ArticleBMJ open2016
Medical professionals' perspectives on prescribed and over-the-counter medicines containing codeine: a cross-sectional study.
Article in BMJ open, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
What it found
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Who cites it
15 citing papers in PubMed, 31 citations in OpenAlex.
- The misuse of codeine containing medicines: Perceptions and behaviours of qualified pharmacy professionals.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2024Article
- Suspected inappropriate use of prescription and non-prescription drugs among requesting customers: A Saudi community pharmacists' perspective.Saudi pharmaceutical journal : SPJ : the official publication of the Saudi Pharmaceutical Society · 2023Article
- The association between cannabis and codeine use: a nationally representative cross-sectional study in Canada.Journal of cannabis research · 2022Article
- The association between the availability of over the counter codeine and the prevalence of non-medical use.European journal of clinical pharmacology · 2022Article
- A mixed-methods systematic review of the prevalence, reasons, associated harms and risk-reduction interventions of over-the-counter (OTC) medicines misuse, abuse and dependence in adults.Journal of pharmaceutical policy and practice · 2021Review
- The views of Australian adults experiencing pain on the upscheduling of codeine-containing analgesics to 'prescription only'.International journal of clinical pharmacy · 2021Article
- Identification of factors influencing tampering of codeine-containing medicines in England: a qualitative study.Harm reduction journal · 2020Article
- Designing Effective Warnings about Addiction on the Patient Information Leaflet of Over-the-Counter Codeine Sold in England to University Students.International journal of environmental research and public health · 2020Article
- Impact of Removing Nonprescription Codeine in Australia: Protocol for a Prospective Cohort Study.JMIR research protocols · 2020Article
- Extent of misuse and dependence of codeine-containing products among medical and pharmacy students in a Nigerian University.BMC public health · 2019Article
- Staff perceptions of prescription and over-the-counter drug dependence services in England: a qualitative study.Addiction science & clinical practice · 2019Article
- From pain treatment to opioid dependence: a qualitative study of the environmental influence on codeine use in UK adults.BMJ open · 2019Article
- Pharmacists' views on the upscheduling of codeine-containing analgesics to 'prescription only' medicines in Australia.International journal of clinical pharmacy · 2019Article
- A study of medical professionals' perspectives on medicines containing codeine in South Africa.The South African journal of psychiatry : SAJP : the journal of the Society of Psychiatrists of South Africa · 2018Article
- Medicines containing codeine: perspectives of medical professionals in the Republic of Ireland.Irish journal of medical science · 2017Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 3 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo explore prescribing practitioners' perspectives on prescribed codeine use, their ability to identify dependence and their options for treatment in the UK.
designCross-sectional design using a questionnaire containing closed-ended and open-ended items.
settingA nationally representative sample of prescribing professionals working in the UK.
participants300 prescribing professionals working in primary care and pain settings.
resultsParticipants stated that they regularly reviewed patients prescribed codeine, understood the risks of dependence and recognised the potential for codeine to be used recreationally. Over half the participants felt patients were unaware of the adverse health consequences of high doses of combination codeine medicines. One-quarter of participants experienced patient resentment when asking about medicines containing codeine. Just under 40% of participants agreed that it was difficult to identify problematic use of codeine without being informed by the patient and did not feel confident in identification of codeine dependence. Less than 45% of all participants agreed that codeine dependence could be managed effectively in general practice. Slow or gradual withdrawal was the most popular suggested treatment in managing dependence. Education and counselling was also emphasised in managing codeine-dependent patients in primary care.
conclusionsCommunication with patients should involve assessment of patient understanding of their medication, including the risk of dependence. There is a need to develop extra supports for professionals including patient screening tools for identifying codeine dependence. The support structure for managing codeine-dependent patients in primary care requires further examination.
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