Role of Medication
Most episodes of acute pain can be managed with medication and the pain usually goes away when the injury or illness heals.
However medication alone is not helpful for the management of chronic pain and and patients need to adopt other strategies.
In cases of chronic pain, medicines such as opioids contribute on average to only a 30% reduction in pain. They may also have unwanted side-effects and can be harmful and addictive if used long-term.
If you are using medication alone to deal with pain, please discuss other options with your GP.
Changes to Codeine Access
Codeine-containing medications will be available by prescription only from 1 February 2018. In the lead up to this change, the Therapeutic Goods Administration hosted a national series of workshops to help health professionals dealing with chronic and acute pain with alternative strategies for pain management. Presentations for the workshop include:.
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Changes to codeine product access: Background to the decision to change to prescription-only – Professor John Skerritt & Avi Rebera
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Alternative options to codeine in the pharmacy – Pene Wood
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Rethinking our approach to pain and the role of opioid therapy – Dr Malcolm Hogg
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Over the counter, down the hatch: OTC codeine use – Dr Mathew Frei
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Delivering pain management in a rural setting – Dr Malcolm Hogg
Register adverse medicine events If you have any concerns about reactions, side effects or medicine interactions call the Adverse Medicine Events (AME) Line. The AME Line is staffed by registered pharmacists and provides information related to prescription, over-the-counter and complementary medicines. AME LINE: 1300 134 237 Monday to Friday, 9am to 5pm
Resources
- Statement regarding the use of opioid analgesics in patients with chronic non-cancer pain (FPM/ANZCA)
- Medicines with Codeine: Advice for Pharmacists (NPS Medicinewise)
- Codeine Myth Buster Factsheet (RACP & Painaustralia)
- Self-Managing Chronic Pain Factsheet (Painaustralia)
- The Pain Toolkit (paintoolkit.org)
- NPS MedicineWise
- healthdirect Practical health information and advice (Australian government)
- Codeine hub (ScriptWise)
- Medications Learn more about medications (painHEALTH)
- Analgesics (painHEALTH)
- Opioid Pain Medications (painHEALTH)
- Reconsidering Opioid Therapy (Hunter New England Local Health District, NSW Health)
- Opiates (Chronic Pain Australia)
- Painkillers - NSAID (Chronic Pain Australia)
- Anticonvulsants (Chronic Pain Australia)
- PainWISE Find a pharmacist near you trained in PainWISE pain management
- Alcohol and Drug Foundation Preventing alcohol and other drug harms in Australia