Cough mixtures: not always for cough.
BACKGROUND
Opioid based cough mixtures are readily available to the public and are generally used safely. However, like alcohol, their use can sometimes be a significant part of a dependence problem.


OBJECTIVE
This case study provides practical information for general practitioners in the detection, assessment and management of patients with cough mixture opioid dependence.


CONCLUSIONS
Opioid dependence is generally considered synonymous with heroin dependence or dependence on prescribed opioid analgesics. However, cough mixtures are a readily available source of opioids. People who become dependent on these mixtures commonly do not present for medical assistance until the problem is severe.
Sim
Moira G
MG
Edith Cowan University, School of Psychiatry and Clinical Neurosciences, the University of Western Australia. moira.sim@health.wa.gov.au
Hulse
Gary K
GK
Khong
Eric
E
D000328:Adult; D000996:Antitussive Agents / Q000009:adverse effects*; D003061:Codeine / Q000009:adverse effects*; D003371:Cough / Q000188:drug therapy; D005194:Family Practice / Q000379:methods*; D006801:Humans; D007400:Interprofessional Relations; D008297:Male; D009293:Opioid-Related Disorders / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy*; D010604:Pharmacy; D055502:Secondary Prevention; D013375:Substance Withdrawal Syndrome / Q000209:etiology / Q000628:therapy
D000996:Antitussive Agents; D003061:Codeine