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Guidelines for ATC classification and DDD assignment - WHOCC

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PREFACE<br />

The Anatomical Therapeutic Chemical (<strong>ATC</strong>) <strong>classification</strong> system <strong>and</strong> the Defined<br />

Daily Dose (<strong>DDD</strong>) as a measuring unit are recommended by the WHO <strong>for</strong> drug<br />

utilization studies. The system is now widely used internationally <strong>and</strong> the number of<br />

users is gradually increasing. The purpose of preparing guidelines is to make<br />

in<strong>for</strong>mation about the <strong>ATC</strong> <strong>classification</strong> system <strong>and</strong> the <strong>DDD</strong> methodology available<br />

to the users.<br />

The members of the WHO International Working Group <strong>for</strong> Drug Statistics<br />

Methodology have given expert advice <strong>and</strong> comments on the work with these<br />

guidelines.<br />

This 14th edition of the <strong>Guidelines</strong> <strong>for</strong> <strong>ATC</strong> <strong>classification</strong> <strong>and</strong> <strong>DDD</strong> <strong>assignment</strong> is<br />

based on the <strong>ATC</strong> <strong>classification</strong> index with <strong>DDD</strong>s valid from January 2011. The<br />

<strong>ATC</strong> index with <strong>DDD</strong>s, which is important <strong>for</strong> the underst<strong>and</strong>ing of these guidelines,<br />

is available on request from the WHO Collaborating Centre <strong>for</strong> Drug Statistics<br />

Methodology (order <strong>for</strong>m, see Annex II). A searchable version of the index is<br />

available on our website www.whocc.no. The <strong>ATC</strong> index with <strong>DDD</strong>s is updated<br />

annually. Please be aware that Spanish versions of the <strong>ATC</strong>/<strong>DDD</strong> publications also<br />

are available.<br />

An integrated version of the <strong>Guidelines</strong> <strong>for</strong> <strong>ATC</strong> <strong>classification</strong> <strong>and</strong> <strong>DDD</strong> <strong>assignment</strong><br />

<strong>and</strong> <strong>ATC</strong> <strong>classification</strong> index with <strong>DDD</strong>s is available on internet. For further<br />

in<strong>for</strong>mation, please see our website: www.whocc.no.<br />

All comments connected to the <strong>assignment</strong> of <strong>DDD</strong>s are given in shadowed boxes in<br />

the various chapters to each <strong>ATC</strong> group.<br />

We hope this book will prove helpful to the users of the <strong>ATC</strong>/<strong>DDD</strong> system.<br />

Suggested improvements can be addressed to the WHO Centre in Oslo.<br />

Oslo, December 2010<br />

Hanne Strøm<br />

Director<br />

WHO Collaborating Centre <strong>for</strong> Drug Statistics Methodology<br />

Norwegian Institute of Public Health

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