One of the commonest pain relief drugs may be removed from supermarket
shelves after a coroner's recommendations regarding the death of a teenage
boy from an overdose.
The State Government will set up a panel of health experts to consider
the current use and abuse of paracetamol and to set guidelines to prevent
liver failure in children, as recommended yesterday by the coroner, Jan
Stevenson.
The panel will also be asked to consider restricting the sale of
paracetamol products, such as Panadol, to pharmacies.
About half of all paracetamol products are sold in shops other than
pharmacies.
Wade Dunn was 13 when he died in hospital in March 2000 of end-stage
liver failure after he was given 32 grams of paracetamol over 14 days. He
was recovering from a hip operation.
");document.write("
advertisement
"); } } // -->
advertisement
advertisement
At 104 kilograms and 166 centimetres in height, he was obese and prone to
fatty liver - which Ms Stevenson noted were critical factors in the way he was
treated.
The chief health officer at NSW Health, Greg Stewart, said that following the
recommendations an alert would be issued to medical professionals across the
state advising of Wade's death, and of problems that may arise when patients
fall outside normal circumstances.
"Paracetamol is a very useful medication for pain relief and for reducing
temperatures, particularly in children," Dr Stewart said. "Nevertheless it is
important to say that any medication has side effects."
Ms Stevenson also recommended that the Minister for Fair Trading consider
restricting paracetamol advertising because of the possibility of overuse "and
the ensuing health risks especially to children".
The scientific director of the Australian Self-Medication Industry
Association, Susan Parker, said paracetamol should remain on sale in a variety
of shops so people living in remote areas could obtain it.
The drugs regulator, the Therapeutic Goods Administration, already required
advertising to aim only at adults, Ms Parker said.
"The industry is confident that the labelling of analgesics in general and
paracetamol in particular is sufficient if it is followed closely, particularly
when giving [them] to children," she said.
Referring to evidence at the inquest from a Sydney gastroenterologist, Dr
Edward O'Loughlin, the coroner said it appeared there was a "widely held belief
in the medical community that paracetamol is a drug without danger", which was
not the case.
The NSW Vice-President of the Australian Medical Association, John Gulotta,
said paracetamol packets should have large warnings, as with cigarettes.
"They should say that more than eight tablets a day in an adult may cause
liver damage," he said.
ALL INFORMATION, DATA, AND
MATERIAL CONTAINED, PRESENTED, OR PROVIDED HERE IS FOR GENERAL INFORMATION
PURPOSES ONLY AND IS NOT TO BE CONSTRUED AS REFLECTING THE KNOWLEDGE OR OPINIONS
OF THE PUBLISHER, AND IS NOT TO BE CONSTRUED OR INTENDED AS PROVIDING MEDICAL OR
LEGAL ADVICE. THE DECISION WHETHER OR NOT TO VACCINATE IS AN IMPORTANT AND
COMPLEX ISSUE AND SHOULD BE MADE BY YOU, AND YOU ALONE, IN CONSULTATION WITH
YOUR HEALTH CARE PROVIDER.
"A foolish faith in authority is the worst enemy of truth."
-- Albert Einstein, letter to a friend, 1901
"I know of no safe depository of the ultimate powers of the society but the people themselves, and if we think them not enlightened enough to exercise control with a wholesome discretion, the remedy is not to take it from them, but to inform their discretion by education."
-- Thomas Jefferson, letter to William C. Jarvis, September 28, 1820
"What's the point of vaccination if it doesn't protect you from the unvaccinated?"
-- Sandy Gottstein
"Who gets to decide what the greater good is and how many will be sacrificed to it?"