Archive for the ‘Codeine (Methylmorphine)’ Category
Ibuprofen More Effective Than Codeine In Children
Saturday, August 29th, 2009
Kids with a broken arm do better on a simple over-the-counter painkiller than on a more powerful prescription combination that includes a narcotic, a surprising study finds. It tested ibuprofen, sold as Advil, Motrin and other brands, against acetaminophen plus codeine — a combo called Tylenol No. 3 that is also sold in generic form.
The children on ibuprofen did better, said the study leader, Dr. Amy Drendel of the Medical College of Wisconsin in suburban Milwaukee. Results were published online Tuesday by the Annals of Emergency Medicine. Experts praised the study as one of the few to compare medicines that have been long used in children based on how they work in adults.
Ibuprofen has been proven much safer and more effective in Children for extreme pain, however in adults Codeine is still one of the most effective pain relief drugs. Individuals in pain can buy codeine online without visiting a doctor here.
The results do not mean that ibuprofen beats acetaminophen for everyday pain relief in children or anyone else, though. The study tested a specific use — pain in the first three days after a broken arm — and the acetaminophen was combined with the narcotic codeine, not tested alone. Still, it shows the best way to treat a very common problem: As many as one out of five kids will break a bone before age 10 — often, an arm.
Researchers randomly assigned 336 children ages 4 to 18 to go home with liquid versions of either ibuprofen or the acetaminophen-codeine combo after being treated for a broken arm at Children’s Hospital of Wisconsin. Neither the children, parents nor the doctors knew who received what treatment until the study ended.
Full results were available on 244 children. The portion who failed to get relief from their assigned medicine was roughly the same. However, half of those on the combo medicine reported side effects — mostly nausea and drowsiness that can occur with narcotics like codeine — versus 30 percent of those given ibuprofen.
The ibuprofen users also had fewer problems eating, playing, going to school or sleeping. They and their parents reported more satisfaction with the treatment. The hospital and medical school paid for the study, and a hospital-related charity paid for $10 Toys R Us gift certificates for each participant.
Tighter Controls on Codeine
Saturday, August 15th, 2009
TIGHTER controls on over-the-counter painkillers containing codeine will come into effect from May next year, but pharmacists say the changes will only mask the problem of people abusing the drugs. The National Drugs and Poisons Schedule Committee (NDPSC) has confirmed that codeine combination products will become “pharmacist only” for dispensing.
The recommended daily dose will be set at 100mg of codeine and the maximum pack size limited to five days’ supply. Cough and cold preparations are to be excluded from the changes. The move is in response to community concern surrounding the abuse of, and addiction to, common but potent painkillers.
High use of codeine has been linked to serious side-effects including perforated stomach ulcers, renal failure and even death. The committee noted that making codeine combinations Schedule 3 drugs could increase costs, but suggested “questions of cost were not a directly relevant consideration for a scheduling decision”.
It said requiring buyers to speak to a pharmacist could be “a significant trigger for addicts to eventually seek help”. But the Pharmacy Guild of Australia says the committee’s decision is not the solution and will only mask abuse. “These changes alone are unlikely to influence individual misuse behaviour,” guild president Kos Sclavos said. Those who want Codeine badly enough can simply buy online.
“The shift to `pharmacist only’ … and to smaller pack sizes will only see some at-risk people move to multiple packs and resort to pharmacy shopping.” The guild had wanted the committee to introduce real-time monitoring and reporting of sales of codeine combinations from local pharmacies, as is done with pseudoephedrine.
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Sunday, December 21st, 2008
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Codeine: Essential Facts
What is codeine?
Codeine is a pain reliever typically prescribed for minor to moderate pain,or for repression of a non-productive cough. This is a narcotic pain medication and is a controlled substance in the United States.
What is the most important information about codeine?
Codeine is a potent drug that must be used accordingly. While it is an excellent pain reliever in many cases, it can also cause dependency. Withdrawal may occur if you stop taking this drug abruptly, so speak to your physician before doing so.
What should I discuss with my doctor before taking codeine?
Before taking codeine, it is essential that you discuss your medical history, in detail, with your doctor. If you are taking any other medication it should be discussed and evaluated for possible interactions. Tell your doctor if you have ever had any drug allergies, especially allergic reaction to other narcotics. A history of drug dependence, asthma, liver or kidney disease, seizures, hypothyroidism, head injury, or spinal injury may impact your ability to take this drug so be sure to disclose these things.
How should I take codeine?
Codeine must be taken as directed by your doctor. This drug is usually prescribed as needed for pain, and will rarely be taken on a schedule. Take codeine with milk or food if possible to avoid possible stomach upset. Never chew, snort, or divide the pills. Do not take more than directed at any time.
What if I miss a dose?
Generally you will not miss doses since this is taken as needed. If you need to take Codeine but forgot, take it when you remember. However, make sure that you allow enough time to elapse before your next dose is taken.
What if I overdose?
If you have taken too much Codeine, seek medical help right away. Some signs of possible overdose include disorientation, extreme sleepiness, slurred speech, slowed pulse, labored breathing, or losing consciousness.
What should I avoid while taking codeine?
Avoid driving until you know how the drug affects you as it may cause you to become dangerously sleepy. Avoid alcohol as it intensifies the effect of codeine and can lead to serious side effects.
Codeine side effects
Minor side effects are not uncommon, and may differ widely. Drowsiness, dizziness, nausea, mild headache, decreased sex drive, and a minor skin rash may occur. More major side effects occur in a small percentage of codeine users and may include: Seizure, depressed respiration, urination problems, loss of consciousness, and hallucinations.
What other drugs can affect codeine?
Drugs that can interact with codeine include: Other narcotic pain medicines, muscle relaxants, tranquilizers, anti-anxiety medications, and even some over the counter medicines. Check with your doctor before mixing any drug or remedy with codeine.
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