Codeine phosphate 60 mg

Why is codeine and alcohol a popular combination?

The combination of codeine and alcohol has become alarmingly common worldwide. This dangerous mix typically involves codeine cough syrup, often codeine linctus, combined with fizzy drinks and sometimes candy for added flavour.

The popularity of codeine and alcohol, or ‘Purple Drank’, has been fueled by its glamorisation in music and media, where it’s often portrayed as enticing and fun.

The concoction’s effects are primarily due to codeine’s ability to calm and relax the user. When mixed with alcohol, these effects become even more potent, creating a stronger sense of calm and a more intense high. However, this combination is extremely hazardous because both codeine and alcohol depress the central nervous system. This can lead to respiratory depression, unconsciousness and, in severe cases, death.

While the allure of Purple Drank lies in its easy accessibility and the temporary euphoria it provides, the risks associated with this dangerous combination far outweigh any fleeting pleasure.

Codeine misuse concerns in the UK

Codeine misuse is a growing concern in the UK. The Medicines and Healthcare Products Regulatory Agency (MHRA) announced in February 2024 that codeine linctus, an oral solution or syrup used to treat dry coughs in adults, will now require a prescription.

This change comes due to the increasing risks of abuse, dependency and overdose associated with the medication. Previously, codeine linctus was available over the counter with a pharmacist’s supervision, but it will now be prescribed only after a healthcare professional’s assessment.

This move reflects a growing awareness and concern over the misuse of codeine in the UK.

What are the dangers of mixing codeine and alcohol?

Mixing codeine and alcohol can have serious and potentially life-threatening consequences. It’s crucial to be aware of these risks to protect your health and well-being. Both substances depress the central nervous system, which can lead to amplified effects and severe complications. Here’s a closer look at the short-term and long-term dangers of combining codeine and alcohol.

Short-term dangers

• Respiratory depression: Both substances can slow down breathing, which can lead to dangerous levels of respiratory depression or even stop breathing entirely.
• Increased sedation: The combined sedative effects can cause extreme drowsiness, dizziness and impaired coordination, increasing the risk of accidents and injuries.
• Confusion and disorientation: Mixing codeine and alcohol can cause significant cognitive impairment, leading to confusion, poor decision-making and risky behaviours.
• Nausea and vomiting: The combination can irritate the stomach lining, leading to severe nausea and vomiting, which can result in dehydration and electrolyte imbalances.
• Loss of consciousness: There is a high risk of blacking out or losing consciousness, which can be dangerous, especially if you’re in an unsafe environment.

Long-term dangers

• Addiction: Combining codeine and alcohol regularly can lead to a higher risk of developing substance use disorders and addiction to one or both substances.
• Liver damage: Both alcohol and codeine can be toxic to the liver. Prolonged use can lead to severe liver damage, cirrhosis or liver failure.
• Mental health issues: Long-term use can exacerbate mental health problems, such as depression and anxiety and increase the risk of developing more severe psychiatric disorders.
• Cardiovascular problems: Chronic use can lead to heart problems, including high blood pressure, arrhythmias and an increased risk of heart attacks and strokes.