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Prescribing hypnotics in out-patient practice


Authors: B. Macešková 1;  R. Blechová 2;  H. Ondrašíková 1
Authors‘ workplace: Ústav aplikované farmacie, Farmaceutická fakulta VFU, Brno přednosta doc. RNDr. J. Kolář, CSc. 1;  Ústav humánní farmakologie a toxikologie Farmaceutická fakulta VFU, Brno přednosta doc. MUDr. J. Nečas, CSc. 2
Published in: Prakt. Lék. 2005; 85(3): 170-173
Category: General Medicine

Overview

Hypnotics may pose a risk for the patient, namely when they are not prescribed rationally. Prescriptions of hypnotics have been followed up at five pharmacies over a period of 12 months. In the course of ten months before the amendment of Act No. 167/1998 Dig., the ratio of prescriptions of benzodiazepine and non-benzodiazepine hypnotics was 57:43 expressed in RDD; the most frequently prescribed drug was Rohypnol tbl (1 mg of active substance, flunitrazepam), the most frequently prescribed active substance was flunitrazepam (in a single product). In the course of the first two months following the Amendment, the ratio of prescribed benzodiazepine and non-benzodiazepine hypnotics changed to 45:55, expressed in RDD. In first place was then the prescription drug Hypnogen tbl 15, the mostfrequently prescribed active substance being zolpidem (in 7 different products). Hypnotics were prescribed overwhelmingly to patients of the 61–80 year age group, more to females than to males, more frequently in the autumn and winter months. In a continued follow-up at one of the former pharmacies over another seven months there has been found a shift in the ratio of prescribed benzodiazepine and non-benzodiazepine hypnotics down to 24:76. The prescribing of the product Rohypnol tbl has a declining trend.

Key words:
hypnotics – benzodiazepines – non-benzodiazepines – prescriptions.


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General practitioner for children and adolescents General practitioner for adults
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