New Safety Measures for Codeine Liquid Preparations in effect on January 2, 2020
Codeine is an opiate pain killer – most often used to treat mild to moderate pain – that has seen an increase in recreational abuse and diversion. Codeine containing cough syrup products are the most common type of preparations included in this change.
Rescheduling the codeine containing liquid preparations listed below to Schedule 1A will improve oversight of these drugs, increase barriers to their access, and help to address public safety concerns, including:
- Addiction and non-medical use of these drugs,
- Prescription forgeries for these drugs, and
- Pharmacy robberies and thefts targeting these drugs.
This change is intended to address important public safety concerns and will not negatively impact patient care or access in British Columbia.
Prescribers and pharmacists do not need to wait for this change to begin to implement these safety measures. Prescriptions for these drugs can already be made using duplicate prescription forms and pharmacies can begin to store these drugs in the pharmacy’s time-delay safe to deter robberies and thefts.
Codeine Containing Liquid Preparations Included in Schedule Change
DIN | PRODUCT |
---|---|
2298708 | ACETAMINOPHEN ELIXIR WITH 8MG CODEINE PHOSPHATE SYRUP |
816027 | PMS-ACETAMINOPHEN WITH CODEINE ELIXIR |
2198630 | CALMYLIN ACE |
2243063 | COVAN SYRUP |
2244078 | DIMETAPP-C |
1934740 | ROBITUSSIN AC |
2169126 | TEVA-COTRIDIN |
2244079 | DIMETANE EXPECTORANT C |
2053403 | TEVA-COTRIDIN EXPECTORANT |
Considerations for Community PharmaciesManagers of Community Pharmacies involved in the dispensing of any of the above codeine containing liquid preparations will be required to implement the following measures on or before January 2, 2020: Storage of applicable codeine containing liquid preparations in a time-delay safe.
Require the use of CPP duplicate prescription forms when dispensing applicable codeine containing liquid preparations.
Questions about the Controlled Prescription Program or pharmacy security requirements can be directed to practicesupport@bcpharmacists.org. While these requirements are not in effect until January 2, 2020, community pharmacy managers are encouraged to begin implementation of these measures at their earliest convenience. |