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Access to Analgesics in Bangladesh

By Jason Nickerson | 30 Oct, 2013

Hello,

A colleague who is a pediatric palliative care specialist is currently working in Dhaka, Bangladesh and is encountering an all-too-common problem of being unable to access reliable supplies of analgesics. The main problem is that oral morphine is unavailable in formulations other than extended release, which is not appropriate for pediatric use in the concentrations available. IV morphine and pethidine are available in very limited quantities, as well.

Does anyone have any contacts in Dhaka for palliative care specialists, anesthesiolgists, or others who might have insight into these challenges? Are there any specialists from Bangladesh within this group?

At this point, understanding the various legal constraints to procuring controlled narcotics would be useful, but making connections with specialists who have overcome these barriers would be most helpful.

Many thanks,
Jason

Replies

 

Annekathryn Goodman Replied at 4:46 PM, 30 Oct 2013

hi There,
I have done some work in Bangladesh. i agree, pain management is quite minimal.
The two doctors who might be able to add some insight are:

Rumana Dowla, she is a palliative care specialist in Dhaka

and Eric Krakauer, he is from Mass General Hospital but does alot of global health pall care teaching
best wishes
ak

Marie Connelly Replied at 6:25 PM, 30 Oct 2013

I just wanted to take a moment to remind everyone that posts in this community are public, and immediately published on the GHDonline website, as well as indexed in search engines like Google. For this reason, we ask that members not share email addresses other than their own.

Jason's question here is incredibly important, and I'm sure many in the community will be interested to learn more about the resources that might be available in Dhaka at the moment. I hope everyone will encourage colleagues who might have insight to join GHDonline and contribute their thoughts here, so that we can all learn from their expertise.

This Community is Archived.

This community is no longer active as of December 2018. Thanks to those who posted here and made this information available to others visiting the site.