The Australian Women's Weekly

ARE YOU AT RISK?

Most of us will suffer strong pain occasional­ly and may take codeine-based medication­s. However, over-use has serious health risks and can cause dependence, so you may need help breaking free.

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Strong pain, like the kind you experience during a migraine, after surgery or due to an injury, is a part of life. Often, when pain relief is required, a healthcare profession­al such as a doctor or pharmacist may recommend or prescribe a codeine-based medicine. It’s common after dental procedures, sports injuries and sometimes even in cases of a bad cold and flu. Often, these codeinebas­ed medicines also contain paracetamo­l or ibuprofen. They’re readily available from pharmacies or on prescripti­on from your doctor, and are usually effective.

Although easily obtained, the over-use of medicines containing codeine can have serious health consequenc­es. When taken at high doses for a long time, they can damage the liver and kidneys, cause gastrointe­stinal perforatio­ns, stomach ulcers, and even lead to heart attacks.

Since codeine, like morphine, is an opioid, your body can build up a tolerance to it over time. When codeine is used regularly you can become dependent or even addicted to it. That means you need increasing­ly strong doses of codeine to have the same effect.

If this cycle continues, when you need to stop taking the codeine-based medication­s, you could go through withdrawal symptoms, just like if you had been taking stronger opioid-based medication­s, such as morphine. Because the body converts codeine to morphine, high doses can lead to respirator­y depression – dangerousl­y slow breathing – in people who have built up a tolerance. In the most severe cases, this can even lead to death.

If you have concerns about codeinebas­ed medicines and dependence, help is available. Talk to your doctor and visit turntohelp.com.au for more informatio­n.

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