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    At least two-thirds of the erectile dysfunction drug sildenafil consumed in the Netherlands may be illegal, warn researchers. They say the consumption of illicit drugs might dwarf consumption of legitimate versions – and they call for the further inquiry into the apparent success of rogue online pharmacies. In a letter published on bmj.com, they say the consumption of illicit drugs might dwarf consumption of legitimate versions -- and they call for the further inquiry into the apparent success of rogue online pharmacies. It follows reports of a record number of fake drugs seized under Operation Pangea VI, which the authors say "is just the tip of the iceberg. They therefore set out to estimate the actual use of illicit sildenafil using sewage epidemiology -- an established science for monitoring drugs of abuse. They measured sildenafil levels at sewage treatment plants serving three cities in the Netherlands (Amsterdam, Eindhoven and Utrecht) over a seven-day period. Consumption of legitimately dispensed sildenafil was estimated from the national dispensary database 12 months prior to the study until three months after. You can find the rules for travelling with medicines on the Tax and Custom Administration's website. Medicines listed in the Opium Act are considered to be narcotics and sedatives. Ask your pharmacist or doctor whether your medicine falls under the Opium Act. The text of the Opium Act is only available in Dutch. This includes heavy painkillers or ADHD medication. It does, however, include the international nonproprietary name (INN) of each active ingredient. You cannot have medicines sent to the Netherlands by post. The Tax and Customs Administration will seize them. If you need extra medicines during your visit to the Netherlands, consult a Dutch doctor. They will be able to provide you with the same or similar medicines.

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