to funny mate...but it rings true for some pharmacies.

I live on the north shore of sydney and there are a few places that will give you that classic stare. But i shop at 3 different ones and they have EVERYTHING on the shelves. An entire amazing row of pain killers. Even boxes and boxes of the panadeines with 15mg in them. Only bigger boxes which i have never seen before!

I just walk in and grab as many as i please! They even often have a sale on the 75 packs! haha..


But the Terry white down the road a small walk, they will try EVERYTHING to get you to take another option. This chick had me talking to her for 20 minutes about ice/ heat packs when i asked for some dolosed (before i realised i can get way more out of a 75 pack of bloody panafen +)

And i don't get why people wouldnt punch in something into google about their codeine use...people just eat pills and think its cool/safe!?

And finally..prescrition for this would suck. And i cant see codeine being readily available in pure form OTC. WAY to many people would abuse that..especially kids i think once it caught on that N + gets you high lol..with no efforT!
 
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Yeah each pharmacy is different. There's one in particular I go to that will practically throw the 96 box at me, while others will grill me or even flat out refuse to sell anything over a 48 (and even that's like pulling nails to get off them).

Might do the rounds and stock up before these laws go into effect. I feel a little junkyish even saying it, but even if the recreational value isn't there anymore, they're great for pain relief and for coming down off stimulants.
 
in regards to what you said crankinit, educating about long term effects would be ideal, the only problem is they don't actually know. Stomach ulcers and the other problems mentioned are really only short term heavy abuse, even then that's all they know it to cause. It's a relatively new drug, and what it could be doing to you 5 even 10 years down the track is still yet to unfold. Anyone abusing it, be very conscious about your body and habit.
 
Obviously that won't happen, because it's 'too addictive' (as opposed to, say, alcohol, or nicotine)

I'm not sure if you're being sarcastic or not, but opiates are ridiculously addictive, far more so than any other class of drug available.

Not for all people, but for the majority.

HR from the government would be to take N+ back to how it used to be, half codeine half ibuprofen, able to be halved if the user pleased. Solves the problem, those who wish to use recreationally may do so without (as much) harm, those who wish to use it in its intended way may also do so.
 
My local chemist has them on the shelf to, even the large packs, the dxm cough syrups are next to them to :D
 
haha yeh the good old DXM cough syrups...

All i see is drugs that can be used recreationally when i go in a pharmacy now-days lol..

"Oh..theres some potentiall morphine..oh! Here is a trip in a bottle..ohhh wow look! amphetamines!"

But i really hate it when you get judged by the pharmacist. I went in just before and bought 2packs and also asked for some 5-HTP but they had never heard of it before..

And im not even sure what it is...just heard its a possilbe potentiatior of opioids..
 
^ 5-htp won't potentiate opiods, some rollers use it to come down as it is a serotonin booster.

I've used 5-htp in the past for depression with success.

You can't purchase 5-htp in Australia, but you can import a personal supply (less than 3 months worth for 1 user) legally from a certain neighbouring Western country.
 
I'm not sure if you're being sarcastic or not, but opiates are ridiculously addictive, far more so than any other class of drug available.

Not for all people, but for the majority.

HR from the government would be to take N+ back to how it used to be, half codeine half ibuprofen, able to be halved if the user pleased. Solves the problem, those who wish to use recreationally may do so without (as much) harm, those who wish to use it in its intended way may also do so.

I'd argue that the addictive potential for codeine is on par with alcohol and nicotine, but the potential for any kind of serious harm is almost nonexistant. It's self regulating, you can only metabolize up to 450mg, which is barely enough to OD with absolutely no tolerance, it's nontoxic, and after a few months of use you'll reach the point where a capped out 450mg dose has absolutely no effect anyway, thereby rendering any future consumption pointless. There's no real 'harm' that can result from codeine use except for money spent on more codeine and the temporary discomfort of withdrawal, as opposed to say, cancer, liver damage, brain damage, etc etc. the list goes on. As far as drugs go, it's very benign. The only serious risks come in when you throw dangerous chemicals like ibuprofen and paracetemol into the equation, the irony being that they're put there in the first place to prevent the (previously almost nonexistance) harm.
 
that's the wrong attitude mate, you shouldn't take things if you don't know what they do. I doubt 5-htp is going to cause you damage but you still shouldn't do it based on the loose idea of it being a potentiator. Fair bit of information on bluelight in regards to it, should try reading up on it. I'm probably wrong but i think you get it from health and well being stores. The kind that sell protein powder and other supplements.
 
geeze... how hard would it be to do some reading & extract the codeine beforehand... maybe Science for Dummies needs to dedicate an entire issue to CWE... I certainly wouldn't want that much ibuprofen in my tummy :(

Nurofen & mersyndol do wonders for my headaches... it would be annoying to need a presciption in order to get hold of them! :X
 
Most people probably wouldn't even be aware that it's possible to extract the codeine. Even among drug users, the portion who regularly research harm reduction or hang out on websites like BL or erowid are a tiny minority.
 
But it's common sense, surely.

When you read on the packet that there are multiple ingredients to something, surely you would be concerned about the content of the 'other' active substances and what mass ingestion of them could possibly lead to....?

:|
 
Well, if people have no respect for the sanctity of the human body, it should be THEM who are barred from purchasing the drugs, not the other average human being....
 
Was just at a chemist in Brisbane and saw a sign that i'm pretty sure said that from the 1st May 2010 pack sizes of 24 and up will need a label. Currently it's only for sizes 48 and up in qld.
 
I have friends who pop Nuros weekly, their argument is great.

"If it's sold OTC it's safe"

It's people like this who stop our MDMA, THC, etc from ever being legalised...
 
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