Cough Syrup Containing Codeine: Problem and Solution

Cough Syrup Containing Codeine :Problem and Solution

The February issue of PRN8099 has highlighted the importance of “Total War Against Dadah’. According to the statistical reports from the National Drug Agency, among the ‘dadah’ commonly consumed by addicts is cough preparations containing codeine.

Codeine is chemically classified as an opiate. Both physical and psychological dependence can develop with chronic use of codeine, however potential for dependence is much less than that with morphine.

Tolerance to opiates develops very quickly and after a few weeks of regular use, doses must be increased to produce the same effect. Drug addicts will do anything to get more supply and this can lead to other social problems. When they enjoy the effects, they will continue using it and this leads to chronic use.

Upon discontinuation of codeine, addicts may experience withdrawal symptoms including anxiety, tremors, muscle spasms, sweating, rhinorrhea, and paranoid delusions. Most symptoms fade fairly quickly but sleeplessness and feelings of weakness may continue for some months.

Cough preparations containing codeine have long been used as a substitute for heroin since it is relatively cheaper and more readily available. Despite actions taken by the Drug Control Authority (DCA) to curb misuse and abuse of codeine, this problem still persist and addiction towards this drug is becoming rampant. At its 137th meeting held on 20th June 2002, the DCA decided to take the following steps for all liquid cough preparations containing codeine:

The registration of all these products will be canceled with effect from 31st December 2002 (As at 20 June 2002, 46 such products have been registered with the DCA).

The manufacture and sales of these products will be terminated on 1st January 2003.

Registration holders are given until the end of 2002 to finish off their existing stocks (At its 141st meeting on 18 November 2002, the DCA allowed an extended 6 months grace period until 30 June 2003)

There are other opiates alternatives for cough such as Pholcodine and Dextromethorphan. The DCA has already registered 6 products containing Pholcodine in the form of syrup and linctus. However, being opiates, there is still a potential for them being abused.

Dextromethorphan was initially thought to lack addictive properties and the potential for abuse. However, psychological dependence (not physical) has been demonstrated, and the drug has been abused for its euphoric effects. Cases of overdose of dextromethorphan among teenagers already have been detected.

After withdrawing codeine-containing cough preparations, is there a possibility of illegal sales of these products? We have to ensure that this problem will not occur and we also have to get ready to overcome the problem if it happens. There is also a possibility of increase of abuse of other kind of substitute drugs like tablet containing codeine or other antitussive similar to it.

Health professionals and other enforcement authorities have to cooperate to ensure this enforcement effort is effective.

Source: PRN

You may also be interested in . . .


Post new comment


Nicotine Patch, a Great Way for Cessation Smoking

Nicotine Patch, a Great Way for Cessation Smoking When you have a smoking habit, many things seem to go along with having a cigarette. These might include having a cup of coffee or an alcoholic drink, being stressed or worried, talking on the phone

Cocaine Abuse, Its Effect and Management

Cocaine Abuse, Its Effect and Management It is obtained from the leaves of Erythroxylum coca, which grows in South America, India, Java, etc. It is a colorless, odorless, crystalline substance with bitter taste. It is used as local

Coca Leaves: Its Source, Constituents and Uses

Coca Leaves: Its Source, Constituents and Uses Synonyms: Coca; Huanaco coca; Truxaillo coca; Java coca; Folia cocae. Biological Source : Coca or coca leaves have been described as the dried leaves of Erythroxylum coca Lam (Huanaco Coca) or of

Nicotiana Tabacum (Tobacco): A Cardiac Poison

Nicotiana Tabacum (Tobacco): A Cardiac Poison All parts are poisonous except die ripe seeds. The dried leaves (tambaku) contain one to eight percent of nicotine and are used in the form of smoke or snuff or chewed. The leaves contain active

Hydrocarbon Toxicity

Hydrocarbon Toxicity Introduction Hydrocarbon (HC) is widely used in our community where they are found in homes, they provide power for vehicles, and are widely used in every industrial process. In developing nations,

Breathing Disorder that Disrupts Sleep: a Major Cause of Road Accident

Breathing Disorder that Disrupts Sleep: a Major Cause of Road Accident Sleep apnea occurs in two main types: obstructive sleep apnea, the more common form that occurs when throat muscles relax, and central sleep apnea, which occurs when your brain doesn't send proper

Where and How Drug Interaction Occurs?

Where and How Drug Interaction Occurs? It is usual for patients to receive a number of drugs at the same time. There are reports of getting 36 different drugs in one admission at John Hopkins Hospital in the United States. A researcher