Opioid Availability and Consumption in Czech Republic
A special prescription is required in the Czech Republic for strong opioids, and this can cause some administrative difficulties which can discourage GPs, not all of whom are entitled to prescribe morphine.
INCB data on opioid consumption in the Czech Republic between 1994 and 1998 are available for codeine, dihydromorphine, morphine, pethidine and cocaine. In that time codeine consumption fell dramatically from 952 kg to 147 kg; dihydromorphine was 34 kg in 1997 and 53 kg in 1998; morphine consumption increased over the full period, from 39 kg to 76 kg. Pethidine consumption fell during these years from 118 kg to 94 kg. A small amount of cocaine was consumed (3-4 kg per annum). The average daily consumption of defined daily doses of these drugs per million inhabitants between 1994-98 was: codeine (895); dihydrocodeine (38); morphine (388); methadone (2); pethidine (60). 3
Average defined daily doses of morphine, Central and Eastern Europe (1994-1998)
Source:Clark D, Wright M (2002)Transitions in End of Life Care: Hospice and Related Developments in Eastern Europe and Central Asia.Buckingham: Open University Press
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