Guidelines for ATC classification and DDD assignment - WHOCC

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A02BB Prostaglandins A02BC Proton pump inhibitors The DDDs are based on treatment of gastro-oesophageal reflux disease. A02BD Combinations for eradication of Helicobacter pylori This group comprises fixed combination packages. The DDDs for combination packages in this group are given a fixed dose DDD, e.g. 6 tablets per day gives a DDD = 6 UD. A02BX Other drugs for peptic ulcer and gastro-oesophageal reflux disease (GORD) Ranitidine bismuth citrate is classified in A02BA. Alginic acid in combination with antacids (e.g. aluminium hydroxide, calcium carbonate) is given the code A02BX13. The DDD for alginic acid in combination with antacids (A02BX13) is given in a fixed doses (10 tablets = 10 UD; 50 ml mixture = 10 UD). A02X OTHER DRUGS FOR ACID RELATED DISORDERS This group comprises preparations, which cannot be classified in the preceding groups. A03 DRUGS FOR FUNCTIONAL GASTROINTESTINAL DISORDERS A major part of the preparations in this group are combined preparations. Preparations containing e.g. analgesics and antispasmodics could be classified either in this group or in N02 - Analgesics. Combinations of psycholeptics and antispasmodics could be classified in A03 or in N05 - Psycholeptics etc. The main indication for the use of the 55
56 combination will, together with the relative effect of the active components, decide the classification. In the treatment of pain caused by spasms, the spasmolytic component must be judged as more important than the analgesic component. Accordingly, analgesic/antispasmodic combinations should be classified in A03 if the main effect of the preparation is the antispasmodic action. Combined preparations are classified in: A03C - Antispasmodics in combination with psycholeptics A03D - Antispasmodics in combination with analgesics A03E - Antispasmodics and anticholinergics in combination with other drugs Antispasmodics, which are used specifically in the urogenital tractus, are classified in G04BD - Urinary antispasmodics. The DDD is equal for different routes of administration (oral, parenteral or rectal) of the same compound and is based on the oral dose. A03A DRUGS FOR FUNCTIONAL BOWEL DISORDERS Semisynthetic derivatives such as butylscopolamine, are classified in A03B - Belladonna and derivatives, plain. Lubiprostone is classified in A06AX - Other laxatives. Peripheral opioid receptor antagonists are classified in A06AH. A03AA Synthetic anticholinergics, esters with tertiary amino group A03AB Synthetic anticholinergics, quaternary ammonium compounds Plain preparations containing glycopyrronium are classified in this group. Preparations containing glycopyrronium in combination with neostigmine are classified in N07AA51. Trospium see G04BD and A03DA. A03AC Synthetic antispasmodics, amides with tertiary amines
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2011 WHO Collaborating Centre for D
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ISSN 1726-4898 ISBN 978-82-8082-438
Page 5 and 6: Previous editions: 1990: Guidelines
Page 7 and 8: Staff of the Centre Christian Berg,
Page 9 and 10: 8 D. Principles for reviewing and c
Page 11 and 12: I. INTRODUCTION A. History of the A
Page 13 and 14: - To organize training courses in t
Page 15 and 16: It is open to anyone with a legitim
Page 17 and 18: B. Inclusion and exclusion criteria
Page 19 and 20: If a new substance fits in both a c
Page 21 and 22: Example: N02BA71 - acetylsalicylic
Page 23 and 24: achieved. The harmonisation process
Page 25 and 26: - For some groups of medicinal prod
Page 27 and 28: For all combination products where
Page 29 and 30: - Liquid preparations for inhalatio
Page 31 and 32: Further reviews of DDDs After the f
Page 33 and 34: linked to each medicinal product on
Page 35 and 36: Use of the ATC/DDD system allows st
Page 37 and 38: 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: A02AF Antacids with antiflatulents
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 and 90: B03AA Iron bivalent, oral preparati
Page 91 and 92: 90 The DDDs are based on maintenanc
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
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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
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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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