CODEINE COUGH SYRUP  CAN BE DEFINED AS A MILD NARCOTIC analgesic (painkiller) comparable to, but less powerful than morphine.
Codeine and various other codeine-like drugs (narcotic drugs) could cause constipation through it’s action of inhibiting or scaling down gut movements. However, when used for a brief period of time and on the recommended dose, addiction seldom takes place. When taken with the recommended dose, its onset of action occurs within just thirty to sixty minutes and lasts for 4 to 6 hours. Codeine cough syrup might cause drug dependence while taken for prolonged periods and of course not at the suggested doses.
It was reported inside a local newspaper that cough syrups having a codeine content of about 9 mg for every 5 ml of syrup is specially sought after. This syrup is drunk from the bottle and a minumum of one 60 ml up to 100 ml bottle a day is required to give hallucinatory sensations.
There may have to be a nationwide drive to prevent the unregulated selling of cough blends with codeine. Codeine-based syrups could potentially cause both psychological dependence – the emotional craving to get a drug. Withdrawal symptoms occur once the drug hasn’t been taken over a prolonged stretch of time, for example, for more then eight hours. The withdrawal responses reach a high in about 48 hours after which gradually lessen, returning to regular in about one or two weeks.

At any time during this period, the reactions might be terminated when this drug is consumed again or whenever antagonist (the drug that conteracts as well as prevents the actions of another substance or endogenous system chemical) of the drug is consumed. It must always be remembered that regular usage of a particular drug doesn’t make a person drug-dependent.
Under normal conditions, when a prescribed drug is taken as recommended by the doctor or pharmacologist, there is the lowest risk of acquiring drug dependence.
Figures obtained from the Selangor State Pharmacy Enforvement Unit shows a spectacular increase in cough mixture seizures from the year 1994 till 1995, concurrent with the increase in unregulated product sales of cough remedies in the same time period. In view of this, the Ministry of Health had made a decision to tighten some restrictions by banning the import and production of cough mix containing codeine in conjunction with ephedrine or psyedoephedrine in Malaysia since January 1 this coming year. Most cough remedies that can be bought without prescription will be categorised as Group C poison within the Poison Act 1952. The penalty intended for illegal sale can be a maximum fine of RM5, 000 or 2 years’ jail or even both. Codeine can always be safely stopped once the relief of the signs and symptoms is achieved. In Malaysia, codeine-based cough syrup abuse is rampant amongs teenagers and drug or medication addicts who take it as an alternative to dadah.
It is well known to the public that there are a variety of ways in which codeine-containing cough syrup is usually consumed or over used.
There is a desire for the drug being present in the body so that the required effect can be acquired.

These include revulsion symptoms (serious physical disturbances) as well as development of tolerance towards the drug’s effects. Spiritual, mental, emotional and bodily factors also help with the avoidance as well as development of medication dependence. These include slower or irregular inhaling and exhaling (respiratory despression symptoms), severe drowsiness (main nervous system depressive disorders) or decrease of consciousness. In some circumstances, drug addicts are reported to have often taken it like a spiked soft beverage. Individuals who acquire tolerance need greater and larger doses to achieve the same original effects and as a consequence tend to raise the dosage. These include the characteristic of a drug itself (whether it’s got a low, medium or high dependence rating), the strength as well as frequency of dosages and duration of usage.
The potential of a drug dependence increases each time a drug is consumed for non-medical motives, as in the situation of codeine-based cough syrups.
It is also a powerful cough supressant and is available as an ingredient in numerous cough syrups as well as cold remedies. CODEINE COUGH SYRUP acts like a cough supressant by simply depressing the central pathways of a cough reflex inside the brain.

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