Some background on GermanyGermany has a population of 81 million (which is the highest population of any country in all the European Union) and its population has been fairly stable over the past few years. Its currency is the Euro (€), they drive on the right, they speak German (funny eh?; it belongs to the same family as English, Dutch and Afrikaans, that is, the West Germanic languages); its Government is similar to the U.S.'s in that they do have presidents (whom is presently, Joachim Gauck), although they also have chancellors; its capital and largest city is Berlin (~3.5 million people), 2nd largest is Hamburg (~1.8 million) and 3rd largest is Munich (~1.35 million). It has 16 states and has a free healthcare system and is also one of the places where my ancestors, the Ashkenazi Jews, lived for a significant period of time. In fact Ashkenazi is the Yiddish (a Jew language, a variant of Hebrew) word for "Germany".2
|Figure 1: World Map with Germany highlighted in red|
|Figure 2: Albert Einstein|
|Figure 3: Henoch–Schönlein purpura|
Germany's healthcare systemIn Germany drugs are regulated by the Federal Institute for Drugs and Medical Devices, the standard medical degree for doctors is the M.D. (Medicinae Doctor, Latin for "Teacher of Medicine" which is also the standard medical degree in the US and Canada; some Aussy universities offer it, although, most Aussy doctors have a M.B.B.S. [offered at JCU] or M.B.B.Ch. both of which are bachelor degrees that usually take 6 years to obtain; M.D. is a master's degree in effort; usually 8 years of university are required — 4 years for a bachelor degree in biology/related fields that gets you into a M.D. program which is usually 4 years long) and German websites have the "top level domain" (TLD) of .de (i.e. their URL usually has .de in it). University education in Germany, is also free from what I can tell (my German friends can feel free to correct me in this or any other mistake I've made in this status). English is the most common second language in Germany. German isn't one of the six languages of the U.N.2
|Figure 4: Federal Institute for Drugs and Medical Devices logo|
|Figure 5: Federal Institute for Drugs and Medical Devices|
Germany's drugsNow onto the drugs; the three painkillers that I've come across that's used in Germany but not in most English-speaking countries are metamizole, tilidine and piritramide. All three of these drugs were also initially synthesised by Germans.
Metamizole (dipyrone is another name it sometimes goes by, especially in English-speaking countries), was once marketed in the U.S. and Australia, but has since been taken off the market amidst concerns that it causes potentially fatal blood disorders in between 1 in 100 and 1 in 10,000 patients (the estimate varies so much as there's a number of different variables that seem to influence this risk); it was taken off the market in English-speaking countries ~1970 but was before then (since 1922) a popular over-the-counter painkiller much like paracetamol, aspirin and ibuprofen (Nurofen). Metamizole is now a prescription-only medicine in Germany, most commonly used in the setting of severe post-surgery or internal organ-related pain. It possesses properties most similar to paracetamol; it relieves pains and fevers without much in the way of anti-inflammatory effects and also possesses some antispasmodic effects which means it is ideal for pain related to spasms (cramps) such as kidney colic.
|Figure 6: Metamizole|
|Figure 7: Tilidine|
|Figure 8: Piritramide|
Reference list (WP style):
- "Table 1: Human Development Index and its components". United Nations Development Programme. United Nations. 2012. Retrieved 22 April 2014.
- "The World Factbook". Central Intelligence Agency. United States Government. 11 April 2014. Retrieved 22 April 2014.
- "Tilidin N Sandoz® DP Lösung zum Einnehmen" (PDF). Google Drive. Wooden Churches: Sandoz Pharmaceuticals GmbH. December 2012. Retrieved 22 April 2014.
- Jage, J; Laufenberg-Feldmann, R; Heid, F (15 April 2008). "Medikamente zur postoperativen Schmerztherapie: Bewährtes und Neues". Der Anaesthesist (in German) (Springer) 57 (5): 491–498. doi:10.1007/s00101-008-1327-9. PMID 18409073.
- "FACHINFORMATION (Zusammenfassung der Merkmale des Arzneimittels)" (PDF). Janssen - Cilag Pharma GmbH (in German). November 2013. Retrieved 22 April 2014.