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Reseptregisteret 2012–2016 the Norwegian Prescription Database 2012–2016 2017:2 LEGEMIDDELSTATISTIKK Reseptregisteret 2012–2016 The Norwegian Prescription Database 2012–2016 ISSN 1890-9647 Reseptregisteret 2012–2016 The Norwegian Prescription Database 2012–2016 Christian Lie Berg (redaktør) Hege Salvesen Blix Olaug Fenne Kari Furu Vidar Hjellvik Kari Jansdotter Husabø Per Olav Kormeset Solveig Sakshaug Hanne Strøm Sissel Torheim Utgitt av Folkehelseinstituttet / Published by the Norwegian Institute of Public Health Området for Psykisk og fysisk helse Avdeling for Legemiddelepidemiologi April 2017 Tittel/Title: Legemiddelstatistikk 2017:2 Reseptregisteret 2012–2016 / The Norwegian Prescription Database 2012–2016 Forfattere/Authors: Christian Lie Berg (redaktør) Hege Salvesen Blix Olaug Fenne Kari Furu Vidar Hjellvik Kari Jansdotter Husabø Per Olav Kormeset Solveig Sakshaug Hanne Strøm Sissel Torheim Bestilling/Order: Rapporten kan lastes ned som pdf på Folkehelseinstituttets nettsider: www.fhi.no/ The report is available as pdf format only and can be downloaded from www.fhi.no Layout omslag: www.fetetyper.no Layout/design, innhold: Houston 911 Kontaktinformasjon/Contact information: Folkehelseinstituttet/Norwegian Institute of Public Health P.O.Box 4404 Nydalen N-0403 Oslo Tel: +47 21 07 70 00 ISSN: 1890-9647 ISBN 978-82-8082-824-8 elektronisk utgave Sitering/Citation: Berg, C (red), Reseptregisteret 2012–2016 [The Norwegian Prescription Database 2012–2016] Legemiddelstatistikk 2017:2, Oslo, Norge: Folkehelseinstituttet, 2017. Tidligere utgaver / Previous editions: 2008: Reseptregisteret 2004–2007 / The Norwegian Prescription Database 2004–2007 2009: Legemiddelstatistikk 2009:2: Reseptregisteret 2004–2008 / The Norwegian Prescription Database 2004–2008 2010: Legemiddelstatistikk 2010:2: Reseptregisteret 2005–2009. Tema: Vanedannende legemidler / The Norwegian Prescription Database 2005–2009. Topic: Addictive drugs 2011: Legemiddelstatistikk 2011:2: Reseptregisteret 2006–2010 / The Norwegian Prescription Database 2006–2010 2012: Legemiddelstatistikk 2012:2: Reseptregisteret 2007–2011 / The Norwegian Prescription Database 2007–2011 2013: Legemiddelstatistikk 2013:2: Reseptregisteret 2008–2012 / The Norwegian Prescription Database 2008–2012 2014: Legemiddelstatistikk 2014:2: Reseptregisteret 2009–2013 / The Norwegian Prescription Database 2009–2013 2015: Legemiddelstatistikk 2015:2: Reseptregisteret 2010–2014. Tema: Antibiotika / The Norwegian Prescription Database 2010–2014. Topic: Antibiotics 2016: Legemiddelstatistikk 2016:2: Reseptregisteret 2011–2015 / The Norwegian Prescription Database 2011–2015 Forord Preface Bruken av legemidler i befolkningen er økende. En The use of drugs in the population is increasing. viktig målsetting for norsk legemiddelpolitikk er An important goal of the health policies regarding rasjonell legemiddelbruk. En forutsetning for arbeidet pharmaceuticals in Norway is rational drug use. med å optimalisere legemiddelbruken i befolkningen In order to improve drug use, knowledge about er kunnskap om hvilke legemidler som brukes, hvem which drugs are used, how they are used and who som bruker legemidlene og hvordan de brukes. uses them is vital. In December 2002, the Parlia- For å få bedre kunnskap på dette området, vedtok ment decided to establish a national prescription Stortinget i desember 2002 å etablere et nasjonalt database in Norway (NorPD). The task of building reseptbasert legemiddelregister (Reseptregisteret). up the register was given to the Norwegian Insti- Oppgaven med å etablere registeret ble gitt til Folke- tute of Public Health (NIPH). Since 1st January 2004, helseinstituttet som fra 1. januar 2004 har mottatt the institute has received monthly data on drug månedlige opplysninger fra alle apotek om utlevering dispensed to patients, prescribers and institutions av legemidler til pasienter, forskrivere og institusjoner. from all Norwegian pharmacies. Denne rapporten er tiende utgave av den årlige statis- This report is the tenth edition of the annual statis- tikken fra Reseptregisteret. Generell informasjon om tics from the NorPD. General information about the Reseptregisteret, legemiddelstatistikk, klassifikasjon av NorPD, drug statistics, classification of drugs and legemidler og målemetoder finnes i rapportens del 1. measurement methods is included in part 1 of the Del 2 inneholder noen nøkkeltall fra Reseptregisteret report. Part 2 contains selected key figures from the og et omfattende tabellverk med opplysninger om NorPD and the main tables with information about antall individer som har fått utlevert legemidler etter the number of individuals who had drugs prescriped resept fra apotekene i Norge i siste femårsperiode and dispensed from pharmacies in Norway during (2012–2016). Opplysningene er fordelt på enkeltlege- the latest five years period (2012–2016). The informa- midler og legemiddelgrupper. ATC (Anatomisk Tera- tion includes particular drug substances as well as peutisk Kjemisk) -klassifikasjon er benyttet i tabellene. drug groups. ATC (Anatomical Therapeutic Chemical) For 2016 er informasjon om alders- og kjønnsfordeling classification is used in the tables. For 2016, informa- og kostnader inkludert i tabellene. ATC-/DDD-versjon tion about age, gender and costs are included in the gjeldende fra januar 2017 er benyttet i rapporten, se tables. The ATC/DDD version of January 2017 has også www.whocc.no. been used in the report, see also www.whocc.no. Reseptregisteret har også en nettside der man kan The NorPD also has a website where you can find finne kompletterende informasjon: complementary information: www.norpd.no (English www.norpd.no (engelsk versjon) eller www.reseptre- version) or www.reseptregisteret.no (Norwegian gisteret.no (norsk versjon). version). It is also possible to apply for data from Det er også mulig å søke om utlevering av data fra the NorPD for research or for other purposes which Reseptregisteret til forskning eller til andre formål are according to the objectives of the NorPD. More som er i henhold til formålet for Reseptregisteret. Mer information about this can be found in part 2 of the informasjon om dette finnes i rapportens del 2 og på report, and at the website of the Norwegian Institute nettsiden til Folkehelseinstituttet (www.fhi.no). of Public Health (www.fhi.no). Avdeling for legemiddelepidemiologi Department of Pharmacoepidemiology Folkehelseinstituttet Norwegian Institute of Public Health April 2017 April 2017 Legemiddelstatistikk 2017:2 • Folkehelseinstituttet 5 Innhold Forord ..................................................................................................................................................................... 5 1. Generelt om Reseptregisteret (NorPD) og legemiddelstatistikk .............................................................8 1.1 Reseptregisteret .......................................................................................................................................8 1.2 Nordiske reseptregistre ...................................................................................................................... 12 1.3 Grossistbasert legemiddelstatistikk ................................................................................................. 12 1.4 Anatomisk Terapeutisk Kjemisk (ATC)-klassifikasjon ..................................................................... 13 1.5 Definert Døgndose (DDD) ..................................................................................................................... 14 1.6 WHO Collaborating Centre for Drug Statistics Methodology......................................................... 15 2. Reseptregisteret (NorPD) 2012–2016 ....................................................................................................... 16 2.1 Utvalgte nøkkeltall fra Reseptregisteret .......................................................................................... 16 2.2 Reseptkategorier og refusjon av utgifter til legemidler .............................................................. 32 2.3 Beskrivelse av hovedtabellene .......................................................................................................... 36 2.4 ATC main groups ..................................................................................................................................... 40 2.5 ATC group A – Alimentary tract and metabolism ............................................................................. 41 2.6 ATC group B – Blood and bloodforming organs ................................................................................. 52 2.7 ATC group C – Cardiovascular system ................................................................................................ 55 2.8 ATC group D – Dermatologicals ........................................................................................................... 63 2.9 ATC group G – Genito urinary system and sex hormones ............................................................... 69 2.10 ATC group H – Systemic hormonal preparations, excl. sex hormones and insulins ................... 74 2.11 ATC group J – Antiinfectives for systemic use .................................................................................. 77 2.12 ATC group L – Antineoplastic and immunomodulating agents ...................................................... 84 2.13 ATC group M – Musculo-skeletal system ........................................................................................... 87 2.14 ATC group N – Nervous system ..........................................................................................................
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