Addressing the barriers related with opioid therapy for management of chronic pain in India

Author:

Dureja Gur Prasad1,Jain Paramanand N2,Joshi Muralidhar3,Saxena Ashok4,Das Gautam5,Ahdal Jaishid6,Narang Prashant6

Affiliation:

1. Delhi Pain Management Centre, New Delhi, India

2. Division of Pain, Tata Memorial Centre, Mumbai, Maharashtra, India

3. Virinchi Pain Management Centre, Hyderabad, Telangana, India

4. Department of Anesthesiology, Pain Clinic, University College of Medical Sciences, University of Delhi, New Delhi, India

5. Daradia Pain Clinic, Kolkata, West Bengal, India

6. Medical Affairs, Johnson & Johnson Pvt. Ltd., Mumbai, Maharashtra, India

Abstract

India has a high prevalence of chronic disorders which may be associated with persistent pain. Despite the availability of multiple treatment options, chronic pain is largely untreated and contributes to disability and mortality. Medical consumption of opioids remains low due to various barriers that prevent access to opioids for patients and healthcare practitioners. Stringent regulatory provisions outlined in the Narcotic Drugs and Psychotropic Substances Act (1985) have been major deterrents to adequate opioid use. Although multiple amendments to the act have ensured ease of opioid access for medicinal purposes, concerns such as lack of awareness and prescribing practices and attitudes of physicians/patients still need to be addressed. This review aims to identify these barriers and suggest recommendations to overcome them.

Publisher

Future Medicine Ltd

Subject

General Medicine

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