Modification of the rules for prescribing Tramadol and codeine. Substitution by Nefopam 30 mg
After consultation with the French TMAS and scientific experts, the SSGM has authorised the substitution of Nefopam 30 mg for Tramadol.
You will find below a SSGM note in French on the new regulation as well as its translation:
According to the opinion of the Agence nationale de sécurité du médicament et des produits de santé, from 1 March 2025, medicines containing Tramadol, codeine or dihydrocodeine must be prescribed on a secure prescription.
Referring to APPENDIX 217-3.A.2 COMPOSITION OF MEDICAL ALLOCATIONS of Division 217: Medical allocations A, B, B restricted, C, C restricted and P2 are concerned.
After consultation with the Centre de Consultations Médicales Maritimes (French TMAS) and scientific experts, we authorise the substitution of Nefopam 30 mg for Tramadol.
Nefopam 30 mg is not on the list of narcotics and therefore does not require a secure prescription to be issued. Substitution is made on a constant number basis, i.e. 1 cp of Tramadol = 1 cp of Nefopam 30 mg.
Substitution will begin on 01 June 2025.