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What Canada’s special access program means for patients and doctors

The Special Access Program that launched last week, allowing Canadians to potentially access restricted drugs on a case-by-case basis , is a reworking of past policy, rather than something new.

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The program was amended in 2013, under former Health Minister Rona Ambrose , after she learned Health Canada had approved an application to allow 21 patients with long-term addictions access to prescription heroin. The patients had previously been involved in a clinical trial comparing hydromorphone to diacetylmorphine , heroin’s active ingredient.

Last week, the newly amended SAP went into effect. The 2013 changes were reversed and physicians can now once again request patient

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