P substitute 'not as good'
BY EMILY WATT
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Politics
A proposed alternative to popular pseudoephedrine-based cold and flu medicines does not work as well, pharmacists advise.
Prime Minister John Key has announced that medicines containing pseudoephedrine, such as Sudofed and Codral, will require prescriptions from a doctor as part of sweeping reforms to fight the scourge of pure methamphetamine, known as P.
He has also asked Medsafe to consider a total ban on such medicines in the future. Police have reported finding pseudoephedrine bought domestically at one third of the P labs they bust.
The Pharmaceutical Society's chief pharmacist adviser, Euan Galloway, said the proposed replacement, phenylephrine – which Mr Key said was a "safe and effective alternative" – was not as good.
"Ask any community pharmacist and they'll tell you they may make one sale [of a phenylephrine medicine], but never again," Mr Galloway said.
Phenylephrine had a very high "first past metabolism effect", which meant most of the drug was metabolised or rendered inactive before it reached the parts of the body where it was needed.
Pseudoephedrine, which as well as being used to treat symptoms of cold and flu was also used in medicines to treat hayfever and help divers and air travellers deal with sinus problems, was the most effective ingredient.
"It's popular because it's effective. It helps people treat the symptoms and get back to work and play quicker," Mr Galloway said.
While the fine print on the Government's plans were not yet known, he feared they could be "very draconian controls" on access to the popular and effective medicines.
Yesterday Mr Key announced wide-ranging plans to fight P, "using the full force of the Government's arsenal".
He said P was "wrecking lives, wrecking families and fuelling crime".
A typical P addict stole $1840 worth of goods each month to fuel their habit and each month sold drugs worth up to $5100.
Mr Key's chief science adviser, Sir Peter Gluckman, had recommended the restriction to classify pseudoephedrine as a Class B2 controlled drug, requiring a doctor's prescription and allowing only hospital pharmacies to stock it.
The health minister could also limit which doctors could prescribe the drug, he said in a report.
In a speech in Auckland yesterday, Mr Key said he would also:
Boost police and customs activities to fight gangs and organised crime – paid for by proceeds of crime.
Put an extra $22 million into services to treat P addiction.
Allocate 40 more customs officers for a dedicated drug taskforce
Formulate a new police methamphetamine control strategy.
Review the laws to enable families and doctors to place addicts in compulsory treatment.
He said the new customs taskforce would have new equipment and techniques to catch pseudoephedrine and other P precursors at the border.
"I'm not going to give the P smugglers a tipoff by revealing what those techniques are."
Police and groups that work with drug addicts welcomed the plans.
Labour's law and order spokesman, Clayton Cosgrove, said Labour supported anything that got P off the streets, but that he was concerned the law-abiding public was being punished – by having to pay a doctors' fee and prescription fee to get the medicine – for the actions of a few.
"It seems to us on the face of it that the innocent is being whacked with the extra cost and we're not sure what effect that will have on the perpetrators of crime."
Sharlene and Malcolm Barnett, whose daughter Krystal Bennett was killed by a disqualified driver crossing the centre line while high on P, welcomed any moves that reduced the prevalence of the drug.
"The sooner [Mr Key] can get on top of it, the sooner he can get it off our streets, the better as far as everybody's concerned," Mr Barnett said.
PRESCRIPTION ONLY
The following medications have pseudoephedrine in them, and will soon be available by prescription only: Sudomyl Coldrex Day & Night Sudafed Sinus + Pain Relief Codral Original Cold & Flu Nurofen Cold and Flu Duro-Tuss Chesty Cough Liquid Bisolvon Sinus Elixir Sinutab Sinus Allergy & Pain Relief
CRIMES COMMITTED WHILE ON P
Trevor Eagle – abducted and raped a Napier woman.
Antonie Dixon – murdered a man and attacked two women with a samurai sword in Pipiroa.
Steven Williams – murdered his stepdaughter, 6-year-old Coral-Ellen Burrows, in Wairarapa.
William Bell – murdered three people at the Mt Wellington-Panmure RSA in 2001 . Bell's family said he became a heavy P user before the murders. He told relatives he "blacked out" in the RSA because of the drug.
Ese Junior Falealii – randomly murdered a pizza bar worker and bank teller in 2002.
Leah Wai Peneha – a disqualified driver, drove down the wrong side of State Highway 2 after a P binge and killed 18-year-old Krystal Bennett and 12-year-old Khan Edwards, the son of her partner.
