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Effect of restrictions on prescribing patterns for dextropropoxyphene.

Authors
Type
Published Article
Journal
BMJ
0007-1447
Publisher
BMJ
Publication Date
Volume
281
Issue
6241
Pages
651–653
Identifiers
PMID: 7437754
Source
Medline
License
Unknown

Abstract

Prescribing of compound analgesics containing dextropropoxyphene was limited to consultants only in a teaching hospital. Inpatient prescribing (mainly by junior staff) fell immediately to very low levels but outpatient prescribing (by consultants) fell more slowly to about one-third of the original level, suggesting that patients and doctors find dextropropoxyphene compounds useful. Prescriptions for paracetamol increased but so did those for other compound analgesics, particularly those containing high doses of codeine, indicating a belief that compound analgesics have a role in treatment. Restrictions may produce unexpected results and monitoring is essential, but the method of audit used by pharmacies is not suitable for detailed analysis.

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