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

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 interrupte...

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Bibliographic Details
Published in:Scandinavian Journal of Public Health
Main Authors: Almarsdóttir, Anna Birna, Grímsson, Almar
Format: Article in Journal/Newspaper
Language:English
Published: SAGE Publications 2000
Subjects:
Online Access:http://dx.doi.org/10.1177/14034948000280041001
https://journals.sagepub.com/doi/pdf/10.1177/14034948000280041001
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Summary: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.