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Medical Use, Misues, And Diversion Of Opioids In India

M. Rajagopal, D. Joranson, A. Gilson
Published 2001 · Medicine

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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. Over 2 years, we did not identify any instances of misuse or diversion. These results suggest that, in the context of India as a less-developed country, oral morphine can be dispensed safely to patients for use at home. We recommend that palliative care programmes talk to concerned governmental authorities, to make them aware of the medical need for opioids, and communicate with local news media to increase awareness of palliative care and the use of these analgesics. Our project has overcome regulatory barriers that had interrupted availability of morphine and its use in pain relief in India.
This paper references

This paper is referenced by
Medical use of opioids in Bangladesh
M. Misbahuddin (2001)
Managing Acute Pain in the Developing World
R. Vijayan (2011)
Access to pain relief: an essential human right. A report for World Hospice and Palliative Care Day 2007. Help the hospices for the Worldwide Palliative Care Alliance.
V. Adams (2008)
Setting up home-based palliative care in countries with limited resources: a model from Sarawak, Malaysia.
B. Devi (2008)
Access to Pain Relief: An Essential Human Right A Report for World Hospice and Palliative Care Day 2007
Help the Hospices for The Worldwide Palliative Car (2008)
Opioid prescription for terminally ill outpatients in a district of northern Italy: a retrospective survey.
C. Salvato (2003)
Low-Tech, High-Touch—Pain Management with Simple Methods
Ramani Vijayan (2003)
Breast cancer in the global south and the limitations of a biomedical framing: a critical review of the literature.
C. C. Confortini (2015)
Palliative Care Initiative for the Eastern Mediterranean Region: A Proposal
M. Al-Shahri (2004)
Acute Pain in Neonates Obstetric Pain Managing Acute Pain in the Developing World Why Focus on Acute Pain ?
Jane C. Ballantyne (2011)
The power of integration: radiotherapy and global palliative care.
D. Rodin (2016)
India: opioid availability. An update.
M. Rajagopal (2007)
Palliative Care in Developing Countries
Liliana Lima (2011)
No Opiates for the Masses: Untreated Pain, International Narcotics Control, and the Bureaucratic Production of Ignorance
Luke Messac (2016)
End-of-life care: Indian perspective
Himanshu Sharma (2013)
Inside preview of procuring narcotic license
Gurkaran Kaur (2015)
Palliative care: an urgent need for most of the world
M. Rajagopal (2007)
Freedom from Pain—A Mirage or a Possibility?
R. Ghooi (2003)
End-of-Life Care and Opioid Use in India: Challenges and Opportunities
Aasems Jacob (2017)
Laparoscopic adrenalectomy in a post-pneumonectomy state
Abhijit S. Nair (2015)
Palliative Care in Developing Countries
S. Pampallona (2003)
Investigation of systems to prevent diversion of opiate drugs in general practice in the UK
R. Baker (2004)
WHO guidelines on the pharmacological treatment of persisting pain in children with medical illnesses
W. Scholten (2012)
Multidisciplinary Management of Acute and Chronic Pain in the Presence of Substance Use Disorder
Daniel L Krashin (2015)
Alleviating the access abyss in palliative care and pain relief—an imperative of universal health coverage: the Lancet Commission report
F. Knaul (2018)
Analgesic prescribing for orthopaedic patients
Ivan Selaković ()
Opioid substitution therapy: Legal challenges
S. Math (2018)
Instituting palliative care in developing countries--an urgently needed and achievable goal.
J. Stjernswärd (2003)
CanSupport: a model for home-based palliative care delivery in India.
A. Yeager (2016)
Trust violated: analgesics for addicts.
R. Penson (2003)
Quality of reporting in randomized controlled trials conducted in China on the treatment of cancer pain
Liming Lu (2011)
The Lancet Commissions
J. Frenk (2010)
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