Guidelines for ATC classification and DDD assignment - WHOCC

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Lysine acetylsalicylate is classified at the same 5th level as acetylsalicylic acid. Combinations with antiemetics are classified here. The DDDs are based on the treatment of pain and not on use in rheumatic diseases. N02BB Pyrazolones N02BE Anilides DDDs for combined preparations, see N02B. Propacetamol, a prodrug of paracetamol is classified at a separate ATC 5th level in this group. Benorilate, which is an ester of acetylsalicylic acid and paracetamol, is classified in N02BA. Paracetamol in combination with orphenadrine (citrate) is classified in M03BC. N02BG Other analgesics and antipyretics This group comprises analgesics, which cannot be classified in the preceding groups. The DDD for ziconotide is based on intrathecal administration. N02C ANTIMIGRAINE PREPARATIONS This group comprises preparations specifically used in the prophylaxis and treatment of migraine. Analgesics, see N02A and N02B. Beta blocking agents, see C07. Antivertigo preparations, see N07. Cyproheptadine, see R06A - Antihistamines for systemic use. 211
212 Tolfenamic acid, see M01AG - Fenamates. Indometacin in combination with prochlorperazine and caffeine is classified in M01AB51 – Indometacin, combinations. N02CA Ergot alkaloids Ergot alkaloids for gynecological use, see G02A and G02CB. See also C04AE - Ergot alkaloids. Dihydroergotamine, which is also used in the treatment of hypotension, is classified in this group. Combinations of dihydroergotamine and etilefrine are classified in C01CA. The DDD for ergotamine is based on the treatment of acute migraine attacks, whereas the DDDs for dihydroergotamine and methysergide are based on prophylaxis. The DDD for dihydroergotamine nasal spray is based on the treatment of acute migraine attacks. N02CB Corticosteroid derivatives The DDDs for corticosteroid derivatives are based on prophylaxis of migraine. N02CC Selective serotonin (5HT1) agonists The DDDs for the selective serotonin (5HT1) agonists are based on the recommended initial dose in acute attacks of migraine. N02CX Other antimigraine preparations This group comprises antimigraine preparations, which cannot be classified in the preceding groups. Clonidine low strength tablets (e.g. 25 mcg) are classified here, even if the indication also may be “opioid withdrawal symptoms”.
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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
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C10B LIPID MODIFYING AGENTS, COMBIN
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D10 ANTI-ACNE PREPARATIONS A Anti-a
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D01AC Imidazole and triazole deriva
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D02B PROTECTIVES AGAINST UV-RADIATI
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D04AX Other antipruritics 130 This
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D06AX Other antibiotics for topical
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D07BB Corticosteroids, moderately p
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D08AD Boric acid products 136 Weak
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D10AB Preparations containing sulfu
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D11AX Other dermatologicals 140 Thi
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G GENITO URINARY SYSTEM AND SEX HOR
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G02 OTHER GYNECOLOGICALS 144 Analge
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146 Lisuride tablets in high streng
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G03AD Emergency contraceptives 148
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G03CX Other estrogens 150 Tibolone
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152 package which is intended for o
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G04BC Urinary concrement solvents 1
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H SYSTEMIC HORMONAL PREPARATIONS, E
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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 172 and 173: J01EA Trimethoprim and derivatives
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 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
Page 222 and 223: N06AF Monoamine oxidase inhibitors,
Page 224 and 225: N07B DRUGS USED IN ADDICTIVE DISORD
Page 226 and 227: P ANTIPARASITIC PRODUCTS, INSECTICI
Page 228 and 229: The DDDs in this group are based on
Page 230 and 231: P01C AGENTS AGAINST LEISHMANIASIS A
Page 232 and 233: The DDD for diethylcarbamazine is b
Page 234 and 235: R RESPIRATORY SYSTEM R01 NASAL PREP
Page 236 and 237: The DDDs are based on the treatment
Page 238 and 239: Antibiotics for systemic use, see J
Page 240 and 241: The DDDs for combination products a
Page 242 and 243: R03DA Xanthines A number of prepara
Page 244 and 245: R05D COUGH SUPPRESSANTS, EXCL. COMB
Page 246 and 247: The group is subdivided according t
Page 248 and 249: S SENSORY ORGANS S01 OPHTHALMOLOGIC
Page 250 and 251: S01AX Other antiinfectives This gro
Page 252 and 253: S01ED Beta blocking agents Combinat
Page 254 and 255: Hypromellose is classified in this
Page 256 and 257: S02D OTHER OTOLOGICALS This group c
Page 258 and 259: V VARIOUS V01 ALLERGENS A Allergens
Page 260 and 261: 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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