PPSG

India: Opioid availability - An update

Citation:

Rajagopal MR, Joranson DE. India: opioid availability. An update. J Pain Symptom Manage. 2007;33:615-622.

Abstract:
Author: 

Rajagopal MR, Joranson DE. India: opioid availability. An update. J Pain Symptom Manage. 2007;33:615-622.

In India, a million people with cancer and an unknown number of people with other incurable and disabling diseases, need opioids for pain relief. Only about 0.4% of the population in need have access to them. Major barriers to access to opioids are complicated regulations and problems related to attitude and knowledge regarding pain relief and opioids among professionals and the public.

Country: 

Ensuring opioid availability: Methods and resources

Citation:

Joranson DE, Ryan KM. Ensuring opioid availability: Methods and resources. J Pain Symptom Manage 2007;33:527-532.

Abstract:
Author: 

Joranson DE, Ryan KM. Ensuring opioid availability: Methods and resources. J Pain Symptom Manage 2007;33:527-532.

The pain and palliative care fields are encouraged to learn about government drug control policy and to engage with their governments to examine these policies and their implementation in order to address impediments to patient access to pain management. Although pain management is a necessary part of palliative care, it is often impossible because strict national and state regulations block access to opioid analgesics.

Medical Use, Misuse, and Diversion of Opioids in India

Citation:

Rajagopal MR, Joranson DE, Gilson AM. Medical use, misuse, and diversion of opioids in India. Lancet 2001;358:139-143.

Abstract:
Author: 

Rajagopal MR, Joranson DE, Gilson AM. Medical use, misuse, and diversion of opioids in India. Lancet 2001;358:139-143.

In less-developed countries, opioids such as morphine are often not available for pain relief because of excessive regulations imposed to prevent their misuse and diversion. We describe the effect that these draconian measures have had on the availability of drugs for medical use in Kerala, India, and present results of a study, which we did to ascertain whether or not the misuse and diversion of opioids is as prevalent as the government reaction would suggest. We followed 1723 patients in Calicut, India, who were being treated for pain with oral morphine on an outpatient home-care basis.

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A much-needed window on opioid diversion (Editorial)

Citation:

Joranson DE, Gilson AM. A much-needed window on opioid diversion (Editorial). Pain Med 2007;8:128-129.

Abstract:
Author: 

Joranson DE, Gilson AM. A much-needed window on opioid diversion (Editorial). Pain Med 2007;8:128-129.

This is an editorial piece.  No abstract is available.

 (PDF)

Pain Relievers

Citation:

Price,J. Pain Relievers. On Wisconsin 2010;Winter:39-45.

Abstract:
Author: 

Price,J. Pain Relievers. On Wisconsin 2010;Winter:39-45.

No PDF of this article is available.  Hower, please click the link below to read the article on the website.

On Wisconsin Magazine

Country: 

Media views of US opioid access for pain management!

 

Weddings, vacations, reports, grants, meetings including the excitement of a well attended Palliative Care side event at the World Health Assembly have passed and it is time to get back to this blog more regularly. I thought I would review some links from over the first half of the year that tweeked my interest as it relates to PPSG’s work.

“A way to provide palliative care Globally” #hpmglobal comments on Richard Smith’s BMJ Blog

On June 25th, Richard Smith former editor of the BMJ and still a regular blogger in that journal wrote of  his participation at a Royal Society of Medicine conference. Richard quoted speakers who included colleagues Scott Murray, David Praill, Barbara Gomes and Ann Merriman as to the lack of palliative care and pain relief in most countries.

Regional

WHO Regions - Opioid Consumption Data

The World Health Organization (WHO) divides member countries into 6 world regions. Opioid consumption data is available for each of the following WHO regions:

Opioid Consumption Data

Background
Each year the Pain & Policy Studies Group (PPSG) receives from the International Narcotics Control Board (INCB) consumption data for 6 principal opioids used to treat moderate to severe pain:

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