Over-the-counter codeine use in Iceland: the impact of increased access

A B Almarsdóttir, A Grimsson

    Abstract

    BACKGROUND: The objective of this study was to test the assumption that liberalizing community pharmacy ownership in Iceland would lead to increased irrational use of over-the-counter pain relievers containing codeine.

    METHODS: Based on this assumption we built and tested a model using an interrupted time series design that contrasts the monthly sales data for over-the-counter pain relievers containing codeine before and after the legislation took effect.

    RESULTS: The total use of over-the-counter pain relievers containing codeine as well as those containing paracetamol and codeine has risen steadily throughout the period under study. The interrupted time series did not show a substantial effect from the legislative change on the use of all over-the-counter codeine pain relievers, paracetemol with codeine, and aspirin with codeine combinations.

    CONCLUSION: The assumption that increased access leads to irrational use of over-the-counter medicines is not substantiated in the case of over-the-counter pain relievers containing codeine.

    Original languageEnglish
    JournalScandinavian Journal of Public Health
    Volume28
    Issue number4
    Pages (from-to)270-4
    Number of pages5
    ISSN1403-4948
    Publication statusPublished - Dec 2000

    Keywords

    • Analgesics, Opioid
    • Codeine
    • Health Services Accessibility
    • Health Services Misuse
    • Humans
    • Iceland
    • Models, Statistical
    • Nonprescription Drugs
    • Ownership
    • Pharmacies
    • Self Medication
    • Time
    • Evaluation Studies
    • Journal Article
    • Research Support, Non-U.S. Gov't

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