Opioid availability: Morphine (including slow release), oxycodone, fentanyl, ketobemidone and methadone are all available in the Cancer Centre. A special prescription for opioids is required.
INCB data on opioid consumption in Estonia between 1994 and 1998 are available for codeine, morphine, ethylmorphine and pethidine. In that time information on codeine consumption is available only for 1994 (33 kg) and information for ethyl-morphine only for 1994 (2 kg). Morphine consumption increased over the full period from 1 kg to 5 kg. Pethidine consumption also rose during these years from 1 kg to 9 kg. The average daily consumption of defined daily doses of these drugs per million inhabitants between 1994-98 was: codeine (120); ethylmorphine (6); morphine (216); methadone (39) and pethidine (27).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