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ua On June 4, 2008 Tramadol was officially defined as a narcotic drug • T is liable to more strict control according to the Law of Ukraine “On narcotic drugs, psychotropic substances and precursors” • The tramadolor same level of restrictions as towards morphine morphine, methadone, buprenorphine etc • Criminalization C i i li ti off tramadol d l users - Illegal personal use became a criminal offence (up to 5 years in prison) • Shifting to injecting use practice and consumption of more dangerous substances • Risk of increase of HIV spread among IDUs • Soften legal system of circulation of narcotic drugs for medical purposes . ua •Registration & appearance at the • Informal alternative for opioid maintenance treatment • Scheduled at the list of a drastic remedies and poison substances • Widely spreading on black • Medical prescription only (up to 30 pills) • Price on black market $ 2 - 3/pill • ultram pregnancy tramadol withdrawal runny nose sneezing tramadol withdrawal muscle aches tramadol Increase of corruption • Illegal possession - unpunished • 14 pharmaceutical companies – producers in Ukraine • Official demand – 4 000 000 dosages annually •Official price - $0,1/pill www . ua • 90 - 175 000 000 actually produced dosages annually • Thousand of youth misuse T Protests against free ultram snort tramadol withdrawal day 5 ultram benzodiazepine tramadol drug book ultram vs tylenol circulation of Tramadol (2005(2005-2008) www . 20th International Harm Reduction Conference, Bangkok, Thailand, April 20, 2009 as a newly scheduled tramadol drug withdrawal tramadol for dogs vs rimadyl tramadol withdrawal relapse is tramadol a narcotic drug in Ukraine: Further criminalisation of drug users or an opportunity to soften national drug policy? International HIV/AIDS Alliance in Ukraine TRAMADOL WORLDWIDE Adolan Adolonta Anadol Boldol Calmador Campex Contramal Crispin Dolcet Dolol Dolzam Dromadol Exopen L id l Mandolgin M d l i Mandolgine Mosepan Nobligan Osteodol Poltram Ralivia Sintradon Tamool Tedool Tiparol Toplagic Tradol Tradolan Tralgit Tralodie Tramacip Tramadex Tramadin Tramadol Tramadolor Tramahexal Tramajack Tramake Insts TramaTramaKlosidol Tramal Tramazac Tramedo Tramoda Zaldiar Zamadol Zamudol Zydol Zytram www .

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