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Access to morphine in rural areas is poor, with rural-level healthcare centres rarely stocking morphine, particularly in PC formulations. Fentanyl transdermal (TD) patch and methadone syrup are available in Nepal but are imported. The Fentanyl TD patch is extremely expensive, and methadone syrup is only available for the management of addiction. While opioid availability has increased in Nepal, there is a need to improve opioid accessibility for PC services, particularly in rural areas. Several approaches are explored in this review.<\/jats:p>","DOI":"10.25259\/ijpc_118_2024","type":"journal-article","created":{"date-parts":[[2025,2,15]],"date-time":"2025-02-15T00:13:27Z","timestamp":1739578407000},"page":"74-78","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Opioid Accessibility for Palliative Care in Nepal: A Review of Achievement and Remaining Challenges"],"prefix":"10.25259","volume":"31","author":[{"given":"Rajeev","family":"Shrestha","sequence":"first","affiliation":[{"name":"Department of Palliative Care and Chronic Disease, INF Nepal Green Pastures Hospital and Rehabilitation Centre, Pokhara, Nepal,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sunil","family":"Shrestha","sequence":"additional","affiliation":[{"name":"Department of Research and Academics, Kathmandu Cancer Center, Tathali, Nala Road, Bhaktapur, Province Bagmati, 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