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Legemiddel- Statistikk 2011:2 legemiddel- statistikk 2011:2 Reseptregisteret 2006–2010 The Norwegian Prescription Database 2006–2010 legemiddel- statistikk 2011:2 Reseptregisteret 2006–2010 The Norwegian Prescription Database 2006–2010 Christian Berg Kari Furu Milada Mahic Irene Litleskare Marit Rønning Solveig Sakshaug Randi Selmer Svetlana Skurtveit Hanne Strøm Rapport 2011:2 Nasjonalt folkehelseinstitutt / The Norwegian Institute of Public Health Tittel/Title: Reseptregisteret 2006–2010 The Norwegian Prescription Database 2006–2010 Redaktør/Editor: Christian Berg Forfattere/Authors: Christian Berg Kari Furu Irene Litleskare Milada Mahic Marit Rønning Solveig Sakshaug Randi Selmer Svetlana Skurtveit Hanne Strøm Publisert av / Published by: Nasjonalt folkehelseinstitutt Postboks 4404 Nydalen NO-0403 Norway Tel: + 47 21 07 70 00 E-mail: [email protected] www.fhi.no Design/Layout Houston911 Acknowledgement: Julie D.W. Johansen (English version) Forsideillustrasjon / Front page illustration: iStockPhoto Trykk/Print: www.wj.no Opplag / Number printed: 400 Bestilling/Order: [email protected] Fax: +47-21 07 81 05 Tel: +47-21 07 82 00 ISSN: 1890-9647 ISBN: 978-82-8082-457-8 trykt utgave/printed version ISBN: 978-82-8082-458-5 elektronisk utgave/electronic version Tidligere utgave / Previous edition: 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 Forord Bruken av legemidler i befolkningen er økende. En viktig målsetting for norsk legemiddelpolitikk er rasjonell legemiddelbruk. En forutsetning for arbeidet med å optimalisere legemiddelbruken i befolkningen er kunnskap om hvilke legemidler som brukes, hvem som bruker legemidlene og hvordan de brukes. For å få bedre kunnskap på dette området, vedtok Stortinget i desember 2002 å etablere et nasjonalt reseptbasert legemiddelregister (Reseptregisteret). Oppgaven med å etablere registeret ble gitt til Folkehelseinstituttet som fra 1. januar 2004 har mottatt månedlige opp lysninger fra alle apotek om utlevering av legemidler til pasienter, leger og institusjoner. Denne rapporten er fj erde utgave av den årlige statistikken fra Reseptregisteret. Generell informa- sjon om Reseptregisteret, legemiddelstatistikk, klassifi kasjon av legemidler og målemetoder fi nnes i rapportens del 1. Del 2 inneholder noen nøkkeltall fra Reseptregisteret og et omfattende tabellverk med opplysninger om antall individer som har fått utlevert legemidler etter resept fra apotekene i Norge i siste femårsperiode (2006–2010). Opplysningene er fordelt på enkeltlegemidler og lege- middelgrupper. ATC (Anatomisk Terapeutisk Kjemisk)-klassifi kasjon er benyttet i tabellene. For 2010 er informasjon om alders- og kjønnsfordeling og kostnader inkludert i tabellene. ATC/DDD-versjon gjeldende fra januar 2011 er benyttet i rapporten, se også www.whocc.no. Reseptregisteret har også en nettside der man kan fi nne kompletterende informasjon. Nettstedet er: www.norpd.no (engelsk versjon) eller www.reseptregisteret.no (norsk versjon). Det er også mulig å søke om utlevering av data fra Reseptregisteret til forskning eller til andre formål som er i henhold til formålet for Reseptregisteret. Mer informasjon om dette fi nnes i bokens del 1 og på nettsiden til Folkehelseinstituttet (www.fhi.no). Avdeling for legemiddelepidemiologi Folkehelseinstituttet April 2011 6 Legemiddelstatistikk 2011:2 • Folkehelseinstituttet Preface The use of drugs in the population is increasing. An important goal of the health policies regarding pharmaceuticals in Norway is rational drug use. In order to improve drug use, knowl- edge about which drugs are used, how they are used and who uses them is vital. In December 2002, the Parliament decided to establish a national prescription database in Norway (NorPD). The task of building up the register was given to the Norwegian Institute of Public Health (NIPH). Since 1st January 2004, the institute has received monthly data on prescriptions from all Norwe- gian pharmacies. This report is the fourth edition of the annual statistics from NorPD. General information about NorPD, drug statistics, classification of drug and measurement methods is included in part 1 of the report. Part 2 contains some key figures from NorPD and the main tables with informa- tion about the number of individuals who had prescriptions dispensed from pharmacies in Norway during the latest five years period (2006–2010). The information includes particular drug substances as well as drug groups. ATC (Anatomical Therapeutic Chemical) classification is used in the tables. For 2010, information about age, gender and costs are included in the tables. The ATC/ DDD version of January 2011 has been used