Investigation of prescribed psychiatric medicines in Turkey.

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Bayram D., Kırmızı N. İ., İşli F., Aksoy M., Akıcı A.

British Pharmacological Society (BPS), London, İngiltere, 11 - 13 Aralık 2017, ss.1

  • Yayın Türü: Bildiri / Özet Bildiri
  • Basıldığı Şehir: London
  • Basıldığı Ülke: İngiltere
  • Sayfa Sayıları: ss.1
  • Acıbadem Mehmet Ali Aydınlar Üniversitesi Adresli: Hayır

Özet

Introduction: Along with differences among the countries, there are various concerns about the overuse of psychiatric medicines worldwide (1-3). In this study, we aimed to investigate utilization of the central nervous system drugs prescribed by adult psychiatrists (APs) and child psychiatrists (CPs) in Turkey. Method: This retrospective study on prescription of psychiatric medicines with "N" group (nervous system drugs) at the level of anatomical therapeutic chemical-1 (ATC1) basing on the national health data of APs and CPs obtained from Prescription Information System (PIS) of Turkish Medicines and Medical Devices Agency between January 1 and December 31, 2016. Distribution of medicines was analysed at the ATC-5 level in each group. Results: The total number of items prescribed by both psychiatrist groups registered in the PIS was 2,034,912; and 95.5% of them were prescribed by APs. It was determined that 89.5% (n=1,739,619) and 97.8% (n=89,148) of total items prescribed by APs and CPs, respectively, were "N" group drugs. Ten most commonly prescribed medicines were escitalopram (10.2%), sertraline (9.0%), quetiapine (8.4%), duloxetine (7.0%), venlafaxine (6.3%), paroxetine (5.4%), fluoxetine (5.4%), olanzapine (5.0%), risperidone (4.7%), and mirtazapine (4.5%) among APs and methylphenidate (39.4%), risperidone (18.5%), fluoxetine (10.3%), sertraline (8.8%), atomoxetine (7.1%), aripiprazole (5.7%), quetiapine (1.4%), hydroxyzine (1.3%), imipramine (1.1%), and olanzapine (0.8%) among CPs. Based on this, it was determined that the first ten medicines, which were frequently preferred by APs and CPs, covered 65.9% and 94.4% of all items prescribed by these physicians, respectively. Conclusions: It is understood that the drugs frequently prescribed by APs and CPs generally differ in both numeric and drug substance. Moreover, it is noteworthy that APs prescribe more antidepressants, most commonly escitalopram; and CPs prescribe methylphenidate more clearly. Compared with the literature, the obtained data exhibit partial similarities regarding prescribed medicines for children and adults (2,3).