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Nachricht schreiben. The swiss pharmacy and drug system is similar to systems in other countries, however, there are some differences. In Switzerland, drugs defined as products having medicinal promise e. In Switzerland, drugs are classified in several categories. The classification determines whether a product is available over-the-counter OTC or if a prescription is needed:. Within Switzerland, depending on the canton, the laws for the distribution of medication by medical doctors differ. In the canton of Zurich, for instance, doctors are only allowed to issue you a prescription. Please feel free to contact us via phone 06 92 or email , should you have any questions. Influenza vaccination. Tick vaccination. The Swiss pharmacy and drug system. Startseite English The Swiss pharmacy and drug system. At a glance: The only place to buy drugs is usually in pharmacies. Drugs are classified into two main groups: nonprescription medicine over the counter, OTC and prescription drugs. Nonprescription drugs, such as medication against a headache or cough, can easily be purchased in pharmacies. For prescription drugs, you must see a medical doctor first. The medical doctor issues a prescription, which can be then filled with us. The classification determines whether a product is available over-the-counter OTC or if a prescription is needed: Most drugs against minor illnesses or aches, for example. Simply visit us in the pharmacy and we will help you choose which medication is right for you. Several drugs such as antibiotics, drugs against cancer or high dosage pain relievers can only be purchased with a prescription from a medical doctor. Please bring your prescription and we will fill it for you.
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Local police were tired of trying to control and disperse large groups of users, so Needle Park became one of the spots law enforcement left alone. Rates of HIV infection soared from the sharing of needles. And the number of drug overdose deaths climbed. People were injecting and dying outside one of the most beautiful hotels in Zurich. And Swiss politics is very pragmatic. The rise in HIV infections, drug overdose deaths and the public nature of the drug problem led the Swiss to make major changes in how they approached illegal drugs and treated people who use drugs. And in , Switzerland went on to pass one of the most progressive and controversial drug policies in the world, which included the dispensing of heroin. But the Swiss are pragmatic. Instead of endlessly fighting drugs, they took a new approach and began supporting drug users through new treatment options. The majority of Swiss citizens supported the measures, despite some pushback inside and outside the country. The nation cut its drug overdose deaths significantly. HIV and Hepatitis C infection rates dropped. And crime rates also dropped. Those four pillars of the Swiss law are harm reduction, treatment, prevention and repression or law enforcement. There was some resistance among some Swiss civil groups. Their push ultimately forced a national referendum in challenging the four pillars policy. But 70 percent of Swiss citizens voted in favor of the law. The four pillars have withstood other challenges as well, as the majority of Swiss voters continue to support it. The multi-pronged approach included some controversial measures — such as legalized drug consumption rooms and heroin-assisted treatment facilities — but ultimately, the statistics show it has been successful. Over the past two decades, the number of opioid-related deaths in Switzerland has decreased by 64 percent. The number of new HIV infections also dropped significantly. In , more than 3, people tested positive for HIV in Switzerland. In , there were fewer than new positive tests in a country of 8. Switzerland began mandatory Hepatitis C reporting in The number of reported cases peaked between and , declining since then. Harm reduction strategies aim to lessen the damage caused to a person by their use of drugs. Needles exchange programs fall under this category, as do legalized drug consumption rooms. Offering drug users clean needles and other supplies reduces their use of dirty needles, therefore reducing the spread of HIV and Hepatitis C infections. Drug consumption rooms go one step further by providing users with a safe place to use under medical supervision, which reduces the chance of an overdose. Swiss drug experts said the public also benefits: passersby no longer see people injecting in the streets or come in contact with many used syringes. Harm reduction staff workers make a point not to judge people who come through their doors. And many build relationships with frequent visitors. Resources are available to drug users at these facilities as well to connect them to anything they might need, from a place to sleep, eat, do laundry, or find addiction treatment. For example, in Geneva, a lot of people gathered and injected near the main train station. So now, around the corner, a drug consumption room is housed in a modern green building that stands out among the backdrop of the traditional Swiss architecture. He said that 75 percent of active users in Switzerland are in treatment on a given day, and about 95 percent have been in treatment at some point. This is medication-assisted treatment, using methadone or buprenorphine. There are circumstances in Switzerland that make treatment so accessible. First, the country has universal health care, so everyone has health insurance. The four pillars law also expanded opioid substitution therapy or medication-assisted treatment and lowered the threshold for entry. Someone can walk into a clinic for the first time and start treatment 20 minutes later, Beck said. Before the s, this type of treatment was viewed as the first step toward abstinence. Beck said that people were supposed to stay on the treatment for six months to stabilize them, then taper off and stop. People in drug treatment programs no longer need to visit a treatment center every day to receive methadone, buprenorphine or morphine. Stable patients receive take-home doses. Physicians can also write prescriptions for these same treatments. Drug check sites help with this problem. And because a person in treatment is spending less time and money finding and buying drugs, they can focus on other things in their life, such as housing, work or family. The role of law enforcement changed under the four pillars approach. As more and more users went into treatment, the demand for opioids on the black market fell, as did the purity of the products. The purity of heroin taken by Swiss police over the last decade or so is poor, averaging between 15 and 20 percent purity. The purity and price were much higher before the four pillars law. Savary, a Swiss drug and harm reduction expert, explained that getting law enforcement support was essential to gaining public support for the four pillars law. From what Savary has seen, one supportive police officer has more influence than medical experts. The Swiss are prosecuting fewer opioid-related crimes. In , the country had about 20, cases a year. Today, the Swiss average about 5, opioid-related cases annually. Prior to the four pillars law, house break-ins were common in Switzerland, Savary said. After the law was adopted, there was a huge drop in burglaries. It sounds like a miracle, but you can do it. Coming next: Switzerland fights heroin with heroin. Republish This Story. Taylor Knopf writes about mental health, including addiction and harm reduction. Knopf has a bachelor's degree in sociology with a minor in journalism. Taylor, will you do a follow up piece on pain patient chronic, intractable, cancer, palliative care policies and experiences in Switzerland as well? It would be interesting to see how this is approached, with the acceptance of lifelong substance use in the population without pain causing illness or conditions. Have they completely restricted patient access, or are pain patients receiving the treatment and access that they need? Crisp, non-judgemental, fact-based reporting , a standard that is dying in this country when it comes to reporting on opiate addiction. Substitution treatment was brought up in this country in the s reported in the New York Times and immediately reiected. We pay lip service to treatment but then do not provide the money. In the United States there is such intense prejudice and hatred for anyone with this disease or anyone who takes an opiate for any reason such as pain patientsthat that when it comes to actually spending money it never seems to materialize. There is no question this is a real disease. These type 1 diseases have no withdrawal and are amenable to talk treatment. Type 2 addiction or opiate addiction is a failure of genetic protection. It is a real disease. It is not a matter of choice. It is not a matter of immorality. The Swiss seem to have found this out and treating it as a disease has reduced off expenditures, crime, and allied disease. Skip to content Read all of our joint coverage with The Charlotte Ledger here. Lake Gevena, Switzerland. Photo credit: Taylor Knopf. So these countries created spaces for them. The drug consumption room in Geneva is around the corner from the train station and was placed there because so many users gathered together and injected heroin. Now, they use inside with clean supplies and medical staff. Here, a worker at a substitution program in Geneva prepares a week of doses for a patient. Republish our articles for free, online or in print, under a Creative Commons license. So it started supporting them. Taylor Knopf. Previous Why I went to Europe to learn about the American drug crisis. Loading Comments Email Required Name Required Website.
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