Warning: This article does not contain medical advice and should not be used as a substitution for medical advice. If you are experiencing symptoms of drug withdrawal, see a medical professional or present at a hospital urgently. For help with addiction, contact Lifeline on 13 11 14 or the 24-hour website Counselling Online.
I was in university when I had emergency gallbladder surgery. Once the organ was out, the pain was gone. I had one remaining box of codeine – the drug I’d been taking daily for almost a year to deal with agony I’d been in.
And when it was down to the last two pills, I remember feeling oddly anxious. I didn’t need the medicine anymore, but I also didn’t want it to run out. So I went to the pharmacy, and bought a box over the counter – 15mg codeine with ibuprofen.
Addiction didn’t cross my mind – I was recovering from surgery, there was still pain, I reasoned.
But I didn’t stop taking the pills, even when the scars were healed. I didn’t stop taking them for years afterwards. Eventually, I was taking upwards of 25 a day. I’d reach for pills every three hours so the effect never wore off.
In those days, you could get them straight off the shelf. I’d buy five boxes at a time to raised eyebrows, but no other consequence.
Top Comments
There's a big difference between taking 25 pills a day and taking some in the morning (on the odd occasion) in order to get your ass to work and keep moving (in my case, a bulging disc problem). With all our technology I just don't understand why we can't have a connected system and have to show our ID and medicare card when buying something like codeine over the counter. Why is it assumed no one can make a decision for themselves. I'm upfront with the pharmacist on what I'm taking it for, I disclose my other medications. If it was logged against your medicare card, this would help track people's usage and save a shitload of money in doctor fees. This is just another way the AMA has guaranteed more money for the doctors. As it is ... my usual GP (who knows me, my life, my work and health history) is so popular, I rarely get an appointment in under 4 working days and that's when I truly need it. Doesn't really help if you wake up in sick, or terrible pain and all you have is a freaking panadol!???
I share your concerns. Interestingly in NZ they are looking at having plain codeine over the counter- while the codeine causes addiction and other issues associated with that it is the other drugs like paracetamol and ibuprofen that damage the organs.
This is a good harm strategy.
I also worry about genuine severe pain sufferers and the risk of suicide. Many are already treated badly by doctors and. Turned to over the counter meds. I do worry GP’s are not well equipped to manage this.