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Use of psychiatric drugs in Slovenia in comparison to Scandinavian countries.

机译:与斯堪的纳维亚国家相比,斯洛文尼亚使用精神科药物。

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PURPOSE: To find out the consumption of psychotropic drugs in Slovenia and the extent to which Slovenian consumption correlates to Scandinavian countries. METHODS: Data of ambulatory prescribing of psychiatric drugs in Slovenia for the years 1999 and 2000 and data for Norway, Sweden and Denmark are shown. All data are expressed in defined daily doses per thousand inhabitants per day (DDD's). RESULTS: The use of all neuroleptics in Slovenia is lower (5.3 vs 6.1-7.6 DDD's), however the share of atypicals (34%) is comparable to Scandinavian countries. Use of anticholinergics is up to five times greater (1.6 vs 0.3-0.5 DDD's). The use of lithium is five time lower (0.2 vs 1.1-1.4). Regarding the use of antidepressants, Slovenia is behind Scandinavia (12.2 vs 30-47 DDD's), whereas the share of SSRI's (73%) is at the same level. The use of anxiolytics is higher (25.4 vs 16-22.4 DDD's) and ratio with antidepressants is also unfavourable. The use of hypnotics and sedatives is favourably low (10.7 vs 31.8-44.6 DDD's). CONCLUSIONS: Low use of hypnotics and sedatives is favourable. The share of new neuroleptics and antidepressants is comparable. The use of antidepressants is probably too low. However, prescribing guidelines for anxiolytics, anticholinergics (too high use of both group) and lithium (too low use) should be introduced in Slovenia.
机译:目的:了解斯洛文尼亚的精神药物消费量以及斯洛文尼亚消费量与斯堪的纳维亚国家的相关程度。方法:显示了斯洛文尼亚1999年和2000年的非处方性精神药物处方数据以及挪威,瑞典和丹麦的数据。所有数据均以规定的每千居民每天的日剂量(DDD's)表示。结果:斯洛文尼亚使用的所有抗精神病药的使用率较低(5.3比6.1-7.6 DDD),但非典型药物的使用率(34%)与斯堪的纳维亚国家相当。抗胆碱药的使用量最多可增加五倍(1.6 DDD与0.3-0.5 DDD)。锂的使用降低了五倍(0.2比1.1-1.4)。关于抗抑郁药的使用,斯洛文尼亚落后于斯堪的纳维亚半岛(12.2比30-47 DDD),而SSRI的份额(73%)处于同一水平。抗焦虑药的使用率较高(25.4 vs 16-22.4 DDD),与抗抑郁药的比例也不理想。催眠药和镇静剂的使用率低(10.7 vs 31.8-44.6 DDD)。结论:减少催眠药和镇静剂的使用是有利的。新抗精神病药和抗抑郁药的份额是可比的。抗抑郁药的使用可能太少。但是,应在斯洛文尼亚引入抗焦虑药,抗胆碱能药(两组均过量使用)和锂(药量过低)的处方指南。

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