South Africa: Private Doctors Overprescribe Pain Medicines

South African private doctors often overprescribe opioids and NSAIDs after surgery, risking addiction and environmental harm.

Oct 21, 2026

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South Africa: Private Doctors Overprescribe Pain Medicines

South African private doctors often overprescribe opioids and NSAIDs after surgery, risking addiction and environmental harm.

In brief

South African private doctors often overprescribe opioids and NSAIDs after surgery, risking addiction and environmental harm. South African private doctors frequently prescribe dangerous pain medications like oxycodone without proper medical advice, leading to addiction risks and environmental harm. Originally…

My surgery experience

I had shoulder surgery in a private hospital with minimal pain after a month of recovery.

Private health system issues

Private doctors often give patients more medication than is safe, causing addiction risks and environmental harm.

Pain management risks

Pain medicines like paracetamol and ibuprofen can harm the liver and kidneys with frequent use.

Common pain medicines

Paracetamol (Panado) and ibuprofen are used for mild pain but can cause liver and kidney damage with overdoses.

Targinact risks

Targinact contains oxycodone, a drug linked to the US opioid crisis, which is addictive and dangerous for minor surgery.

OxyNorm risks

OxyNorm contains oxycodone at half the dose but is prescribed unnecessarily for minor surgery.

Stilpane risks

Stilpane contains codeine and meprobamate, both addictive and risky for long-term use.

Xefo Rapid risks

Xefo Rapid is expensive and less effective than generic ibuprofen for pain relief.

Overprescription causes

Doctors overprescribe due to outdated practices and drug reps pushing for stronger pain medicines.

Prescription safety

Doctors should discuss pain relief options before prescribing stronger medications.

Medicine disposal

Unused medicines can cause environmental harm or addiction risks if shared with family members.

Solutions needed

Health organizations must publish guidelines to reduce overprescription of pain medicines.

The essence

South African private doctors frequently prescribe dangerous pain medications like oxycodone without proper medical advice, leading to addiction risks and environmental harm.

Read the original on Allafrica

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