CODEINE SYRUP: A SYRUP THAT IS WIPING OUT A GENERATION OF YOUTHS!

“Habit, if not resisted, soon becomes necessity”- Saint Augustine

Samuel Johnson once said, “The chains of habit are too weak to be felt until they are too strong to be broken”. There is an epidemic that is sweeping across the world, with the victims being the youths. Codeine syrup is gradually turning the youths to endangered species. Cough syrup with codeine is a preferred substance of abuse for youths because of its wide availability. It is quite sympathetic to know that the culprits of this endemic drug is not just the youths but also the parent, government, law enforcement agencies, and pharmaceutical companies that are creating a conducive atmosphere for this juvenile drug to thrive through their act of negligence.

The abuse of cough syrup that contains codeine is spreading among youths today. It is very common nowadays to see the youth partying with Styrofoam cups containing a mixed concoctions of strawberry-flavored cream soda, and promethazine codeine cough syrup mixed with ice cubes. This has become a major cocktail whenever youths are socializing just to get high. Another version of it is to consume a concoction of cough syrup with codeine and carbonated drinks or herbal alcoholic beverages.

Youths are very curious, energetic, adventurous and extremely inquisitive. These four youthful qualities can be so counterproductive and destructive when not well guarded by parents, guardians, teachers, counselors and mentors. An unguarded youth is a danger waiting to happen as they spend their time socializing and experimenting many things until they go off the tangent and boundary of sanity. Sources at Neuropsychiatric Hospitals, across the world, says there have been an increase in the demand for the facility’s services now more than before, particularly by youths.

Codeine, as it is popularly called, goes by many names across the world. It is also called sizzurp, purple drink, syrup, lean and dirty sprite. It is basically a mix of codeine-based prescription cough syrup, soft drink and any other substance of the user’s choosing to give more colour or flavour. Findings show that abusers often mix the syrup with Sprite or Coke, with some of them taking as many as eight bottles of the drug a day to get high on it.

Many youths all over the world have become addicted to cough syrup with codeine. A pandemic that is seriously ravaging high schools and colleges around the world! Unless there is an urgent intervention, experts have warned that many countries may be building a nation of drug addicts. Abuse and addiction cases of codeine are normally very rampant in Africa with Nigeria taking a sympathetic lead. The Nigerian Senate recently raised the alarm that over three million bottles of codeine syrup were consumed daily in two of its northern States (Kano and Jigawa States). Even the National Agency for Food and Drug Administration of Nigeria, NAFDAC, has expressed worry over uncontrolled use of codeine containing cough syrups across the country.

Codeine containing cough syrups are effective as prescription pain reliever and cough suppressant of certain coughs. However, it has a high potential for abuse and may present some serious adverse reactions to the user. For these reasons, access to codeine containing cough syrups has been restricted in several countries.

 Codeine is an opiate used for its analgesic (pain reliever) and more commonly antitussive effect (cough suppressant) in cough syrups. Codeine is one of the many pharmaceuticals classified as an opiate. Opiates are narcotics with a high potential for addiction. When used as prescribed, this pain reliever and cough suppressant is a relatively mild opiate. However, it is still a dangerous drug that is increasing in usage and popularity, both with celebrities and with teenagers and young adults.

The rampant abuse of codeine among pupils in the secondary/high schools is gradually hitting the ceiling as many of them put the mixture in their water bottles to give the impression that they are drinking water. When they put the mixture of codeine and soft drink in water bottles, no one will suspect that they are taking drugs and it has become an elusive tactics among secondary/high school students.

According to some of the youths that I have helped over the years in overcoming this addiction, they all believe that it puts them in perpetual state of ecstasy and euphoria, a feeling they became accustomed to and frequently yearned for. The most damaging part of codeine addiction just like any other addiction is that the victim will always need a higher dose of codeine in order to maintain and sustain its ‘euphoriant’ effects. Most victims normally start with a bottle of the cough syrup each day  and gradually increased the amount ingested to three, four or five bottles daily. This progressive death trap of maintaining an addiction with a higher dose is the real tragedy of getting ‘high’!

Excessive amounts of codeine can have a negative impact on the user’s central nervous system as well as reduce the activity of the lungs and the heart.  Other undesirable effects are depression, high blood pressure, seizures, impaired judgment, panic attacks, respiratory depression, hallucination, chronic headache, constipation, dizziness, papillary constriction, drowsiness or even coma, slurred speech, impairment in attention or memory; inattention to the environment, even to the point of ignoring potentially harmful events.

