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Availability of co-proxamol should be restricted
May 07, 2003The painkiller co-proxamol is the second most common prescribed drug that people use to commit suicide in England and Wales, and its availability should be restricted, say researchers in this week’s BMJ.
National and local records were used to compare the numbers of suicides from poisoning with co-proxamol, paracetamol, and trycyclic antidepressants in England and Wales between 1997 and 1999. Fatal and non-fatal poisonings were also compared to estimate the relative fatality of overdoses with these three drugs.
Of 4,162 drug related suicides, 18% involved co-proxamol alone, 22% trycyclic antidepressants alone, and 9% paracetamol alone. Co-proxamol poisoning was significantly higher in 10-24 year olds than in other age groups. The odds of dying after overdose with co-proxamol was twice that for trycyclic antidepressants and 28 times that for paracetamol.
Fatal overdoses due to co-proxamol are the second most frequent means of suicide with prescribed drugs in England and Wales, say the authors.
Self poisoning with co-proxamol is particularly dangerous and contributes substantially to drug related suicides, say the authors. Restricting availability could have an important role in suicide prevention, they conclude.
British Medical Journal (BMJ)
Fatal overdoses due to co-proxamol are the second most frequent means of suicide with prescribed drugs in England and Wales, say the authors.
Self poisoning with co-proxamol is particularly dangerous and contributes substantially to drug related suicides, say the authors. Restricting availability could have an important role in suicide prevention, they conclude.
British Medical Journal (BMJ)
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