Guidelines for ATC classification and DDD assignment - WHOCC

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J01EA Trimethoprim and derivatives The DDDs are based on the treatment of acute urinary-tract infections. J01EB Short-acting sulfonamides This group comprises sulfonamides with a biological half-life not exceeding approx. 7 hours. J01EC Intermediate-acting sulfonamides This group comprises sulfonamides with a biological half-life of approx. 11-12 hours. J01ED Long-acting sulfonamides This group comprises sulfonamides with a biological half-life of approx. 35 hours or more. J01EE Combinations of sulfonamides and trimethoprim, incl. derivatives When establishing DDDs for combination products, both components are taken into consideration, see list of DDDs for combination products, www.whocc.no. J01F MACROLIDES, LINCOSAMIDES AND STREPTOGRAMINS This group comprises macrolide, lincosamide and streptogramin antibacterials inhibiting bacterial protein synthesis through binding to the 50-S part of the ribosomes. J01FA Macrolides Erythromycin ethylsuccinate tablets have been assigned a higher DDD than other preparations of erythromycin due to a lower bioavailability. This DDD is mainly based on the dose recommendations. The oral DDD for azithromycin is based on a 5-day regimen. 171
J01FF Lincosamides 172 Orally and parenterally administered clindamycin have different DDDs due to different indications, i.e. the intestinal and systemic infections, respectively. J01FG Streptogramins The streptogramin components dalfopristin/quinupristin are semisynthetic derivatives of pristinamycin. The two components have synergistic antibacterial effect and are always used together. Quinupristin/dalfopristin are therefore classified at the ATC plain level J01FG02. J01G AMINOGLYCOSIDE ANTIBACTERIALS This group comprises aminoglycoside antibacterials disturbing the bacterial protein synthesis through binding to the 30-S part of the ribosomes. J01GA Streptomycins Streptomycins in combination with antimycobacterials are classified in J04AM. J01GB Other aminoglycosides Tobramycin for inhalation is classified together with systemic formulations in J01GB01. The DDDs for the aminoglycosides are based on use in severe infections. J01M QUINOLONE ANTIBACTERIALS This group comprises quinolone antibacterials, inhibiting the bacterial DNA-gyrase.
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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
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A08 ANTIOBESITY PREPARATIONS, EXCL.
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A10B BLOOD GLUCOSE LOWERING DRUGS,
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72 In A11AA04 only trace elements a
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74 The DDDs are based on prophylaxi
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76 classified in this group. Even c
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78 Tonics are classified in A13. Th
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A12CC Magnesium A12CD Fluoride A12C
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A16 OTHER ALIMENTARY TRACT AND META
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B BLOOD AND BLOOD FORMING ORGANS B0
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B02 ANTIHEMORRHAGICS B02A ANTIFIBRI
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B03AA Iron bivalent, oral preparati
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90 The DDDs are based on maintenanc
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B05C IRRIGATING SOLUTIONS 92 In thi
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C CARDIOVASCULAR SYSTEM C01 CARDIAC
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C CARDIOVASCULAR SYSTEM C01 CARDIAC
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C01C CARDIAC STIMULANTS EXCL. CARDI
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C01E OTHER CARDIAC PREPARATIONS Thi
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Combinations with other antihyperte
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C02DD Nitroferricyanide derivatives
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C02LX Other antihypertensives and d
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C03BX Other low-ceiling diuretics A
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C04AC Nicotinic acid and derivative
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C05BA Heparins or heparinoids for t
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C07BG Alpha and beta blocking agent
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Combinations with ACE inhibitors ar
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C09BB ACE inhibitors and calcium ch
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
Page 170 and 171: inhibitor are classified at a separ
Page 174 and 175: J01MA Fluoroquinolones Flumequine i
Page 176 and 177: The parenteral DDD for fosfomycin i
Page 178 and 179: J04B DRUGS FOR TREATMENT OF LEPRA J
Page 180 and 181: The DDD of oseltamivir is based on
Page 182 and 183: 5th level, while other monovalent v
Page 184: J07BJ Rubella vaccines Combinations
Page 187 and 188: L ANTINEOPLASTIC AND IMMUNOMODULATI
Page 189 and 190: L01X OTHER ANTINEOPLASTIC AGENTS 18
Page 191 and 192: L03AA Colony stimulating factors L0
Page 194 and 195: M MUSCULO-SKELETAL SYSTEM M01 ANTII
Page 196 and 197: Combinations with drugs classified
Page 198 and 199: M01CA Quinolines The DDDs are based
Page 200 and 201: M03AC Other quaternary ammonium com
Page 202 and 203: M05 DRUGS FOR TREATMENT OF BONE DIS
Page 204 and 205: N NERVOUS SYSTEM N01 ANESTHETICS A
Page 206 and 207: N01AX Other general anesthetics Thi
Page 208 and 209: N02A OPIOIDS This group comprises s
Page 210 and 211: N02AG Opioids in combination with a
Page 212 and 213: Lysine acetylsalicylate is classifi
Page 214 and 215: The DDDs for the substances in this
Page 216 and 217: The DDD for the combination of levo
Page 218 and 219: N05AN Lithium The DDD is based on t
Page 220 and 221: 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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