Guidelines for ATC classification and DDD assignment - WHOCC

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B BLOOD AND BLOOD FORMING ORGANS B01 ANTITHROMBOTIC AGENTS A Antithrombotic agents B02 ANTIHEMORRHAGICS A Antifibrinolytics B Vitamin K and other hemostatics B03 ANTIANEMIC PREPARATIONS A Iron preparations B Vitamin B12 and folic acid X Other antianemic preparations B05 BLOOD SUBSTITUTES AND PERFUSION SOLUTIONS A Blood and related products B I.v. solutions C Irrigating solutions D Peritoneal dialytics X I.v. solution additives Z Hemodialytics and hemofiltrates B06 OTHER HEMATOLOGICAL AGENTS A Other hematological agents 83
B BLOOD AND BLOOD FORMING ORGANS B01 ANTITHROMBOTIC AGENTS B01A ANTITHROMBOTIC AGENTS B01AA Vitamin K antagonists 84 This group comprises vitamin K antagonists such as dicoumarol, warfarin etc. The DDDs are based on prophylaxis of thrombosis. B01AB Heparin group This group comprises heparin preparations, including products for nontherapeutic use, e.g. for rinsing of indwelling vein cannulas. Heparin sodium and heparin calcium are classified at the same 5th level, i.e. B01AB01. The low molecular weight heparins are classified at separate 5th levels. The DDDs of nonfractionated heparin and antithrombin are based on prophylaxis of thrombosis and pulmonary emboli, and given in international units (U). The DDDs for the different low molecular weight heparins are assigned according to their recommended dose in prophylaxis of deep vein thrombosis in moderate risk patients. Since the anti Xa activity is a major determinant of the anticoagulant activity of low molecular weight heparins the DDDs are given in international units based on anti Xa activity. B01AC Platelet aggregation inhibitors excl. heparin Acetylsalicylic acid preparations specifically intended for use as antithrombotic agents are classified in this group. This exception from the basic principle of only one code for each route of administration is made because of the extensive use of acetylsalicylic acid both as an antithrombotic agent and as an analgesic. Whether an acetylsalicylic acid product should be classified in this group or in N02BA, should be decided at the national level based on the main indication of the product.
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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
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 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: A16 OTHER ALIMENTARY TRACT AND META
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
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
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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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Guidelines for ATC classification and DDD assignment - WHOCC

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