Predpisovanje zdravil na področju depresije in demence, astme ter protibolečinskih in protivnetnih zdravil = Prescribing of antidepressants, drugs for dementia, asthma medications, and analgesics
Fürst, Jurij
Drug consumption analyses enable international and regional comparisons, as well as comparisons between physician groups or individual prescribers. Quality indicators have been developed for ...prescribing in general practice. Slovenian consumption of drugs is comparable to most developed countries. Widevariations in regional consumption and extreme variations in prescribing among general practitioners have been found. This can indicate a lack of national therapeutic guidelines or insufficient observance of guidelines. The use of antidepressants is increasing but it has not yet reached the Scandinavian level. The most frequently prescribed drugs are selective serotonin reuptake inhibitors. Prescribing of benzodiazepines is higher in Slovenia than in Scandinavian countries. It is 60% higher than in Sweden (in defined daily doses per 1000 inhabitants per dav). Drugs for the treatment of Alzheimer's disease have a limited clinical efficacy. Treatment should be initiated and supervised only by specialists experienced in the management of dementia. In the field of asthma treatment, the use of combined preparations is increasing, while prescribing of inhaled corticosteroids and selective beta2 agonists is decreasing. Among analgesics, the use of paracetamol is generally low, but it is slowly increasing. The use of non-steroidal anti-inflammatory drugs (NSAIDs) is (too) high, but stable. Metamizol is listed as an alternative to NSAIDs. Like paracetamol, it is indicated for patients with gastrointestinal side effects.
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