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Are we missing the opioid consumption in low- and middle-income countries?
Correia, Igor; Meziat-Filho, Ney; Furlan, Andrea D; Saragiotto, Bruno; Reis, Felipe J J.
Afiliación
  • Correia I; Postgraduate Program in Rehabilitation Sciences - Centro Universitário Augusto Motta (UNISUAM), Rio de Janeiro, Brazil.
  • Meziat-Filho N; Postgraduate Program in Rehabilitation Sciences - Centro Universitário Augusto Motta (UNISUAM), Rio de Janeiro, Brazil.
  • Furlan AD; KITE, Toronto Rehabilitation Institute, University Health Network, Toronto, Ontario, Canada.
  • Saragiotto B; Division of Physical Medicine & Rehabilitation, Department of Medicine, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.
  • Reis FJJ; Institute for Work & Health, Toronto, Ontario, Canada.
Scand J Pain ; 24(1)2024 Jan 01.
Article en En | MEDLINE | ID: mdl-38126164
ABSTRACT

OBJECTIVES:

The rise in opioid prescriptions with a parallel increase in opioid use disorders remains a significant challenge in some developed countries (opioid epidemic). However, little is known about opioid consumption in low- and middle-income countries (LMICs). In this short report, we aim to discuss the increase in opioid consumption in LMICs by providing an update on the opioid perspective in Brazil.

METHODS:

We analyzed opioid sales on the publicly available Brazilian Health Regulatory Agency (ANVISA) database from 2015 to 2020.

RESULTS:

In Brazil, opioid sales increased 34.8 %, from 8,839,029 prescriptions in 2015 to 11,913,823 prescriptions in 2020, this represents an increase from 44 to 56 prescriptions for every 1,000 inhabitants. Codeine phosphate combined with paracetamol and tramadol hydrochloride were the most common opioids prescribed with an increase each year.

CONCLUSIONS:

The results suggest that opioid prescriptions are rising in Brazil in a 5 years period. Brazil may have a unique opportunity to learn from other countries and develop consistent policies and guidelines to better educate patients and prescribers and to prevent an opioid crisis.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Tramadol / Trastornos Relacionados con Opioides Límite: Humans Idioma: En Revista: Scand J Pain Año: 2024 Tipo del documento: Article País de afiliación: Brasil Pais de publicación: Alemania

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Tramadol / Trastornos Relacionados con Opioides Límite: Humans Idioma: En Revista: Scand J Pain Año: 2024 Tipo del documento: Article País de afiliación: Brasil Pais de publicación: Alemania