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Promethazine with codeine online pharmacy site to save costs The website offers high concentrations, from 0.005 milligram to 2.5 milligrams, of codeine products. It advertises that users don't have to take any medicine while online, because they can store and use them until they come back to the UK. online pharmacy says there are more than 70 different strengths on its website. "If you're having this treatment, that is for people whom the pain is a persistent, constant problem and for whom these drugs have to be at a very low dose. We make a strong case that these [drugs] aren't very beneficial," says Peter Jansen, director of public health at the Royal Pharmaceutical Society (RPS). He says that there doesn't appear to be any evidence that the high concentrations of codeine have any therapeutic value. However, it remains to be seen whether patients in need will continue buying from the online pharmacies. "If you're asking people to continue buying these drugs, then the concern is we are seeing a rise in the use of drugs such as codeine and other opiates, even though we know they are not very effective," says Jansen. "There is a concern about how safe and effective they are. It could be that more need to done in terms of monitoring and encouraging people to find other ways control their pain. And that might mean other drugs, such as opioids, might be used, to treat their chronic pain." A trial of another online pharmacy, Pharmacy Depot, found that its codes were ineffective and often mixed with other opiates such as hydrocodone. There was a small but significant chance that people using the codeine-only codeine products may have also taken a larger dose of prescription opiates, such as hydrocodone. "If they have gone the whole way through first 12 weeks and then come back, they should have been prescribed something else – and not codes." Peter Jansen, Royal Pharmaceutical Society The codeine-only pharmacies are now facing a recall which will take place on 5 October. The retailers will begin by removing high concentrations within six hours. "It's a matter of making sure that we do the right thing. If they have gone the whole way through first 12 weeks and then come back, they should have been prescribed something else," says Jansen. The RPS says online pharmacies have no right to sell the drugs. "They can't them to anyone under 18, who is self-injurious, anyone has had their prescriptions removed. There is no evidence them selling these prescriptions to anybody else is a good thing. There no real evidence that people who come to the website are taking these [drugs]," says Jansen. He says there is a small but growing group of people who are taking opioids generic promethazine cough syrup from a variety of legitimate sources, and who will purchase illegal drugs. "It's not just people who have mental health problems, they're"
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