Address as of September 2012: The University of Sydney, New South Wales 2006, Australia. E-mail: firstname.lastname@example.org
Opportunities and challenges: over-the-counter codeine supply from the codeine consumer’s perspective
Article first published online: 25 OCT 2012
© 2012 The Authors. IJPP © 2012 Royal Pharmaceutical Society
International Journal of Pharmacy Practice
Volume 21, Issue 3, pages 161–168, June 2013
How to Cite
Nielsen, S., Cameron, J. and Pahoki, S. (2013), Opportunities and challenges: over-the-counter codeine supply from the codeine consumer’s perspective. International Journal of Pharmacy Practice, 21: 161–168. doi: 10.1111/j.2042-7174.2012.00247.x
[Correction added on 30 November 2012, after first online publication: Scope of study in the title has been updated to read “...over-the-counter codeine supply from the codeine consumer’s perspective”.]
- Issue published online: 20 MAY 2013
- Article first published online: 25 OCT 2012
- Manuscript Accepted: 21 AUG 2012
- Manuscript Received: 12 OCT 2011
- Victorian Department of Health
- codeine dependence;
- qualitative research
This study aimed to gain a better understanding on perspectives of over-the-counter (OTC) codeine users and issues relating to codeine dependence in the community pharmacy setting. Examining OTC codeine users' experiences aimed to promote better understanding of OTC codeine dependence, and inform pharmacy practices.
Utilising a qualitative research methodology we conducted interviews with 20 participants who were OTC codeine users and met DSM IV criteria for codeine dependence.
Key themes identified included experience of participants acquiring OTC codeine and participants' interactions with pharmacists. The OTC codeine-dependent participants found it generally easy to access OTC codeine, describing ‘standard’ questioning, minimal intervention from pharmacists and only occasional refusal to supply. A better appearance and presentation was generally linked to easy codeine supply.
The experiences of participants suggest a number of barriers exist to effective intervention for OTC codeine dependence in the community pharmacy setting. Identification of these barriers will provide an opportunity to more effectively target interventions to reduce harm related to OTC codeine products. Increased involvement of pharmacists in OTC codeine sales was associated with help-seeking by codeine users.