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Table HSR-2. Legal framework of opioid substitution treatment initiation, continuation and dispensing (by substitution medication) in EU, Croatia, Turkey and Norway

Part (ii) Legal framework regarding the continuation of OST by substitution medication

CountryMETHADONEHIGH DOSAGE BUPRENORPHINEBUPRENORPHINE-NALOXONE COMBINATIONSLOW-RELEASE MORPHINE
medical doctors at specialised drug treatment centres specialised medical doctorsany medical doctorother providermedical doctors at specialised drug treatment centres specialised medical doctorsany medical doctorother providermedical doctors at specialised drug treatment centres specialised medical doctorsany medical doctorother providermedical doctors at specialised drug treatment centres specialised medical doctorsany medical doctorother provider
Belgium (Flemish community)YYYYYY
Belgium (French community)YYY
BulgariaYY
Czech Republic(1)YYYYY
DenmarkYYY(i)YYY(i)YYY(i)
GermanyYYYYYYYYY
EstoniaYYY
Ireland(2)YYYY
GreeceYYY
Spain(3)Y
FranceYYYYYY
ItalyYYYYYYYY
Cyprus
LatviaYYYYY
LithuaniaYYY
LuxembourgYYYYYYYY
HungaryYYYY
Malta
NetherlandsYYYYYYYYYYYY
AustriaYYYYYY
PolandY
PortugalYYYYYYY
RomaniaYYYY
SloveniaYYYY
SlovakiaYYY
FinlandYYY
Sweden
United KingdomYYYY(ii)YYYY(ii)YYYY(ii)YYYY(ii)
CroatiaYYYY
Turkey(4)
NorwayYYYYYY
 

Notes:

'Y' indicates whether a specific provider is involved in continuing opioid substitution treatment.

Where a specific provider is not allowed to continue a specific treatment, the table entry is left empty. Exception for Malta, Sweden and Croatia for which data were not available .

'Specialized medical doctors' refers to specifically trained or accredited office-based medical doctors or general practitioners practicing outside specialised drug treatment centres.

'Any medical doctor' refers to office-based medical doctors practicing outside specialised drug treatment centres.

(1) In Czech Republic any medical doctor can prescribe methadone, however it has not been marketed yet as proprietary (commercial) medicine, thus currently methadone is only available in specialised centres.

(2) In Ireland, buprenorphine is provided for substitution in a pilot programme. It does not come under the same legal framework as methadone but does come under the controlled drug legislation.

(3) In Spain, high dosage buprenorphine is not commercially available.

(4) In Turkey Buprenorphine-Naloxone combination treatment is available since 2009.

Other providers:

(i) Prison and probation service

(ii) Pharmacist independent prescribers and nurse independent prescribers

See also 'General notes for interpreting data' on the Explanatory notes and help page.

Sources:

Structured Questionnaire on 'treatment programmes' (SQ27P1), submitted by NFPs.

Answers from the legal correspondents of the European Legal Database on Drugs (ELDD) to a EMCDDA survey on the legal framework of substitution treatment (2006). See also ELDD topic overview.

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Page last updated: Friday, 26 April 2013