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Drug Abuse and Addiction: Pharmacological Phenomena01:15

Drug Abuse and Addiction: Pharmacological Phenomena

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Drug dependence, abuse, and addiction are complex phenomena that can precipitate various abnormal states. Physical dependence refers to a state of pharmacological adaptation to a drug. This adaptation often results in tolerance—a reduced response to the drug after repeated administrations. When the drug use is abruptly stopped, withdrawal symptoms occur due to the body's need to readjust from the pharmacologically induced imbalance. However, tolerance and withdrawal symptoms do not...
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Drug Classes and Categories01:25

Drug Classes and Categories

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Drugs can be classified according to their chemical composition or their intended therapeutic application. For instance, anti-infective agents that possess the ability to eliminate pathogens or suppress their growth and reproduction can be grouped based on the organisms they target or their chemical structure. Furthermore, drugs can be divided into prescription, nonprescription, or controlled substances. Prescription medications, such as antibiotics, require oversight from a licensed healthcare...
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Prescription, Nonprescription and Orphan Drugs01:02

Prescription, Nonprescription and Orphan Drugs

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Prescription drugs require a prescription from a medical practitioner and can only be obtained from a pharmacy. They have many applications, including treating pain, anxiety, and hypertension.
The misuse and addiction to prescription drugs is a growing problem that can affect people of all age groups, specifically teenagers. This can happen when prescription medications are used in ways not intended by the prescriber, such as taking someone else's prescription or using medication for...
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Opioid Analgesics: Morphine and Other Natural Cogeners01:20

Opioid Analgesics: Morphine and Other Natural Cogeners

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Opioids are a class of drugs that mimic endogenous opioid peptides and act on opioid receptors, and help in pain relief. These compounds are classified as natural, synthetic, or semi-synthetic. Natural opioids, like morphine, codeine, and thebaine, are derived from the opium poppy plant (Papaver somniferum or Papaver album) and are termed opiates. Synthetic opioids are artificial, while semi-synthetic opioids combine natural and synthetic compounds. Morphine, a prototypical opioid, possesses a...
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Upper Respiratory Drugs: Antitussives, Expectorants, and Mucolytics01:23

Upper Respiratory Drugs: Antitussives, Expectorants, and Mucolytics

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Respiratory symptoms, such as congestion and cough, commonly accompany respiratory tract conditions. Various medications, such as antitussives, expectorants, and mucolytics, play crucial roles in providing relief.
Antitussives include codeine, dextromethorphan (Robitussin), and benzonatate (Tessalon). Codeine and dextromethorphan exert their effects centrally by suppressing the cough reflex center in the medulla.  Benzonatate operates peripherally within the respiratory tract by...
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Opioid Analgesics: Synthetic and Semisynthetic Opioids01:15

Opioid Analgesics: Synthetic and Semisynthetic Opioids

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Synthetic and semisynthetic opioids are pivotal in pain management and tackling opioid addiction. Semisynthetic opioids, including morphinans (morphine derivatives), oxycodone, oxymorphone, hydrocodone, and hydromorphone, have improved pharmacokinetic profiles compared to morphine. Additionally, heroin and 6-MAM (6-Monoacetylmorphine) show better CNS penetration than morphine due to heightened lipid solubility. Hydromorphone, a potent opioid, undergoes hepatic metabolism to form the active...
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Related Experiment Video

Updated: Dec 6, 2025

High-throughput and Comprehensive Drug Surveillance Using Multisegment Injection-Capillary Electrophoresis-Mass Spectrometry
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High-throughput and Comprehensive Drug Surveillance Using Multisegment Injection-Capillary Electrophoresis-Mass Spectrometry

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Over-The-Counter Codeine: Can Community Pharmacy Staff Nudge Customers into Its Safe and Appropriate Use?

Sapana Mody1, Charlotte L Kirkdale1, Tracey Thornley1,2

  • 1Boots UK, Thane Road, Nottingham NG90 1BS, UK.

Pharmacy (Basel, Switzerland)
|October 14, 2020
PubMed
Summary

A new Patient Safety Card effectively nudged customers towards safer, appropriate use of over-the-counter (OTC) codeine in UK pharmacies. Frequent purchasers were less likely to buy OTC codeine after interacting with the card.

Keywords:
behavioural nudgecodeinecommunity pharmacyopioid misuseover-the-counter

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Area of Science:

  • Pharmacy Practice
  • Public Health
  • Medication Safety

Background:

  • Opioid misuse, including over-the-counter (OTC) codeine in the United Kingdom (UK), presents a significant public health challenge.
  • Community pharmacies are key points for intervention regarding safe medication use.

Purpose of the Study:

  • To evaluate the effectiveness of an educational Patient Safety Card in promoting safe and appropriate use of OTC codeine.
  • To assess pharmacy staff's experience with the intervention.

Main Methods:

  • A pilot study involving 24 UK community pharmacies.
  • Quantitative recording of 3993 interactions involving OTC codeine requests.
  • A web-based survey of pharmacy staff.

Main Results:

  • The Patient Safety Card intervention was found to be easy to use by the majority of pharmacy staff (91.3%).
  • Frequent purchasers of OTC codeine were significantly less likely to purchase a pain relief product after interacting with the card (5.5% vs. 1.1%).

Conclusions:

  • Visual educational interventions, like the Patient Safety Card, can effectively encourage appropriate OTC codeine use in community pharmacies.
  • The findings support the principles of enhanced self-care and responsible medication management.