French medicine and my head cold

kittynh

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So, just back in from a wonderful vacation in France. Have to start out with people were so NICE. Yes, the French were pleasant and helpful.

But I did end up with a head cold. It wasn't bad, but I had trouble sleeping at night because of the cough. So I popped into the little pharmacy in Avignon with Pool Boy. For the Americans on the board I should explain that a pharmacy in Europe is just that. Pretty much drugs and maybe a toothbrush. It doesn't sell milk, bread, greeting cards and makeup. Just drugs.

I was pleased the pharmacist spoke better English than I did French, though the hacking cough kind of was a hint of what I needed. I asked for some cough drops, and some syrup. She took me over to shelves and handed me some drops and assured me they would be safe to take as they were "homeopathic". Pool Boy stepped back knowing the storm about to follow. I said, "Non!" Then I explained as best I could that if I wanted to just drink a glass of water to feel better I could get that for free. She then kindly took me over to the OTHER real drug section and explained about the cough medicine I could take, but that I had to be "very careful" as if I took too much it could make me ill. She said she usually offers homeopathic medicine to foreigners as she knows they can take as much as they want and it won't hurt them. She said many foreigners, especially Americans are very bad about taking drugs. She pointed out the cough syrup I was getting had codeine in it, and in the US you needed a perscription to purchase it in the US. She was afraid I would take it more frequently than I needed to and would become ill (I take it this had happened before). She admitted that homeopathic medicines did not work in her opinion, but was forced to sell them by the pharmacy chain. She figured my cough wouldn't kill me, but too much codeine could!

I have to admit the cough syrup packed a punch, and I only took it at night after that first day. I pretty much just fell asleep in a park in the sun after taking it that first afternoon. But then again, Avignon with the sun shining is a perfect place to catch a nap.

I see the pharmacists point, European medicines are often more powerful than their American counterparts. But, she picked the wrong tourist to try to give homeopathic meds to!
 
I'm actually a bit surprised that they'd sell codeine essentially OTC in France (with the stipulation that you had to ask for it). By the way, a Tylenol 3 also works wonders for a hacking cough, but you gotta be careful. You should really only supress a dry (i.e., non-productive, irritating, "scratchy throat") type cough and NOT one where you're producing a lot of phlegm. If that's the case, you take codeine and knock out your cough center... boom - pneumonia (can and has happened)! Likewise, if you have an asthmatic cough, you're also depressing your respiratory drive with codeine (and other synthetic opioids) and that can be dangerous. [Edit to add: You also end up treating the symptom and not the disease, too, which is something we NEVER want to do if we can avoid it (contrary to some popular misconceptions out there).]

I think these are among the reasons why docs in the U.S. are more hesitant to prescribe such meds, but you certainly cannot get them over the counter either!

-TT
 
You can't get codeine OTC in the UK either. For precisely those reasons. (Which is why I wasn't telling my GP that I was self-treating a tickly cough with the codeine tablets I had left from my late pony's longterm therapy for chronic diarrhoea - but what the hell, it works!)

You can get syrup containing dextromethorphan, which also works fairly well. But they stopped the OTC sale of the codeine-containing version.

Rolfe.
 
You can get mixtures of paracetemol and codiene and ibuprofen and codiene (I'm dosing myself on nurofen plus as we speak, not that it helps).

Pretty light quantities of codiene, mind you. I've scarfed all my voltarol and needed something to 'get me by' to my next appointment.

I noticed when I was out in Central Asia ( a couple of weeks ago) their pharmacists are keen to push all the herbal crap first, usually on the basis of cost though.

They seemed to think I was being rude when I refused that stuff as there was no hint of an active ingredient. I only had a sore throat, and rather amusingly I ended up with a british-made pack of Strepsils.

The pharmacists are called by the russian name 'apteka' as in 'apothecary'. Which I found rather quaint!
 
actually, I figured out just to take it at night for sleeping...

the pharmacist gave me some other stuff for the day just to dry it up a bit, but I'm a believer in drink a lot of fluids and blow it all out (sounds gross). As long as it's moving, I don't feel too badly. I just wanted to sleep though!

The weird part is all I wanted was some regular cough syrup like you would get OTC in the US. She seemed to only have to codeine stuff...let's face it, our language skills were hurting here. Seems Pool Boys French is Belgium French which doesn't fly as well in the South of France. That was the reason I didn't want to just pick something myself off of the shelf, even though my skills at reading French aren't too bad. I needed some Tylenol once, and had to ask a pharmacist (it's called Panadol there) - so even reading French isn't a big help.

I've bought OTC meds in Canada, that were perscription here (Claritin used to not be OTC in the US). Also, (sorry guys) you used to only be able to get yeast infection cures OTC in Canada also (always good to have one of those kits at hand).

What I really wanted was some Nyquil! Now that stuff is powerful!
 
Rolfe said:
You can't get codeine OTC in the UK either.

Um, WHA? Have you changed the laws recently? Like, since January 2001, when I could get aspirin with codeine and paracetomol with codeine freely in the UK?

No more Codis? With the white box and the red printing and the symbol that looked like the dagger through the Earth from the old Star Trek episode?

Mind you, at concentrations between 4 mg and 6.8 mg per tablet, it was damn near homeopathic for abuse purposes. But it was still codeine.

Man, you people are really starting to suck big time. Next thing you won't have Old Peculier in the oak cask any more because somebody might get drunk.
 
I think Benguin is right, you can get some low-dose codeine-containing preparations. You can't get it in the quantities I'm inclined to prescribe though! (The sainted Gordon was scarfing down ten 60mg tablets daily for the last seven years or so of his life.)

Rolfe.
 
kittynh said:
actually, I figured out just to take it at night for sleeping...

the pharmacist gave me some other stuff for the day just to dry it up a bit, but I'm a believer in drink a lot of fluids and blow it all out (sounds gross). As long as it's moving, I don't feel too badly. I just wanted to sleep though!
(snipped)

A seasoned traveler such as yourself not packing decongestants, nyquil caps, peptol bismol tabs, tylenol? You're a braver woman than I am
 
I always carry all this stuff ... and invariably find I suffer from the one thing I didn't bring a remedy for on that occasion. Trying to communicate anti-histamine spray to someone who speaks no English can be very entertaining!

These 'codiene' pills I'm popping;
Ibuprofen Ph.Eur 200mg
Codiene Phosphate Ph.Eur 12.8mg

Don't exceed 6 a day.

So about a tenth of Rolfe dishes out. I wish she was my dealer.
 
Originally posted by Rolfe
You can't get codeine OTC in the UK either. For precisely those reasons.
You can't get it OTC in Belgium either. They used to have a really good cough sirup years ago, but they had to remove the codeine from the list of ingredients to be allowed to continue selling it OTC.

Last year in December, my doctor specifically prescribed a sirup WITH codeine, and the pharmacist had to make it himself (basically pouring fluids from two large glass bottles together). Now I know why good cough sirup tastes so much like chemicals ... it is :/

For coughing though, I find Orofar really good (the rubber-like things with the airbubble inside).
 
I'm just surprised they didn't try and give you a suppository: that seems the norm in France
 
The other funny thing about medicine in europe (at least in the country I am in,) is that you pay the same amount of money for ibuprofin in the US at say, Sams Club or BJ's but you only get 20 tablets here instead of 2000. Homeopathy is everywhere here too, and I can see France from my street. Very popular here in europe that is for sure.
 

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