妇女产前产后抗抑郁药区域市场分类及价格状况研究

М. Є. Матвійчук, Б. П. Громовик
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引用次数: 2

摘要

根据研究,女性的抑郁症发生在怀孕期间或产后4周内,可能持续6个月。甚至在出生后一年内。治疗孕妇和哺乳期抑郁症最常见的是选择性血清素再摄取抑制剂组的抗抑郁药。该研究旨在研究药店(以利沃夫为例)用于治疗产前和产后妇女抑郁症的抗抑郁药SSRIs组的范围和价格情况。对象是乌克兰国家药品注册局和2021年ATC/DDD指数的数据,以及利沃夫药店药品价格和利沃夫地区全职员工截至2021年2月的平均工资信息。采用的方法有:系统法、统计法、比较分析法、归纳法。研究表明,在利沃夫的药店中,有一半以上的抗抑郁药在乌克兰注册。基于1个限定日剂量(DDD),一方面,五分之四的研究药物在特定TNs方面的竞争性定价和相对经济可负担性,另一方面,SSRIs组中少数(14.6%)最负担得起的TNs抗抑郁药。我们研究了2021年2月在乌克兰注册的SSRIs集团抗抑郁药的六个国际非专有名称,其形式为77个商品名(TN)。利沃夫的药店中只有41个或53.9%的TN。我们确定,在SSRIs组的TNs抗抑郁药中,1 DDD的最低价格是Fluxen胶囊的特征№ 30和乌克兰生产的氟西汀20mg片剂。1 DDD的最高价格是丹麦生产的20 mg西帕明片剂和10 mg西帕乐片剂的固有价格。我们发现,利沃夫药店中存在的绝大多数(41种TNs中的33种或80.5%)SSRIs类TNs抗抑郁药的价格流动性比率的总体值不超过0.5,这表明这些药物的区域市场竞争激烈,并且所研究的抗抑郁药在药店中的特定TN的相对可用性。另一方面,对于1 DDD的价格,最负担得起的是SSRIs组中只有6%或14.6%的TNs抗抑郁药,它们的负担能力值较低。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Research of assortment and price condition of the regional market of antidepressants for treatment of women in prenatal and postnatal periods
According to studies, depression in women occurs during pregnancy or within 4 weeks after delivery and can last up to 6 months. or even up to a year after birth. The most common in treating depression in pregnant women and during breastfeeding are antidepressants of selective serotonin reuptake inhibitors (SSRIs) group. The study aimed research the range and price situation in pharmacies (on the example of Lviv) of antidepressants SSRIs group used to treat depression in women in the prenatal and postnatal periods. The objects were the data of the State Register of Medicinal Products of Ukraine and the ATC / DDD Index 2021 and also information on the prices for medicines in pharmacies in Lviv and the average salary of full-time employees in Lviv region as of February 2021. Methods used: system, statistical, comparison analysis, generalization. It is shown that in Lviv pharmacies there were more than half of the trade names (TNs) of antidepressants of the SSRIs group registered in Ukraine. Based on 1 defined daily dose (DDD), on the one hand, competitive pricing and relative economic affordability for four-fifths of the studied drugs in terms of specific TNs, on the other ‒ a small number (14.6%) of the most affordable TNs antidepressants of the SSRIs group. We researched that there were six international non-proprietary names of antidepressants of the SSRIs group in the form of 77 trade names (TN) were registered in Ukraine in February 2021. There were only 41 or 53.9% of their TN was present in Lviv pharmacies. We determined that the lowest prices of 1 DDD among the TNs antidepressants of SSRIs group are characteristic of Fluxen capsules № 30 and Fluoxetine 20 mg tablets of Ukrainian production. The highest prices of 1 DDD are inherent in the Cipramil 20 mg tablets and Cipralex 10 mg tablets of Danish production. We found that the overall value of the price liquidity ratio for the vast majority (33 or 80,5% out of 41 TNs) antidepressants of SSRIs group of TNs present in pharmacies in Lviv does not exceed 0.5, which indicates an intensely competitive environment in the regional market of these drugs and the relative availability in pharmacies of a particular TN of the studied antidepressants. On the other hand, the most affordable for a price of 1 DDD were only 6 or 14.6% of TNs antidepressants of the SSRIs group, which have low values of affordability.
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