Ten years of strong opioid analgesics consumption in Malaysia and other Southeast Asian countries

Abstract Background: It was reported that opioid consumption in developing countries was stagnated or decreased but precise data on the consumption are unclear. This study examined the trends and patterns of opioid consumption in Malaysia and other four Southeast Asian countries. Methods: Dat...

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Bibliographic Details
Main Author: Zin, Che Suraya
Format: Conference or Workshop Item
Language:English
English
English
Published: 2019
Subjects:
Online Access:http://irep.iium.edu.my/75878/
http://irep.iium.edu.my/75878/1/191104_main%20page_program.pdf
http://irep.iium.edu.my/75878/2/191104_opioid_children%20pres_ten%20years%20opioid_naeem_poster_program.pdf
http://irep.iium.edu.my/75878/3/191006-Poster_icprp_ten%20years%20opioid%20consumption.pdf
Description
Summary:Abstract Background: It was reported that opioid consumption in developing countries was stagnated or decreased but precise data on the consumption are unclear. This study examined the trends and patterns of opioid consumption in Malaysia and other four Southeast Asian countries. Methods: Data of five strong opioids consumption (morphine, oxycodone, fentanyl, pethidine and methadone) between 2005 and 2014 from Malaysia, Singapore, Indonesia, Thailand and Vietnam were extracted from the Pain & Policy Studies Group. Defined daily doses per 1000 inhabitants per day (DDD/1000 inhabitants/day) was used for calculating the annual amount of opioid use. Results: The total consumption of five strong opioids was increased in all five Southeast Asian countries during a 10-year study period. Malaysia was recorded with the largest increase of the opioid consumption (993.18%), followed by Indonesia (530.34%), Vietnam (170.17%), Singapore (116.16%) and Thailand (104.66%). Malaysia also had the highest total strong opioid consumption (11.2 DDD/1000 inhabitants/day), primarily for methadone. Among the opioids used for pain management, fentanyl was primarily used in Malaysia and Singapore but the greatest increase in these two countries was for oxycodone. Fentanyl was also primarily used in Indonesia while morphine was predominantly used in Thailand and Vietnam. Conclusion: The trends of strong opioids consumption in all five Southeast Asian countries increased steadily from 2005 to 2014. Among the opioids for pain management, fentanyl was primarily used in Malaysia, Singapore and Indonesia while morphine was predominantly used in Thailand and Vietnam.