A paper in Irish Medical Journal (IMJ) March edition warns that it can be tricky for pharmacists to spot unsuitable codeine sales when patients give “well constructed and credible explanations regarding pain” and when there are “no obvious signs of misuse”.
The paper’s author, Emma O’Donnell, a medical student at University of Limerick and a practising community pharmacist, says without medical supervision, a large proportion of the population is self-medicating with codeine [an opiate] "and many have unknowingly developed an addiction”.
Ms O’Donnell’s says codeine is an addiction “often hidden under the guise of pain management” that goes “unaddressed by both doctor and patient”.
Source: Catherine Shanahan, Irish Examiner, 14th March 2019