Guidelines for ATC classification and DDD assignment - WHOCC

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B03AE01 - iron, vitamin B12 and folic acid Intrinsic factor and/or liver extract are also allowed in this group B03AE02 - iron, multivitamins and folic acid B03AE03 - iron and multivitamins B03AE04 - iron, multivitamins and minerals B03AE10 - various combinations This group comprises some "borderline" combined iron preparations i.e. preparations with an iron content of approximately 30 mg Fe 2+ per defined daily dose (DDD). For combinations of iron, vitamin B12 and folic acid (B03AE01), the DDDs are based on prophylaxis of iron deficiency anemia and folic acid deficiency during pregnancy. Various combinations, classified in B03AE10, contain very small amounts of iron. The DDDs for these combinations are based on dose recommendations, and can be as low as corresponding to 30 mg Fe 2+ . The DDDs for iron in other combinations are based on treatment of iron deficiency anemia, and correspond to a DDD of 0.2 g Fe 2+ . B03B VITAMIN B12 AND FOLIC ACID B03BA Vitamin B12 (cyanocobalamin and analogues) Hydroxocobalamin for treatment of neuralgia is classified here. Combinations with liver extract are classified at separate 5th levels using the corresponding 50-series. Combinations with folic acid are classified in this group by using the 50-series. Vitamin B12, see also: A11D - Vitamin B1, plain and in combination with vitamin B6 and B12 A11EA - Vitamin B-complex, plain B03A - Iron preparations 89
90 The DDDs are based on maintenance treatment of pernicious anemia. Different DDDs are assigned for oral and parenteral formulations of cyanocobalamin due to great differences in bioavailability. The DDD for mecobalamin is based on the treatment of peripheral neuropathies. B03BB Folic acid and derivatives Folic acid and derivatives in combination with other substances are classified in this group at separate 5th levels using the corresponding 50series, if folic acid deficiency is the main indication. Folinates, used as antidotes, are classified in V03A. Combinations with iron, see B03AD and B03AE. Combinations with vitamin B12 are classified in B03BA. The DDD for oral folic acid is based on prophylactic use and the parenteral DDD is based on treatment. B03X OTHER ANTIANEMIC PREPARATIONS This group comprises antianemic preparations other than iron, vitamin B12 and folic acid. B03XA Other antianemic preparations The DDDs are based on treatment of renal anemia in patients maintained by hemodialysis. B05 BLOOD SUBSTITUTES AND PERFUSION SOLUTIONS See also: V07AB - Solvents and diluting agents, incl. irrigating solutions V07AC - Blood transfusion, auxiliary products
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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
Page 39 and 40: It should be emphasised that assign
Page 41 and 42: - If no objections are received, th
Page 43 and 44: In order to include proposals for A
Page 45 and 46: considered as a guideline since the
Page 47 and 48: List of DDDs for combined products
Page 49 and 50: ATC SYSTEM MAIN GROUPS The main gro
Page 51 and 52: A08 ANTIOBESITY PREPARATIONS, EXCL.
Page 53 and 54: A01AC Corticosteroids for local ora
Page 55 and 56: A02AF Antacids with antiflatulents
Page 57 and 58: 56 combination will, together with
Page 59 and 60: 58 The classification at the 5th le
Page 61 and 62: A03EA Antispasmodics, psycholeptics
Page 63 and 64: A06 LAXATIVES A06A LAXATIVES 62 Lax
Page 65 and 66: A06AG Enemas 64 All enemas and laxa
Page 67 and 68: 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: B03AA Iron bivalent, oral preparati
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 120 and 121: 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
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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
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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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