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Starting July 14, tramadol will only be sold with a medical prescription that includes the professional license of the treating doctor. The Federal Commission for the Protection against Sanitary Risks (Cofepris) approved this reclassification with a preventive approach.

“This measure was implemented with a preventive approach against the inappropriate consumption of this opioid medication, due to its potential for dependence,” the agency indicated.

What changes with the new regulation?

Pharmacies must seal prescriptions, note the date and quantity filled. Also record each operation immediately in the corresponding control books. The goal is to curb unsupervised use and prevent dependency.

Alternatives to Tramadol

Cofepris pointed out that for mild to moderate pain there are other options: ibuprofen, naproxen, diclofenac and paracetamol. For neuropathic pain, antidepressants such as duloxetine and amitriptyline, or anticonvulsants such as gabapentin and pregabalin, may be used.

The measure seeks to balance access to pain relief with the prevention of health risks. Tramadol is an opioid with potential for abuse, and its controlled sale is intended to reduce misuse.

Historic investment from the community assembly

President Claudia Sheinbaum visited Cherán, Michoacán, to present the balance of the Justice Plan of the P’urhépecha People. One year and two months after its start, the federal government reports an investment of more than 4 billion pesos.

Sheinbaum stressed that decisions are not made from desks, but in community assemblies. The inhabitants themselves define the priorities.

“This scheme is not defined from bureaucratic offices, but through direct community assemblies,” stated the president.

The new commitments include:

• Modernization of the Cherán Hospital with a hemodialysis room.
• Rehabilitation of the local Sports Unit.
• Opening of the Medicine and Nursing degrees.
• Strengthening of community businesses.
• Meeting in CDMX with an indigenous commission to create a C2 video surveillance center.

Details of resources and their impact

Adelfo Regino Montes, director of INPI, explained that the budget has been distributed as follows:

• Building of 27 artisanal roads (485 million pesos).
• School cafeterias for indigenous children.
• 21 Indigenous Language Community Houses.

A National Guard barracks was also installed, 27 thousand efficient wood stoves were delivered and credits were granted for artisans.

Sheinbaum recalled that, thanks to constitutional reforms, indigenous communities are subjects of public law. The Contribution Fund for the Social Infrastructure of Indigenous and Afro-Mexican Peoples amounted to 13,500 million pesos this year.

Governor Alfredo Ramírez Bedolla and the Greater Council of Cherán agreed on the importance of institutional respect to maintain self-determination and the autonomous model of indigenous government.

Gilda Susana Lozoya Austin, sister of former Pemex director Emilio Lozoya, was detained at the Mexico City International Airport upon returning from Europe. During the initial hearing, he called his arrest a political matter.

Before the control judge Nora Ileana García Peralta, at the Federal Criminal Justice Center of the North Prison, the woman stated:

“I believe that this is a political case, where my mother, my sister-in-law and I, that is, the women in my family, have been used to pressure my brother.”

Statements at the hearing

Dressed in a blouse and jacket, Lozoya Austin explained that she left the country for a week to attend to a family matter. “And I returned because my family is here and I am here with the desire to cooperate,” he said. He added that when he left the country he had not been notified of the arrest warrant, and reiterated: “I am here to cooperate.”

At the end of the hearing, the place to which she would be transferred for safekeeping was not reported while her legal situation is resolved.