in the report, see also www.whocc.no. NorPD also has a website where you can find complementary information. The website is: www. norpd.no (English version) or www.reseptregisteret.no (Norwegian version). It is also possible to apply for data from NorPD for research or for other purposes which are according to the objec- tives of NorPD. More information about this can be found in part 1 of the report, and at the website of the Norwegian Institute of Public Health (www.fhi.no). Department of Pharmacoepidemiology Norwegian Institute of Public Health April 2011 Legemiddelstatistikk 2011:2 • Folkehelseinstituttet 7 Innhold Forord ......................................................................................................................................................................6 1. Generelt om Reseptregisteret og legemiddelstatistikk .......................................................................... 11 1.1 Reseptregisteret ................................................................................................................................... 11 1.2 Nordiske reseptregistre ....................................................................................................................... 14 1.3 Grossistbasert legemiddel statistikk .................................................................................................. 14 1.4 Anatomisk Terapeutisk Kjemisk (ATC)-klassifi kasjon...................................................................... 15 1.5 Defi nert Døgndose (DDD) ...................................................................................................................... 16 1.6 WHO Collaborating Centre for Drug Statistics Methodology ......................................................... 17 2. Reseptregisteret 2006–2010 ...................................................................................................................... 19 2.1 Utvalgte nøkkeltall fra Reseptregisteret ........................................................................................... 19 2.2 Beskrivelse av hovedtabellene ........................................................................................................... 23 2.3 ATC main groups ..................................................................................................................................... 27 2.4 ATC group A – Alimentary tract and metabolism ............................................................................. 28 2.5 ATC group B – Blood and bloodforming organs ................................................................................. 38 2.6 ATC group C – Cardiovascular system ............................................................................................... 41 2.7 ATC group D – Dermatologicals ............................................................................................................ 48 2.8 ATC group G – Genito urinary system and sex hormones .............................................................. 54 2.9 ATC group H – Systemic hormonal preparations, excl. sex hormones and insulins ................... 59 2.10 ATC group J – Antiinfectives for systemic use .................................................................................. 62 2.11 ATC group L – Antineoplastic and immunomodulating agents ...................................................... 68 2.12 ATC group M – Musculo-skeletal system .......................................................................................... 71 2.13 ATC group N – Nervous system ........................................................................................................... 75 2.14 ATC group P – Antiparasitic products, insecticides and repellents .............................................. 84 2.15 ATC group R – Respiratory system ..................................................................................................... 86 2.16 ATC group S – Sensory organs ............................................................................................................. 90 2.17 ATC group V – Various ........................................................................................................................... 94 Folkemengde i Norge 2006–2010 (per 1. juli)/ .............................................................................................. 95 Folkemengde etter alder i 2010 (per 1. juli)/ .................................................................................................. 95 Liste over publikasjoner basert på data fra Reseptregisteret per mars 2011 ......................................
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