成年人群中普雷加巴林使用和处方模式的趋势:10年制药流行病学研究
Nofar Benassayag Kaduri1, Reuven Dressler2, Wiessam Abu Ahmad3
1Division of Clinical Pharmacy, Faculty of Medicine, School of Pharmacy, Institute for Drug Research, The Hebrew University of Jerusalem, Jerusalem, Israel. Nofar.benassayag@mail.huji.ac.il.
CNS drugs
|January 25, 2024
概括
在以色列,从2010年到2019年,Pregabalin的处方量增加了一倍以上,老年人呈现最高的比例. 需要对滥用模式进行进一步的研究,以确定高剂量普雷加巴林使用风险人群.
科学领域:
- 药理学和药理学流行病学
- 公共卫生政策 公共卫生政策
- 老年医学 老年医学
背景情况:
- 全球pregabalin用于标签,非标签和娱乐目的的使用增加.
- 以色列缺乏对普雷加巴林的管制物质法规,需要进行趋势分析.
- 需要确定高强度佩加巴林使用的风险因素.
研究的目的:
- 评估在以色列处方普雷加巴林的十年趋势.
- 描述pregabalin使用者的人口统计和临床概况.
- 确定高强度普雷加巴林使用的风险因素.
主要方法:
- 使用克拉利特卫生服务 (CHS) 电子数据库 (2010-2019) 进行的回顾性纵向研究 (2010-2019).
- 计算每年的普雷加巴林处方率.
- 对人口,临床和剂量相关模式的单变量和多变量回归分析.
主要成果:
- 普雷加巴林处方率增加了一倍以上 (OR 2.3),在2019年达到7.2/100名CHS成员.
- 在老年人群中观察到的最高率 (55-74岁和>75岁).
- 与阿片类药物,二类药物和Z类药物的同时使用减少了,但仍然很常见;较高的剂量与男性,低SES,35-54岁年龄组和同时使用者有关.
结论:
- 以色列pregabalin使用量的显著增加反映了全球趋势,表明潜在的过度处方.
- 对滥用模式的进一步调查至关重要.
- 为了调整政策,需要确定易受高剂量和高强度佩加巴林使用的人群.
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