瓦雷尼克林用于戒烟的趋势及其影响
Journal of the American Pharmacists Association : JAPhA
|April 22, 2024
概括
瓦雷尼克林的处方在2021年召回后显著下降,并没有恢复. 尼古丁替代疗法使用仅略有增加,这表明烟草戒烟支持的差距很大.
科学领域:
- 公共卫生 公共卫生
- 药理学 药理学是指药理学的学科.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 在美国,吸烟是可预防死亡的主要原因之一.
- 瓦伦尼克林是戒烟的关键药物之一.
- 2021年7月的Chantix (varencline) 自愿召回影响了其可用性.
研究的目的:
- 评估从2018-2023年召回后的瓦雷尼克林处方趋势.
- 为了确定瓦伦尼克林在召回后是否恢复使用.
- 评估尼古丁替代疗法 (NRT) 使用的补偿性增加.
主要方法:
- 对瓦伦尼克林和NRT的处方数据的分析.
- 研究期:2018年7月至2023年6月.
- 数据来源:华盛顿公共雇员福利委员会受益人 (≥18岁).
主要成果:
- 烟草使用者的瓦伦尼克林使用量从9.5%-9.6% (2018-2020) 降至5.3%-6.4% (2021-2023).
- 处方的NRT从4.5% (2018-2019) 增加到6.0% (2022-2023),但仅略有增加.
- 瓦伦尼克林的使用没有恢复到召回前的水平.
结论:
- 瓦伦尼克林的使用量仍然明显低于召回前的水平.
- 临床医生应该解决瓦雷尼克林利用率的下降问题.
- 处方要求和历史警告等障碍可能会阻碍瓦伦尼克林的使用.
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