coproxamol

[DavidS]

Why, does methadone withdrawal habitually manifest as pain in the 3rd 4th and 5th vertebrae?

Well, my model of withdrawal is that the body is stressed and the pain threshold is lowered, so everything is more painful. If your weakness is in those vertebrae, then that's where you would get it. It could be anywhere and everywhere, depending on the difficulties of the patient.

But I could well be wrong. And I don't think it would be long-lasting. Certainly after a week it should be over with, unless prolonged with other narcotics eg codeine etc.

Bobbin? Schwampa? Help required.

[peshawar]

It was a rhetorical question.

[peshawar]

a sarcastic one

[peshawar]

with implied contempt

[DavidS]

with implied contempt

I chose to give you the benefit of the doubt.

[bobbin]

Well, my model of withdrawal is that the body is stressed and the pain threshold is lowered, so everything is more painful. If your weakness is in those vertebrae, then that's where you would get it. It could be anywhere and everywhere, depending on the difficulties of the patient.

But I could well be wrong. And I don't think it would be long-lasting. Certainly after a week it should be over with, unless prolonged with other narcotics eg codeine etc.

Bobbin? Schwampa? Help required.

I think the less said, the better

[Sir_Dispensalot]

The problem we have with it where I work is the only brand we can source is Distalgesic, which is blacklisted in Scotland (we have had scripts returned saying this).

We therefore don't get paid for dispensing co-proxamol on a GP10!

not sure how the system works in scotland regarding the drug tariff - distalgesic is blacklisted in england too. However distalgesic can be readily supplied against a co-prox script if it's prescribed using the generic name in england.

I think the same applies to a few other drugs too eg laxoberyl (before it became dulco-lax liquid) could only be supplied if written generically.

[mhb08112]

Doesn't Distalgesic cost significantly more? And therefore we would be left out of pocket?

(Please excuse me if I appear to be wrong - I am just a student after all! )

[bobbin]

Doesn't Distalgesic cost significantly more? And therefore we would be left out of pocket?

(Please excuse me if I appear to be wrong - I am just a student after all! )

In England, the Drug Tariff price for co-proxamol is based on the price of Distalgesic............so no, you will not be left out of pocket. Co-proxamol doesn't appear to be listed in the Scottish Drug Tariff so you would have to endorse the brand/manufacturer/price of the product supplied.

[Pharmanaut]

In England, the Drug Tariff price for co-proxamol is based on the price of Distalgesic............so no, you will not be left out of pocket. Co-proxamol doesn't appear to be listed in the Scottish Drug Tariff so you would have to endorse the brand/manufacturer/price of the product supplied.

Don't forget they are letting us look at the July tariff online 6 days before start of following month.

PPD >> Drug Tariff

Co-proxamol must be the only named-patient drug in the tariff.
Guess it was kept in to stop the price going through the roof and beyond.

Can't see it in Part 7 of SDT.
Prescribing of it must really be discouraged in Scotland?