通过分类收集收集的过期和未使用的药物的ATC/DDD分析
Odina Makhmudova1, Rasima Tukhtaeva1, Pavel Vasilyev2
1Department of Internal Deseases, Institute of Fundamental Medicine and Biology, Kazan Federal University, Kazan, Russia.
The International journal of risk & safety in medicine
|December 24, 2025
概括
适当地处置未使用的药物至关重要. 俄罗斯的一项研究发现,心血管和消化系统药物最常被丢弃,这凸显了需要更好的药物使用分析的需要.
科学领域:
- 环境科学 环境科学
- 药理学 药理学 是一个学科.
- 公共卫生 公共卫生
背景情况:
- 药物的不当处置有助于环境污染,并对生物系统构成风险.
- 俄罗斯缺乏针对家庭处置过期药物的具体立法,将其归类为一般废物.
- 越来越多的证据突出了制药废弃物的负面生态和生物影响.
研究的目的:
- 评估过期和未使用药物的单独收集计划的有效性.
- 分析废弃药物的类型和数量,使用解剖治疗化学/定义每日剂量 (ATC/DDD) 方法.
- 通过检查处置的药品来评估药品消费的合理性.
主要方法:
- 在喀山的两个多诊所组织分别收集过期和未使用的药物.
- 进行ATC/DDD分析以量化废弃药物和估计非消费.
- 收集了243公斤的药物和补充剂,包括4737个商业名称和707个国际非专利名称 (INN).
主要成果:
- 收集的药品总量为243公斤,包括药物和食补充剂.
- ATC/DDD分析显示,心血管,消化和代谢疾病的废弃药物的比例很高.
- 该研究发现了大量的药物被发行,但未被患者消费.
结论:
- 对处置药物的定性和定量评估对于评估合理使用药物至关重要.
- 对废弃药物的分析提供了对实际消费模式和发行量的洞察.
- 实施有效的药物处置策略对于环境保护和公共卫生至关重要.
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