that is with reference to the information item ‘Lawmakers call for setting up rehab centres for drug-established humans’ (July three).

The lawmakers need to additionally name for introducing a key component of drug dependency remedy that's buprenorphine. The estimates of drug addicts in Pakistan has massive variability and tiers from a hundred,000 to 1/2 1,000,000 human beings.

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presently in Pakistan, buprenorphine is not to be had in dosage that is required for initiation and maintenance of remedy that could vary from two to 24 mg in keeping with day. The usual formula is a to eight milligram capsules.

Buprenorphine has been in use in Pakistan as a ache reliever amongst patients present process surgical procedures however that dose starts from 0.5mg which does not fulfil the dependancy remedy criteria. There may be an aversion from government to allow creation of this medicine in the dose required to treat dependancy.

The argument that is contrary to proof is that why treat dependancy with some thing that can motive addiction.

but, there may be enough literature to be had suggesting that addicts who do now not receive adequate treatment turn out to be relapsing, and the relapse price in Pakistan is one of the maximum. It degrees among eighty five and 90 in step with cent. The remedy alternatives available for dependancy in Pakistan range from bloodless turkey approach, counselling and giving painkillers when the affected person is in severe withdrawal.

it's time buprenorphine changed into allowed and made to be had to treat dependancy.

Dr Arshad Altaf
Karachi

published in sunrise, July eleventh, 2019