Guidelines for ATC classification and DDD assignment - WHOCC

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C09BB ACE inhibitors and calcium channel blockers C09C ANGIOTENSIN II ANTAGONISTS, PLAIN C09CA Angiotensin II antagonists, plain C09D ANGIOTENSIN II ANTAGONISTS, COMBINATIONS C09DA Angiotensin II antagonists and diuretics C09DB Angiotensin II antagonists and calcium channel blockers Combinations with hydrochlorothiazide are classified in C09DX. C09DX Angiotensin II antagonists, other combinations C09X OTHER AGENTS ACTING ON THE RENIN-ANGIOTENSIN SYSTEM C09XA Renin-inhibitors Fixed combinations of aliskiren and valsartan are classified in C09DX. C10 LIPID MODIFYING AGENTS The DDDs are based on the treatment of hypercholesterolemia. C10A LIPID MODIFYING AGENTS, PLAIN Combinations of different cholesterol and triglyceride reducers are classified at separate 5th levels using the corresponding 50-series. The following ranking according to the ATC codes is used: Substances classified in ATC-group C10AA take precedence over C10AB etc. Pantethine, which is also used in the treatment of hyperlipidemi, is classified as a vitamin in A11HA. 119
C10AA HMG CoA reductase inhibitors C10AB Fibrates 120 This group comprises agents which act as competitive inhibitors of 3hydroxy-3-methylglutaryl coenzyme A reductase (HMG CoA reductase). Atorvastatin in combination with amlodipine is classified in C10BX03. Clofibrate and analogues are classified here. The DDD for fenofibrate is based on the micronised formulation. C10AC Bile acid sequestrants This group comprises substances (such as colestyramine and colestipol) which reduces the cholesterol level by increasing the excretion of bile acid. C10AD Nicotinic acid and derivatives This group comprises high strength preparations (e.g. nicotinic acid tab 500 mg) used as cholesterol reducers. Nicotinic acid or derivatives in low strength preparations (e.g. nicotinic acid tab 50 mg) are classified in C04A - Peripheral vasodilators. Combinations of nicotinic acid and laropiprant are classified in C10AD52. C10AX Other lipid modifying agents This group comprises all cholesterol and triglyceride reducers, which cannot be classified in the preceding groups. Sulodexide is classified in B01AB.
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2011 WHO Collaborating Centre for D
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ISSN 1726-4898 ISBN 978-82-8082-438
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Previous editions: 1990: Guidelines
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Staff of the Centre Christian Berg,
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8 D. Principles for reviewing and c
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I. INTRODUCTION A. History of the A
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- To organize training courses in t
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It is open to anyone with a legitim
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B. Inclusion and exclusion criteria
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If a new substance fits in both a c
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Example: N02BA71 - acetylsalicylic
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achieved. The harmonisation process
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- For some groups of medicinal prod
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For all combination products where
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- Liquid preparations for inhalatio
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Further reviews of DDDs After the f
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linked to each medicinal product on
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Use of the ATC/DDD system allows st
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The WHO Collaborating Centre for In
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It should be emphasised that assign
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- If no objections are received, th
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In order to include proposals for A
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considered as a guideline since the
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List of DDDs for combined products
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ATC SYSTEM MAIN GROUPS The main gro
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A08 ANTIOBESITY PREPARATIONS, EXCL.
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A01AC Corticosteroids for local ora
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A02AF Antacids with antiflatulents
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56 combination will, together with
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58 The classification at the 5th le
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A03EA Antispasmodics, psycholeptics
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A06 LAXATIVES A06A LAXATIVES 62 Lax
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A06AG Enemas 64 All enemas and laxa
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A07C ELECTROLYTES WITH CARBOHYDRATE
Page 69 and 70: A08 ANTIOBESITY PREPARATIONS, EXCL.
