Another opioid crisis is raging through the developing world

The man-made opioid tramadol was touted as able to relieve pain with little risk of abuse. Unlike other opioids, it was unburdened by international controls. But now countries are asking international authorities to intervene.

“This is a huge public health dilemma,” said Dr. Gilles Forte, the secretary of the World Health Organization’s committee that recommends how drugs should be regulated. Tramadol is available in war zones and impoverished nations because it is unregulated. But it is widely abused for the same exact reason. “It’s a really very complicated balance to strike.”

Tramadol is so pervasive in Cameroon scientists a few years ago believed they’d discovered a natural version in tree roots. But it was not natural at all: Farmers bought pills and fed them to their cattle to ward off the effects of debilitating heat. Their waste contaminated the soil, and the chemical seeped into the trees.

“We know that opioids are some of the most addictive drugs on the face of the planet, so the claim that you’ve developed one that’s not addictive, that’s an extraordinary claim, and extraordinary claims require evidence. And it just wasn’t there,” said Jorgensen. “We’ve all been cheated, and people are angry about that.”

Tramadol’s exemption means authorization isn’t required as the drug moves across borders. Its easy availability also leads to confusion about what tramadol even is, experts say. In many countries, it is thought to be a mood enhancer or treatment for depression and post-traumatic stress. Some take it to improve sexual stamina or endure grueling labor.

The WHO is analyzing whether any other drug could take its place but have so far found none. Meanwhile, Forte said, the agency is working with battered nations to ferret out counterfeits. The company has campaigned to keep tramadol unregulated. It funded surveys that found regulation would impede pain treatment and paid consultants to travel to the WHO to make their case that it’s safer that other opioids.

dalalmawad That’s the pain killer they gave my dog.

So there are counterfeiters illegally making tramadol and selling on black market so the answer is to increase regulation on the legitimate product?

The result of society's knee jerk reaction? Those is pain will find it difficult to get relief. 'Take a Tylenol' will be the new Standard of Care. Tylenol will make a ton of money & people in pain will suffer. Good grief. And, asking for relief will get you labeled as an addict.

And by “advocates” you mean the Chinese and the Sinaloa drug cartel.

Can get it over the counter in Thailand

Ah, yeah, raging through the third world.

This must be the thread fior all of the 'scientists' to weigh in with their Twitter expert opinions 🙄

Huh, it never really helped for my pain, and it certainly never gave me a high.

it’s never like the brochures say

Tramadol is not addictive. I use it for my migraines and it does an excellent job. I can't take those other opioids like codeine because they'd make the migraine worse. You don't get 'high' from tramadol.

Tramadol never got me high. It just makes me sleepy. Great for back pain though.

Tramadol is poison.

I used to take tramadol after cracking two bones on my spine. I never got a sense it was addicting. Just thought it was good for body aches 😳

Tramadol is NOT an opioid crisis. The dosages are very small and not addictive. When I don’t need it I don’t take it and I have a bad hip in need of being replaced. It’s painful. The problem is Norco! I had carpel tunnel surgery, one day of pain, surgeon did script for 20!

Another thing white Americans are going to get addicted to.

Are people complete idiots to believe it was safer? Jesus

Better than codeine

Oh no!!

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