Dangers of mixing codeine and Alcohol

What is codeine?

Codeine is an opiate derived from the opium poppy plant, commonly found in prescription medications to treat mild to moderate pain and to alleviate coughing. It is often included in combination medications for pain relief and cough suppression. Additionally, codeine can be prescribed to manage diarrhoea and to provide relief from certain gastrointestinal issues.

While effective for pain management, codeine has the potential for misuse and dependency due to its narcotic properties. It’s crucial to use codeine under medical supervision to ensure safe and appropriate use.

Why is codeine and alcohol a popular combination?

The combination of codeine and alcohol has become alarmingly common worldwide. This dangerous mix typically involves codeine cough syrup, often codeine linctus, combined with fizzy drinks and sometimes candy for added flavour.

The popularity of codeine and alcohol, or ‘Purple Drank’, has been fueled by its glamorisation in music and media, where it’s often portrayed as enticing and fun.

The concoction’s effects are primarily due to codeine’s ability to calm and relax the user. When mixed with alcohol, these effects become even more potent, creating a stronger sense of calm and a more intense high. However, this combination is extremely hazardous because both codeine and alcohol depress the central nervous system. This can lead to respiratory depression, unconsciousness and, in severe cases, death.

While the allure of Purple Drank lies in its easy accessibility and the temporary euphoria it provides, the risks associated with this dangerous combination far outweigh any fleeting pleasure.

Codeine misuse concerns in the UK

Codeine misuse is a growing concern in the UK. The Medicines and Healthcare Products Regulatory Agency (MHRA) announced in February 2024 that codeine linctus, an oral solution or syrup used to treat dry coughs in adults, will now require a prescription.

This change comes due to the increasing risks of abuse, dependency and overdose associated with the medication. Previously, codeine linctus was available over the counter with a pharmacist’s supervision, but it will now be prescribed only after a healthcare professional’s assessment.

This move reflects a growing awareness and concern over the misuse of codeine in the UK.

What are the dangers of mixing codeine and alcohol?

Mixing codeine and alcohol can have serious and potentially life-threatening consequences. It’s crucial to be aware of these risks to protect your health and well-being. Both substances depress the central nervous system, which can lead to amplified effects and severe complications. Here’s a closer look at the short-term and long-term dangers of combining codeine and alcohol.

Short-term dangers

• Respiratory depression: Both substances can slow down breathing, which can lead to dangerous levels of respiratory depression or even stop breathing entirely.
• Increased sedation: The combined sedative effects can cause extreme drowsiness, dizziness and impaired coordination, increasing the risk of accidents and injuries.
• Confusion and disorientation: Mixing codeine and alcohol can cause significant cognitive impairment, leading to confusion, poor decision-making and risky behaviours.
• Nausea and vomiting: The combination can irritate the stomach lining, leading to severe nausea and vomiting, which can result in dehydration and electrolyte imbalances.
• Loss of consciousness: There is a high risk of blacking out or losing consciousness, which can be dangerous, especially if you’re in an unsafe environment.

Long-term dangers

• Addiction: Combining codeine and alcohol regularly can lead to a higher risk of developing substance use disorders and addiction to one or both substances.
• Liver damage: Both alcohol and codeine can be toxic to the liver. Prolonged use can lead to severe liver damage, cirrhosis or liver failure.
• Mental health issues: Long-term use can exacerbate mental health problems, such as depression and anxiety and increase the risk of developing more severe psychiatric disorders.
• Cardiovascular problems: Chronic use can lead to heart problems, including high blood pressure, arrhythmias and an increased risk of heart attacks and strokes.

Can I overdose on codeine and alcohol?

Yes, it’s possible to overdose on codeine and alcohol. If you are suspicious that someone you care about is frequently mixing the two, or perhaps you’ve found yourself engaging in the combination, understanding the signs of overdose is key. Codeine and alcohol, when combined, can be extremely dangerous, and by understanding the signs of overdose, you may potentially be able to save a life.

Here are the signs of overdose to watch out for:

• Extreme drowsiness
• Slow or irregular breathing
• Confusion or unresponsiveness
• Blue lips or fingernails
• Nausea and vomiting
• Cold or clammy skin
• Seizures
• Loss of consciousness

If you notice any of these signs, it’s essential to seek medical help immediately. Prompt intervention can save lives.

I have mixed codeine with alcohol, and now I’m feeling unwell

If you’ve mixed codeine with alcohol and are feeling unwell or panicky, it’s crucial to take action quickly but calmly. Here are some steps to follow:

• Get help immediately

Call emergency services or head to the nearest emergency room right away. Mixing codeine and alcohol can be very dangerous, and you need professional medical help as soon as possible.

• Stay calm

Try to stay as calm as you can. Taking slow, deep breaths can help reduce panic and anxiety, making it easier to manage your symptoms.

• Stay hydrated

Drink plenty of water to help flush out the substances. Avoid any more alcohol or medication.

1. Avoid further medication

Don’t take any more medication to try and counteract the effects of codeine and alcohol. This could make things worse.

• Tell someone

Let a friend or family member know what’s happening. Having someone with you can provide comfort and assistance if your condition changes.

Your health and safety are the most important things right now. Don’t hesitate to reach out for help – it’s the best thing you can do.

I feel as though my codeine and alcohol usage is becoming a problem

If you’re feeling like your codeine and alcohol usage is becoming problematic, it’s crucial to reach out for help. Addiction can affect anyone, and it often sneaks up on you, only becoming apparent when things have already gotten out of hand. The good news is that you can get the support you need in many ways. One option is to contact your GP, who can refer you to a drug rehabilitation programme.

Oasis Bradford offers comprehensive rehab programmes specifically designed for those struggling with codeine and alcohol addiction. Our programmes provide a holistic approach to recovery, addressing both the physical and psychological aspects of addiction.

Here’s a glimpse at what we offer:

• Detox from both codeine and alcohol: Our medically supervised detox programme ensures a safe and comfortable withdrawal process from codeine and/or alcohol. Our experienced medical team will monitor you 24/7, managing withdrawal symptoms and ensuring your safety.
• Therapeutic support: We offer a range of therapeutic interventions, including individual counselling, group therapy and Dialectical Behaviour Therapy (DBT). These sessions help you understand the underlying causes of your addiction and develop coping strategies to maintain sobriety.
• Aftercare support: Recovery doesn’t end when you leave our facility. We offer robust aftercare support to help you maintain your sobriety and navigate the challenges of everyday life. This includes access to support groups and relapse prevention planning.

Reaching out for help is a brave and crucial first step. At Oasis Bradford, we’re here to support you every step of the way on your journey to recovery.