Page 71 and 72: A10B BLOOD GLUCOSE LOWERING DRUGS,
Page 73 and 74: 72 In A11AA04 only trace elements a
Page 75 and 76: 74 The DDDs are based on prophylaxi
Page 77 and 78: 76 classified in this group. Even c
Page 79 and 80: 78 Tonics are classified in A13. Th
Page 81 and 82: A12CC Magnesium A12CD Fluoride A12C
Page 83 and 84: A16 OTHER ALIMENTARY TRACT AND META
Page 85 and 86: B BLOOD AND BLOOD FORMING ORGANS B0
Page 87 and 88: B02 ANTIHEMORRHAGICS B02A ANTIFIBRI
Page 89 and 90: B03AA Iron bivalent, oral preparati
Page 91 and 92: 90 The DDDs are based on maintenanc
Page 93 and 94: B05C IRRIGATING SOLUTIONS 92 In thi
Page 96 and 97: C CARDIOVASCULAR SYSTEM C01 CARDIAC
Page 98 and 99: C CARDIOVASCULAR SYSTEM C01 CARDIAC
Page 100 and 101: C01C CARDIAC STIMULANTS EXCL. CARDI
Page 102 and 103: C01E OTHER CARDIAC PREPARATIONS Thi
Page 104 and 105: Combinations with other antihyperte
Page 106 and 107: C02DD Nitroferricyanide derivatives
Page 108 and 109: C02LX Other antihypertensives and d
Page 110 and 111: C03BX Other low-ceiling diuretics A
Page 112 and 113: C04AC Nicotinic acid and derivative
Page 114 and 115: C05BA Heparins or heparinoids for t
Page 116 and 117: C07BG Alpha and beta blocking agent
Page 118 and 119: Combinations with ACE inhibitors ar
Page 122: C10B LIPID MODIFYING AGENTS, COMBIN
Page 125 and 126: D10 ANTI-ACNE PREPARATIONS A Anti-a
Page 127 and 128: D01AC Imidazole and triazole deriva
Page 129 and 130: D02B PROTECTIVES AGAINST UV-RADIATI
Page 131 and 132: D04AX Other antipruritics 130 This
Page 133 and 134: D06AX Other antibiotics for topical
Page 135 and 136: D07BB Corticosteroids, moderately p
Page 137 and 138: D08AD Boric acid products 136 Weak
Page 139 and 140: D10AB Preparations containing sulfu
Page 141 and 142: D11AX Other dermatologicals 140 Thi
Page 143 and 144: G GENITO URINARY SYSTEM AND SEX HOR
Page 145 and 146: G02 OTHER GYNECOLOGICALS 144 Analge
Page 147 and 148: 146 Lisuride tablets in high streng
Page 149 and 150: G03AD Emergency contraceptives 148
Page 151 and 152: G03CX Other estrogens 150 Tibolone
Page 153 and 154: 152 package which is intended for o
Page 155 and 156: G04BC Urinary concrement solvents 1
Page 158 and 159: H SYSTEMIC HORMONAL PREPARATIONS, E
Page 160 and 161: The DDDs are based on the treatment
Page 162 and 163: H02A CORTICOSTEROIDS FOR SYSTEMIC U
Page 164 and 165: H04 PANCREATIC HORMONES H04A GLYCOG
Page 166 and 167: J ANTIINFECTIVES FOR SYSTEMIC USE J
Page 168 and 169: J01 ANTIBACTERIALS FOR SYSTEMIC USE
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inhibitor are classified at a separ
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J01EA Trimethoprim and derivatives
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J01MA Fluoroquinolones Flumequine i
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The parenteral DDD for fosfomycin i
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J04B DRUGS FOR TREATMENT OF LEPRA J
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The DDD of oseltamivir is based on
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5th level, while other monovalent v
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J07BJ Rubella vaccines Combinations
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L ANTINEOPLASTIC AND IMMUNOMODULATI
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L01X OTHER ANTINEOPLASTIC AGENTS 18
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L03AA Colony stimulating factors L0
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M MUSCULO-SKELETAL SYSTEM M01 ANTII
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Combinations with drugs classified
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M01CA Quinolines The DDDs are based
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M03AC Other quaternary ammonium com
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M05 DRUGS FOR TREATMENT OF BONE DIS
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N NERVOUS SYSTEM N01 ANESTHETICS A
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N01AX Other general anesthetics Thi
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N02A OPIOIDS This group comprises s
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N02AG Opioids in combination with a
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Lysine acetylsalicylate is classifi
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The DDDs for the substances in this
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The DDD for the combination of levo
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N05AN Lithium The DDD is based on t
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The DDDs are based on use of the dr
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N06AF Monoamine oxidase inhibitors,
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N07B DRUGS USED IN ADDICTIVE DISORD
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P ANTIPARASITIC PRODUCTS, INSECTICI
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The DDDs in this group are based on
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P01C AGENTS AGAINST LEISHMANIASIS A
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The DDD for diethylcarbamazine is b
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R RESPIRATORY SYSTEM R01 NASAL PREP
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The DDDs are based on the treatment
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Antibiotics for systemic use, see J
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The DDDs for combination products a
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R03DA Xanthines A number of prepara
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R05D COUGH SUPPRESSANTS, EXCL. COMB
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The group is subdivided according t
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S SENSORY ORGANS S01 OPHTHALMOLOGIC
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S01AX Other antiinfectives This gro
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S01ED Beta blocking agents Combinat
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Hypromellose is classified in this
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S02D OTHER OTOLOGICALS This group c
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V VARIOUS V01 ALLERGENS A Allergens
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V VARIOUS This group comprises many
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The DDDs for calcium folinate, calc
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V06 GENERAL NUTRIENTS This group co
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V07AS Stomi equipment V07AT Cosmeti
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( 99m Tc) exametazime labelled cell
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classified according to such indica
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V10 THERAPEUTIC RADIOPHARMACEUTICAL
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List of terms: AC-system Anatomical
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Plain preparation Preparations cont
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Requested by: Name: Company: Addres
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ANNEX II
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Payment details ORDER FORM - ATC/DD
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Guidelines for ATC classification and DDD assignment - WHOCC

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