Intended for healthcare professionals

CCBYNC Open access

Rapid response to:

Research

Long term effect of reduced pack sizes of paracetamol on poisoning deaths and liver transplant activity in England and Wales: interrupted time series analyses

BMJ 2013; 346 doi: https://doi.org/10.1136/bmj.f403 (Published 07 February 2013) Cite this as: BMJ 2013;346:f403

Rapid Response:

Re: Long term effect of reduced pack sizes of paracetamol on poisoning deaths and liver transplant activity in England and Wales: interrupted time series analyses

This paper makes interesting reading and strongly indicates that reducing pack sizes of paracetamol has reduced the incidence of fatal overdose. Unfortunately the discussion is marred somewhat by the suggestion of reducing the strength of paracetamol tablets to further reduce poisoning. This may well work but has about as much utility as suggesting that rope be only sold in lengths of six inches to reduce the incidence of hanging. It is possible that both actions may achieve their aim but make the products wholly unsatisfactory for its intended use.

Competing interests: No competing interests

10 February 2013
Duncan j Livingstone
Hospital pharmacist
Queen Victoria hospital
East Grinstead