Reform of drug control policy for palliative care in Romania


Mosoiu D, Ryan KM, Joranson DE, Garthwaite JP


Mosoiu D, Ryan KMM, Joranson DE, Garthwaite JP. The Lancet - Vol. 367, Issue 9528, 24 June 2006, Pages 2110-2117


Unrelieved pain from cancer and HIV/AIDS is a substantial worldwide public‐health problem
Inadequate pain relief is partly due to excessively strict national drug‐control policies that
constrain medical use of essential medicines such as morphine. Romania’s drug‐control policies
are more than 35 years old and impose an antiquated regulatory system that is based on
inpatient post‐surgical management of acute pain that restricts prescription authority and
makes access to opioid treatment difficult for outpatients with severe chronic pain due to cancer
or HIV/AIDS. A Ministry of Health palliative‐care commission used WHO guidelines to assess
and recommend changes to Romania’s national drug control law and regulations. The
Romanian parliament has adopted a new law that will simplify prescribing requirements and
allow modern pain management.  Achievement of adequate pain relief is a vital part of
worldwide health and will be dependent on reform of anti‐drug regulations in many countries.