We need to draw a battle line on this juvenile misdemeanor that has been ravaging the youths and turning them to endangered species! We need a thorough and better understanding of drug use, prevalence, trends and patterns in world; understanding of the current government and civil society’s capacity and efforts towards addressing drug abuse and related issues; we need to gain insight into legislative, policy gaps, and develop an Action Plan for interventions by lawmakers and other stakeholders. A particular search light should be beamed at vulnerable youths, young girls in tertiary institutions, unemployed/ at-risk youths, among others, were the abuse is predominant.

NAFDAC is currently working with the Pharmacist Council of Nigeria (PCN), National Drug Law Enforcement Agency (NDLEA) and National Institute for Pharmaceutical Research and Development (NIPRD) to arrest the increasing abuse of these cough syrups in Nigeria. It would be recalled that NAFDAC took a proactive step in the wake of cough syrup containing codeine abuse by cancelling its over-the-counter (OTC) status of the drug and declaring it a prescription only medication (POM) instead. Despite such measure, codeine containing cough syrups are still been purchased and abused by drug abusers in the country, teenagers and young adults in particular. More worrisomely, the nation’s youth have devised ingenious means to ‘get high’ in a manner that has perpetuated this decadence.

More awareness is needed to educate the public on the risk of the indiscriminate use of codeine containing cough syrups and other drugs. The proliferation of abusive drugs can also be linked to the social media hype that some celebrities project in their songs. Organizations must make the condition of great aversion to drug abuse as their core conditions to selecting brand ambassadors. 

I want to encourage a strong coalition between the Federal Ministry of Health, agencies for Food and Drug Administration and Drug Law Enforcement Agencies in featuring as a unified voice against drug abuse during orientation programmes in all the Universities, Polytechnics and colleges of Education throughout the world. Most orientation programmes in tertiary institutions and colleges don’t really meet the needs of the youths as they refuse to address pertinent issues and challenges of the youths.

Parents, guardians and care givers to be vigilant in order to detect early signs of drug addiction in their children and seek help from appropriate quarters. Parent should watch out for the following in their wards as they most times indicates the onset of drug abuse: neglect of personal hygiene, irrational behaviours, restlessness, social withdrawal, poor sleeping pattern or eating habits, weight loss, aggressive behaviours, sudden change of friends/ social network and excessive spending, frequent mood swings, extreme fatigue, frequent vomiting, absenteesm/truancy in school, hallucinations and paranoia.

I want to sincerely appeal to the youths to eschew drug abuse and addiction in all forms. No habit exists in isolation. An alcoholic will gamble and womanize, and also people that are addicted to drugs will eventually steal. Any habit that you refuse to deal with in the present, will deal with you in the future. Stop that habit/addiction or whatever it is that is holding back from living a fulfilling life. You have to ‘face’ your bad habits so that you can ‘phase’ them out! Experts say it takes about 21 days for a new activity to become a habit and six months for it to become part of your personality. So every day you keep going on in your resolve to stop a habit, and refusing to give up, brings you a day closer to freedom. Kill that habit before it kills you!

Nate Silver once said, “I have the same friends and the same bad habits”. I want to also encourage the youths to beware of toxic relationships. Dan Buettner once said, “The people you surround yourself with influence your behaviour, so choose friends who have healthy habits.”

F.M. Britto said, “Conquer your bad habits lest they eventually conquer you”. To all the youths out there that are caught up in this trending habit and addiction, there is no difficult habit, we only have unwilling minds. One of the greatest philosophers that ever lived, Niccolo Machiavelli said categorically, “Where the willingness is great, the difficulties cannot be great”. It is psychologically true that what you can endure, you cannot change. Change that habit or one day it will ultimately seal your fate! As a chemist, I know that there is a mark similarity in the effect and structure of cocaine and codeine, While Cocaine has a molecular formular of C17H21NO4 that of Codeine is C18H21NO3. It is very obvious that they have the same organic moiety. Youths must fight Codeine as they would fight Cocaine! I want to encourage the youths to join their voices together with mine on Social Media against this ravaging evil among the youths. Please, tweet/post/share on twitter, Facebook and Instagram with #StopCodeineB4ItStopsYou, #FightCodeineAsYouWouldFightCocaine and #SayNoToCodeineAbuse.

“The only way to eliminate bad habits is to replace them with good ones”- Jerome Hines