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.