GPs warn of dangers of a backlash over NSAIDs
I have refused to prescribe co-proxamol for years. I cannot believe I was the only doctor who cheered at the announcement that it was to be banned.
I agree with your correspondent that dextropropoxyphene is not hepatotoxic. It is, however, an extremely potent respiratory depressant and is cardiotoxic (BNF 49 March, 2005), especially with alcohol.
It is not a very good analgesic. If it is a useful drug why was the plain version withdrawn? There was no outcry when plain dextropropoxyphene was withdrawn.
There is no call for barbiturates to be reinstated for insomnia, so let this piece of antiquity be consigned to the dustbin of history.
Dr Stephen Fox