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Validiation of the ESMO/EAPC opioid availability and accessibility data

The EAPC along with ESMO are undertaking a joint project to address problems in the availability and accessibility of opioids across Europe.

As part of this initiative national representatives of ESMO and the EAPC have submitted reports regarding opioid availability and accessibility in 41 counties across Europe. Prof Nathan Cherny has collated all of the responses from the national representatives. The work collated so far is the most comprehensive of its kind.

It is important that the data be as accurate and up to date as possible, so we invite you, the EAPC members to review the data presented on you country and ask that you  to indicate if it is accurate or if it needs to be amended before proceeding to publication.

The data is presented in color coded 8 graphic figures (please click on the number to open the table)

1 - Opioid Availability in non-FSU countries: which opioids are available and at what cost to the patients

2 - Opioid Availability in FSU countries: which opioids are available and at what cost to the patients

3 - Requirement for authority/permission to receive an opioid prescription or to write one

4 - Need for special prescription form and , if so, accessibility to prescribers of those forms

5 - Number of days of opioid that can be prescribed on a prescription

6 - Limit as to where opioids are dispensed to cancer patients

7 - Provisions for emergency situations where the patient can’t get a prescription form a doctor (sudden emergent situation at home, middle of the night, public holiday)and the ability of phramacists to correct errors on prescription forms

8 - The use of stigmatizing language in regulations

If there is missing data regarding your country (such as Estonia, Mongolia, Armenia) then please complete the survey form. If you have any corrections please note them on the correction form.

All forms should be sent by e-mail to EAPC by June 1 to

Thank you very much for your help in this important EAPC project.

Nathan Cherny


Formulary availability and regulatory barriers to accessibility of opioids for cancer pain in Europe: a report from the ESMO/EAPC Opioid Policy Initiative
N. I. Cherny, J. Baselga, F. de Conno and L. Radbruch, Annals of Oncology Volume 21, Issue 3 Pp. 615-626

IPOS-EAPC Collaboration in the years


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