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It's time to phase out codeine: CMAJ editorial

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It's time to phase out codeine: CMAJ editorial


Health | 206722 hits | Oct 04 8:10 pm | Posted by: wildrosegirl
13 Comment

Codeine might be a widely used painkiller, but it's also a risky medication that should be phased out until more research can be done, argues an editorial in the Canadian Medical Association Journal.

Comments

  1. by avatar Dragom
    Tue Oct 05, 2010 8:27 am
    So Tylenol with codeine bad, but Tylenol with morphine good?

    Finally I can stop selling T3's for a 1$ a pill on the corner and move up to selling at 20$ a pill.

    Idiots.

  2. by avatar ShepherdsDog
    Tue Oct 05, 2010 11:51 am
    As long as it doesn't bung you up like codeine does.

  3. by avatar andyt
    Tue Oct 05, 2010 3:25 pm
    "Dragom" said
    So Tylenol with codeine bad, but Tylenol with morphine good?

    Finally I can stop selling T3's for a 1$ a pill on the corner and move up to selling at 20$ a pill.

    Idiots.


    You're the idiot, obviously haven't read the article.

  4. by avatar Dragom
    Tue Oct 05, 2010 4:27 pm
    "andyt" said
    So Tylenol with codeine bad, but Tylenol with morphine good?

    Finally I can stop selling T3's for a 1$ a pill on the corner and move up to selling at 20$ a pill.

    Idiots.


    You're the idiot, obviously haven't read the article.

    What about this article claiming the need to move from dangerous codeine to nice safe morphine didn't I read?

  5. by avatar BartSimpson  Gold Member
    Tue Oct 05, 2010 6:50 pm
    "ShepherdsDog" said
    As long as it doesn't bung you up like codeine does.


    Yah, a quart of prune juice fixes that right up.

  6. by avatar Proculation
    Tue Oct 05, 2010 6:56 pm
    <bio chemistry> codeine changes to morphine in your body from enzymes. So codeine or morphine is the same, just delayed </bio chemistry>

  7. by avatar Proculation
    Tue Oct 05, 2010 6:57 pm
    But, too much acetaminophen will kill your liver. That's the problem.

  8. by avatar Proculation
    Tue Oct 05, 2010 6:59 pm
    I've had morphine pills once. After an otitis that bursted my "tympan" (french for the membrane that makes you ear things... sorry). It was great :P

  9. by avatar Dragom
    Tue Oct 05, 2010 11:00 pm
    "Proculation" said
    <bio chemistry> codeine changes to morphine in your body from enzymes. So codeine or morphine is the same, just delayed </bio chemistry>


    There are no enzymes on a spoon, hence codeine and morphine are not the same.

    And I still remember the shock of seeing the tall bottle stuffed with T3's they gave me for recovering from surgery. Or the prescription for a refill. Apparently they expected me to chew them like candy.

    To be fair though I took two of them. On the second and third nights to help me sleep.

    I just don't want to see that much morphine on the street while other less harmful drugs are harder to find.

  10. by avatar ShepherdsDog
    Tue Oct 05, 2010 11:13 pm

    There are no enzymes on a spoon, hence codeine and morphine are not the same.

    The statement doesn't make sense.

    Regardless of how it enters your system, your body converts it to morphine, which has been one of the arguments why cancer patients don't need heroin because the body does the same to it.

  11. by Regina  Gold Member
    Tue Oct 05, 2010 11:44 pm
    "Proculation" said
    I've had morphine pills once. After an otitis that bursted my "tympan" (french for the membrane that makes you ear things... sorry). It was great :P

    Otitis media is inflammation of the middle ear, or middle ear infection. The tympanic membrane is what everyone refers to as the "ear drum." Children get them (Otitis media) often and sometimes need to have "vent" tube placed in the tympanic membrane so the fluid can drain. The tubes eventually are rejected by the body and the membrane closes over the hole.

    The problem is that the Eustachian tube has swollen closed and the middle ear fluid build up can't drain into the throat as it's suppose to. The fluid sits there and causes pressure and possibly an infection...........which I'm sure most people with children have gone through.

  12. by avatar Dragom
    Tue Oct 05, 2010 11:48 pm
    Medical usage of opiates versus recreation use of opiates is largely differentiated by a slope described by amount of the narcotic active in the body / time

    Recreational usage is characterized by a sharp but short lived spike.

    Medical usage is characterized by a slow arc or long standing plateau.

    Patients don't need a slow heroin drip because ingesting codeine does the same thing.

    Addicts don't want a slow heroin drip. They want all of it. Now.

    Codeine on a spoon still has to be converted into morphine by the body, which takes time. In effect there is little difference between ingestion and injection.

    Morphine on a spoon has had any digestion related binding elements removed and can be absorbed as morphine immediately.

    And no, smoking, has and will ever be, my one addiction. Thanks for asking.

  13. by avatar Proculation
    Wed Oct 06, 2010 12:32 am
    "ShepherdsDog" said

    There are no enzymes on a spoon, hence codeine and morphine are not the same.

    The statement doesn't make sense.

    Regardless of how it enters your system, your body converts it to morphine, which has been one of the arguments why cancer patients don't need heroin because the body does the same to it.


    You are right, and wrong.

    Heroin is a potent opiates before it becomes morphine by the liver.

  14. by avatar Proculation
    Wed Oct 06, 2010 12:33 am
    "Regina" said
    I've had morphine pills once. After an otitis that bursted my "tympan" (french for the membrane that makes you ear things... sorry). It was great :P

    Otitis media is inflammation of the middle ear, or middle ear infection. The tympanic membrane is what everyone refers to as the "ear drum." Children get them (Otitis media) often and sometimes need to have "vent" tube placed in the tympanic membrane so the fluid can drain. The tubes eventually are rejected by the body and the membrane closes over the hole.

    The problem is that the Eustachian tube has swollen closed and the middle ear fluid build up can't drain into the throat as it's suppose to. The fluid sits there and causes pressure and possibly an infection...........which I'm sure most people with children have gone through.
    I was 24 yo.

    Never had any antibiotics before.



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