Global Supply and Demand of Opioids for Pain Management |
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Authors: | Sreekumar Kunnumpurath Natasha Julien Gopal Kodumudi Anamika Kunnumpurath Vijay Kodumudi Nalini Vadivelu |
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Affiliation: | 1.Epsom and St Helier Universty Hospitals,Carshalton,UK;2.Department of Anesthesiology Staff Affiliate,Yale New Haven Hospital, Perioperative Services, Yale School of Medicine,New Haven,USA;3.California Northstate University College of Medicine,Elk Grove,USA;4.Medical School, University College London,London,UK;5.University of Connecticut School of Medicine,Farmington,USA;6.Department of Anesthesiology,Yale University,New Haven,USA |
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Abstract: | Purpose of ReviewThe goal of this review is to evaluate the global supply and demand of opioids used for pain management and discuss how it relates to the utilization of opioids around the world. The purpose of the review is also to determine the factors that contribute to inappropriate pain management.Recent FindingsThe total global production of opium for opioid manufacturing is enough to supply the growing global demands. However, licit opioids are only consumed by 20% of the world population. Most people throughout the world had no access to opioid analgesics for pain relief in case of need. Opioid misuse and abuse is not only a phenomena plague by the USA but globally across many countries.SummaryMany countries have a lack of availability of opioids, contributing factors being strict government regulations limiting access, lack of knowledge of the efficacy of opioid analgesics in treating acute and chronic pain and palliative care, and the stigma that opioids are highly addictive. For the countries in which opioids are readily available and prescribed heavily, diversion, misuse, abuse, and the resurgence of heroin have become problems leading to morbidity and mortality. It is pertinent to find a balance between having opioids accessible to patients in need, with ensuring that opioids are regulated along with other illicit drugs to decrease abuse potential. |
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