Guidelines for ATC classification and DDD assignment - WHOCC

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V07AS Stomi equipment V07AT Cosmetics V07AV Technical disinfectants V07AX Washing agents etc. V07AY Other non-therapeutic auxiliary products Exploration creams and lubricants are classified in this group. Creams, which contain antiseptics, are classified in D08 - Antiseptics and disinfectants. Preparations used as negative contrast media in double-contrast radiography only, containing e.g. bicarbonates or hypromellose, are classified in this group. V07AZ Chemicals and reagents for analysis V08 CONTRAST MEDIA This group comprises X-ray, MRI and Ultrasound contrast media. The X-ray contrast media are subdivided into iodinated and non-iodinated compounds, and are further classified according to water solubility, osmolarity and nephrotropic/hepatotropic properties. High osmolar substances correspond mainly to ionic substances, except from ioxaglic acid, which is classified together with the non-ionic substances. MRI contrast media are subdivided according to magnetic properties. V08A X-RAY CONTRAST MEDIA, IODINATED V08AA Watersoluble, nephrotropic, high osmolar X-ray contrast media V08AB Watersoluble, nephrotropic, low osmolar X-ray contrast media V08AC Watersoluble, hepatotropic X-ray contrast media V08AD Non-watersoluble X-ray contrast media 265
V08B X-RAY CONTRAST MEDIA, NON-IODINATED V08BA Barium sulfate containing X-ray contrast media V08C MAGNETIC RESONANCE IMAGING CONTRAST MEDIA V08CA Paramagnetic contrast media V08CB Superparamagnetic contrast media V08CX Other magnetic resonance imaging contrast media V08D ULTRASOUND CONTRAST MEDIA V08DA Ultrasound contrast media 266 The microspheres may contain various ingredients. E.g. perflutren suspension in microspheres of phospholipids is classfied in V08DA04. Perflenapent covers structural isomers of dodecafluoropentane i.e. perflisopent. V09 DIAGNOSTIC RADIOPHARMACEUTICALS An expert group consisting of Dik Blok (the Netherlands), Per Oscar Bremer (Norway) and Trygve Bringhammar (Sweden) is responsible for the ATC classification of radiopharmaceuticals in V09 and V10. The group has also prepared the guidelines for classification of these products. Radiopharmaceuticals for diagnostic use are classified in this group, while radiopharmaceuticals for therapeutic use are classified in V10. In general, the 3rd level are subdivided according to site of action or organ system, the 4th level according to radionuclide and the 5th level specifies the chemical substance. The ATC 5th level defines the actual form essential in nuclear medicine procedures, which includes radionuclide and carrier molecule. Therefore, products on the market, that can often be regarded as intermediate products rather than ready-touse radiopharmaceuticals, can be given more than one (5th level) ATC code, e.g. Technetium ( 99m Tc) exametazime (V09AA01) and technetium
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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
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H02A CORTICOSTEROIDS FOR SYSTEMIC U
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H04 PANCREATIC HORMONES H04A GLYCOG
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J ANTIINFECTIVES FOR SYSTEMIC USE J
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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
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
Page 262 and 263: The DDDs for calcium folinate, calc
Page 264 and 265: V06 GENERAL NUTRIENTS This group co
Page 268 and 269: ( 99m Tc) exametazime labelled cell
Page 270 and 271: classified according to such indica
Page 272 and 273: V10 THERAPEUTIC RADIOPHARMACEUTICAL
Page 274 and 275: List of terms: AC-system Anatomical
Page 276: Plain preparation Preparations cont
Page 280 and 281: Requested by: Name: Company: Addres
Page 282: ANNEX II
Page 285 and 286: Payment details ORDER FORM - ATC/DD
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