Utilización de analgésicos opioides mayores en dos áreas sanitarias de España durante 2005
2009; Elsevier BV; Volume: 16; Issue: 2 Linguagem: Inglês
ISSN
2340-3292
AutoresO. Larrubia Muñoz, Esperanza Escortell Mayor, J. Canal Sotelo, R. Martínez Martínez, N. Plana Farras, E. Barallat Gimeno, A. Valdivia Perez, C. Esteban Carlero,
Tópico(s)Poisoning and overdose treatments
ResumoObjective: to compare and to describe the prescription of strong opioid analgesics in two sanitary districts of Spain during 2005. Method: Design: an ecological descriptive study. Setting: Lleida Health Service and the Third Sanitary District in Madrid (3D-Madrid) Community. Main outcome measures: a primary healthcare database supplied information regarding the prescription of strong opioids. We used the ATC/DDD (Anathomical-Therapeutical-Clinical/Defined Daily Dose) drug classification. Data obtained are expressed as Defined Daily Dose per 1,000,000 inhabitants per day (DHD). Results: DHDs of 3,690 for Lleida and of 2,140 for the Third Sanitary District in Madrid (3D-Madrid) were found. Fentanyl constitutes 88 percent of prescribed opioids in 3D-Madrid versus 52 percent in Lleida. Buprenorphine represents 44 percent of prescribed opioids in Lleida versus 4 percent in 3D-Madrid. Conclusions: morphine has been substituted for by other drugs, mainly the transdermic forms of fentanyl and buprenorphine.
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