2013-10-11-farmacologie-lp-1-2

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CLASIFICAREA ATC A MEDICAMENTELOR Farmacologie 2013

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Farmacologie

Transcript of 2013-10-11-farmacologie-lp-1-2

  • CLASIFICAREA ATC A

    MEDICAMENTELOR

    Farmacologie 2013

  • Clasificarea ATC

    Farmacologie 2013

    = Anatomical Therapeutic Chemical

    Este standardul pentru clasificarea

    medicamentelor, acceptat de OMS

    Substanele active mprite n funcie de organul sau sistemul pe care acioneaz

    n funcie de proprietile terapetice, farmacologie i chimice

    5 nivele de clasificare

  • Primul nivel

    - codific grupul anatomic (cu o liter)- sunt 14 grupuri

    A Alimentary tract and metabolism

    B Blood and blood forming organs

    C Cardiovascular system

    D Dermatologicals

    G Genito-urinary system and sex hormones

    H Systemic hormonal preparations, excluding sex hormones and insulins

    J Antiinfectives for systemic use

    L Antineoplastic and immunomodulating agents

    M Musculo-skeletal system

    N Nervous system

    P Antiparasitic products, insecticides and repellents

    R Respiratory system

    S Sensory organs

    V Various

  • Clasificarea ATC

    Nivelul 2 Grupul terapeutic (2 cifre)

    Exemplu: C03 Diuretice

    Nivelul 3 Subgrupul terapeutic (1 liter)

    Exemplu: C03C Diuretice de ans

    Nivelul 4

    Sub grupul farmacologic (1 liter). Exemplu: C03CA Sulfonamide

    Nivelul 5

    Indic substana chimic (2 cifre) Example: C03CA01 Furosemid

    Substanele care se

    gsesc n acelai nivel

    4 nu pot fi considerate

    echivalente

    farmacoterapeutic,

    pentru c, chiar dac

    au acelai mecanism

    de aciune, efectul

    terapeutic,

    interaciunile

    medicamentoase sau

    efectele adverse pot fi

    diferite

  • Exemplu clasificare ATC Metformin

    1st level, anatomical main group A Alimentary tract and metabolism

    2nd level, therapeutic main group A10 Drugs used in diabetes

    3rd level, therapeutic subgroup A10B Blood glucose lowering drugs, excl. insulins

    4th level, chemical subgroup (pharmacological subgroup) A10BA Biguanides

    5th level, chemical substance A10BA02 metformin

  • Metformin

    Thus, in the ATC system all plain metformin preparations

    are given the code A10BA02.

    Pharmaceutical dosage forms with similar ingredients

    and strength will have the same ATC code

  • Clasificarea ATC

    O substan activ poate s aib mai multe coduri ATC

    dac

    Sunt mai mult de 2 dozaje disponibile

    Sunt mai multe forme farmaceutice

    Sunt mai multe ci de administrare

    Sunt mai multe utilizri terapeutice (organe/sisteme

    diferite)

  • Exemplu Clonidina

    2 dozaje

    C02 - antihipertensive

    N02C - antimigrenoase

  • Prednisolon

    A07EA01 Intestinal antiinflammatory agents (enemas and foams)

    C05AA04 Antihemorrhoidals for topical use (suppositories)

    D07AA03 Dermatological preparations (creams, ointments and

    lotions)

    H02AB06 Corticosteroids for systemic use (tablets, injections)

    R01AD02 Nasal decongestants (nasal sprays/drops)

    S01BA04 Ophthalmologicals (eye drops)

    S02BA03 Otologicals (ear drops)

  • Cum cutm?

    Site-ul oficial al clasificrii

    http://www.whocc.no/atc_ddd_index/

    +

    Siteul ANM (dac avem un cod i vrem s verificm disponibilitatea n Romnia

  • Utilitatea clasificrii ATC

    Farmacologie 2013

    Cautare mai facil a medicamentelor

    Este universal

    ATENIE!Studenii nu trebuie s nvee pe de rost cifrele i literele din clasificare !

    Mai abordabil este clasificarea farmaco-terapeutic, care este folosit n mod curent n practica medical, n limbajul curent medical.

    Ex: Metforminului nu i vom spune A10BA02, ci antidiabetic oral, biguanid