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Guidelines for ATC classification and DDD assignment - WHOCC

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210<br />

This means that a product containing paracetamol <strong>and</strong> phenazone should<br />

be classified in N02BE51 - paracetamol, combinations excl.<br />

psycholeptics <strong>and</strong> not in N02BB51 - phenazone, combinations excl.<br />

psycholeptics.<br />

Dextropropoxyphene plain, <strong>and</strong> in combination with other analgesics, is<br />

classified in N02AC.<br />

Cold preparations with therapeutic levels of analgesics are classified in<br />

this group at separate 5th levels by using the 50-series.<br />

Preparations are subdivided on 4th levels according to chemical<br />

structure.<br />

Combinations with ascorbic acid (i.e. 50 mg or more per unit dose) are<br />

classified at separate 5th levels using the corresponding 50-series.<br />

Products containing less than 50 mg per unit dose are classified at the<br />

plain level of the analgesic component.<br />

The <strong>DDD</strong>s are based on approved dose recommendations.<br />

When establishing <strong>DDD</strong>s <strong>for</strong> combination products in the 50-series,<br />

all analgesic components are taken into consideration if the amount<br />

of each component is a therapeutic dose.<br />

The <strong>DDD</strong> expressed in UD, should normally not exceed the<br />

approved dose recommendations <strong>for</strong> any of the components. See<br />

list of <strong>DDD</strong>s <strong>for</strong> combinations products, www.whocc.no.<br />

For combination products with codeine (i.e. less than 20 mg per<br />

unit dose), the amount of codeine is not taken into account when<br />

assigning a <strong>DDD</strong>.<br />

N02BA Salicylic acid <strong>and</strong> derivatives<br />

All salicylic acid derivatives including some commonly regarded as<br />

non-steroid antiinflammatory drugs, e.g. diflunisal, are classified in this<br />

group. See comment under N02 - Analgesics.<br />

Salicylic acid derivatives in combination with corticosteroids are<br />

classified in M01B. Acetylsalicylic acid preparations specifically<br />

intended <strong>for</strong> use as antithrombotic agents are classified in B01AC.

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