South Africa has high levels of codeine abuse. A new project could combat the problem

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South Africa has high levels of codeine abuse. A new project could combat the problem

Health authorities have been developing a plan to track the supply of codeine from manufacturers all the way to patients, Spotlight can confirm.

This information would feed into a centralised computer system used by health workers nationally, which would flag patients who were requesting too much of the drug across different dispensers. She said the upcoming draft guidelines would stipulate the information that companies and health authorities would have to provide to Sahpra when dispensing the drug.

The new stage of the Codeine Care Initiative is one way of empowering health workers to monitor these kinds of patients and prevent them from falling through the cracks. Moodley, who chairs the forum, added as part of this phase, a computer programme was developed, which could capture the ID numbers of patients buying codeine, and generate a warning message on pharmacists' screens when they were asking for problematic amounts across different pharmacies.When this happened, depending on the specific case, health workers could"refuse , educate , or suggest alternatives", according to the secretariat.

"So, where the patients were concerned about their health, they would give you consent, but where there was a potential for overuse of the codeine they … could refuse to give their ID numbers," Moodley said. under the Medicines Act, which made it mandatory for healthcare providers to capture the ID numbers of anyone buying a medicine scheduled 2 or higher . depending on the dose and whether they contain additional active ingredients .

This could be happening for a few reasons, according to Andy Gray, a senior lecturer in pharmacology at the University of KwaZulu-Natal.

 

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