Use of Drugs Subject to Controlled Prescriptions: a Retrospective Analysis
Objective: Use of drugs that may lead to abuse or dependence are subject to controlled prescriptions (CPs) in many countries, and these are closely monitored by health authorities. According to national regulations in Turkey, CPs may be red coloured (RCPs) or green coloured (GCPs). The aim of this s...
Main Authors: | , , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Galenos Publishing House
2013-03-01
|
Series: | Balkan Medical Journal |
Online Access: | http://balkanmedicaljournal.org/text.php?lang=en&id=421 |
_version_ | 1797922884055728128 |
---|---|
author | Dilek Demircan Ahmet Akıcı Kemal Berkman Başak Dönertaş Sinem Ezgi Gülmez İbrahim Topcu Hüseyin Yılmaz |
author_facet | Dilek Demircan Ahmet Akıcı Kemal Berkman Başak Dönertaş Sinem Ezgi Gülmez İbrahim Topcu Hüseyin Yılmaz |
author_sort | Dilek Demircan |
collection | DOAJ |
description | Objective: Use of drugs that may lead to abuse or dependence are subject to controlled prescriptions (CPs) in many countries, and these are closely monitored by health authorities. According to national regulations in Turkey, CPs may be red coloured (RCPs) or green coloured (GCPs). The aim of this study was to evaluate the use of such drugs in Istanbul.
Study Design: Retrospective case-control study.
Material and Methods: During the study period (01/01-31/12 2009), 502874 CPs were reported. Among these, 4000 CPs each month were randomly selected and evaluated.
Results: The majority of GCPs were issued to women (55.6%), while the majority of RCPs were issued to men (68.4%). GCPs were most frequently prescribed by physicians working in private hospitals (33.6%) while RCPs by physicians working in university hospitals (39.7%). GCPs were mostly prescribed by psychiatrists (37.6%) while for RCPs were child and adolescent psychiatrists (35.9%). Psycholeptics (ATC code N05) were the most prescribed controlled drugs (CDs) (43.8%). Methylphenidate (53.9%) was the mostly prescribed on RCPs and alprazolam (39.6%) was on GCPs.
Conclusion: We demonstrate that utilization of CDs shows demographical and institutional differences. These data could be of help to improve surveillance of CDs as well as to train prescribers and patients. |
first_indexed | 2024-04-10T14:38:16Z |
format | Article |
id | doaj.art-6a7df267c78d4d998f9cd26b4d5092dd |
institution | Directory Open Access Journal |
issn | 2146-3123 2146-3131 |
language | English |
last_indexed | 2024-04-10T14:38:16Z |
publishDate | 2013-03-01 |
publisher | Galenos Publishing House |
record_format | Article |
series | Balkan Medical Journal |
spelling | doaj.art-6a7df267c78d4d998f9cd26b4d5092dd2023-02-15T16:08:20ZengGalenos Publishing HouseBalkan Medical Journal2146-31232146-31312013-03-01301465310.5152/balkanmedj.2012.073Use of Drugs Subject to Controlled Prescriptions: a Retrospective AnalysisDilek Demircan0Ahmet Akıcı1Kemal Berkman2Başak Dönertaş3Sinem Ezgi Gülmez4İbrahim Topcu5Hüseyin Yılmaz6Department of Pharmacology, Faculty of Medicine, Marmara University, İstanbul, TurkeyDepartment of Pharmacology, Faculty of Medicine, Marmara University, İstanbul, TurkeyDepartment of Pharmacology, Faculty of Medicine, Marmara University, İstanbul, TurkeyDepartment of Pharmacology, Faculty of Medicine, Marmara University, İstanbul, TurkeyINSERM CIC-P 0005 Pharmacoépidémiologie, Service de Pharmacologie, Université Bordeaux Segalen, Bordeaux, FrancePublic Health Directorate of İstanbul, İstanbul, TurkeyProvincial Health Directorate of İstanbul, İstanbul, TurkeyObjective: Use of drugs that may lead to abuse or dependence are subject to controlled prescriptions (CPs) in many countries, and these are closely monitored by health authorities. According to national regulations in Turkey, CPs may be red coloured (RCPs) or green coloured (GCPs). The aim of this study was to evaluate the use of such drugs in Istanbul. Study Design: Retrospective case-control study. Material and Methods: During the study period (01/01-31/12 2009), 502874 CPs were reported. Among these, 4000 CPs each month were randomly selected and evaluated. Results: The majority of GCPs were issued to women (55.6%), while the majority of RCPs were issued to men (68.4%). GCPs were most frequently prescribed by physicians working in private hospitals (33.6%) while RCPs by physicians working in university hospitals (39.7%). GCPs were mostly prescribed by psychiatrists (37.6%) while for RCPs were child and adolescent psychiatrists (35.9%). Psycholeptics (ATC code N05) were the most prescribed controlled drugs (CDs) (43.8%). Methylphenidate (53.9%) was the mostly prescribed on RCPs and alprazolam (39.6%) was on GCPs. Conclusion: We demonstrate that utilization of CDs shows demographical and institutional differences. These data could be of help to improve surveillance of CDs as well as to train prescribers and patients.http://balkanmedicaljournal.org/text.php?lang=en&id=421 |
spellingShingle | Dilek Demircan Ahmet Akıcı Kemal Berkman Başak Dönertaş Sinem Ezgi Gülmez İbrahim Topcu Hüseyin Yılmaz Use of Drugs Subject to Controlled Prescriptions: a Retrospective Analysis Balkan Medical Journal |
title | Use of Drugs Subject to Controlled Prescriptions: a Retrospective Analysis |
title_full | Use of Drugs Subject to Controlled Prescriptions: a Retrospective Analysis |
title_fullStr | Use of Drugs Subject to Controlled Prescriptions: a Retrospective Analysis |
title_full_unstemmed | Use of Drugs Subject to Controlled Prescriptions: a Retrospective Analysis |
title_short | Use of Drugs Subject to Controlled Prescriptions: a Retrospective Analysis |
title_sort | use of drugs subject to controlled prescriptions a retrospective analysis |
url | http://balkanmedicaljournal.org/text.php?lang=en&id=421 |
work_keys_str_mv | AT dilekdemircan useofdrugssubjecttocontrolledprescriptionsaretrospectiveanalysis AT ahmetakıcı useofdrugssubjecttocontrolledprescriptionsaretrospectiveanalysis AT kemalberkman useofdrugssubjecttocontrolledprescriptionsaretrospectiveanalysis AT basakdonertas useofdrugssubjecttocontrolledprescriptionsaretrospectiveanalysis AT sinemezgigulmez useofdrugssubjecttocontrolledprescriptionsaretrospectiveanalysis AT ibrahimtopcu useofdrugssubjecttocontrolledprescriptionsaretrospectiveanalysis AT huseyinyılmaz useofdrugssubjecttocontrolledprescriptionsaretrospectiveanalysis |