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Can you buy sibutramine online ?' They were a huge industry. had their research departments." So when his company opened a clinic to treat drug addicts in the village of Sarosir, there was strong resistance from doctors and colleagues, he says. "There were times that I didn't want to give up. … There was a feeling that we were giving up on everyone in Sarosir, and people were telling me to my face, 'you should keep your hands to yourself'," he says. He quit his own job at the clinic in protest and took over the management of Sarosir's first methadone clinic in 2010, when it was still in the process of being erytromycine cutaan kopen opened. His biggest battle to date has been against Turkey's political and medical establishments, who reject his efforts to legitimise methadone. The ban on sibutramine, an anaesthetic, has forced many addicts to turn other illegal medicines, the drugs industry says. But now Dr Gulmen does not see it as his responsibility to fight the ban. He will not prescribe anything illegal either. "In one country there are problems, in the other there are solutions. If someone goes to my clinic, I want them to arrive at the right decision," explains doctor. "I think it should be up to them what they should do, not one politician." He has become a well-known politician among the men and women he treats in a clinic that stands out for its air quality — the same as a factory in an industrial area of Sarosir. The air is thick with smell of burning wood, sewage and the stench of garbage, its smog contains traces of chemicals used as pesticides. "We are lucky and lucky," he says, in a voice soft and deep, with a slight lisp. "We have two problems here," he says. "This is a medical centre, and there are 12 more clinics around the place." At least three million people in the western Balkans, including parts of Macedonia and the former Yugoslavia, are dependent on the methadone medicines produced by pharmaceutical companies at the centre of Dr Gulmen's business empire. More than 500 people are thought to use his clinic for methadone medication every day. Dr Gulmen's operation is open at odd hours. But even then patients often find little help getting prescriptions renewed as the country's health system is facing growing pressure from doctors, the country's opposition parties, and even members of the religious community. Dr Gulmen's clinic is unique — not only because it is treating drugs addicts, but also because it has been opening in the first place because of huge demand from Turkey's addicts. He is hoping more countries will follow his approach. Dr Gulmen's clinic is located in a low-income area of Sarosir. It has just one toilet for every 50 patients and the walls are covered with soiled blankets and dirty pillowcases as a makeshift bed. All the residents are now patients of the clinic. Most recently, a woman who had lost four children and a husband to drugs in drug-related killings visited the clinic as she sought to quit intravenous heroin. She was also in desperate need of help after her son, who had lost his left eye and ears, was sentenced to 23 years in prison for killing two of his seven siblings on the streets of Istanbul, his mother believes. And then there were the few who visited clinic to get themselves off the streets. "It has not been easy to admit them the clinic," he explains. "Sometimes we have to try and persuade them that they need to work. Some come here and only want to be here get their drug under control. Others come to ask for the withdrawal drug. They say that need something can give them a euphoric high." The doctors who give these injections do not offer them to all addicts. Instead they inject them in the area "where patients don't have too much influence on the police' hands", he says. This is where residents are more vulnerable to being arrested, he adds. For all Sarosir's hard lives, it also maintains a modern and advanced clinic which is recognised by the World Health Organisation (WHO), on the very same site where Dr Gulmen sees the drugs addicts. This means that when a child who had previously been addicted gets admitted with addiction or mental disease, other specialists in medicine, including paediatric dentistry and in general, are able to attend them immediately. The drugs addicts are also assessed by experts from around the world who come to clinic take part in a 12-hour round-the-clock programme led by Dr Gulmen. For more information on addiction in Albania visit the Ministry of Health website here. Topics: drug-offences, health care, drugs-and-.

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