Ill at Ease

India’s booming appetite for opioids

After decades of stringent narcotics laws, born of massive and debilitating opium consumption in centuries past, India is ready to salve its pain. High-powered opioids are regularly prescribed at the pain management clinics burgeoning across the country. SAUMYA KHANDELWAL
02 November, 2019

Pain, like death, is a universal phenomenon.

The sour grimace on the woman’s face, registering her bodily complaints to Dr GP Dureja in his East Delhi office, would be recognised anywhere. Slouched shoulders, pinched forehead. She wore a willowy black kurta and cast a disapproving glance at the five pain physicians-in-training huddled behind Dureja, the founder of Delhi Pain Management Centre and one of India’s pioneering pain physicians.

The five trainees, participants in the centre’s acclaimed pain fellowship programme, recorded the woman’s consultation on their smartphones, eager to see the famous pain doctor do his work. After their fellowships, they will return home, to Chennai, Kashmir, Rajasthan, ready to forge careers in India’s exploding pain industry.

The woman had been under Dureja’s care for some time now; he diagnosed her with fibromyalgia, a chronic neurological disorder of mysterious origin that causes pain throughout the body. But the regimen of paracetamol and tramadol, an opioid analgesic, was not working, and she was beyond fatigued. She wanted more relief.