Françoise Porchet and her colleagues write:
[In the Maghreb], the distribution of opioids is subject to the ‘seven day law’; in other words, doctors are not allowed to issue prescriptions for periods in excess of one week. Therefore, patients or their families have to return to the physician regularly to obtain a new prescription. Morphine is very expensive and only available in sustained-release form.3
The International Narcotics Control Board4 has published the following figures for the consumption of narcotic drugs in Algeria (2002): codeine 93 kg; pholcodine 699 kg; dextropropoxyphene 135 kg; pethidine 2 kg.
For the years 2000-2002, the average defined daily dose consumption of morphine for statistical purposes (S-DDD)5 in Algeria was 1. This compares with other African countries as follows: Swaziland 1; Egypt 2; Uganda 4; Zimbabwe 13; Namibia 73; South Africa 103. Twenty nine countries reported no morphine consumption during 2000-2002 (Table 1).
Table 1 Average daily consumption of defined daily doses (for statistical purposes) of morphine per million inhabitants, 2000-2002: countries of Africa
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