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

Anna Birna Almarsdóttir*, Almar Grímsson

*Corresponding author for this work
    9 Citations (Scopus)

    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
    Book seriesScandinavian Journal of Public Health
    Volume28
    Issue number4
    Pages (from-to)270-274
    Number of pages5
    ISSN1403-4948
    DOIs
    Publication statusPublished - 1 Jan 2000

    Keywords

    • codeine
    • drug utilization
    • interrupted time series analysis

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