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Opioid Availability and Consumption in Serbia and Montenegro
Immediate release morphine is described in one questionnaire as 'difficult' to obtain; slow release morphine is 'quite difficult'; fentanyl, oxycodone and hydromorphone are not available. There are restrictions on morphine prescription and the drug can only be prescribed for a two-week period.8
INCB data on opioid consumption in Serbia between 1994 and 1998 (years of major military conflict) are available only on a limited basis. Codeine consumption was 13 kg in 1994 and 93 kg in 1996; in the same years pethidine consumption was 3 kg per annum; and in 1994 methadone consumption was 4 kg. Data on the average daily consumption of defined daily doses of opioids per million inhabitants between 1994-98 are unavailable.9
Average defined daily doses of morphine, Central and Eastern Europe (1994-1998)
Graph: 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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