Practice implications and recommendations for managing codeine misuse and dependence

Bergin, Michael and Norman, Ian and Foley, Michelle and Harris, Richard and Rapca, Anna and Rich, Eileen and Van Hout, Marie Claire (2015) Practice implications and recommendations for managing codeine misuse and dependence. Acta Pharmaceutica, 65 (4). pp. 351-364. ISSN 1330-0075

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Abstract

Codeine, a weak opiate, requires increased pharmacovigilance relating to availability, heterogeneous nature of misuse, dependence and associated harm. A scoping review of literature on codeine was conducted using Arksey & O'Malley's framework (1). Databases searched included PubMed, EBSCO Host, Science Direct, EMBASE, PsycINFO, Cochrane library and Medline from 1994 to 2014. Follow-up search strategies involved hand searching and searching of pharmaceutical, health, medical and drug related websites. Initial zscreening identified 3,105 articles with 475 meeting the inclusion criteria. Eight broad categories organised the literature, data charting and qualitative synthesis. This paper presents implications for practice and makes recommendations to address these issues. Themes identified relate to raising public and practitioner awareness, risk management, dispensing practices and monitoring and surveillance of codeine. Evidence to inform law enforcement, drug surveillance, public health initiatives, harm reduction approaches, pharmacy, clinical and treatment practices is warranted.

Item Type:	Article
Additional Information:	Publisher Copyright: © by Marie-Claire Van Hout 2015.
Uncontrolled Keywords:	/dk/atira/pure/subjectarea/asjc/3000/3004
Departments or Groups:
Depositing User:	Admin SSL
Date Deposited:	19 Oct 2022 23:05
Last Modified:	19 Jul 2023 06:00
URI:	http://repository-testing.wit.ie/id/eprint/3971

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