ACCESSIBILITY OF NARCOTIC ANALGESICS WITHIN THE FORMULARY SYSTEM OF RUSSIA AND UKRAINE IN THE CONTEXT OF PHARMACEUTICAL LAW

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DOI: https://doi.org/None
Issue: 
5
Year: 
2015

Professor V.A. Shapovalova (1), PhD; V.V. Shapovalov (1), PhD; Professor V.A. Shapovalov (2), PhD; O.V. Terekhova (1) 1 -Kharkov Medical Academy of Postgraduate Education; 58, Korchagintsy St., Kharkov 61176 2 -Healthcare Department, Kharkov Regional State Administration; 5, Svoboda Sq., Kharkov 61022

The paper gives the results of studying the accessibility of narcotic analgesics within the formulary system of Russian and Ukraine in the context of pharmaceutical law. The forensic pharmaceutical criterion «test mode» by the clinical pharmacological, classification-legal, and nomenclaturelegal signs of medicines served as a major criterion for assessing the accessibility of narcotic analgesics. In Ukraine, unlike in Russia, the formulary system enumerates narcotic analgesics, such as hydromorphone, omnopon, trimeperidine, and methadone, which are used to treat cardiovascular and rheumatic diseases and to implement anesthetic and resuscitation measures. Narcotic analgesics are additionally used in neonatology in Russia and to relieve pain in urologic, andrologic, and nephrologic diseases, in sexopathology, and during psychiatric and narcologic care in Ukraine. An investigation of the accessibility of narcotic analgesics in the context of the forensic pharmaceutical criterion «test mode» identified the specific features of the Ukrainian and Russian medical and pharmaceutical legislation concerning the classification-legal sign of a drug. All the examined drugs belong to a prescription nomenclature-legal group, are written on a special receipt and are to be subject-quantifiable. According to the classification-legal sign, virtually all narcotic analgesics, except for tramadol, belong to one classification-legal group called narcotics. According to the medical and pharmaceutical legislation of Russia, the narcotic analgesic tramadol belongs to additive drugs. Thus, all the given narcotic analgesics in the context of the forensic pharmaceutical criterion «test mode» are less accessible for patients and require medical monitoring during their use in order to prevent undesirable side effects, addiction in particular.
Keywords: 
forensic pharmacy
pharmaceutical law
test mode
drugs
narcotic analgesics
formulary system
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