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Dependence on Over the Counter (OTC) Codeine Containing Analgesics: Treatment and Recovery with Buprenorphine Naloxone

van Hout, MC and Delargy, I and Ryan, G and Flanagan, S and Gallagher, H (2015) Dependence on Over the Counter (OTC) Codeine Containing Analgesics: Treatment and Recovery with Buprenorphine Naloxone. International Journal of Mental Health and Addiction, 14 (5). pp. 873-883. ISSN 1557-1874

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Abstract

Misuse and dependence on prescribed and over the counter (OTC) codeine-combination analgesics is an emerging public health concern. We present a clinical case series of four adult patients dependent on OTC codeine combination analgesics in Ireland. Cases (two males/two females, aged 44–57 years) were consuming between 12 and 72 codeine-containing tablets/day. In three cases, consumption was linked to pain, with on-going misuse reflecting dependence on codeine. Cases were initiated on buprenorphine-naloxone (Suboxone®), stabilised on doses of between 4 mg/1 mg and 14 mg/3.5 mg per day and remain on treatment without additional opioid use, as verified by drug screening reports. Although anecdotal, these cases show the potential of effective opioid assisted treatment (OAT) using buprenorphine-naloxone (Suboxone®) to successfully treat this distinct form of opioid dependence disorder. Optimal service provision should recognise unique patient profiles and needs for this form of opioid dependence and incorporate psycho-social supports.

Item Type: Article
Additional Information: This is a post-peer-review, pre-copyedit version of an article published in International Journal of Mental Health and Addiction. The final authenticated version is available online at: http://dx.doi.org/10.1007/s11469-015-9618-2
Uncontrolled Keywords: 1117 Public Health And Health Services, 1701 Psychology
Subjects: R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
R Medicine > RM Therapeutics. Pharmacology
R Medicine > RS Pharmacy and materia medica
Divisions: Public Health Institute
Publisher: Springer
Related URLs:
Date Deposited: 01 Dec 2017 12:34
Last Modified: 01 Dec 2017 12:34
DOI or Identification number: 10.1007/s11469-015-9618-2
URI: http://researchonline.ljmu.ac.uk/id/eprint/7651

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