Psychonauticunt
Bluelighter
- Joined
- Jun 1, 2010
- Messages
- 1,322
... What would they be? Please make this plausible, nothing like "Crack cocaine for narcolepsy" - all countries have different drug formularies and are a constant source of jealousy to others who lack such drugs at their disposal.
Also, remove one drug (of the same class) from the formulary to make room for the new one.
I'll start, for Finland
FINLAND
1. Replace ethylmorphine with hydrocodone
The niche of a moderately strong narcotic analgesic is empty. There's a huge leap from tramadol to oxycodone. Ethylmorphine is not too unlike codeine so it's not really necessary there.
2. Replace clobazam with lormetazepam
I've never heard of anyone using clobazam there and it's the second least prescribed after triazolam. Lormetazepam would function as an intermediate-acting strong hypnotic; otherwise we only have temazepam (which I don't find strong) and nitrazepam (which has a slightly longer duration than would be ideal).
3. Replace buprenorphine as an analgesic with oxymorphone
Buprenorphine may have its place in opioid replacement therapy, but it is also commonly used as an analgesic. It leads to long withdrawal symptoms, and feels horrible. Also, I wanna try oxymorphone. :D
NETHERLANDS
1. Replace tapentadol with hydrocodone
Same reasons above. I'd like a good medium-tier narcotic, but rather not dextropropoxyphene, meperidine or tapentadol.
2. Replace temazepam with tizanidine
Doctors are stingy with muscle relaxants as benzos are the only muscle relaxants they have available, and being addictive, are not so easily prescribed. Temazepam is also unnecessary in a formulary that has quite an arsenal of hypnotics: brotizolam, midazolam, loprazolam, lormetazepam, nitrazepam, flunitrazepam...
3. Dextropropoxyphene for oxymorphone
'Cause one sucks and the other is supposed to be tits.
Also, remove one drug (of the same class) from the formulary to make room for the new one.
I'll start, for Finland
FINLAND
1. Replace ethylmorphine with hydrocodone
The niche of a moderately strong narcotic analgesic is empty. There's a huge leap from tramadol to oxycodone. Ethylmorphine is not too unlike codeine so it's not really necessary there.
2. Replace clobazam with lormetazepam
I've never heard of anyone using clobazam there and it's the second least prescribed after triazolam. Lormetazepam would function as an intermediate-acting strong hypnotic; otherwise we only have temazepam (which I don't find strong) and nitrazepam (which has a slightly longer duration than would be ideal).
3. Replace buprenorphine as an analgesic with oxymorphone
Buprenorphine may have its place in opioid replacement therapy, but it is also commonly used as an analgesic. It leads to long withdrawal symptoms, and feels horrible. Also, I wanna try oxymorphone. :D
NETHERLANDS
1. Replace tapentadol with hydrocodone
Same reasons above. I'd like a good medium-tier narcotic, but rather not dextropropoxyphene, meperidine or tapentadol.
2. Replace temazepam with tizanidine
Doctors are stingy with muscle relaxants as benzos are the only muscle relaxants they have available, and being addictive, are not so easily prescribed. Temazepam is also unnecessary in a formulary that has quite an arsenal of hypnotics: brotizolam, midazolam, loprazolam, lormetazepam, nitrazepam, flunitrazepam...
3. Dextropropoxyphene for oxymorphone
'Cause one sucks and the other is supposed to be tits.