- © Fairfax NZ News
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The prevalence of meth in New Zealand is a function of our poor drug policy.
The pharmacology of meth is not responsible for the mayhem media is attributing to it (that may be an easy sell, but is simplistic and insulting to the science, a point that seems to escaped Gluckman, Key and others.)
When are media going to ask 'which part of the drug policy is the bit that is working?' - we see the 'multifaceted approach' being touted by politicians and sycophants is an excuse for systemic failure. They can hide behind 'its a complex subject' but can hide from the failure that IS our flawed drug policy.
Compulsory treatment will not work (but for a few rare cases).
We have a responsibility to stop the spin associated with the 'meth' problem as we are repeating the failure of the past - thus endangering innocent folk, incurring social costs that are unbearable, and promulgating the myth that 'if we redouble our efforts' this can be beaten. It cannot. That is self evident.
A rational review of our drug laws are currently before a (stalled but progressing slowly) Law Commission. That is where the FULL STORY of our failed drug policy needs scrupulous and rigorous examination.
In the interim we should beware of Politicians warning of hobgoblins and then touting solutions....
Over the counter pseudoephedrine-based medicines from the chemist aren't the problem ... it gets smuggled or imported in bulk. I think they need to focus on catching the bigger loads at the border and not worry about the odd box people can buy ... I'm sure buying codral by the box at the chemist (i.e. paying retail plus having to give ID) is not something the big-time p-makers can be bothered with ... they'd go with trying to import huge quantities (bought cheap from China) and hope Customs don't have the resources to catch it all.
Why not reclassify the drug as Pharmacist ONLY and so pharmacists can regulate the sale of these medicines of potential abuse? And it can also save the public the cost of seeing a doctor!
My son has been a P addict and cook. When he's not on P he's on H and pot etc. He's a thoroughly nasty person whilst in pursuit of his "happiness". I blame him and our NZ culture,not "accessibility" of PE for that. I really feel that NZ is a breeding ground for these problems and Key's solution will not relieve it - just further assault the rights of law abiding people. Once "it wasn't my fault, I was drunk" was a defence for all sorts of crimes. Get some guts Keys. Address the real problem. Attack the villains. Smash the gangs. Protect the populace.
Just the one point; why should I have to pay extra fees to relieve my chronic sinus issues when I am a law abiding citizen? How is that fair Mr Key?
There are a few things i want to clear up. Pseudoephedrine has always been available on prescription, it is not subsidised however. Phenylephrine is effective, but not at the doses in the over the counter tablets, but taking the required doses can lead to other side-effects, such as raised blood pressure. Also phenylephrine can still be used to make the dreaded "P" but the yields are much lower than that of the conversion from Pseudo, and also there are less steps in the process and less chemicals involved, but where there is a will, there is a way. 90%-95% of "P" is imported, not made in NZ. ID's are currently recorded and this list is given to a database, who collates the data and sends out 'alerts' of suspicious people.
another draconian, moronic law that wil not serioulsy effect the production of P, but will make life more dificuilt and expensive for everyone else.
I'm all for trying to prevent p heads from getting a hit, but people like me with sinus problems need these medicines often to prevent/relieve infection and pain. We will be the ones that suffer. Are the government going to pay for our operations?
I would rather pay to go to the doctor when I was sick than pay for the rest of my life if someone I loved fell into the P trap. We as society pay for it one way or another in the form of violence, crime and the lives of the people we love. No-one is free of of P and if it saves 1 life it is worth it I believe.
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I have no need for the drug 'P'. I realise that it is a major problem, which should be addressed. However, withdrawing, or having pseudoephidrine products such as Codral Cold & Flu only available on prescription is a nonsense. I have been taking medicines utilising ephidrine and in later years, pseudoephidrine daily for over thirty years. If I miss a dose I invariably spiral down into an infected sinus situation, which can only be fixed by antibiotics and large doses of pseudoephidrine. I will be 65 this year and have in recent years developed a marginally raised blood pressure. As a consequence my GO refuses to give me a prescription, claiming she would be struck off I was to die and it was found out that she had prescribed it. I have been to see an ENT specialist who is able to operate to make the sinus drain more easily, however this will not stop my nose from running continuously. There must be other ways to stop the prevalence of 'P' without punishing a whole heap of innocent people. This is a no win situation for me!