A special prescription with two copies is required for opioids and this is only possible with the permission of the health insurance company.
INCB data on opioid consumption in Slovakia between 1994 and 1998 are available for codeine, dihydromorphine, morphine, pethidine and cocaine. In that time codeine consumption fell slightly from 1,695 kg to 1,268 kg; morphine consumption over the same period also fell slightly, from 45 kg to 39 kg; pholcodine dropped by a half from 147 kg to 70 kg; but ethylmorphine increased from 77 kg to 108 kg. Pethidine consumption fluctuated considerably and was 7 kg in 1994 and 20 kg in 1998. A small amount of methadone was consumed: 1 kg in 1997 and 5 kg in 1998. The average daily consumption of defined daily doses of these drugs per million inhabitants between 1994-98 was: codeine (6,666); ethylmorphine (470); morphine (583); pholcodine (1065); methadone (21); pethidine (26).6
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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