Dear Dr. Paudel, 1) Order and the permission to import Morphine tablets granted to the overseas buyer by the Drug Control authority of the country is send to the concerned Manufacturing unit. 2) Based on the ordered quantity, the requirement of active drug Morphine Sulphate is worked out and a separate application for allotment of quota of Narcotic Drug (Morphine Sulphate) is made to the State Drug Control authority. (period 45 to 60 days subject to availability of material) 3) The necessary allotment is given after scrutiny of the application for obtaining Morphine sulphate from the manufacturer namely Govt. Opium Alkaloids Works (Neemuch/Ghazipur). 4) Necessary Transport Authorization (for movement of goods from Manufacturer to Buyer premises) is obtained from Local F.D.A authority is given along with Purchase Order and advance payment to Govt. Opium Alkaloid, so as to enable them to supply the active drug. Based on the availability of drug the Govt. Opium Alkaloid executes the order. The validity of the transport authorization is generally two month within which the order has to be executed. (it takes 8 to 10 days)
5) Intimation of receipt of drug is given to the State Excise Authority under the provisions of Medicine and Toiler Preparation Act. 6) The drug is then analyzed (One week) and subjected to manufacturing process so as to obtain the required Morphine tablets to execute the overseas order. 7) After completion of manufacturing process (15 - 20 days), the necessary transport authorization to transport the finished product from the factory to nearest port of shipment is obtained from the Local F.D.A (10 - 15 days) 8) The said transport authorization is send to Narcotic Commissioner at Gwalior, for obtained the required NOC to export Morphine tablets from India. 9) Meanwhile the State Excise duty payable on the finished product is discharged. 10) On receipt of NOC from The Narcotic Commissioner of India, the goods are released for shipment.
Nepalese Association of Palliative Care NAPCare 22 representatives from 13 different institutions had joint meeting in July 2009 NAPCare Officially registered 16 th December, 2009 and 11 member body was formed.
Groups involved to form NAPC 1) Bir Hospital 2)Bhaktapur Cancer Hospital 10)Hospice Nepal 3)TU Teaching Hospital 11)Nepal Institute of Health Science 4)Stupa Community Hospital 12)B.P.K.M. Cancer Hospital 5)BPKM Cancer Hospital 13)Sechen Hospice 6)OM Hospital 7)Pashupati Aryaghat Service Center 8)Thankot Hospice Center 9)Nepalese Network Cancer Treatment and Research
Nepalese Association of Palliative Care S.N.NamePositionOrganization 1Dr. Pradeep VaidyaPresidentHospice Nepal 2Dr. Bijaya Raj NeupaneVice PresidentBPKM Cancer Hospital 3Dr. Sudip ShresthaVice PresidentBhaktapur C. Hospital 4Dr. Bishnu Dutta PaudelSecretaryBir Hospital 5Radha Piyari Vice SecretaryNNCTR 6Ms. Narbada KhanalTresurerNIHS 7 Ms. Usha ThapaVice TresurerBPKMCH 8Dr. Yogendra Prasad SinghMemberT.U.Teaching Hospital 9Dr. Surendra B. BadeMemberNNCTR 10Mr. Padma Raj BharatiMemberP.A. Service Center 11Dr. Bal Kumar SubbaMemberSechen Hospice
Educational activities for medical staff at major hospitals and hospices on pain relief and palliative care. Cancer pain Relief topic was included in March 2010 National Cancer Conference & first ASCO MCMC course. Knowledge & Attitude
Educational activities Four weeks training in 2009 in capital six weeks training in 2010 & 2011 out of capital
Dr. Eric in Nepal to support different activities
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